Pediatrics – Page 2

August 31, 2021

Pediatrics: Maternal Vaccination and Infant Influenza and Pertussis

SOURCE: Maternal Vaccination and Infant Influenza and Pertussis Stacey L. Rowe, Karin Leder, Kirsten P. Perrett, Nicole Romero, Terry M. Nolan, Nicola Stephens, Benjamin C. Cowie, Allen C. Cheng Pediatrics Aug 2021, e2021051076; DOI: 10.1542/peds.2021-051076 BACKGROUND AND OBJECTIVES: Infant influenza and pertussis disease causes considerable morbidity and mortality worldwide. We…

August 2, 2021

AAP Clinical Practice Guideline: Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old

ARTICLE: Pantell, et al., Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics, Jul 2021, e2021052228; DOI: 10.1542/peds.2021-052228 ABSTRACT: This guideline addresses the evaluation and management of well-appearing, term infants,…

July 14, 2021

Gestational Age at Term and Educational Outcomes at Age Nine: Is It Time to Make the Case for Planned Delivery 41 Weeks?

A research article and associated commentary were published in the August issue of Pediatrics focused on educational outcomes at various gestational ages. The commentary challenges the current practice of inducing…

July 14, 2021

Pediatrics: Quality of Care in US NICUs by Race and Ethnicity

ARTICLE: Erika M. Edwards, Lucy T. Greenberg, Jochen Profit, David Draper, Daniel Helkey, Jeffrey D. Horbar. Quality of Care in US NICUs by Race and Ethnicity. Pediatrics Aug 2021, 148 (2) e2020037622; DOI: 10.1542/peds.2020-037622 BACKGROUND: Summary measures are used to quantify a hospital’s quality of care by combining multiple…

July 2, 2021

PEDIATRICS: Devices for Administering Ventilation at Birth: A Systematic Review

Abstract CONTEXT Positive pressure ventilation (PPV) is the most important intervention during neonatal resuscitation. OBJECTIVE To compare T-piece resuscitators (TPRs), self-inflating bags (SIBs), and flow-inflating bags for newborns receiving PPV…

July 2, 2021

PEDIATRICS: Hospital Admissions for Abusive Head Trauma at Children’s Hospitals During COVID-19

Evidence that reports to child protective services1 and emergency department visits2 for maltreatment have decreased during the coronavirus disease 2019 (COVID-19) pandemic has led to concerns that children are being…

July 2, 2021

PEDIATRICS: Transition to a Safe Home Sleep Environment for the NICU Patient

Abstract Of the nearly 3.8 million infants born in the United States in 2018, 8.3% had low birth weight (ie, weight <2500 g) and 10% were born preterm (ie, gestational…

May 14, 2021

Pediatrics: Simplifying Hyperbilirubinemia Risk Estimation

Jaundice impacts more than half of term and late preterm newborns in the first week of life. Although in most cases, jaundice is benign, the consequences of severe hyperbilirubinemia are…

May 14, 2021

Pediatrics: Early Determination of Prognosis in Neonatal Moderate or Severe Hypoxic-Ischemic Encephalopathy

ABSTRACT BACKGROUND AND OBJECTIVES: Early determination of prognosis is important in neonates with hypoxic-ischemic encephalopathy (HIE). Our objective was to test scoring systems developed earlier (original scoring system) and develop…

April 28, 2021

Pediatrics: Explaining Sudden Unexpected Infant Deaths, 2011–2017

BACKGROUND: Sudden unexpected infant death (SUID) represents a broad group of explained and unexplained infant deaths (<1 year old). Explaining why SUID occurs is critical to understanding etiology and prevention….

April 28, 2021

Pediatrics: Commentary – The Call to Translate Data Into Action to Prevent Infant Death

In this issue of Pediatrics, Parks et al1 analyze rates of sudden unexpected infant death (SUID) by explained and unexplained categories and identify demographic and medical factors associated with SUID…

April 27, 2021

Pediatrics: Breastfeeding, Physical Growth, and Cognitive Development

ABSTRACT BACKGROUND AND OBJECTIVES: Breastfeeding is an evidence-based recommendation for all countries, but breastfeeding rates have been declining in many middle-income settings. One reason behind this decline is the perception…

April 27, 2021

Pediatrics: Beyond Statistics: Uncovering the Roots of Racial Disparities in Breastfeeding

Racial disparities in breastfeeding are similar to those that persist in other facets of health, including infant mortality. According to the Centers for Disease Control and Prevention (CDC), only 25.6%…

April 27, 2021

Pediatrics: Intrapartum Group B Streptococcal Prophylaxis and Childhood Allergic Disorders

Abstract OBJECTIVES: To determine if maternal intrapartum group B Streptococcus (GBS) antibiotic prophylaxis is associated with increased risk of childhood asthma, eczema, food allergy, or allergic rhinitis. METHODS: Retrospective cohort…

March 24, 2021

Pediatrics: Caring for American Indian and Alaska Native Children and Adolescents

Abstract American Indian and Alaska Native (AI/AN) populations have substantial health inequities, and most of their disease entities begin in childhood. In addition, AI/AN children and adolescents have excessive disease…

March 4, 2021

Pediatrics Article: Uncertainty at the Limits of Viability: A Qualitative Study of Antenatal Consultations

SOURCE: Bethany D. Kaemingk, Katherine Carroll, Megan J. Thorvilson, Karen S. Schaepe, Christopher A. Collura, Mar 2021, Uncertainty at the Limits of Viability: A Qualitative Study of Antenatal Consultations. Pediatrics, e20201865; DOI: 10.1542/peds.2020-1865 BACKGROUND AND OBJECTIVES: Antenatal consultation between a neonatologist and expectant…

March 4, 2021

Pediatrics: Trajectories of Maternal Postpartum Depressive Symptoms

Researchers studying 5,000 women have found that approximately 1 in 4 experienced high levels of depression symptoms at some point in the 3 years after giving birth OBJECTIVES: To identify…

March 4, 2021

Pediatrics Meta-analysis: Umbilical Cord Management

SOURCES: Gomersall, et al. ON BEHALF OF THE INTERNATIONAL LIAISON COMMITTEE ON RESUSCITATION NEONATAL LIFE SUPPORT TASK FORCE. Umbilical Cord Management at Term and Late Preterm Birth: A Meta-analysis. Pediatrics, Mar 2021, 147 (3) e2020015404; DOI: 10.1542/peds.2020-015404 Seidler, et al….

February 24, 2021

Pediatrics: Perinatal Hepatitis B Prevention: Eliminating Disease and Disparity

COMMENTARY: Esther K. Chung, Daniel A. Enquobahrie. Perinatal Hepatitis B Prevention: Eliminating Disease and Disparity. Pediatrics, Feb 2021, e2020037549; DOI: 10.1542/peds.2020-037549 ORIGINAL ARTICLE: Koneru et. al, National Perinatal Hepatitis B Prevention…

January 22, 2021

Commentary in Pediatrics: The Public Health and Clinical Importance of Accurate Neonatal Testing for COVID-19

Source: David A. Schwartz, Daniele De Luca. The Public Health and Clinical Importance of Accurate Neonatal Testing for COVID-19. Pediatrics, Jan 2021, e2020036871; DOI: 10.1542/peds.2020-036871 Preview: The coronavirus disease 2019 (COVID-19) pandemic has infected large numbers of pregnant…

December 9, 2020

9th Annual Becoming Baby-Friendly in Oklahoma Summit – Registration Now Open

Oklahoma Breastfeeding Resource Center Announces: 9th Annual Becoming Baby-Friendly in Oklahoma Summit the virtual edition Friday, February 26, 2021 9:00am – 4:30pm REGISTER HERE The first 10 Oklahoma birthing hospitals…

December 1, 2020

Pediatrics Review Article: Guidelines on Deferred Cord Clamping and Cord Milking

SOURCE: Liyanage, S.K., Ninan, K, & McDonald, S.D. (2020). Guidelines on Deferred Cord Clamping and Cord Milking: A Systematic Review. Pediatrics, Nov 2020, 146 (5) e20201429; DOI: 10.1542/peds.2020-1429 CONTEXT: Deferred cord clamping (DCC) saves lives. It reduces…

October 14, 2020

Pediatrics: Long-term Outcomes of Individuals With Metabolic Diseases Identified Through Newborn Screening

Abstract BACKGROUND: Although extended newborn screening (NBS) programs have been introduced more than 20 years ago, their impact on the long-term clinical outcome of individuals with inherited metabolic diseases (IMDs)…

September 18, 2020

Pediatrics: The Route, Dose, and Interval of Epinephrine for Neonatal Resuscitation: A Systematic Review

CONTEXT: Current International Liaison Committee on Resuscitation recommendations on epinephrine administration during neonatal resuscitation were derived in 2010 from indirect evidence in animal or pediatric studies. OBJECTIVE: Systematic review of…

August 31, 2020

Pediatrics: Perspective on Skin-to-Skin Care and COVID-19

As an internal medicine and pediatric hospitalist in the home stretch of my third pregnancy, my daily focus is on squeezing into scrubs, following strict infection control procedures, and keeping…

August 31, 2020

Pediatrics: Commentary on Caring for Newborns Born to Mothers With COVID-19: More Questions Than Answers

As the coronavirus disease 2019 (COVID-19) pandemic continues, its impact on newborns remains uncertain. Early reports from China suggested that although severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection could…

August 31, 2020

Pediatrics: The Resource Use Inflection Point for Safe NICU Discharge

ABSTRACT OBJECTIVES: (1) To identify a resource use inflection point (RU-IP) beyond which patients in the NICU no longer received NICU-level care, (2) to quantify variability between hospitals in patient-days…

July 20, 2020

Pediatrics: Coinfection and Other Clinical Characteristics of COVID-19 in Children

ABSTRACT BACKGROUND AND OBJECTIVES: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is a newly identified pathogen that mainly spreads by droplets. Most published studies have been focused on adult patients…

June 12, 2020

Pediatrics: In-Hospital Formula Feeding and Breastfeeding Duration

Video Abstract: BACKGROUND: In-hospital formula feeding (IHFF) of breastfed infants is associated with shorter duration of breastfeeding. Despite evidence-based guidelines on when IHFF is appropriate, many infants are given formula…

June 12, 2020

Pediatrics: Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease

Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease Gerard R. Martin, Andrew K. Ewer, Amy Gaviglio, Lisa A. Hom, Annamarie Saarinen, Marci Sontag, Kristin M. Burns, Alex R. Kemper and Matthew E. Oster Pediatrics June 2020, e20191650; DOI: https://doi.org/10.1542/peds.2019-1650…