Amos Grünebaum
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View article: The FAIR framework: ethical hybrid peer review
The FAIR framework: ethical hybrid peer review Open
Objectives Traditional peer review faces critical challenges including systematic bias, prolonged delays, reviewer fatigue, and lack of transparency. These failures violate ethical obligations of beneficence, justice, and autonomy while hi…
View article: Integrating generative AI in perinatology: applications for literature review
Integrating generative AI in perinatology: applications for literature review Open
Perinatology relies on continuous engagement with an expanding body of clinical literature, yet the volume and velocity of publications increasingly exceed the capacity of clinicians to keep pace. Generative artificial intelligence (GAI) t…
View article: Rationale for the use of fetal ventriculosubgaleal shunts for the treatment of aqueduct stenosis
Rationale for the use of fetal ventriculosubgaleal shunts for the treatment of aqueduct stenosis Open
Fetal hydrocephalus causes irreversible neural injury in utero , yet no prenatal therapy currently exists. Postnatal treatments such as ventriculoperitoneal shunts and endoscopic third ventriculostomy with choroid plexus cauterization cann…
View article: Generative artificial intelligence for counseling of fetal malformations following ultrasound diagnosis
Generative artificial intelligence for counseling of fetal malformations following ultrasound diagnosis Open
Objectives To explore the potential role of generative artificial intelligence (GenAI) in enhancing patient counseling following prenatal ultrasound diagnosis of fetal malformations, with an emphasis on clinical utility, patient comprehens…
View article: Patient education materials: improving readability to advance health equity
Patient education materials: improving readability to advance health equity Open
Objectives To assess the readability of American College of Obstetricians and Gynecologists (ACOG) patient education pamphlets and evaluate changes over 25 years to determine their role as a social determinant of health affecting maternal …
View article: Quo vadis neonatologia? Where is neonatology heading in the 21st century?
Quo vadis neonatologia? Where is neonatology heading in the 21st century? Open
Introduction This comprehensive narrative review examines current paradigms, emerging trends, and future directions in neonatology through systematic analysis of contemporary literature, clinical practice patterns, and expert consensus. We…
View article: The fetus as a patient: professional responsibility in contemporary Perinatal Medicine
The fetus as a patient: professional responsibility in contemporary Perinatal Medicine Open
The concept of the fetus as a patient has evolved over the past several decades, driven by advances in fetal medicine, neonatology, and bioethics. Pioneering international work by Erich Saling, Ian Donald, William Liley, L. Stanley James, …
View article: Risk factors and adverse outcomes associated with hepatitis C virus in pregnancy
Risk factors and adverse outcomes associated with hepatitis C virus in pregnancy Open
Objectives To evaluate maternal sociodemographic factors and adverse pregnancy outcomes associated with hepatitis C virus (HCV) infection during pregnancy in a large population of live births. Methods Retrospective analysis of the United S…
View article: Documentation of Mandated Birth Certificate Data Elements Across US Birth Settings
Documentation of Mandated Birth Certificate Data Elements Across US Birth Settings Open
This cross-sectional study evaluates documentation rates of mandated birth certificate elements, including 5-minute Apgar scores, to assess compliance with federal requirements.
View article: Selective termination: a life-saving procedure for complicated monochorionic gestations
Selective termination: a life-saving procedure for complicated monochorionic gestations Open
Monochorionic twin pregnancies are a subset of twin pregnancies that face potential complications related to a shared circulation between the fetuses. These complications are related to anastomotic placental vessels connecting the cardiova…
View article: Cicero’s universal law: a timeless guide to reproductive justice
Cicero’s universal law: a timeless guide to reproductive justice Open
Marcus Tullius Cicero’s concept of “ius gentium,” or universal law, provides a timeless framework for understanding and defending fundamental human rights, particularly in the context of reproductive freedom. Cicero distinguished between “…
View article: Maternal Morbidity Associated with Early Preterm Birth in Low-Risk Singleton Pregnancies
Maternal Morbidity Associated with Early Preterm Birth in Low-Risk Singleton Pregnancies Open
Background/Objectives: While neonatal morbidities associated with early preterm birth are known, the risks of maternal morbidities in these births remain unclear. Thus, we set out to assess the risk of maternal morbidities associated with …
View article: Enhancing patient understanding in obstetrics: the role of generative AI in simplifying informed consent for labor induction with oxytocin
Enhancing patient understanding in obstetrics: the role of generative AI in simplifying informed consent for labor induction with oxytocin Open
Informed consent is a cornerstone of ethical medical practice, particularly in obstetrics where procedures like labor induction carry significant risks and require clear patient understanding. Despite legal mandates for patient materials t…
View article: Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound
Common foot and ankle disorders in pregnancy: the role of diagnostic ultrasound Open
Foot and ankle disorders are common during pregnancy, driven by significant physiological changes including weight distribution, hormonal fluctuations, and fluid balance. These changes often result in conditions such as varicose veins, thr…
View article: The importance of professional responsibility and fetal viability in the management of abortion
The importance of professional responsibility and fetal viability in the management of abortion Open
In June 2022, the Dobbs v. Jackson Women’s Health Organization Supreme Court decision ended the constitutional right to the professional practice of abortion throughout the United States. The removal of the constitutional right to abortion…
View article: Ethical Lessons Learned from the COVID-19 Pandemic in Perinatal Medicine
Ethical Lessons Learned from the COVID-19 Pandemic in Perinatal Medicine Open
important clinical ethical lessons we learned during the pandemic, including COVID-19 vaccination and physician hesitancy, ringfencing, and frameshifting.This paper was presented at the symposium Zagreb-New York ethical and perinatal dialo…
View article: The Ethical Obligation to Prevent Maternal Mortality during the COVID-19 Pandemic and Beyond
The Ethical Obligation to Prevent Maternal Mortality during the COVID-19 Pandemic and Beyond Open
of COVID-19 infections; the vast majority were among unvaccinated pregnant patients. 4aternal mortality rates in the USA in 2021 were about 24/100,000 live births, while in the United Kingdom, the number was less than nine, and in Canada, …
View article: Ethical Lessons Learned from the COVID-19 Pandemic in Perinatal Medicine
Ethical Lessons Learned from the COVID-19 Pandemic in Perinatal Medicine Open
As of December 2022, there have been about 100 million COVID-19 cases in the US, with about 1.1 million deaths. 1 There have also been well over 230,000 pregnant patients infected with COVID-19 in the US, with over 500 maternal deaths from…