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Interrupted Aortic Arch: Navigating Diagnosis, Management, and Beyond. 主动脉弓中断：导航诊断、管理及其他。
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/NN-2025-0011
Kerri Rassa, Amy L Williford, Amy J Jnah
{"title":"Interrupted Aortic Arch: Navigating Diagnosis, Management, and Beyond.","authors":"Kerri Rassa, Amy L Williford, Amy J Jnah","doi":"10.1891/NN-2025-0011","DOIUrl":"10.1891/NN-2025-0011","url":null,"abstract":"<p><p>Congenital heart disease (CHD), the most common type of congenital anomaly affecting approximately 1% of all births, presents with altered blood flow and circulation due to structural defects. Interrupted aortic arch (IAA) is a rarer type of cyanotic CHD, which tends to present elusive, nonspecific symptoms in the immediate newborn period. As the pathology progresses, symptoms become severe and quickly life-threatening. Timely identification and intervention is crucial, often requiring astute clinical acumen by newborn nursery providers. We present a case report of a neonate with unknown IAA, type A, at birth. A discussion of the pathogenesis, diagnosis, and treatment of IAA follows the case presentation.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"302-311"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303990","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
Maternal Child Health in the United States: What Does the Future Hold? 美国母婴健康：未来如何？
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/NN-2025-0048
Debbie Fraser
{"title":"Maternal Child Health in the United States: What Does the Future Hold?","authors":"Debbie Fraser","doi":"10.1891/NN-2025-0048","DOIUrl":"https://doi.org/10.1891/NN-2025-0048","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"300-301"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304055","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
Addressing Postoperative Pain for Infants in the NICU. 解决新生儿重症监护病房婴儿术后疼痛问题。
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/NN-2025-0004
Brittney Smith, Cassandra Palasiewicz
{"title":"Addressing Postoperative Pain for Infants in the NICU.","authors":"Brittney Smith, Cassandra Palasiewicz","doi":"10.1891/NN-2025-0004","DOIUrl":"10.1891/NN-2025-0004","url":null,"abstract":"<p><p>Infant pain can be challenging to identify and treat accurately, especially in the postoperative patient. Failure to recognize pain in infants has been associated with poor neurologic outcomes and increased risk of death. A literature review was conducted using PubMed and CINAHL from 2019 to 2024. Articles included those published in the English language, published within the last 5 years, that discussed infant postoperative pain, pain assessment, and treatment. Sources utilized outside the 5-year time frame are primary sources from the most current systematic literature reviews. Inadequately managed pain in infants can have long-term consequences, including the development of chronic pain. These concerns make adequate treatment of all pain essential, though recognition of pain can be complex in preverbal and neurologically immature patients. Several evidence-based pain assessment scales are available but must be used appropriately in the right population and setting. Five pain scales appropriate for postoperative pain in the infant population are COMFORT; Cries, Requires oxygen, Increased vital signs, Expression, Sleeplessness (CRIES); Face, Legs, Activity, Cry, and Consolability (FLACC); Neonatal Pain, Agitation, and Sedation Scale (N-PASS); and Premature Infant Pain Profile-Revised (PIPP-R). Nursing staff and providers must be educated in proper pain assessment and advocate for adequate analgesia for their postoperative patients. While some infants will require opioids for adequate pain relief, nonopioid pain medications can be used in the postoperative period. An algorithm for postoperative analgesia in neonates and infants could be beneficial in appropriately treating pain with targeted interventions, escalating care, and reducing cumulative opioid exposure.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"331-339"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304064","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
Nursing Continuing Professional Development Activities: September/October 2025. 护理持续专业发展活动：2025年9月/ 10月。
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/0730-0832.44.5.357
{"title":"Nursing Continuing Professional Development Activities: September/October 2025.","authors":"","doi":"10.1891/0730-0832.44.5.357","DOIUrl":"https://doi.org/10.1891/0730-0832.44.5.357","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"357-359"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304011","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
Genetic Testing and Counseling in the NICU. 新生儿重症监护室的基因检测与咨询。
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/NN-2025-0013
Brittany Bowman, Megan Falke
{"title":"Genetic Testing and Counseling in the NICU.","authors":"Brittany Bowman, Megan Falke","doi":"10.1891/NN-2025-0013","DOIUrl":"10.1891/NN-2025-0013","url":null,"abstract":"<p><p>Advances in prenatal and postnatal genetic testing have greatly improved the identification and management of genetic and chromosomal conditions in neonates. By understanding the benefits and limitations of genetic testing, health care providers can ensure that patients receive comprehensive, evidence-based support when navigating complex reproductive decisions. We begin with a review of fundamental embryologic development and genetic principles, emphasizing the need for informed consent and patient education in genetic screening. Variations in genetic makeup, including chromosomal abnormalities and their implications for reproductive health, are explored. Next, the article explores the evolution of testing methodologies, the importance of genetic counseling, and the role of interdisciplinary health care teams in supporting patients. While genetic counselors provide specialized expertise, nurses can play a crucial role in bridging gaps in access to genetic information.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"340-348"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304044","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
Anemia of Prematurity in an ELBW Neonate of Jehovah's Witness Parents. ​
IF 0.7
Neonatal Network Pub Date : 2025-10-01 DOI: 10.1891/NN-2025-0009
Lauren M McCotter, Amy J Jnah
{"title":"Anemia of Prematurity in an ELBW Neonate of Jehovah's Witness Parents.","authors":"Lauren M McCotter, Amy J Jnah","doi":"10.1891/NN-2025-0009","DOIUrl":"10.1891/NN-2025-0009","url":null,"abstract":"<p><p>Anemia of prematurity is a physiologic and iatrogenic process defined by gestational age and involves a decrease in an infant's red blood cell mass by 2 <i>SD</i> Severity is often inversely proportional to gestational age and the presence of comorbid conditions that alter erythropoietin production, reduce red blood cell life span and iron stores, and necessitate frequent serum blood draws. Blood transfusion is a common treatment for severe anemia, and when nonemergent it requires informed consent from a parent or a court-appointed guardian. Jehovah's Witness (JW) community members typically do not accept blood products based on their beliefs. This situation presents a unique ethical and legal dilemma for healthcare providers when the neonate's family denies lifesaving treatment. We present a case study of a 24 weeks' gestation infant born to parents of JW beliefs, as well as a discussion of the pathophysiology and clinical manifestations of anemia.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 5","pages":"312-322"},"PeriodicalIF":0.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303995","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
From Diagnosis to Discharge: Case of a Giant Occipital Encephalocele. 从诊断到出院：1例巨大枕脑膨出。
IF 0.7
Neonatal Network Pub Date : 2025-08-01 DOI: 10.1891/NN-2025-0002
Rhianon L Brock, Amy Jnah
{"title":"From Diagnosis to Discharge: Case of a Giant Occipital Encephalocele.","authors":"Rhianon L Brock, Amy Jnah","doi":"10.1891/NN-2025-0002","DOIUrl":"10.1891/NN-2025-0002","url":null,"abstract":"<p><p>Occipital encephalocele, a rare and unique congenital brain malformation, occurs when a portion of the brain and/or cerebrospinal fluid (CSF) protrudes through a defect in the bony structure of the skull. This herniation of CSF and brain tissue is usually contained within a skin-covered sac. When an occipital encephalocele measures larger than the circumference of the head, it is classified as a giant occipital encephalocele. This article presents a case study of a neonate affected by a giant occipital encephalocele. We follow with a discussion of risk factors, applicable pathophysiology, clinical manifestations, diagnosis, and management strategies. A discussion of the implications of the disease on care providers and the family unit is included to highlight the importance of integrating the family as a critical member of the health care team.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 4","pages":"261-270"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859756","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
Charting a New Course: Integrating Evidence-Based Practices in Neonatal Abstinence Syndrome Treatment. 绘制新路线：整合新生儿戒断综合征治疗的循证实践。
IF 0.7
Neonatal Network Pub Date : 2025-08-01 DOI: 10.1891/NN-2025-0027
Lisa M Grisham, Alyssa B Weiss
{"title":"Charting a New Course: Integrating Evidence-Based Practices in Neonatal Abstinence Syndrome Treatment.","authors":"Lisa M Grisham, Alyssa B Weiss","doi":"10.1891/NN-2025-0027","DOIUrl":"10.1891/NN-2025-0027","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 4","pages":"237-239"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859755","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
Neonatal Opioid Withdrawal in History: Revisiting Pioneering Research. 历史上新生儿阿片类药物戒断：重新审视开创性研究。
IF 0.7
Neonatal Network Pub Date : 2025-08-01 DOI: 10.1891/NN-2024-0058
Zak R Webber, Michael D Seckeler, Tally M Largent-Milnes
{"title":"Neonatal Opioid Withdrawal in History: Revisiting Pioneering Research.","authors":"Zak R Webber, Michael D Seckeler, Tally M Largent-Milnes","doi":"10.1891/NN-2024-0058","DOIUrl":"10.1891/NN-2024-0058","url":null,"abstract":"<p><p>In this perspective letter, we highlight the importance of revisiting early literature in the neonatal opioid withdrawal syndrome field. We summarize key examples of how early articles still are relevant to current research.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 4","pages":"240-242"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859758","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
Supporting Mothers So They Can Support Their Infants: NICU Visitation in the Context of Substance Use Disorder and Neonatal Abstinence Syndrome. 支持母亲，使他们能够支持他们的婴儿：在物质使用障碍和新生儿戒断综合征的背景下NICU访问。
IF 0.7
Neonatal Network Pub Date : 2025-08-01 DOI: 10.1891/NN-2024-0056
Carrie Felske, Emily Fox, Kristen S Montgomery
{"title":"Supporting Mothers So They Can Support Their Infants: NICU Visitation in the Context of Substance Use Disorder and Neonatal Abstinence Syndrome.","authors":"Carrie Felske, Emily Fox, Kristen S Montgomery","doi":"10.1891/NN-2024-0056","DOIUrl":"10.1891/NN-2024-0056","url":null,"abstract":"<p><p>The increasing prevalence of maternal substance use, particularly opioids, has led to a significant rise in neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS). This rise presents unique challenges for NICUs across the United States. This article examines the critical importance of maternal engagement in the care of infants affected by NAS/NOWS and identifies the barriers that mothers with substance use disorder encounter, including stigma, fear of legal consequences, and logistical obstacles. Evidence shows that maternal involvement in nonpharmacologic interventions-such as skin-to-skin contact, breastfeeding, and comforting techniques-can mitigate NAS symptoms, reduce the need for pharmacologic treatments, shorten NICU stays, and improve long-term outcomes for both the mother and the infant. The article highlights the value of adopting trauma-informed, family-centered care approaches to encourage maternal participation, reduce stigma, and create a supportive NICU environment. Additionally, it underscores the importance of educating NICU staff about addiction, recovery, and trauma-sensitive communication to improve care and reduce bias. By fostering maternal involvement and providing comprehensive support, NICU teams can significantly improve health outcomes and strengthen the maternal-infant bond for this vulnerable population.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 4","pages":"248-255"},"PeriodicalIF":0.7,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859761","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
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