Suvashri Sasmal, Asha P Shetty, Bijan Saha, Brenda Knoll, Suchandra Mukherjee, Sangita Mazumder
{"title":"Does Prehabilitative Oromotor Stimulation Have Any Impact on Feeding Performance of Preterm Infants During Hospital Stay and in Early Infancy: Findings From a Randomized Controlled Trial.","authors":"Suvashri Sasmal, Asha P Shetty, Bijan Saha, Brenda Knoll, Suchandra Mukherjee, Sangita Mazumder","doi":"10.1891/NN-2024-0071","DOIUrl":"10.1891/NN-2024-0071","url":null,"abstract":"<p><p>This study investigates the impact of a prehabilitative oromotor stimulation, namely, premature infant oral motor intervention (PIOMI), on feeding performance in preterm infants during hospitalization and early infancy. In this randomized, blinded clinical trial, 130 preterm infants (26-32 weeks PMA) were randomly assigned to either the intervention group, which received PIOMI, or the control group. PIOMI was administered twice daily for 5 minutes, approximately 15-20 minutes before feeding, starting at 30 weeks' gestation. Follow-up assessments were conducted until 6 months of corrected age. The results demonstrated that infants in the intervention group showed significantly improved feeding performance scores (<i>p</i> < .001), achieved independent oral feeding at lower body weights (<i>p</i> < .001), and had a shorter hospitalization period (<i>p</i> < .05). Additionally, a greater proportion of infants in the intervention group were on mothers' milk at discharge and sustained breastfeeding until 6 months of corrected age (<i>p</i> < 0.005). The findings highlight the effectiveness of PIOMI as a prehabilitative strategy to enhance feeding performance, reduce hospital stays, and promote sustained breastfeeding in preterm neonates.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 3","pages":"210-219"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334133","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}
Yasemin Sökmen, Resmiye Kaya Odabaş, Ayten Taşpinar
{"title":"Prevalence and Risk Factors of Congenital Hearing Loss in Turkey: A Systematic Review.","authors":"Yasemin Sökmen, Resmiye Kaya Odabaş, Ayten Taşpinar","doi":"10.1891/NN-2024-0054","DOIUrl":"10.1891/NN-2024-0054","url":null,"abstract":"<p><p>Congenital hearing loss hinders the child's social, emotional, and intellectual development. This systematic review was planned because the determination of congenital hearing loss and risk factors will guide health service planning. This systematic review was conducted based on previous studies in Turkey to determine the prevalence and the risk factors of newborn congenital hearing loss. This systematic review was conducted between November 2020 and February 2021; Google Scholar, PubMed, ScienceDirect, EBSCOhost, and Springer electronic databases were screened with the keywords \"newborn hearing screening\" and \"congenital hearing loss.\" According to the results of the systematic review of 13 studies, 1 prospective and 12 retrospective, the prevalence of congenital hearing loss is 0.5% and 1.1% in those with risk factors; newborns are screened within 1 month, diagnosed within 2 months on average, and intervened with between the 3rd and 14th months; and the most common risk factors for hearing loss are admission in intensive care/mechanical ventilation for more than 5 days/history of ototoxic drug use, hyperbilirubinemia requiring an exchange transfusion/phototherapy, prematurity, consanguineous marriage, and family history of hearing loss, respectively.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 3","pages":"197-209"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334073","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}
Audrey M Tran, Amy J Jnah, Mauricio J De Castro Pretelt
{"title":"Genetics Review: Joubert Syndrome.","authors":"Audrey M Tran, Amy J Jnah, Mauricio J De Castro Pretelt","doi":"10.1891/NN-2024-0052","DOIUrl":"10.1891/NN-2024-0052","url":null,"abstract":"<p><p>Joubert syndrome (JS) is a rare neurodevelopmental and multisystem ciliopathy that affects 1 in 80,000-10,0000 infants globally per year. Classic defects include hypoplasia of the cerebellar vermis, thickened cerebellar peduncles, and deepened interpeduncular fossa, which is regarded as a \"molar tooth\" sign. More than 30 genes have been associated with JS. Gene mutations disrupt normal ciliary development and function during early embryogenesis and cause a vast array of symptoms and pathologies. The purpose of this article is to investigate this rare and complex medical condition. We present up-to-date information on the genetics, pathophysiology, clinical manifestations, diagnostics, and management of JS. We also include a valuable perspective from a pediatric geneticist who specializes in JS to enhance our understanding of challenges associated with making a molecular diagnosis and emphasize the importance of early recognition and diagnostics as a means to optimize the quality of care.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 3","pages":"159-166"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334070","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}
Stephanie Culnan, Alyssa Carlson, Meredith L Farmer
{"title":"Bridging Knowledge and Practice: Insights Into Hirschsprung's Disease and Home Management.","authors":"Stephanie Culnan, Alyssa Carlson, Meredith L Farmer","doi":"10.1891/NN-2024-0067","DOIUrl":"10.1891/NN-2024-0067","url":null,"abstract":"<p><p>Hirschsprung's disease (HD) is a congenital intestinal motility disorder characterized by the absence of ganglionic cells in the distal intestine, leading to functional bowel obstruction and affecting 1 in every 5,000 neonates. A serious complication of HD is Hirschsprung-associated enterocolitis (HAEC), a life-threatening systemic illness responsible for a significant proportion of HD-related mortality. Proper management of HD, especially preventing HAEC, includes the use of rectal irrigations, which caregivers must master before their neonate's discharge. However, barriers such as short NICU stays and lack of standardized parental education hinder successful home care. This article provides an overview of HD pathophysiology, clinical manifestations, diagnostics, and management, alongside a practical parent education tool for rectal irrigation techniques to enhance at-home care and reduce morbidity.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 3","pages":"167-176"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334132","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}
{"title":"Transition to Practice: Are You Ready?","authors":"Curry Bordelon","doi":"10.1891/NN-2024-0063","DOIUrl":"10.1891/NN-2024-0063","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 3","pages":"157-158"},"PeriodicalIF":0.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334075","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}
{"title":"A Quality Improvement Initiative to Increase Skin-to-Skin Care and Positive Parent Touch.","authors":"Rachelle Sey, Katherine Coughlin","doi":"10.1891/NN-2024-0047","DOIUrl":"https://doi.org/10.1891/NN-2024-0047","url":null,"abstract":"<p><p>Positive parent touch (PPT), including skin-to-skin care (STSC) and containment, is an evidence-based practice that provides short- and long-term benefits to preterm infants, while also improving parent-infant attachment and reducing parental stress. This quality improvement (QI) initiative aimed to decrease average days from birth to first STSC in infants born less than 29 weeks' gestation from 14.2 days to 7 days. A secondary aim was to decrease the average number of hours from birth to first PPT in the same population from 41.3 hours to ≤24 hours. Data were stratified by ethnicity to identify disparities. Using the Model for Improvement, a multidisciplinary team collaborated to identify barriers to early STSC implementing strategic interventions to improve STSC and PPT. Data were monitored and analyzed using statistical process control and run charts. An improvement was noted in mean days for STSC from a baseline of 14.2-3.3 days. Similarly, an improvement was noted in mean hours for PPT from a baseline of 41.3 hours to 28 hours. This NICU improved and sustained time to first STSC and PPT in preterm infants by combining QI methods with a family-centered care approach that emphasized neuroprotection and parent involvement.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"83-93"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020185","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}
Neonatal NetworkPub Date : 2025-04-01DOI: 10.1891/0730-0832.44.2.146
{"title":"Nursing Continuing Professional Development Activities: March/April 2025.","authors":"","doi":"10.1891/0730-0832.44.2.146","DOIUrl":"https://doi.org/10.1891/0730-0832.44.2.146","url":null,"abstract":"","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"146-147"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053697","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}
Leeann R Pavlek, Susan M Lopata, Cecilie Halling, Debra Armbruster, Maria R Jebbia
{"title":"A Comprehensive and Collaborative Approach to Improving Small Baby Care and Outcomes.","authors":"Leeann R Pavlek, Susan M Lopata, Cecilie Halling, Debra Armbruster, Maria R Jebbia","doi":"10.1891/NN-2024-0050","DOIUrl":"https://doi.org/10.1891/NN-2024-0050","url":null,"abstract":"<p><p>Extremely preterm infants (EPIs) require complex management because of structural and functional organ immaturity leading to unique medical needs and evolving approaches throughout their NICU course because of changes in physiology. A comprehensive approach to care for these small babies is essential, as changes in management of one organ system can have downstream effects on others. This care plan ideally begins before delivery and involves a multidisciplinary team developing the initial plan of care based on individual patient factors and continues to evolve. Because of the complexity of these fragile patients, multidisciplinary guidelines developed by a team with expertise in caring for EPIs can lead to improved care and outcomes. Additionally, multicenter collaboration to share knowledge and experience, work together on research and quality improvement initiatives, and discuss complicated cases is essential because of the relatively small numbers of these tiniest patients at each individual site.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"94-106"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040931","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}
{"title":"Nursing Management of Humidification Levels for the Extremely Low Birth Weight Infant: A Process Improvement Protocol to Reduce Hypernatremia in the First 2 Weeks of Life.","authors":"Jessica Meneses Jones, Tracey Taylor, Jayne Solomon","doi":"10.1891/NN-2024-0048","DOIUrl":"https://doi.org/10.1891/NN-2024-0048","url":null,"abstract":"<p><p>The use of a humidified environment has long been established as a method of maintaining a thermoneutral environment and minimizing evaporative insensible water losses in the extremely low birth weight (ELBW) population. The ELBW infant is at high risk for insensible water losses leading to dehydration, excessive weight loss, temperature instability, and electrolyte abnormalities, thereby increasing the ELBW infant's risks of morbidity and mortality. Literature supports the use of a humidified environment; however, a lack of consensus has led to widespread variation in the implementation of humidity protocols. Utilizing the Iowa Model for Evidence-Based Practice, this project sought to explore whether an individualized humidification algorithm would affect the incidence of transepidermal water loss (TEWL). Results demonstrated statistical significance in sodium levels, improved median sodium levels, and improved fluid balance after implementation. Results suggested that an individualized humidity weaning algorithm may improve the incidence of hypernatremia in the ELBW infant. Further research studies are needed to describe the causal relationship between humidification and the ELBW infant's TEWL.</p>","PeriodicalId":46706,"journal":{"name":"Neonatal Network","volume":"44 2","pages":"122-135"},"PeriodicalIF":0.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040098","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}