Article Link CONTEXT Extubation failure (EF) is common in preterm neonates and may be associated with adverse outcomes. OBJECTIVE To systematically review and meta-analyze the existing literature on predictors and…
Article Link BACKGROUND AND OBJECTIVES Infants with neonatal hyperbilirubinemia (NH) often require admission after their birth hospitalization for treatment with phototherapy. Our aim was to align local practice with updated…
Article Link A G1P1 mother aged 28 years delivers a healthy 38 4/7-week infant via cesarean section due to failure to progress. After 48 hours of moderately successful breastfeeding attempts with…
Article Link Infant mortality has decreased over time.1 However, temporal trends and disparities in specific causes of death have not been recently examined. This cross-sectional study used infant mortality rates from…
Article Link OBJECTIVE The Eat, Sleep, Console (ESC) model of care is an innovative care approach for infants diagnosed with neonatal abstinence syndrome, improving patient and health system outcomes for…
Read More from AAP: Implementing the Eat, Sleep, Console Model of Care: A Scoping Review
Article Link OBJECTIVES To assess whether exposure to an infant safe sleep initiative was associated with maternal report of infant safe sleep practice at home and to identify other predictive…
Read More from AAP: A Hospital-Based Initiative for Infant Safe Sleep Practice
Article Link Critical congenital heart disease (CCHD) screening was added to the US Recommended Uniform Screening Panel in 2011 and adopted by all US states and territories by 2018. In…
Article Link. OBJECTIVE: To assess the frequency of hepatitis C virus (HCV) testing among a population-based cohort of perinatally exposed children and identify factors associated with testing. METHODS: Using a…
Read More from AAP: Hepatitis C Virus Testing Among Perinatally Exposed Children: 2018 to 2020
Article Link Sudden unexpected infant death (SUID) is a major contributor to infant death and a persistent public health issue. After an initial decline after the 1994 “Back to Sleep”…
Read More from AAP: Using Sudden Unexpected Infant Death-Case Registry Data to Drive Prevention
Article Link BACKGROUND Sudden unexpected postnatal collapse (SUPC) is a category of sudden unexpected infant death (SUID), limited to previously well infants born at ≥34 weeks’ gestation who die suddenly…
Read More from AAP: Factors Associated With Sudden Unexpected Postnatal Collapse
https://publications.aap.org/pediatrics/article/154/Supplement%203/e2024067043B/199733/Fetal-Infant-and-Child-Death-Review-A-Public?nbd=39656959124&nbd_source=campaigner?autologincheck=redirected Fetal, infant, and child death reviews are a longstanding public health effort to understand the circumstances of individual deaths and use individual and aggregate findings to prevent future fatalities…
https://publications.aap.org/pediatrics/article/154/4/e2023065402/199353/Developmental-Milestones-for-Children-With-Down OBJECTIVES The American Academy of Pediatrics recommends that children and adolescents with Down syndrome receive anticipatory guidance regarding development and behavior. However, few tools provide specific guidance on developmental…
Read More from AAP: Developmental Milestones for Children With Down Syndrome
https://publications.aap.org/hospitalpediatrics/article-abstract/14/11/890/199720/Improving-Admission-Temperature-in-Infants-34 BACKGROUND NICU admission for hypothermia is a problem worldwide, with associated morbidity, mortality, and financial costs. Many interventions have been studied for smaller infants, but there has been little…
https://publications.aap.org/pediatrics/article-abstract/doi/10.1542/peds.2024-066072/199817/Mothers-Falling-Asleep-During-Infant-Feeding?autologincheck=redirected BACKGROUND AND OBJECTIVES: Falling asleep while feeding (FAF) infants is common. Our primary objectives were to examine (1) maternally reported prevalence of FAF and if planned; (2) association between…
Read More from AAP: Mothers Falling Asleep During Infant Feeding
https://publications.aap.org/pediatrics/article-abstract/154/2/e2023064431/197682/Quality-Improvement-Interventions-to-Prevent OBJECTIVES Quality improvement may reduce the incidence and severity of intraventricular hemorrhage in preterm infants. We evaluated quality improvement interventions (QIIs) that sought to prevent or reduce the severity…
https://publications.aap.org/pediatrics/article/154/3/e2024068026/199038/Phototherapy-to-Prevent-Severe-Neonatal?autologincheck=redirected OBJECTIVE To summarize the principles and application of phototherapy consistent with the current 2022 American Academy of Pediatrics “Clinical Practice Guideline Revision for the Management of Hyperbilirubinemia in the…
Hospital Quality Indicators for Opioid-Exposed Infants: Results From an Expert Consensus Panel OBJECTIVE To elicit expert consensus on quality indicators for the hospital-based care of opioid-exposed infants. METHODS We used…
A Qualitative Intervention Evaluation of Neonatal Virtual Family-Centered Rounds OBJECTIVE To conduct an implementation evaluation of the virtual family-centered rounds (FCR) intervention by exploring the perceptions and experiences of parents…
Read More from AAP: A Qualitative Intervention Evaluation of Neonatal Virtual Family-Centered Rounds
Neonatal Opioid Withdrawal Syndrome Treatment Guidelines and Birth Hospital Utilization BACKGROUND AND OBJECTIVES In November 2020, the American Academy of Pediatrics published guidelines for management of neonatal opioid withdrawal syndrome…
Antimicrobial Stewardship Programs in Neonates: A Meta-Analysis BACKGROUND AND OBJECTIVES: Neonatal sepsis is a significant contributor to mortality and morbidity; however, the uncontrolled use of antimicrobials is associated with significant…
Read More from AAP: Antimicrobial Stewardship Programs in Neonates: A Meta-Analysis
A Quality Improvement Initiative to Increase Skin-to-Skin Care Duration in Preterm Neonates BACKGROUND Skin-to-skin (STS) care effectively improves neonatal outcomes, particularly for preterm neonates. However, utilization of STS remains suboptimal…
The Tension Between AAP Safe Sleep Guidelines and Infant Sleep | Pediatrics | American Academy of Pediatrics OBJECTIVES: To understand tension mothers experience when attempting to follow American Academy of…
Read More from AAP: The Tension Between AAP Safe Sleep Guidelines and Infant Sleep
Endotracheal Tube Size Adjustments Within Seven Days of Neonatal Intubation BACKGROUND AND OBJECTIVES: Neonatal endotracheal tube (ETT) size recommendations are based on limited evidence. We sought to determine data-driven weight-based…
Read More from AAP: Endotracheal Tube Size Adjustments Within Seven Days of Neonatal Intubation
Characteristics of Sudden Unexpected Infant Deaths on Shared and Nonshared Sleep Surfaces OBJECTIVES: Describe characteristics of sudden unexpected infant deaths (SUID) occurring on shared or nonshared sleep surfaces. METHODS: We…
SOURCE: Sawyer et al.; Considerations on the Use of Neonatal and Pediatric Resuscitation Guidelines for Hospitalized Neonates and Infants: On Behalf of the American Heart Association Emergency Cardiovascular Care Committee…
This 2023 focused update to the neonatal resuscitation guidelines is based on 4 systematic reviews recently completed under the direction of the International Liaison Committee on Resuscitation Neonatal Life Support…
Read More from 2023 AHA and AAP Focused Update on Neonatal Resuscitation Guidelines
Umbilical Cord Milking Versus Delayed Cord Clamping in Infants 28 to 32 Weeks: A Randomized Trial OBJECTIVES: To determine whether rate of severe intraventricular hemorrhage (IVH) or death among preterm…
Early Human Milk Fortification in Infants Born Extremely Preterm: A Randomized Trial OBJECTIVES: Enteral nutrition with unfortified human milk during the first 2 postnatal weeks often leads to cumulative protein…
Sooner Is Better: Early Human Milk Fortification for Hospitalized Preterm Infants <29 Weeks Extremely preterm infants frequently experience growth impairment during the months-long NICU hospitalization. Clinicians have known for decades…
Decreasing Percentage of Infants With Very Low 5-Minute Apgar Scores at a Safety-Net Level III NICU OBJECTIVES Low 5-minute Apgar scores predict mortality and may be associated with poor neurologic…