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…
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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…
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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…
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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…
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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…
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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…
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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…
Discharge Best Practices of High-Risk Infants From Regional Children’s Hospital NICUs OBJECTIVES Lack of discharge preparedness after NICU hospitalization is associated with risk of readmission and parental stress. Complex infants…
A Quality Improvement Project to Improve Hospital-to-Home Transitions Using Discharge Televisits BACKGROUND Resident-led discharge “televisits” can improve the safety of hospital-to-home transitions by increasing completed follow-up and providing patients access…
A Multicenter Collaborative to Improve Postoperative Pain Management in the NICU OBJECTIVES This quality improvement initiative aimed to decrease unrelieved postoperative pain and improve family satisfaction with pain management. METHODS…
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NOWS or Never: Questioning the Premise of Inpatient NOWS Care…
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Transfer Timing and the Length of Medication Weaning for Neonatal Opioid Withdrawal Syndrome OBJECTIVE Many infants with neonatal opioid withdrawal syndrome (NOWS) from prenatal exposure to opioids require transfer to…
Implementation of ESC QI Initiative in Neonatal Unit Setting and Adaptation During the Pandemic OBJECTIVES To improve outcomes in infants with neonatal opioid withdrawal syndrome (NOWS) admitted to NICU by…
AAP sets national standards for levels of neonatal care | AAP News | American Academy of Pediatrics A new AAP document defines the care hospitals provide for newborns by establishing…
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NICU Versus Mother/Baby Unit Admission for Low-Acuity Infants Born at 35 Weeks’ Gestation OBJECTIVES To estimate the effect of NICU admission of low-acuity infants born at 35 weeks’ gestation versus…
Rethinking Admission Location for Low Acuity Infants of 35 Weeks’ Gestation…
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Increasing Disparities in Sudden Unexpected Infant Deaths Reflect Societal Failures…
Sudden Unexpected Infant Deaths: 2015–2020 OBJECTIVE Although the US infant mortality rate reached a record low in 2020, the sudden infant death syndrome (SIDS) rate increased from 2019. To understand…
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Admission and Care Practices in United States Well Newborn Nurseries OBJECTIVES Late preterm and term infants comprise 97.3% of annual births in the United States. Admission criteria and the availability…
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