Neonatal Network最新文献

Academy News. 学院新闻。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN.45.2.news

Debbie Fraser, Sheron Wagner, Stephanie Abbu, Carrie Leimbach, Curry Bordelon, Christine Emmons

引用次数: 0

A Quality Improvement Project to Increase Breastfeeding Rates in the NICU. 提高新生儿重症监护室母乳喂养率的质量改进项目。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0054

Leesa L Strickland, Lindsey C Young, Lindsey Garfield

{"title":"A Quality Improvement Project to Increase Breastfeeding Rates in the NICU.","authors":"Leesa L Strickland, Lindsey C Young, Lindsey Garfield","doi":"10.1891/NN-2025-0054","DOIUrl":"https://doi.org/10.1891/NN-2025-0054","url":null,"abstract":"The Baby-Friendly Hospital Initiative strives to increase exclusive breastfeeding rates. Research findings suggest that NICU nurses' actions and support may be a key factor in increasing breastfeeding rates. Our needs and feasibility assessment identified a NICU lacking a NICU-specific breastfeeding policy, and a review of the electronic health record (EHR) showed nurses did not assist patients with breastfeeding. We conducted a quality improvement project that included the creation of a NICU-specific breastfeeding policy, educational inservices, and real-time coaching for nurses. Additionally, pre-post questionnaires were administered to the nurses, and a review of the EHR was performed to assess nurse-assisted breastfeeding attempts pre and post project implementation. Thirty-six (80%) nurses attended the inservice. Almost two thirds of nurses (63%) had adequate breastfeeding knowledge prior to the inservice. Nurses' knowledge gained from the inservice was not statistically significant from pre/post implementation of the project (t = 0.48, p = 0.32). We identified 11 nurse-assisted breastfeeding attempts in our 10-day review of the NICU EHR after project implementation. This result was compared with zero nurse-assisted attempts in our EHR review prior to this project. We conclude that a multimodal approach to support breastfeeding in the NICU may be beneficial to increase breastfeeding rates by ensuring nurses have the knowledge and skills to promote breastfeeding.","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 2","pages":"132-141"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147821964","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

What Does It Mean to Be a Professional? 成为专业人士意味着什么？

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0072

Debbie Fraser

引用次数: 0

Enjoyment in Preterm Infants: Exploring Clinical and Research Perspectives in the Neonatal Intensive Care Unit. 早产儿的享受：探索新生儿重症监护病房的临床和研究视角。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0042

Kristy Fuller, Barbara O'Rourke, Thao Griffith

{"title":"Enjoyment in Preterm Infants: Exploring Clinical and Research Perspectives in the Neonatal Intensive Care Unit.","authors":"Kristy Fuller, Barbara O'Rourke, Thao Griffith","doi":"10.1891/NN-2025-0042","DOIUrl":"https://doi.org/10.1891/NN-2025-0042","url":null,"abstract":"Because of the novelty and complexity of the construct of enjoyment in preterm infants, an exploration of insights from clinical and research perspectives is warranted. The purpose of this article is threefold: (a) to describe the clinical and research-based indicators of enjoyment, (b) to promote clinical strategies that may facilitate enjoyment, and (c) to identify potential benefits of enjoyment for preterm infants in the NICU. We conducted a comprehensive literature review to explore the clinical and research perspectives of enjoyment in preterm infants in the NICU. Articles were selected for full-text review if they discussed the potential clinical and research-based indicators of enjoyment, clinical strategies that may facilitate enjoyment, or benefits of enjoyment. There is a limited description of this construct for preterm infants in the NICU. Our synthesis of the literature highlights the relative value of enjoyment in preterm infants and its clinical and research implications. A conceptual framework was developed to guide further exploration of the construct of enjoyment in preterm infants and aimed at sparking deeper discussions among neonatal researchers and clinicians. Enjoyment in preterm infants remains an underrecognized construct in the literature. Initiating discussions on its meaning and potential impact to transform NICU care and research is essential. Further research is warranted to develop and test validated measures to assess enjoyment in preterm infants. Clinicians are encouraged to reflect on their practice and consider strategies to foster enjoyable experiences for preterm infants in the NICU.","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 2","pages":"112-122"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822069","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

Don't Cut the Cord! Sutureless Repair of Gastroschisis-A Case Report. 不要剪断绳子！腹裂无缝合修复术1例报告。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0031

Kerinna Silvestri, Tiffany Gwartney, Mary Beth Whalen

{"title":"Don't Cut the Cord! Sutureless Repair of Gastroschisis-A Case Report.","authors":"Kerinna Silvestri, Tiffany Gwartney, Mary Beth Whalen","doi":"10.1891/NN-2025-0031","DOIUrl":"https://doi.org/10.1891/NN-2025-0031","url":null,"abstract":"Gastroschisis is a congenital anomaly that results in the presentation of various portions of the bowel and abdominal contents outside of the body through a defect or opening in the abdominal wall. The absence of a protective membrane around the bowel is a hallmark sign of gastroschisis, in which prior to birth the bowel floats freely in the amniotic fluid. The anomaly is detectable via ultrasound, occurring early in embryologic development, but is not identified prior to 12 weeks' gestation, when the bowel fails to involute to the abdomen. Gastroschisis occurs in 4-4.5/10,000 live births in the United States. The greatest risks identified are maternal age <20 years, low body mass index, and primigravida. Classified as simple or complex, management of gastroschisis requires a multidisciplinary collaborative approach that includes obstetrics, maternal-fetal medicine, pediatric surgery, nutrition, and neonatology. Simple gastroschisis is closed with primary or staged reduction and closure, while complex gastroschisis requires surgical intervention to address associated complications, including bowel atresia, necrosis, perforation, or volvulus, leading to long-term management. This article presents a case report of a 37 3/7 weeks' gestation female who presented with simple gastroschisis managed with staged silo reduction and sutureless closure. This article reviews the embryology, epidemiology, pathophysiology, and classifications of gastroschisis, with a focus on sutureless closure involving the use of the preserved umbilical cord. Nursing management of surgical and postsurgical care and long-term concerns for the family are discussed.","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 2","pages":"91-104"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822082","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

Building the Future Neonatal Nurse Practitioner Workforce: Reviewing Barriers and Strategies to Enrollment. 建立未来的新生儿护士从业人员队伍：审查障碍和策略招生。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0061

Meredith L Farmer, Jessica M Jones, William L Hull, Alyssa B Weiss, Tracey R Bell

引用次数: 0

Parental Advocacy in the NICU: A Unique Case of Infant Hypoglycemia Highlighting the Role of the Family in Improving Outcomes. 父母在新生儿重症监护室的倡导：一个独特的婴儿低血糖病例，突出了家庭在改善预后中的作用。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0038

Jodi A Ulloa, Stephanie R Sykes, Courtney DuBois Shihabuddin

{"title":"Parental Advocacy in the NICU: A Unique Case of Infant Hypoglycemia Highlighting the Role of the Family in Improving Outcomes.","authors":"Jodi A Ulloa, Stephanie R Sykes, Courtney DuBois Shihabuddin","doi":"10.1891/NN-2025-0038","DOIUrl":"https://doi.org/10.1891/NN-2025-0038","url":null,"abstract":"Hypoglycemia, a common infant disorder caused by maternal antihypertensive medications, is a rare but serious complication. Increasing awareness of this potential side effect is crucial for all infant health care providers to facilitate early recognition and treatment, thereby mitigating risks of adverse infant outcomes. In this unique case, maternal metoprolol was prescribed for dysautonomia during pregnancy, which resulted in hypoglycemia in the infant. Born at 39 weeks' gestation, male infant presented with signs of hypoglycemia in the first 12 hours of life. After persistent prompting from the mother, a bedside glucose test was performed, with a \"low\" result. The infant received glucose gel and formula supplementation after breastfeeding, but persistent hypoglycemia necessitated a 4-day admission to the NICU. The diagnosis was hypoglycemia related to maternal prenatal metoprolol use. In addition to standard treatment for hypoglycemia, this infant's parents chose to cease breastfeeding to avoid potential adverse effects of hypoglycemia is understandable but should be of concern to all infant providers. Treatment of maternal hypertensive disorders utilizing beta-blocker medications during pregnancy is common. Increased awareness of hypoglycemia as a rare but potential complication can lead to early recognition by infant providers to reduce the risk of NICU admission.","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 2","pages":"105-111"},"PeriodicalIF":0.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822093","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

Enteral Iron Supplementation. 肠内补铁。

IF 0.7

Neonatal Network Pub Date : 2026-04-01 DOI: 10.1891/NN-2025-0035

Susan Givens Bell

引用次数: 0

Neonatal Orthopedics: A Review of Case Studies. 新生儿骨科：个案研究综述。

IF 0.7

Neonatal Network Pub Date : 2026-02-25 DOI: 10.1891/NN-2025-0058

Curry Bordelon, Leann Baker, Colleen Moss, Michele Savin

引用次数: 0

Otopalatodigital Syndrome Type 2: A Case Report. 2型耳指畸形综合征1例报告。

IF 0.7

Neonatal Network Pub Date : 2026-02-25 DOI: 10.1891/NN-2025-0026

Sheron A Wagner

{"title":"Otopalatodigital Syndrome Type 2: A Case Report.","authors":"Sheron A Wagner","doi":"10.1891/NN-2025-0026","DOIUrl":"10.1891/NN-2025-0026","url":null,"abstract":"Otopalatodigital syndrome type 2 (OPD2) is a rare, typically lethal X-linked congenital disorder associated with craniofacial, skeletal, and visceral malformations. Because of its rarity, each case provides valuable insights into neonatal care, genetic counseling, and anticipatory guidance. A male infant diagnosed prenatally with OPD2 after ultrasound revealed multiple anomalies, and genetic testing confirmed the pathogenic variant. The mutation was de novo, as there was no family history of X-linked inheritance. The infant exhibited cleft palate, skeletal deformities, omphalocele, thoracic hypoplasia, and additional brain and renal anomalies consistent with the lethal phenotype. Intensive neonatal care included respiratory support, nutritional interventions, and multidisciplinary consultations. Despite intensive medical management, the infant remained critically ill. Palliative care was introduced early after admission and played an important role in subsequently assisting with arranging the discharge of the infant home on hospice care. The infant survived 6 weeks postnatally, allowing meaningful time with his family. This case highlights the critical importance of prenatal genetic counseling, early anticipatory guidance, and shared decision making, with palliative care integrated as part of the care continuum. Neonatal nurse practitioners and NICU registered nurses are not only essential members of the multidisciplinary team but also serve as consistent advocates for the infant and the family. Their roles in care coordination, ongoing bedside support, and facilitation of compassionate, family-centered communication are vital in helping parents navigate the complex decisions and emotional challenges that accompany a lethal congenital diagnosis.","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"45 1","pages":"18-26"},"PeriodicalIF":0.7,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311140","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