Journal of Neonatology最新文献_第9页

Management of Respiratory Distress Syndrome: Clinical Implications from Recent European Consensus Guidelines 呼吸窘迫综合征的管理：最新欧洲共识指南的临床意义

Journal of Neonatology Pub Date : 2023-11-28 DOI: 10.1177/09732179231206973

Arunambika Chinnappan, A. Aradhya, T. Sahoo

引用次数: 0

Gastroschisis Associated Intestinal Dysmotility: What Can We Do? 胃裂相关的肠道运动障碍:我们能做些什么?

Journal of Neonatology Pub Date : 2023-11-09 DOI: 10.1177/09732179231198673

Archana Bottu, Shabih Manzar

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Neonatal Meningitis Outbreak by Elizabethkingia: A Case Series and Epidemiological Investigation Findings 伊莉莎白国家新生儿脑膜炎暴发:病例系列和流行病学调查结果

Journal of Neonatology Pub Date : 2023-11-07 DOI: 10.1177/09732179231200384

Febi Francis, Karthik Balasundaran, K. C. Sreejith Kumar, K. Lekshmi Sankar K

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Development of Grapho-Narrative Neonatal Discharge Summary Format and its Comparison with Traditional Narrative Format 新生儿出院笔记叙事格式的发展及其与传统叙事格式的比较

Journal of Neonatology Pub Date : 2023-11-02 DOI: 10.1177/09732179231193886

Srinivasa Murthy D

{"title":"Development of Grapho-Narrative Neonatal Discharge Summary Format and its Comparison with Traditional Narrative Format","authors":"Srinivasa Murthy D","doi":"10.1177/09732179231193886","DOIUrl":"https://doi.org/10.1177/09732179231193886","url":null,"abstract":"Background Tiny and sick neonates stay for a longer duration in the Neonatal unit. Discharge of these neonates gets quite delayed due to typing the elaborative summary followed by other discharge formalities. This results in unpleasant experiences for most parents and some of them express the displeasure quite vocally. Apart from that, the presentation of crucial information is not uniform due to the variable levels of experience and language proficiency of the doctors who prepare discharge summaries. Primary Objective To develop a graphical format of discharge summary for neonatal patients and compare it with a traditional narrative discharge summary. Method In this study, we developed a Microsoft Excel template for a visual representation of main discharge information with scope for narration when required. We compared this with the traditional narrative summary of a hypothetical case. Results 20 pediatricians with experience in neonatal intensive care participated and filled in the scorecard after going through both formats of the discharge summary. Overall, the grapho-narrative summary scored significantly better with a median score of 114 compared to narrative summary score of 90 (p=.004). Conclusion Grapho-narrative format is quicker to prepare, provides the information as a snapshot which is preferred by pediatricians.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"6 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972975","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

Knowledge, Attitude and Practice Towards Milk Banking and Lactation Aids – Similarities and Differences of Medical and Nursing Staff in a Tertiary Care Hospital in India 对母乳储备和哺乳辅助设备的知识、态度和实践——印度一家三级医院医护人员的异同

Journal of Neonatology Pub Date : 2023-11-02 DOI: 10.1177/09732179231204777

Srijan Singh, Sushant Mane, Srishti Singh, Rohit Rai

{"title":"Knowledge, Attitude and Practice Towards Milk Banking and Lactation Aids – Similarities and Differences of Medical and Nursing Staff in a Tertiary Care Hospital in India","authors":"Srijan Singh, Sushant Mane, Srishti Singh, Rohit Rai","doi":"10.1177/09732179231204777","DOIUrl":"https://doi.org/10.1177/09732179231204777","url":null,"abstract":"Introduction Lactation education is an integral part of healthcare. In order to recognise and address the inconsistencies in perceptions, attitudes and delivery of lactation care, we developed the Lactation Aids and Milk Banking (LAMB) survey. Aim The purpose of the study was to compare the knowledge, attitude and practices of doctors and nurses about human milk banking and lactation aids and to examine institutional and individual barriers to and facilitators of the delivery of lactation care. Methods It was a cross-sectional study, and the survey questionnaire was administered electronically to neonatal physicians and nurses in a tertiary care hospital in India. Results There were 86 participants, including 54 doctors (63%) and 32 (37%) nurses. There was no significant difference in the knowledge score of doctors and nurses ( p = .61), although doctors scored significantly higher on the attitude and practices score as compared to nurses ( p < .0001). Amongst the doctors, the knowledge score was higher for faculty than residents ( p < .0001), though residents scored significantly higher on the attitude and practices score than faculty ( p = .0002). This study highlighted five facilitators and two barriers to LAMB and also revealed that physicians and nurses have relatively inadequate knowledge about lactational aids and milk banking. Conclusion Lactation education for staff can reinforce support for milk banking and lactation aids, thereby achieving the goal of exclusive breastfeeding. It is also important to mitigate barriers by establishing policies and guidelines in the unit for milk banking and the use of lactation aids.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"6 S1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135972972","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

Effectiveness of Simulation Versus Video Instruction on Neonatal Resuscitation: A Randomized Control Trial 模拟与视频教学对新生儿复苏的有效性:一项随机对照试验

Journal of Neonatology Pub Date : 2023-11-02 DOI: 10.1177/09732179231204763

Indu Bala, Rupinder Deol, Malar Kodi S

引用次数: 0

Effect of Short Course Caffeine on Recurrence of Apnea of Prematurity in Preterm Infants Less than 32 Weeks: A Randomized Controlled Trial 短疗程咖啡因对32周以下早产儿呼吸暂停复发的影响:一项随机对照试验

Journal of Neonatology Pub Date : 2023-10-26 DOI: 10.1177/09732179231198302

K. Pradhap, M. Solaiappan, S. Ramya, N. Muthukumaran

{"title":"Effect of Short Course Caffeine on Recurrence of Apnea of Prematurity in Preterm Infants Less than 32 Weeks: A Randomized Controlled Trial","authors":"K. Pradhap, M. Solaiappan, S. Ramya, N. Muthukumaran","doi":"10.1177/09732179231198302","DOIUrl":"https://doi.org/10.1177/09732179231198302","url":null,"abstract":"Objectives Though caffeine is the preferred drug for apnea of prematurity for decades, the timing of discontinuation of caffeine therapy is still unknown. The proportion of ‘Recurrence of Apnea of Prematurity’(RAP) after stopping caffeine, in the short course group and long course group was compared. Methods Eligible neonates were randomized into two groups: short course group-caffeine was stopped when babies were off respiratory support and apnea free for 7 consecutive days and long course group-stopped at 34 weeks postmenstrual age (PMA) if they were off respiratory support and apnea free for 7 consecutive days. Proportion of neonates with RAP in each group was analyzed. Results There were 87 neonates in each group. The proportion of neonates with RAP was [(12.6% vs 4.6%); odds ratio (OR) 3.0 (0.92–9.8) and p = 0.06] not statistically significant between the groups. However, in the subgroup analysis of 26–28-week infants, the incidence of RAP was significantly higher (p = 0.038). Cumulative duration of therapy was less by 13.77 days in short course group babies. The incidence of intermittent hypoxemia was significantly more (p = 0.003) in short course group. The incidence of adverse effects that include feed intolerance, hyperglycemia, tachycardia, osteopenia and EUGR were also significantly more in the long course group. Conclusions There was no statistically significant difference in RAP when caffeine was discontinued earlier when compared to the long course regimen. Larger non-inferiority, multicentric trials are required particularly in extremely preterm infants to make strong recommendations on stopping therapy.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"34 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136381340","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

Immediate Skin to Skin Contact and Zero Separation of Mother Infant Dyads Among Healthy Term Infants Delivered Vaginally: A Quality Improvement Initiative in a Tertiary Care Institute in South India 在顺产的健康足月婴儿中，直接皮肤接触和母婴零分离:印度南部三级保健研究所的质量改进倡议

Journal of Neonatology Pub Date : 2023-10-10 DOI: 10.1177/09732179231203084

Radhakrishnan Vishnurajan, Umamaheswari Balakrishnan, Prakash Amboiram, Rabindran Chandran

{"title":"Immediate Skin to Skin Contact and Zero Separation of Mother Infant Dyads Among Healthy Term Infants Delivered Vaginally: A Quality Improvement Initiative in a Tertiary Care Institute in South India","authors":"Radhakrishnan Vishnurajan, Umamaheswari Balakrishnan, Prakash Amboiram, Rabindran Chandran","doi":"10.1177/09732179231203084","DOIUrl":"https://doi.org/10.1177/09732179231203084","url":null,"abstract":"Background The neonatal resuscitation program (NRP) recommends immediate skin-to-skin contact (SSC) of the neonate with the mother’s abdomen. Early establishment of SSC has increased the duration of breastfeeding and decreased neonatal morbidity significantly. Objective To achieve immediate SSC and zero separation of infant–mother dyads for a minimum of 30 min in vaginally born healthy term babies from 0% to 50% over 3 months by implementing a quality improvement (QI) initiative. Methods A QI initiative was undertaken at the maternity-newborn care unit of a tertiary-care hospital between March 2022 and December 2022. A team including neonatologists, obstetricians, pediatric postgraduates, and nurses (both neonatal and obstetric) in the concerned areas was identified. Using 5-why technique and fishbone analysis, the root cause analysis was done. Two plan-do-study-act (PDSA) cycles were undertaken. First, sensitization of healthcare personnel was done, and a written policy was made. Efforts were made to sustain the QI. Continuous surveillance, internal audits, and regular interprofessional team meetings were carried out. Results Prior to this QI, baseline data showed that no babies received SSC for 30 min. During the first PDSA cycle, 16.6% (4/24) of babies received SSC and zero separation for 30 min. During the II PDSA cycle, among 46 eligible neonates, 50% (23/46) received SSC >30 min. During the sustenance phase, among 262 eligible neonates, 75.2 % (197/262) received >30 min of SSC immediately after delivery. Conclusion Immediate SSC and zero separation for 30 min could be achieved by implementing simple measures through this QI initiative. The major hurdles, including the knowledge gap, fear, and safety of neonates, were tackled through simple strategies like education sessions, ergonomic modification, and sensitization of the healthcare team.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"283 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136356676","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

Comparison of Body Measurements and Adiposity Between Small and Appropriate for Gestational Age Term Neonates: An Observational Study 一项观察性研究:胎龄小和适宜足月新生儿体重测量和肥胖的比较

Journal of Neonatology Pub Date : 2023-10-05 DOI: 10.1177/09732179231202187

M. Madhu, V. Harini, Praveen Nayak, Rathika D. Shenoy

{"title":"Comparison of Body Measurements and Adiposity Between Small and Appropriate for Gestational Age Term Neonates: An Observational Study","authors":"M. Madhu, V. Harini, Praveen Nayak, Rathika D. Shenoy","doi":"10.1177/09732179231202187","DOIUrl":"https://doi.org/10.1177/09732179231202187","url":null,"abstract":"Background Small for gestational age (SGA) infants have preserved adipose tissue compared to appropriate for gestational age (AGA) infants. This forms the basis of the fetal origin of adult disease. Studies show that Indian babies are ‘thin’ but ‘fat’ compared to babies born in high-income countries. Skin fold thickness (SFT) is a measure of adiposity. Objective To compare the newborn adiposity by SFT in term moderate SGA infants and term AGA infants. Methods We included 222 term newborns, 62 moderate SGA, and 160 AGA with no fetal growth restriction. Babies born to mothers with obesity, abnormal weight gain, pregnancy-related illnesses, and severe SGA were excluded. Weight, length, head circumference, and other circumferences (mid-upper-arm, abdominal, and mid-thigh) and SFT (Anterior abdomen, quadriceps or mid-thigh, triceps, and subscapular) were measured. The mean SD scores were calculated for each of the measurements. Comparisons were made using independent sample t-test. Results Weight, length, circumferences, and SFT were significantly lower ( p < .001) in the SGA infants compared to AGA. Among AGA, the mean standard deviation (SD) scores of all measures ranged between 0.1 and 0.5. However, in the SGA group, the mean SD scores for SFT showed minimal deviation (–0.3 to –0.5) compared to anthropometry (–0.7 to –1.2) and circumferences (–0.5 and –0.7), demonstrating the preservation of newborn adiposity. All the SFTs showed a moderate correlation ( r = 0.4) with the newborn weight and circumferences. There was no correlation to the anthropometry of non-obese mothers. Conclusion Term SGA newborns showed preservation of adiposity compared to AGA newborns.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"76 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135435699","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

Improving Early Initiation of Breastfeeding in Newborns Delivered at a Tertiary Care Hospital: A Quality Improvement Study 改善三级医院新生儿早期开始母乳喂养:一项质量改进研究

Journal of Neonatology Pub Date : 2023-09-29 DOI: 10.1177/09732179231202184

Anil H, Shradha Patel, Reshma Pujara, Dipen Patel, Somashekhar Nimbalkar

{"title":"Improving Early Initiation of Breastfeeding in Newborns Delivered at a Tertiary Care Hospital: A Quality Improvement Study","authors":"Anil H, Shradha Patel, Reshma Pujara, Dipen Patel, Somashekhar Nimbalkar","doi":"10.1177/09732179231202184","DOIUrl":"https://doi.org/10.1177/09732179231202184","url":null,"abstract":"Introduction Neonatal mortality is the major contributor for under five mortality. WHO and UNICEF have mentioned that it is vital to initiate breastfeeding within the first hour of birth for reducing mortality. In India, it has been reported that only 42.7% babies receive breastfeeding within 1 hour of birth, and at our institute, we noticed only 61% of stable babies delivered vaginally received breastfeeding within 1 hour of birth. So, we planned a quality improvement study at our hospital using POCQI (point of care quality improvement). Aims and Objectives To increase the early initiation of breastfeeding (EIBF) practice in neonates born through vaginal delivery at or above 36 weeks of gestation from the observed baseline of 61% to >85% over 3 months period. Methods The study was conducted in Labor Room of a tertiary care hospital over a period of three months (Dec 2022–Feb 2023) and a sustenance phase from April 2023 to June 2023. A root-cause analysis was done using the fishbone framework focusing on various barriers related to mothers, hospital staff, policy, place, and practices. Based on this, a comprehensive early breastfeeding initiation intervention was planned utilizing Plan-Do-Study-Act (PDSA) cycles. Results At the end of the 3 months, we were able to achieve 100% compliance in EIBF from baseline of 61% and same compliance was maintained during sustenance phase. Run charts used for interpretation showed increase in compliance and reduction in time of initiation of breastfeeding. Conclusion This study brought out various hurdles to EIBF and demonstrated that it can be improved by using simple quality improvement model.","PeriodicalId":16516,"journal":{"name":"Journal of Neonatology","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135247915","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