{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:59:47Z","timestamp":1753887587027,"version":"3.41.2"},"reference-count":9,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5,1]]},"abstract":"<jats:p>Multiple births are increasing in frequency related to advanced maternal age and fertility treatments, and they have an increased risk for congenital anomalies compared to singleton births. However, twins have the same congenital anomalies &amp;lt;15% of the time. Thus, having multiple births with discordant anomalies is a growing challenge for neonatologists. Although external anomalies can often be spotted quickly at delivery or sex differences between multiples can rapidly identify those with internal anomalies described on prenatal ultrasound, we present a case of male multiples, who would optimally receive different initial resuscitation strategies on the basis of the presence or absence of an internal anomaly. The similar size of 4 extremely preterm quadruplets raises concern for whether accurate, immediate identification of 1 neonate with a congenital diaphragmatic hernia will be reliable in the delivery room. Clinicians discuss the ethical considerations of an \u201call for one\u201d approach to this resuscitation.<\/jats:p>","DOI":"10.1542\/peds.2019-2704","type":"journal-article","created":{"date-parts":[[2020,4,2]],"date-time":"2020-04-02T12:20:45Z","timestamp":1585830045000},"source":"Crossref","is-referenced-by-count":0,"title":["All for One and One Delivery Room Approach for All?"],"prefix":"10.1542","volume":"145","author":[{"given":"Autumn","family":"Kiefer","sequence":"first","affiliation":[{"name":"Department of Pediatrics, School of Medicine, West Virginia University, Morgantown, West Virginia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Johnson Rolfes","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Medical School, University of Minnesota, Minneapolis, Minnesota;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Greg","family":"Barretto","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John D.","family":"Lantos","sequence":"additional","affiliation":[{"name":"Bioethics Center, Children\u2019s Mercy Hospital, Kansas City, Missouri"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2020,5,1]]},"reference":[{"issue":"6","key":"2021121013083595000_B1","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1111\/1471-0528.12146","article-title":"Trends in the prevalence, risk and pregnancy outcome of multiple births with congenital anomaly: a registry-based study in 14 European countries 1984-2007","volume":"120","author":"Boyle","year":"2013","journal-title":"BJOG"},{"issue":"6","key":"2021121013083595000_B2","first-page":"CD001243","article-title":"Prophylactic nasal continuous positive airway pressure for preventing morbidity and mortality in very preterm infants","author":"Subramaniam","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"2","key":"2021121013083595000_B3","doi-asserted-by":"crossref","first-page":"404","DOI":"10.1016\/j.surg.2010.03.018","article-title":"Congenital diaphragmatic hernia in the preterm infant","volume":"148","author":"Tsao","year":"2010","journal-title":"Surgery"},{"issue":"3","key":"2021121013083595000_B4","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1542\/peds.2009-2959","article-title":"Neonatal outcomes of extremely preterm infants from the NICHD Neonatal Research Network","volume":"126","author":"Stoll","year":"2010","journal-title":"Pediatrics"},{"issue":"1","key":"2021121013083595000_B5","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1542\/peds.2013-3442","article-title":"Respiratory support in preterm infants at birth","volume":"133","author":"Committee on Fetus and Newborn","year":"2014","journal-title":"Pediatrics"},{"issue":"7","key":"2021121013083595000_B6","doi-asserted-by":"crossref","first-page":"1084","DOI":"10.1016\/j.jpedsurg.2015.12.010","article-title":"Younger gestational age is associated with increased risk of adverse neurodevelopmental outcome during infancy in congenital diaphragmatic hernia","volume":"51","author":"Danzer","year":"2016","journal-title":"J Pediatr Surg"},{"issue":"5","key":"2021121013083595000_B7","doi-asserted-by":"crossref","first-page":"e20170697","DOI":"10.1542\/peds.2017-0697","article-title":"Neurodevelopment at age 10 years of children born &lt;28 weeks with fetal growth restriction","volume":"140","author":"Korzeniewski","year":"2017","journal-title":"Pediatrics"},{"issue":"20","key":"2021121013083595000_B8","doi-asserted-by":"crossref","first-page":"2770","DOI":"10.1080\/14767058.2017.1355902","article-title":"Complications of central lines in neonates admitted to a level III neonatal intensive care unit","volume":"31","author":"Soares","year":"2018","journal-title":"J Matern Fetal Neonatal Med"},{"issue":"3","key":"2021121013083595000_B9","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1177\/0884533616687532","article-title":"Retrospective dual-center study of parenteral nutrition-associated cholestasis in premature neonates: 15 years\u2019 experience","volume":"32","author":"Yan","year":"2017","journal-title":"Nutr Clin Pract"}],"container-title":["Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2019-2704\/1079135\/peds_20192704.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/publications.aap.org\/pediatrics\/article-pdf\/doi\/10.1542\/peds.2019-2704\/1079135\/peds_20192704.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,11]],"date-time":"2021-12-11T01:50:47Z","timestamp":1639187447000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.aap.org\/pediatrics\/article\/145\/5\/e20192704\/36788\/All-for-One-and-One-Delivery-Room-Approach-for-All"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,1]]},"references-count":9,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,5,1]]},"published-print":{"date-parts":[[2020,5,1]]}},"URL":"https:\/\/doi.org\/10.1542\/peds.2019-2704","relation":{},"ISSN":["0031-4005","1098-4275"],"issn-type":[{"type":"print","value":"0031-4005"},{"type":"electronic","value":"1098-4275"}],"subject":[],"published":{"date-parts":[[2020,5,1]]},"article-number":"e20192704"}}