Journal of Neonatology最新文献_第2页

Feasibility Study of an Assistive Garment for Providing Kangaroo Mother Care to Preterm Neonates 为早产新生儿提供袋鼠妈妈护理的辅助服装的可行性研究

Journal of Neonatology Pub Date : 2024-04-19 DOI: 10.1177/09732179241234716

L. Murry, Sanjay Gupta, Ramesh Agarwal, Jeeva Sankar, Deepti Gupta

引用次数: 0

Kangaroo Mother Care in India: Down the Memory Lane 印度的袋鼠妈妈护理沿着记忆之路

Journal of Neonatology Pub Date : 2024-04-15 DOI: 10.1177/09732179241237885

Rekha H. Udani, Suman Rao P. N., Anne-Marie Bergh

引用次数: 0

The Impact of Provider Experience on Central  Line Malposition 医疗服务提供者的经验对中心静脉置管不当的影响

Journal of Neonatology Pub Date : 2024-04-12 DOI: 10.1177/09732179241237063

Michelle H. Lucena, M. Liszewski, Mimi Kim, Xianhong Xie, M. Latuga

{"title":"The Impact of Provider Experience on Central \u2028Line Malposition","authors":"Michelle H. Lucena, M. Liszewski, Mimi Kim, Xianhong Xie, M. Latuga","doi":"10.1177/09732179241237063","DOIUrl":"https://doi.org/10.1177/09732179241237063","url":null,"abstract":"Background: Central lines are frequently used in the Neonatal Intensive Care Unit (NICU). Incorrectly positioned central lines are associated with increased complications. Central line malposition has been related to prematurity, catheter size, and small-for-gestation-age status. The impact of provider experience on proper central line positioning has not been established. Methods: In this retrospective cohort study, neonates had central lines placed within the first 10 days of life. Central lines included umbilical artery catheters (UAC), umbilical vein catheters (UVC), and peripherally inserted central catheters (PICC). Central line malposition was confirmed with thoracoabdominal radiography. Different providers with various months/years of experience were coded. Logistic regression models were fit to adjust for potential confounders of the association of years of experience with line malposition. Results: Between 2019 and 2021, 301 neonates had 616 central lines. 66% (405/616) of all central lines were malpositioned. The median years of providers’ experience who placed malpositioned and properly positioned lines were 1.93 (interquartile range [IQR]: 1.03–5.48) years and 2.17 (IQR: 1.38–4.85) years, respectively ( P = .78). The distribution of malposition lines was UVC 49% (199/405), UAC 20.5% (83/405), and PICC 30.5% (123/405). Only UVC was significantly associated with malposition ( P = .002). Conclusions: Malposition of central lines frequently occurred in the NICU and was associated with UVC placement, irrespective of the provider’s experience who accessed it. Anatomical variations in neonates with different gestational ages and birth weights may mean that current methods to estimate insertion depth can be misleading. Future interventions should involve novel techniques of confirming real-time positioning during insertion rather than focusing on placement calculations.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"10 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140712024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of Kangaroo Mother Care on Heart Rate Variability and Pain Score with Heel Lance Pain in Preterm Neonates: A Cross-over Randomized Controlled Trial 袋鼠妈妈护理对早产新生儿心率变异性和足跟疼痛评分的影响：交叉随机对照试验

Journal of Neonatology Pub Date : 2024-04-11 DOI: 10.1177/09732179241239131

M. Jajoo, Medha Mittal, Diganta Saikia, Niraj Kumar

{"title":"Impact of Kangaroo Mother Care on Heart Rate Variability and Pain Score with Heel Lance Pain in Preterm Neonates: A Cross-over Randomized Controlled Trial","authors":"M. Jajoo, Medha Mittal, Diganta Saikia, Niraj Kumar","doi":"10.1177/09732179241239131","DOIUrl":"https://doi.org/10.1177/09732179241239131","url":null,"abstract":"Introduction: To evaluate the effect of kangaroo care on response to pain due to heel lance in preterm infants using premature infant pain profile (PIPP). Design: Randomized cross-over design. Methods: Stable preterm neonates ( n = 70) who had completed 28–36 weeks of gestational age received either kangaroo mother care or were kept under control (bassinet) conditions for 30 minutes prior to a heel lance. The neonates were observed, and responses were scored as per PIPP. They were then crossed over to the other condition and scored similarly. The PIPP scores in the two study arms were then compared using appropriate statistical tools. Results: A total of 342 neonates were admitted during the study period, of which 95 were assessed for eligibility, and finally, 70 were included and randomized to be in one of the two arms. The facial actions differed in the two groups; the brow bulge and eye squeeze scores were significantly better at each observation in the KMC group. The nasolabial furrow score was significantly better at 60 and 90 seconds. The baseline PIPP scores were similar. In the KMC group, the scores were significantly lower at 30, 60, and 90 seconds post–heel lance. Conclusions: Kangaroo mother care is an effective way of reducing the physiological and behavioral effects of pain in preterm neonates.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"89 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Immediate Kangaroo Mother Care on Pain in Sick Low Birth Weight Neonates During Heel Prick in Mother–Newborn Intensive Care Unit 即时袋鼠妈妈护理对母婴重症监护室低出生体重新生儿足跟刺痛的影响

Journal of Neonatology Pub Date : 2024-04-10 DOI: 10.1177/09732179241237864

Ivanshi Baijnathan, Sugandha Arya

{"title":"Effect of Immediate Kangaroo Mother Care on Pain in Sick Low Birth Weight Neonates During Heel Prick in Mother–Newborn Intensive Care Unit","authors":"Ivanshi Baijnathan, Sugandha Arya","doi":"10.1177/09732179241237864","DOIUrl":"https://doi.org/10.1177/09732179241237864","url":null,"abstract":"Introduction: In the Mother-Newborn Intensive Care Unit(M–NICU), sick, low birth weight(LBW) neonates are cared for along with their mothers with facilities of level-II newborn care and postnatal care for mothers. Babies weighing 1–1.8 kg are admitted and Kangaroo Mother Care (KMC) is started after birth without waiting for stabilization. This is immediate Kangaroo Mother Care (iKMC). There are studies on analgesic effect of KMC, but no studies on analgesic effect of iKMC in sick neonates; therefore, the present study was planned. Aims and objectives: To compare pain score and recovery time from pain following heel prick in sick LBW neonates weighing 1–1.8 kg in iKMC and under radiant warmer. Materials and methods: In the M-NICU, neonates are in iKMC for 12–18 hours. If iKMC is not possible, the baby is placed under radiant-warmer. LBW neonates are screened for hypoglycemia at 2, 6, 12, 24, 48-hour intervals by heel prick. Pain scoring was done by the Premature Infant Pain Profile (PIPP) score and the recovery time (time for heart rate to return to baseline) noted following heel prick in iKMC and under radiant warmer. Results: 75 babies enrolled, 150 episodes of glucose estimation in iKMC and 150 in radiant warmer included. Mean(SD) baby weight(Kg) was 1512.93(171.10). Mean(SD) gestational age(Weeks) was 33.77(2.54). In the iKMC group, mean pain score(SD) was 7.59(2.27) and median(IQR) was 8.00(2.75). In the radiant warmer group, mean pain score(SD) was 14.41(2.04) and median(IQR) was 15.00(3.00). Mean recovery time(seconds)(SD) was 33.3(20.22) in the iKMC group and 92.43(49.68) in the radiant warmer group. The difference was statistically significant( P = <0.001). Conclusion: In sick LBW neonates, painful procedures must be done in KMC, whenever possible.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"108 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140719818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Kangaroo Mother Care Practices in Tertiary Care NICUs Across India: A Cross-sectional Questionnaire-based Survey 印度三级护理新生儿重症监护室的袋鼠妈妈护理实践：基于问卷的横断面调查

Journal of Neonatology Pub Date : 2024-04-10 DOI: 10.1177/09732179241238522

Kirthana Rao Kodhati, Prashanth Rr, V. Vamsi Krishna, R. Nanavati

{"title":"Kangaroo Mother Care Practices in Tertiary Care NICUs Across India: A Cross-sectional Questionnaire-based Survey","authors":"Kirthana Rao Kodhati, Prashanth Rr, V. Vamsi Krishna, R. Nanavati","doi":"10.1177/09732179241238522","DOIUrl":"https://doi.org/10.1177/09732179241238522","url":null,"abstract":"Background: KMC is a global standard for LBW and preterm neonates, supported by evidence for reducing morbidities and mortality. Integrated into India’s Newborn Action Plan since 2014, aiming for single-digit neonatal mortality by 2030, KMC practices in India have not reached the optimal levels. Hence, we attempted to study the KMC practices in tertiary care NICUs across India. Methods: A cross-sectional online national survey among neonatologists in level III NICUs in India was conducted. Utilizing Google Forms and a structured questionnaire of 30 questions on KMC, one respondent per unit participated. Results: Of the 110 NICUs invited to participate, a total of 52 units responded (47.3%). All units have a written KMC policy and conventionally provide KMC to neonates with BW < 2000 g, while 36.5% units provide KMC for neonates with BW between 2000 and 2500 g. Though 86.5% of NICUs provide KMC to infants on respiratory support, only 13.5% practice KMC for mechanically ventilated neonates. The time to initiate KMC within 48–72 hours is prevalent in 44.2% of NICUs, with 54% of NICUs providing an average KMC duration of 4–8 hours/day. A significantly lower percentage of NICUs (28.9%) have a KMC follow-up program. Conclusion: The study highlights the need to boost the ongoing KMC training programs for HCWs to increase the coverage of KMC for LBWs and sick preterm neonates. This includes requiring more uniform and structured KMC practices across the country, especially upscaling of infrastructure, earlier initiation and longer duration of KMC, better monitoring of neonates in KMC, and strengthening the follow-up program.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140717203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Timing and Substrate of Enteral Feeding as Risk Factors for Developing Retinopathy of Prematurity 肠内喂养的时间和基质是早产儿视网膜病变的风险因素

Journal of Neonatology Pub Date : 2024-04-08 DOI: 10.1177/09732179241234181

A. Anderson-Berry, Yinxi Yu, M. Thoene, Gui-Shuang Ying, L. Tomlinson, G. Binenbaum

引用次数: 0

KMC and Brain Development: A Plea for Starting KMC as Early as Possible and as Long as Possible 幼儿保育和大脑发育：恳求尽可能早、尽可能长地开始幼儿保育和教育

Journal of Neonatology Pub Date : 2024-04-05 DOI: 10.1177/09732179241235479

N. Charpak, Catalina Lince- Rivera, J. T. Hernández

引用次数: 0

Assessing Clinical Profile and Short-term Outcomes of Neonates Retrieved by Neonatal Transport Service and Their Co-relation with Neonatal Severity Illness Scores: An Observational Study 评估新生儿转运服务转运的新生儿的临床概况和短期疗效及其与新生儿疾病严重程度评分的关系：观察研究

Journal of Neonatology Pub Date : 2024-04-05 DOI: 10.1177/09732179241238519

Neetha M. Reddy, Rajath Athreya

{"title":"Assessing Clinical Profile and Short-term Outcomes of Neonates Retrieved by Neonatal Transport Service and Their Co-relation with Neonatal Severity Illness Scores: An Observational Study","authors":"Neetha M. Reddy, Rajath Athreya","doi":"10.1177/09732179241238519","DOIUrl":"https://doi.org/10.1177/09732179241238519","url":null,"abstract":"Introduction: Newborn transport is a key component of neonatal perinatal care, and its delay is attributed highly to neonatal mortality. Aim: Our study aimed to assess the clinical profile and short-term outcomes (<48 hours of admission) and to apply the severity illness scores to know the impact on outcomes of retrieved neonates. We used Transport Risk Index of Physiological Stability (TRIPS II) score to correlate with short-term morbidities and Score of Neonatal Physiology Perinatal Extension (SNAPPE II) to correlate with overall outcomes of retrieved neonates. Materials and Methods: It was an observational study done on 160 out-born neonatal retrievals over 13 months by a dedicated transport team at a level III NICU in Bengaluru, India. A validated TRIPS II score was recorded pre-transport, at Admission and at 12 and 24 hours of admission, and the SNAPPE II score was recorded at admission. An ROC curve was used to predict the utility of these scores. Results: Among 141 eligible neonates, the common indication for transport was respiratory distress syndrome 57 (40.4%). Extreme pre-terms (<28 weeks; p = .001) and ELBW (<1000 g; p = .001) are associated with an increased mortality rate. The area under the curve (AUC) for TRIPS II in predicting pulmonary bleed (AUC of ROC 0.866, 0.833, 0.823, 0.836), IVH (0.776, 0.79, 0.78, 0.77), worsening of respiratory settings (0.786, 0.814, 0.78, 0.79), and increase in ionotropic support (0.882, 0.904, 0.904, 0.902) at pre-transport, at admission, at 12 hours, and at 24 hours, respectively, was good. The AUC for SNAPPE II was 0.895, which is good in predicting mortality. Conclusion: A dedicated neonatal transport service can reduce the mortality rate significantly to 7.8%. TRIPS II and SNAPPE II scores were good in predicting the morbidities and mortality in retrieved neonates.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"89 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140736074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Outcomes of Neonatal Emergency Percutaneous Cardiac Interventions Performed in Rural India: Case Series 印度农村地区新生儿紧急经皮心脏介入治疗的结果：病例系列

Journal of Neonatology Pub Date : 2024-04-02 DOI: 10.1177/09732179241238517

Krina Patel, Shradha Patel, Jaishree Ganjiwale, Bhadra Y. Trivedi

引用次数: 0