October 25, 2021
- Original researchReduced health-related quality of life in children born extremely preterm in 2006 compared with 1995: the EPICure Studies
Parent-reported health-related quality of life information was obtained for children born <26 weeks gestation in England at 11 years in two birth cohorts (1995 and 2006). Mean utility scores were significantly lower for 2006 vs. 1995 cohorts, while control groups were similar.
October 22, 2021
- Original researchTemporal trends in routine predischarge pulse oximetry screening: 6 years’ experience in a UK regional neonatal unit
This large retrospective review of over 49,000 infants examines the impact of routine pulse oximetry screening in a regional neonatal unit. Improvements in detection rates of congenital heart disease were seen, together with a reduction in the admission of healthy babies.
- Original researchSurfactant therapy in late preterm and term neonates with respiratory distress syndrome: a systematic review and meta-analysis
Uncertainty exists on surfactant in late preterm and term infants with RDS. Surfactant therapy in neonates ≥340/7 weeks may be associated with decreased risk of mortality and short-term respiratory morbidities. However, there is wide variation in thresholds for surfactant therapy.
October 19, 2021
October 16, 2021
- Original researchSocial inequalities in access to care at birth and neonatal mortality: an observational study
This manuscript examines all live births in France from 2012 - 2014 to assess the association between socioeconomic status and delivery of preterm infants in the appropriate level of maternity and neonatal care. The authors found such an association, as well as a higher risk of neonatal mortality.
October 07, 2021
- Original researchNeonatal-onset mitochondrial disease: clinical features, molecular diagnosis and prognosis
The authors analyzed neonatal-onset mitochondrial disease in Japan via a retrospective observational study to clarify its clinical features, molecular diagnosis, and prognosis. The heterogeneous aetiology if the group is outlined.
October 04, 2021
- Original researchPrenatal ultrasonographic markers for prediction of complex gastroschisis and adverse perinatal outcomes: a systematic review and meta-analysis
Based on a systematic review, it was concluded that observed bowel dilatation in the second trimester of pregnancy was significantly associated with the development of complex gastroschisis, postnatal short bowel syndrome and length of stay.
September 29, 2021
- Original researchComparison of intraosseous and intravenous epinephrine administration during resuscitation of asphyxiated newborn lambs
When intravenous access is not easily attainable, recommendations are to use intra-osseus as an alternative route for adrenaline administration in neonatal resuscitation. In an non-randomized trial in a lamb model, these two delivery routes were equivalent in terms of success in resuscitation and serum adrenaline levels.
- Original researchAntenatal corticosteroids and neurodevelopmental outcomes in late preterm births
In a large population-based dataset of live births at 34-36 weeks' gestation born 2006-2011, exposure to antenatal corticosteroids earlier in gestation may be associated with an increased risk for neurodevelopmental concerns and healthcare utilization at 5-9 years.
September 23, 2021
September 22, 2021
- Original researchImplementation of an adapted Sepsis Risk Calculator algorithm to reduce antibiotic usage in the management of early onset neonatal sepsis: a multicentre initiative in Wales, UK
Antibiotic use in the newborn may have long lasting impact. Neonatal sepsis is relatively rare but one which causes concern, investigation and treatment. This paper describes the implementation of an sepsis risk calculator to reduce antibiotic use in a safe and sustainable way.
September 21, 2021
- Original researchOutcomes in relation to early parenteral nutrition use in preterm neonates born between 30 and 33 weeks’ gestation: a propensity score matched observational study
This is large study of over 16,000 infants born between 30 and 32+6 weeks gestation. It compares those who received parenteral nutrition compared to those who did not and explores the risk and benefit of this intervention.
September 20, 2021
- Original researchSafety and efficacy of low-dose diazoxide in small-for-gestational-age infants with hyperinsulinaemic hypoglycaemia
SGA infants are at risk of hyperinsulinaemic hypoglycaemia and neuronal injury. We report that low dose diazoxide (3-5 mg/kg/day) effectively treats hyperinsulinaemic hypoglycaemia in these SGA infants. Its safety profile was excellent, but adverse events were still observed.
September 11, 2021
- Original researchMortality and significant neurosensory impairment in preterm infants: an international comparison
The composite outcome of mortality and significant neurodisability in extremely low birth weight infants is compared across 3 different international cohorts (Canada, Australia/New Zealand, France). The composite outcome was higher in the French cohort, driven by a higher mortality.
- Original researchSARS-CoV-2 RNA and antibody detection in breast milk from a prospective multicentre study in Spain
ARS-CoV-2 antibodies but not RNA are found in breast milk from COVID-19 infected mothers.
September 07, 2021
September 06, 2021
- Original researchImpact of personal protective equipment on neonatal resuscitation procedures: a randomised, cross-over, simulation study
Unique study of neonatal resuscitation in PPE using a simulation model which identified small but potentially important differences in timings of key resus events. Also shows the inevitable discomfort and inconvenience of PPE in this scenario.
August 30, 2021
- Original researchNeonates with mild hypoxic–ischaemic encephalopathy receiving supportive care versus therapeutic hypothermia in California
This manuscript reports trends in the use of therapeutic hypothermia for babies with mild HIE in the NICUs in the CPQCC catchment, and assesses odds ratios for maternal and infant factors associated with the use of TH. There was an increase in the use of TH for mild HIE increased over time as a form of therapeutic creep.
August 25, 2021
- ReviewManipulating the neonatal gut microbiome: current understanding and future perspectives
This review summarises current understanding regarding how modern birth influence neonatal gut microbiome development together with potential methods of microbiome engineering that might encourage the development of a microbiome that promote long term health.
- Original researchNecrotising enterocolitis, late-onset sepsis and mortality after routine probiotic introduction in the UK
In this single-centre retrospective review of more than 1000 infants born before 32 week's gestation. The routine introduction of multi-strain probiotics was not associated with changes in the risk of mortality or necrotising enterocolitis.
August 23, 2021
- Original researchIdentification of treatment-warranted retinopathy of prematurity by neonatal nurse specialist
This study demonstrates that screening for retinopathy of prematurity treatment can be performed by a specialist nurse practitioner obtaining and interpreting digital retinal images, with excellent agreement with treating ophthalmologists.
August 19, 2021
- Original researchIndividualised decision making: interpretation of risk for extremely preterm infants—a survey of UK neonatal professionals
Topical and important insight into the current state of play in the UK regarding active management at the limit of viability.
- Original researchObservational cohort study of changing trends in non-invasive ventilation in very preterm infants and associations with clinical outcomes
This analysis of the National Neonatal Research Database from 2010-17 shows that the use of high-flow nasal cannula quadrupled, particularly as initial respiratory support, but was associated with adverse outcomes including BPD.
- Images in neonatal medicineResuscitation of a preterm infant with massive air embolism
- Original researchVideo-based reflection on neonatal interventions during COVID-19 using eye-tracking glasses: an observational study
Single centre evaluation of the use of eye-tracking glasses during neonatal procedures as an additional tool for outside teaching and video-based reflection. The feasibility and potential benefit during a pandemic is reported.
- Original researchCharacteristics of neonatal herpes simplex virus infections in Germany: results of a 2-year prospective nationwide surveillance study
This two-year prospective nationwide surveillance study of neonatal HSV infections finds few cases in Germany. Most children had few symptoms and good outcomes, but five infants had significant sequelae. Orofacial HSV infection was present in one or more family members for 20/23 babies where data was available, but it is not clear if this was the mode of transmission.
- Short reportTiming of neonatal stoma closure: a survey of health professional perspectives and current practice
This survey reports the perspectives of 166 respondents from 27 UK neonatal surgical centres regarding timing of neonatal stoma closure
August 04, 2021
August 03, 2021
- Original researchMonitoring of carbon dioxide in ventilated neonates: a prospective observational study
This study comparing the precision and accuracy of end-tidal and transcutaneous pCO2 with arterial measurements found that end-tidal CO2, measured through a double-lumen ET tube in ventilated neonates, was superior to tcpCO2.
August 02, 2021
- Original researchComparison of three intraosseous access devices for resuscitation of term neonates: a randomised simulation study
Three different devices for intra-osseous access during were evaluated in a bone model intended to simulate insertion in term newborns. A total of 92 paediatricians were involved. Success rates were markedly different between devices.
July 30, 2021
- Original researchOutcomes of very preterm infants with neonatal hyperglycaemia: a systematic review and meta-analysis
In a systematic review and meta-analysis, hyperglycemia in very preterm infants is associated with higher odds of mortality, IVH, and ROP.
- Original researchAssessment of optimal chest compression depth during neonatal cardiopulmonary resuscitation: a randomised controlled animal trial
In an asphyxiated piglet model, time to return of spontaneous circulation was similar for chest compressions 25%, 33%, and 40% anterior-posterior depth, while Increasing compression depth improved hemodynamic and respiratory parameters.
July 29, 2021
July 28, 2021
- Original researchTemporal trends in respiratory care and bronchopulmonary dysplasia in very preterm infants over a 10-year period in Spain
National survey of changes in respiratory outcomes of VLBW infants over 2 periods, showing that outcome did not improve despite an increase in the use of non-invasive ventilation.
- Original researchOesophageal atresia: sonographic signs may prenatally predict surgical complexity
This manuscript characterizes prenatal ultrasound findings of babies with esophageal atresia with the presence or absence of a distal fistula. The authors found several ultrasound parameters were correlated with more complex repair and absence of a distal fistula
- Original researchDirect swallowing training and oral sensorimotor stimulation in preterm infants: a randomised controlled trial
This single centre, masked RCT enrolling 186 infants <32 weeks gestation found that direct swallowing training combined with oral sensorimotor stimulation significantly shortened the time to independent oral feeding compared with no intervention.
July 19, 2021
- Original researchTemporal trends of in utero and early postnatal transfer of extremely preterm infants between 2011 and 2016: a UK population study
Between 2011 and 2016, the rate of intra-uterine transfer of extremely preterm infants within the UK decreased, with an associated increase in early postnatal transfer. This also includes early postnatal transfer between level 3 NICUs.
July 14, 2021
- Original researchHead circumference, total cerebral volume and neurodevelopment in preterm neonates
This paper looks at the relationship between head growth during neonatal unit stay and neurodevelopmental outcomes in a prospective cohort.
- Images in neonatal medicineDiagnosis of hydrocephalus by cranial transillumination
July 13, 2021
- Original researchGrowth in extremely preterm children born in England in 1995 and 2006: the EPICure studies
This paper describes the growth to age 11 of a sample of the EPICure 2 2006 preterm birth cohort, compared to healthy same age controls and to the 1995 EPICure cohort. Since 1995, childhood growth in weight, height and BMI have improved for births <26 weeks of gestation, but there was no improvement in head growth.
- Original researchTitres and neutralising capacity of SARS-CoV-2-specific antibodies in human milk: a systematic review
Systematic review on the titers and neutralising capacity of SARS-CoV-2-specific antibodies in human milk demonstrates that these antibodies can neutralise the virus in vitro. Furthermore, high pressure, but not Holder pasteurisation deactivates the specific IgAs.