{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T22:57:02Z","timestamp":1788649022521,"version":"build-2803163510"},"reference-count":51,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2016,5,19]],"date-time":"2016-05-19T00:00:00Z","timestamp":1463616000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Neonatal-Perinatal Medicine"],"published-print":{"date-parts":[[2016,6,22]]},"abstract":"<jats:p>OBJECTIVE: To identify antecedents of \u201cmedical\u201d necrotizing enterocolitis (mNEC), \u201csurgical\u201d NEC (sNEC), and spontaneous intestinal perforation (SIP) in newborns delivered before 28 weeks gestation.<\/jats:p>\n                  <jats:p>STUDY DESIGN: Prospective multicenter cohort study. During study period, 2002\u2013 2004, women delivering before 28 weeks gestation at one of 14 participating institutions were enrolled. Well defined antenatal and postnatal variables were collected. Bivariate analyses were performed to identify candidates for developing multinomial multivariable time-oriented logistic regression models.<\/jats:p>\n                  <jats:p>RESULTS: Of the 1320 infants, 5% had mNEC, 6% had sNEC, and 4% had SIP. Antecedents of mNEC included mother\u2019s identification as Black, consumption of aspirin during the pregnancy, and vaginal bleeding after the 12th week of gestation. For sNEC the antecedents were maternal self- support, obesity and anemia during the pregnancy, birth before the 24th week, birth weight \u2264750gm, and receipt of fresh frozen plasma (FFP) during the first postnatal week. An infant was at increased risk of SIP if the placenta had increased syncytial knots, birth occurred before the 24th week, and received FFP during the first week.<\/jats:p>\n                  <jats:p>CONCLUSIONS: Maternal and neonatal characteristics might help identify at-risk ELGANs for NEC and SIP, who then may potentially benefit from targeted preventive strategies.<\/jats:p>","DOI":"10.3233\/npm-16915100","type":"journal-article","created":{"date-parts":[[2016,6,23]],"date-time":"2016-06-23T03:11:10Z","timestamp":1466651470000},"page":"159-170","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["The antecedents and correlates of necrotizing enterocolitis and spontaneous intestinal perforation among infants born before the 28th week of gestation"],"prefix":"10.1177","volume":"9","author":[{"given":"R.","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Baystate Children\u2019s Hospital, Springfield, MA, USA"},{"name":"Tufts University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Shah","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Baystate Children\u2019s Hospital, Springfield, MA, USA"},{"name":"Tufts University School of Medicine, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E.N.","family":"Allred","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston Children\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Grzybowski","sequence":"additional","affiliation":[{"name":"Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C.R.","family":"Martin","sequence":"additional","affiliation":[{"name":"Harvard Medical School, Boston, MA, USA"},{"name":"Department of Pediatrics, Beth Israel Deaconess Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Leviton","sequence":"additional","affiliation":[{"name":"Department of Neurology, Boston Children\u2019s Hospital, Boston, MA, USA"},{"name":"Harvard Medical School, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the ELGAN Study co-investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,5,19]]},"reference":[{"key":"ref001","first-page":"213","volume":"17","author":"Kliegman RM","year":"1987","journal-title":"Curr Probl Pediatr"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2013.128"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-2022"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.med.60.050207.092824"},{"key":"ref005","doi-asserted-by":"publisher","DOI":"10.1016\/S1084-2756(03)00123-4"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.87.12.2026"},{"key":"ref007","first-page":"628317","author":"Fox TP","year":"2012","journal-title":"ISRN Gastroenterol"},{"key":"ref008","first-page":"562594","author":"Patel BK","year":"2012","journal-title":"ISRN Gastroenterol"},{"key":"ref009","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a116133"},{"key":"ref010","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1005408"},{"key":"ref011","first-page":"145","volume":"2","author":"Gordon P","year":"2012","journal-title":"EJ Neonatol Res"},{"key":"ref012","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2012.04.008"},{"key":"ref013","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2008.119"},{"key":"ref014","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31824cee94"},{"key":"ref015","doi-asserted-by":"publisher","DOI":"10.4103\/2249-4847.128717"},{"key":"ref016","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2009.08.060"},{"key":"ref017","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn202"},{"key":"ref018","unstructured":"Classification of Overweight and Obesity by BMI, Waist Circumference, and Associated Disease Risks. 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