Impact of Donor Milk Availability on Breast Milk Use and Necrotizing Enterocolitis Rates

Abstract OBJECTIVES: To exam­ine the avail­abil­i­ty of donor human milk (DHM) in a pop­u­la­tion-based cohort and assess whether the avail­abil­i­ty of DHM was asso­ci­at­ed with rates of breast milk feed­ing at NICU dis­charge and rates of necro­tiz­ing ente­ro­col­i­tis (NEC). METHODS: Indi­vid­ual patient clin­i­cal data for very low birth weight infants…

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Benefits of Delayed Cord Clamping in Red Blood Cell Alloimmunization

Garabe­di­an et al, Pedi­atrics, March, 2016 Abstract BACKGROUND AND OBJECTIVE: Sev­er­al stud­ies have shown the ben­e­fits of delayed cord clamp­ing (DCC) in preterm and in healthy new­borns at short and long term. Our objec­tive was to eval­u­ate the poten­tials ben­e­fits and risks of DCC in red cell alloim­mu­niza­tion. RESULTS: We…

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Videolaryngoscope for Teaching Neonatal Endotracheal Intubation: A Randomized Controlled Trial

Mous­sa et al, Pedi­atrics, March, 2016 Abstract OBJECTIVE: To assess whether the vide­o­laryn­go­scope (VL) is supe­ri­or to the clas­sic laryn­go­scope (CL) in acquir­ing skill in neona­tal endo­tra­cheal intu­ba­tion (ETI) and, once acquired with the VL, whether the skill is trans­fer­able to the CL. RESULTS: In phase 1, 34 pedi­atric res­i­dents…

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Total Duration of Breastfeeding, Vitamin D Supplementation, and Serum Levels of 25-Hydroxyvitamin D

Dar­mawikar­ta et al, Am J Pub­lic Health. 2016 Apr OBJECTIVES: To deter­mine the asso­ci­a­tion between total breast­feed­ing dura­tion and serum 25-hydrox­yvi­t­a­min D (25-OHD) and to explore whethervi­t­a­min D sup­ple­men­ta­tion influ­ences this asso­ci­a­tion. RESULTS: Each 1-month increase in total breast­feed­ing dura­tion was asso­ci­at­ed with a 0.12 nanograms per mil­li­liter low­er medi­an serum…

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Early Inhaled Budesonide for the Prevention of Bronchopulmonary Dysplasia

Bassler et al; Neu­ro­sis Tri­al Group, N Engl J Med. 2015 Study Sum­ma­ry Bron­chopul­monary dys­pla­sia (BPD) is a com­mon comor­bid con­di­tion among infants born at less than 28 weeks’ ges­ta­tion. Pre­vi­ous attempts to pre­vent the devel­op­ment of BPD using sys­temic cor­ti­cos­teroids have been effec­tive in reduc­ing BPD, but at the expense…

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Neuroprotection of Skin-to-Skin Contact (SSC)

Bergman, New­born & Infant Nurs­ing Reviews, 2015 Back­ground Skin-to-skin con­tact (SSC) gained promi­nence from the work of Rey and Mar­tinez, who relied on this prac­tice in the con­text of insuf­fi­cient incu­ba­tors. They showed that the “Kan­ga­roo Posi­tion” pro­vid­ed good phys­i­o­log­i­cal con­trol of very small neonates, that breast­feed­ing start­ed much ear­li­er pro­vid­ing…

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Prenatal exposure to antibiotics and wheezing in infancy: a birth cohort study

Popovic et al, Eur Respir J. 2016 Mar Abstract The role of pre­na­tal antibi­ot­ic expo­sure in the devel­op­ment of child­hood wheez­ing is debat­ed. We eval­u­at­ed whether this asso­ci­a­tion could poten­tial­ly be explained by con­found­ing factors.Antibiotic use in the first and third trimester of preg­nan­cy, wheez­ing in chil­dren aged ≤18 months and con­found­ing…

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Predicting Nonhemolytic Neonatal Hyperbilirubinemia

Nor­man et al, Pedi­atrics, Novem­ber 2015 Abstract BACKGROUND: Before hos­pi­tal dis­charge, new­born infants should be assessed for the risk of exces­sive hyper­biliru­bine­mia. We deter­mined mater­nal and obstet­ric risk fac­tors for hyper­biliru­bine­mia in infants born at term (ges­ta­tion­al age ≥37 weeks) to form an indi­vid­u­al­ized risk assess­ment tool for clin­i­cal use.…

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Human Milk Feeding as a Protective Factor for Retinopathy of Prematurity: A Meta-analysis

Zhou et al, Pedi­atrics, Novem­ber 2015 CONTEXT: Stud­ies have sug­gest­ed that human milk feed­ing decreas­es the inci­dence of retinopa­thy of pre­ma­tu­ri­ty (ROP); how­ev­er, con­flict­ing results have been report­ed. OBJECTIVE: The aim of this meta-analy­sis was to pool cur­rent­ly avail­able data on inci­dence of ROP in infants fed human milk ver­sus…

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Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants

Pedi­atrics, April 2016, From the Amer­i­can Acad­e­my of Pedi­atrics, Clin­i­cal Prac­tice Guide­line This is the first clin­i­cal prac­tice guide­line from the Amer­i­can Acad­e­my of Pedi­atrics that specif­i­cal­ly applies to patients who have expe­ri­enced an appar­ent life-threat­en­ing event (ALTE). This clin­i­cal prac­tice guide­line has 3 objec­tives. First, it rec­om­mends the replace­ment of the…

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