Neonatal Issues – Page 4

October 4, 2018

PEDIATRICS Video Abstract: Variation in Use by NICU Types in the United States

Reference: Erika M. Edwards, Jeffrey D. Horbar. Variation in Use by NICU Types in the United States. Pediatrics, Oct 2018, e20180457; DOI: 10.1542/peds.2018-0457 Video abstract also available at http://pediatrics.aappublications.org/content/early/2018/10/01/peds.2018-0457 BACKGROUND: Increased admissions of higher birth weight and less acutely ill infants…

September 11, 2018

JAMA Pediatrics: Association of Race/Ethnicity With Very Preterm Neonatal Morbidities

Key Points: Question: Are there racial/ethnic disparities in very preterm neonatal morbidity? Findings: In this population-based cohort study of 582 297 very preterm birth infants, substantial disparities in necrotizing enterocolitis, intraventricular hemorrhage, bronchopulmonary…

September 4, 2018

Study in Pediatrics: Infant Analgesia With a Combination of Breast Milk, Glucose, or Maternal Holding

OBJECTIVES: We studied neonatal cortical brain response to 4 types of nonpharmacological analgesia (oral glucose, expressed breast milk, maternal holding plus oral glucose, breastfeeding). We aimed to assess the differential effect…

September 4, 2018

Study in Pediatrics: Lung Ultrasound Score Predicts Surfactant Need in Extremely Preterm Neonates

BACKGROUND AND OBJECTIVES: There are several lung ultrasound scores (LUS) for evaluating lung aeration in critically ill adults with restrictive lung disorders. A modified LUS adapted for neonates correlates well with…

August 30, 2018

Study in Pediatrics: Educational Disabilities Among Children Born with Neonatal Abstinence Syndrome

From the AAP News Room: One result of the opioid epidemic is increased numbers of babies being born with neonatal abstinence syndrome. While it’s known that prenatal opioid exposure can lead…

August 1, 2018

Study in PEDIATRICS: Drinking or Smoking While Breastfeeding and Later Cognition in Children

Reference: Louisa Gibson, Melanie Porter. Drinking or Smoking While Breastfeeding and Later Cognition in Children. Pediatrics, Aug 2018, 142 (2) e20174266; DOI: 10.1542/peds.2017-4266 METHODS: Data were sourced from Growing Up in…

June 19, 2018

Commentary in Pediatrics: We Know Less Than We Think We Know About Perinatal Outcomes

John D. Lantos, MD provides commentary related to an article published in the June 2018 issue of Pediatrics: Most of what we think we know about survival rates for infants…

May 30, 2018

Amendments to Oklahoma Statute on Reporting Requirements for Substance Exposed Newborns

Why was this changed? On July 22, 2016 the President signed into law Public Law 114-198, the Comprehensive Addiction and Recovery Act (CARA) of 2016. This law amended certain sections…

May 7, 2018

Study in PEDIATRICS: A Modified Algorithm for Critical Congenital Heart Disease Screening Using Pulse Oximetry

A Modified Algorithm for Critical Congenital Heart Disease Screening Using Pulse Oximetry Christina L. Diller, Michael S. Kelleman, Kenneth G. Kupke, Sharon C. Quary, Lazaros K. Kochilas, Matthew E. Oster Pediatrics Apr 2018, e20174065; DOI: 10.1542/peds.2017-4065 OBJECTIVES: Determine the performance of the American Academy…

May 3, 2018

FIMR: Preparing Your Infant For An Emergency Flyer is Now Available (in English and Spanish)

With tornado season kicking off, it’s important that mothers can prepare for emergencies with their infants. FIMR has released a flyer with information to help during emergencies. The flyer is…

April 11, 2018

Every Week STILL Counts – 2018 Update

Every Week Counts ended in 2014, but the effort to eliminate early elective deliveries continues. As an annual update, the Office of Perinatal Quality Improvement created a report sent to…

March 30, 2018

Study in Pediatrics: Clinical Monitoring of Well-Appearing Infants Born to Mothers With Chorioamnionitis

Reference: Neha S. Joshi, Arun Gupta, Jessica M. Allan, Ronald S. Cohen, Janelle L. Aby, Brittany Weldon, Juliann L. Kim, William E. Benitz, Adam Frymoyer. (2018). Clinical Monitoring of Well-Appearing Infants Born to Mothers With Chorioamnionitis. Pediatrics 141(4), e20172056; DOI: 10.1542/peds.2017-2056 BACKGROUND: The risk of early-onset sepsis is low in well-appearing late-preterm and term infants…

March 26, 2018

Nursing for Women’s Health: Providing Evidence-Based Care During the Golden Hour

Abstract The Golden Hour encompasses a set of evidence-based practices that contribute to the physiologic stabilization of the mother–newborn dyad after birth. Important elements of the Golden Hour include delayed…

March 1, 2018

Study in PEDIATRICS: Nutrient Intake in the First Two Weeks of Life and Brain Growth in Preterm Neonates

Juliane Schneider, Céline J. Fischer Fumeaux, Emma G. Duerden, Ting Guo, Justin Foong, Myriam Bickle Graz, Patric Hagmann, M. Mallar Chakravarty, Petra S. Hüppi, Lydie Beauport, Anita C. Truttmann, Steven…

March 1, 2018

Commentary from PEDIATRICS: Learning From National and State Trends in Sudden Unexpected Infant Death

Commentary from Rebecca Carlin and Rachel Y. Moon: Learning From National and State Trends in Sudden Unexpected Infant Death Pediatrics Mar 2018, 141 (3) e20174083; DOI: 10.1542/peds.2017-4083…

March 1, 2018

In PEDIATRICS: A QI Initiative to Reduce NICU Transfers for Neonates at Risk for Hypoglycemia

Sherry LeBlanc, Jamie Haushalter, Carl Seashore, Karen S. Wood, Michael J.Steiner, Ashley G. Sutton. A Quality-Improvement Initiative to Reduce NICU Transfers for Neonates at Risk for Hypoglycemia. Pediatrics, Mar 2018, 141 (3) e20171143; DOI: 10.1542/peds.2017-1143 BACKGROUND AND OBJECTIVE: Neonatal hypoglycemia is a common problem, often requiring management in…

March 1, 2018

Study in PEDIATRICS: Infant Hospitalizations and Mortality After Maternal Vaccination

Lakshmi Sukumaran, Natalie L. McCarthy, Elyse O. Kharbanda, Gabriela Vazquez-Benitez, Heather S. Lipkind, Lisa Jackson, Nicola P. Klein, Allison L. Naleway, David L. McClure, Rulin C. Hechter, Alison T. Kawai, Jason M. Glanz, Eric S. Weintraub Infant Hospitalizations and Mortality After Maternal Vaccination. Pediatrics, Mar 2018, 141 (3) e20173310; DOI: 10.1542/peds.2017-3310 ABSTRACT: BACKGROUND: The Advisory Committee on Immunization Practices currently recommends…

February 1, 2018

NCHS Data Brief: State Variations in Infant Mortality. See Where OK Ranks.

The CDC’s National Center for Health Statistics released Data Brief No. 295, State Variations in Infant Mortality by Race and Hispanic Origin of Mother, 2013–2015. According to the report, which includes data…

January 19, 2018

Study in Pediatrics: Morbidity and Mortality in Small for Gestational Age Infants at 22 to 29 Weeks’ Gestation

OBJECTIVES: To identify the relative risks of mortality and morbidities for small for gestational age (SGA) infants in comparison with non-SGA infants born at 22 to 29 weeks’ gestation. METHODS:…

January 11, 2018

CDC Vital Signs: Trends and Disparities in Infant Safe Sleep Practices

Weekly / January 12, 2018 / 67(1);39-46 Data showed that 18.8% of Oklahoma infants were laid in a position other than their back to sleep. See full report in MMWR. Introduction: There…

November 3, 2017

Oklahoma’s Grade drops from “C” to “D” as preterm birth rate rises

The March of Dimes has just released the 2017 Preterm Birth Report Cards. Oklahoma received a grade of “D” based on the 2016 preterm birth rate of 10.6%. This a…

November 3, 2017

Meta-analysis from Pediatrics: Duration of Breastfeeding and Risk of SIDS

A meta-analysis analyzing the impact of breastfeeding duration and the risk of Sudden Infant Death Syndrome (SIDS) will be published in the November issue of Pediatrics, concluding that breastfeeding for…

October 26, 2017

OUHSC presents its 1st Symposium on Neonatal Resuscitation

This conference will provide neonatal providers, including physicians, pediatricians, trainees, nurse practitioners and respiratory therapists, the opportunity to increase their knowledge base and discuss hot topics in the field of…

September 14, 2017

New Patient Safety Bundle: Obstetric Care for Women with Opioid Use Disorder

The Council on Patient Safety in Women’s Health Care has released a new patient safety bundle: Obstetric Care for Women with Opioid Use Disorder. As with other CPSWHC bundles, the…

August 30, 2017

AAP Endorses CDC Recommendation to Give Hepatitis B Vaccine Within 24 Hours of Birth

SOURCE: AAP COMMITTEE ON INFECTIOUS DISEASES, COMMITTEE ON FETUS AND NEWBORN. Elimination of Perinatal Hepatitis B: Providing the First Vaccine Dose Within 24 Hours of Birth. Pediatrics, Aug 2017, e20171870;…

August 25, 2017

ACOG Committee Opinion #717: Sulfonamides, Nitrofurantoin, and Risk of Birth Defects

ABSTRACT: The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pregnant women…

August 7, 2017

ACOG Committee Opinion #712: Intrapartum Management of Intraamniotic Infection

ABSTRACT: Intraamniotic infection, also known as chorioamnionitis, is an infection with resultant inflammation of any combination of the amniotic fluid, placenta, fetus, fetal membranes, or decidua. Intraamniotic infection is a…

July 30, 2017

Study in Pediatrics: Chorioamnionitis and Management of Asymptomatic Infants ≥35 Weeks Without Empiric Antibiotics

Click here for the full article. BACKGROUND AND OBJECTIVE: Management of asymptomatic infants ≥35 weeks’ gestation born to mothers with chorioamnionitis remains controversial, with many clinicians considering the need for…

July 20, 2017

Spontaneous Closure of Patent Ductus Arteriosus in Infants ≤1500 g

Click here for full article. OBJECTIVES: Patent ductus arteriosus (PDA) remains a challenging issue in very low birth weight (VLBW) infants, and its management varies widely. Our aim in this…

July 6, 2017

Every Week STILL Counts – An Update on Early Elective Deliveries in Oklahoma

Every Week Counts ended in 2014, but the effort to eliminate early elective deliveries continues. As an annual update, the Office of Perinatal Quality Improvement created a report sent to…