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Very low birth weight

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https://www.readbyqxmd.com/read/29679899/postpartum-posttraumatic-and-acute-stress-in-mothers-and-fathers-of-infants-with-very-low-birth-weight-cross-sectional-results-from-a-controlled-multicenter-cohort-study
#1
Nadine Helle, Claus Barkmann, Stephan Ehrhardt, Carola Bindt
BACKGROUND: The birth of a preterm infant can be stressful and traumatic for parents and may cause posttraumatic stress symptoms and disorders. There is a dearth of data from controlled studies regarding level, prevalence, risk, and predictors of these symptoms in parents after preterm birth. METHODS: As part of the longitudinal HaFEn-study, data from parents of infants with very low birth weight (VLBW), and term infants were cross-sectionally analyzed. We recruited parents at the three largest perinatal care centers in Hamburg, Germany...
April 3, 2018: Journal of Affective Disorders
https://www.readbyqxmd.com/read/29679047/a-quality-improvement-initiative-to-reduce-necrotizing-enterocolitis-across-hospital-systems
#2
Amy T Nathan, Laura Ward, Kurt Schibler, Laurel Moyer, Andrew South, Heather C Kaplan
OBJECTIVE: Necrotizing enterocolitis (NEC) is a devastating intestinal disease in premature infants. Local rates of NEC were unacceptably high. We hypothesized that utilizing quality improvement methodology to standardize care and apply evidence-based practices would reduce our rate of NEC. STUDY DESIGN: A multidisciplinary team used the model for improvement to prioritize interventions. Three neonatal intensive care units (NICUs) developed a standardized feeding protocol for very low birth weight (VLBW) infants, and employed strategies to increase the use of human milk, maximize intestinal perfusion, and promote a healthy microbiome...
April 20, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/29669381/prevalence-of-congenital-cmv-infection-and-antiviral-therapy-in-very-low-birth-weight-infants-observations-of-the-german-neonatal-network
#3
Alexander Humberg, Viola Leienbach, Mats I Fortmann, Tanja K Rausch, Horst Buxmann, Andreas Müller, Egbert Herting, Christoph Härtel, Wolfgang Göpel
BACKGROUND: To determine the prevalence of congenital CMV infection (cCMV) in very-low-birth-weight infants (VLBWI) and to evaluate epidemiological characteristics of VLBWI with antiviral therapy (AT). METHODS: CMV-specific PCR in umbilical cord tissue was performed (n=3330). Univariate analyses and logistic regression models were used to identify associations with outcome. RESULTS: 22/3330 VLBWI received AT (0.66%). 4 of these (0.12%) were PCR positive, with 2 VLBWI showing pathological screening for hearing loss...
April 18, 2018: Klinische Pädiatrie
https://www.readbyqxmd.com/read/29662925/factors-associated-with-improvements-in-mortality-and-morbidity-rates-of-very-low-birth-weight-infants-a-cohort-study
#4
Giancarlo Mari, Zoran Bursac, Patricia Jean Goedecke, Ramasubbareddy Dhanireddy
Objective . The objective of this study was to determine factors contributing to improvements in infant mortality rates (IMR) and composite morbidity-mortality in very-low-birth-weight (VLBW) infants after initiating a new perinatal program in 2009 at Regional One Health (ROH). VLBW infants account for 67% of infant deaths. Design . This is a pre-/postintervention cohort study of prospectively gathered data. Population . VLBW infants delivered at ROH during the 2004 to 2015 study period. Setting . ROH is a Regional Perinatal Center affiliated with the University of Tennessee Health Science Center...
2018: Global Pediatric Health
https://www.readbyqxmd.com/read/29655786/quality-improvement-initiative-to-prevent-admission-hypothermia-in-very-low-birth-weight-newborns
#5
Milena Frazer, Amy Ciarlo, Jill Herr, Carrie-Ellen Briere
OBJECTIVE: To decrease rates of admission hypothermia (<36 °C) in very-low-birth-weight (VLBW) newborns (<1,500 g). DESIGN: Quality improvement initiative. SETTING/LOCAL PROBLEM: Urban, Level IV NICU with 32 patient beds. The number of VLBW newborns admitted with temperatures less than 36 °C was greater than in comparable NICUs in the Vermont Oxford Network. PARTICIPANTS: Neonates born in 2016 who weighed less than 1,500 g at birth...
April 12, 2018: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
https://www.readbyqxmd.com/read/29649776/occurrence-of-44-elements-in-human-cord-blood-and-their-association-with-growth-indicators-in-newborns
#6
Raúl Cabrera-Rodríguez, Octavio P Luzardo, Ana González-Antuña, Luis D Boada, Maira Almeida-González, María Camacho, Manuel Zumbado, Andrea Carolina Acosta-Dacal, Cristian Rial-Berriel, Luis Alberto Henríquez-Hernández
There is growing concern about environmental pollution produced by elements, including "emerging" contaminants, such as rare earth elements (REE) and other trace elements (TE), which are extensively and increasingly employed in the manufacture of consumer electronics. Previous research has shown that prenatal exposure to some elements (mainly heavy metals) may be associated with decreased fetal growth and other adverse birth outcomes. Recent studies have also shown that environmental exposure to REE and TE may be related to adverse effects on human health...
April 9, 2018: Environment International
https://www.readbyqxmd.com/read/29644439/comparative-effects-of-antidepressant-medications-and-untreated-major-depression-on-pregnancy-outcomes-a-systematic-review
#7
REVIEW
Jentina Mitchell, Janice Goodman
Psychopharmacological treatment of pregnant women is an area of continued controversy; extensive observational research on the use of antidepressant medications in pregnancy has found these medications to be associated with increased risk of spontaneous abortion, preterm delivery, and low birth weight. However, depression itself has also been associated with increased risk of those same outcomes, and only recently have researchers begun trying to compare treated with untreated depression. The purpose of this study was to conduct a systematic review of the literature to integrate those comparative studies and compare risks and benefits...
April 11, 2018: Archives of Women's Mental Health
https://www.readbyqxmd.com/read/29643883/comparison-of-volume-and-frequency-advancement-feeding-protocols-in-very-low-birth-weight-neonates
#8
Afaq Hussain, Abdur Rehman, Nazia Fatima
Objective: To determine the outcomes in very low birth weight (VLBW) neonates receiving volume advancement versus frequency advancement feeding protocols. Methods: This controlled clinical trial was conducted in Children Hospital Multan within duration of 6 months from February 2017 to August 2017. VLBW neonates having weight < 1500 g at the time of birth were included. The protocol for frequency advancement (FA) group was to give 1 ml/kg human or pre-formula milk after every 8 hours and in volume advancement (VA) group after every 3 hours initially...
January 2018: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29643070/neurobehavioral-outcomes-11-years-after-neonatal-caffeine-therapy-for-apnea-of-prematurity
#9
Ines M Mürner-Lavanchy, Lex W Doyle, Barbara Schmidt, Robin S Roberts, Elizabeth V Asztalos, Lorrie Costantini, Peter G Davis, Deborah Dewey, Judy D'Ilario, Ruth E Grunau, Diane Moddemann, Harvey Nelson, Arne Ohlsson, Alfonso Solimano, Win Tin, Peter J Anderson
BACKGROUND AND OBJECTIVES: Caffeine is effective in the treatment of apnea of prematurity. Although caffeine therapy has a benefit on gross motor skills in school-aged children, effects on neurobehavioral outcomes are not fully understood. We aimed to investigate effects of neonatal caffeine therapy in very low birth weight (500-1250 g) infants on neurobehavioral outcomes in 11-year-old participants of the Caffeine for Apnea of Prematurity trial. METHODS: Thirteen academic hospitals in Canada, Australia, Great Britain, and Sweden participated in this part of the 11-year follow-up of the double-blind, randomized, placebo-controlled trial...
April 11, 2018: Pediatrics
https://www.readbyqxmd.com/read/29621506/parents-knowledge-and-education-of-retinopathy-of-prematurity-in-four-california-neonatal-intensive-care-units
#10
Monica Eneriz-Wiemer, Shih-Dun Liu, Michael Cy Chu, Tarsicio Uribe-Leitz, Krishna Rajani, Meera Sankar, Shira L Robbins, Henry C Lee, Claire Woodard, C Jason Wang
PURPOSE: Retinopathy of prematurity (ROP) may cause visual impairment in infants with very low birth weight. Lack of parent knowledge may contribute to gaps in screening and treatment. We studied parents' knowledge and education of ROP. DESIGN: Cross-sectional study. METHODS: SETTING: Four high-acuity neonatal intensive care units in California (40-84 beds). PARTICIPANTS: 194 English- and Spanish-speaking parents of very low birth weight (<1,500 grams) infants recruited from September 2013 to April 2015...
April 2, 2018: American Journal of Ophthalmology
https://www.readbyqxmd.com/read/29619488/long-term-cognitive-outcome-of-very-low-birth-weight-saudi-preterm-infants-at-the-corrected-age-of-24-36-months
#11
Badr H Sobaih
To assess infants' cognitive function at the corrected age of 24-36 months, and to identify factors associated with adverse outcome and examine the correlation between Bayley Infants Neurodevelopmental Screener (BINS) score and Gesell Schedule of Child Development (GSCD). Methods: This retrospective study was performed on Saudi very low birth-weight (VLBW)  infants born   in King Khalid University Hospital, Riyadh, Saudi Arabia between 1997 and 2014 by the use of BINS as screening test and GSCD as definitive test...
April 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29605371/an-approach-to-successful-slide-tracheoplasty-in-the-low-birth-weight-neonate-with-single-lung
#12
Matthew S Yong, Joanne Harrison, Robert G Berkowitz, Sarath Ranganathan, Igor E Konstantinov
The advent of the slide tracheoplasty technique and a multi-disciplinary approach has improved outcomes of congenital tracheal stenosis. However, tracheal surgery in younger patients with pulmonary malformations, especially low birth-weight neonates, has been associated with increased mortality. Patients with very low birth-weight, pulmonary malformations and prematurity may be palliated prior to definitive tracheal surgery due to the poor prognosis. We report a successful and unique approach of delaying tracheal reconstruction to allow growth and development in the premature, very low birth-weight neonate (1046g) with left lung agenesis...
May 2018: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/29603412/improving-nutrition-outcomes-for-infants-1500-grams-with-a-progressive-evidenced-based-enteral-feeding-protocol
#13
Melissa K Thoene, Elizabeth Lyden, Ann Anderson-Berry
BACKGROUND: Growth is essential for very low birth weight infants. The purpose of this retrospective chart review was to evaluate the impact of a new standardized, evidenced-based feeding protocol for infants born < 1500 g in correlation with growth and clinical outcomes. METHODS: Growth and nutrition data was reviewed from 2 groups of infants born < 1500 g within a level III newborn intensive care unit (NICU). Epoch 1 infants (N = 32) received care following initial implementation of a standardized enteral feeding protocol...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29603403/comparison-of-calorie-and-protein-intake-of-very-low-birth-weight-infants-receiving-mother-s-own-milk-or-donor-milk-when-the-nutrient-composition-of-human-milk-is-measured-with-a-breast-milk-analyzer
#14
Melanie Newkirk, Fauzia Shakeel, Prabhu Parimi, Pamela Rothpletz-Puglia, Rachael Patusco, Andrea Fleisch Marcus, Rebecca Brody
BACKGROUND: In premature infants, donor breast milk (DBM) is assumed to provide reduced nutrients vs. mother's own milk (MOM). This study examined calorie and protein delivery when very low birth weight infants were fed fortified MOM or DBM, with a known nutrient composition, relative to established nutrition recommendations and to determine if there were differences between the groups. METHODS: A retrospective medical record review was conducted in 29 very low birth weight infants receiving MOM or DBM...
March 30, 2018: Nutrition in Clinical Practice
https://www.readbyqxmd.com/read/29601449/antifungal-treatment-and-outcome-in-very-low-birth-weight-infants-a-population-based-observational-study-of-the-german-neonatal-network
#15
Ingmar Fortmann, Annika Hartz, Pia Paul, Ferdinand Pulzer, Andreas Müller, Ralf Böttger, Hans Proquitté, Kristin Dawczynski, Arne Simon, Jan Rupp, Egbert Herting, Wolfgang Göpel, Christoph Härtel
INTRODUCTION: The diagnostic proof of fungal infection in preterm infants is difficult. Antifungal treatment (AFT) is often initiated empirically when infants with suspected infection do not improve despite broad spectrum antibiotic therapy. It was the aim of our study to determine the rate of exposure to empirical AFT in a large cohort of very low birth weight infants (VLBWI) of the German Neonatal Network (GNN) and to address associated risks and outcomes. METHODS: The epidemiological database consisted of n= 13...
March 29, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29598896/effects-of-hammock-positioning-in-behavioral-status-vital-signs-and-pain-in-preterms-a-case-series-study
#16
Valdecira Rodrigues de Jesus, Pricila Mara Novais de Oliveira, Vivian Mara Gonçalves de Oliveira Azevedo
BACKGROUND: The hammock positioning within the incubators simulates the intrauterine environment, however, there is little evidence of its benefits and possible risks. OBJECTIVES: The aim of this study was to assess the effects of hammock positioning on behavioral status, vital signs, and pain in very low birth weight preterm newborns. METHODS: This is a quasi-experimental/case series study in which premature infants (<1500g) were positioned in supine for one hour in a hammock...
March 15, 2018: Brazilian Journal of Physical Therapy
https://www.readbyqxmd.com/read/29596216/reduction-of-inappropriate-antimicrobial-prescriptions-in-a-tertiary-neonatal-intensive-care-unit-following-antimicrobial-stewardship-care-bundle-implementation
#17
Joseph Y Ting, Vanessa Paquette, Karen Ng, Sarka Lisonkova, Valoria Hait, Sandesh Shivanada, Peter Tilley, Osiovich Horacio, Ashley Roberts
BACKGROUND: Our objective was to evaluate the appropriateness of antibiotic prescriptions in the neonatal intensive care unit (NICU) using standardised criteria and determine the effects of an antimicrobial stewardship programme (ASP) on patterns of antibiotic usage. METHODS: A retrospective audit of antibiotic use from July 2010-June 2013 was conducted, focusing on prescriptions of vancomycin, cefotaxime, meropenem and linezolid for >3 calendar days. We evaluated the appropriateness of each course of antibiotic treatment based on the Centers for Disease Control and Prevention (CDC) 12-Step Guidelines to Prevent Antimicrobial Resistance (Steps 4, 6 and 9)...
March 24, 2018: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/29595549/fathers-stress-in-the-neonatal-intensive-care-unit-a-systematic-review
#18
Paula M Prouhet, Mary R Gregory, Cynthia L Russell, Lauren H Yaeger
BACKGROUND: Admission to the neonatal intensive care unit (NICU) is stressful for parents. Nurses often focus on maternal well-being and fail to acknowledge the stress of fathers. Research on fathers' psychological stress is limited. PURPOSE: A systematic review of the literature was completed to examine the extent of psychological stress and types of stressors in fathers with infants admitted to the NICU. METHODS/SEARCH STRATEGY: A search of Ovid MEDLINE, Cochrane Library, PsycINFO, CINAHL, and EMBASE was conducted to identify descriptive and observational studies reporting father-specific stress in the NICU...
April 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/29595379/child-malnutrition-in-ifanadiana-district-madagascar-associated-factors-and-timing-of-growth-faltering-ahead-of-a-health-system-strengthening-intervention
#19
Sarah McCuskee, Andres Garchitorena, Ann C Miller, Lara Hall, Mohammed Ali Ouenzar, Victor R Rabeza, Ranto H Ramananjato, Hery-Tiana Rahaniraka Razanadrakato, Marius Randriamanambintsoa, Michele Barry, Matthew H Bonds
BACKGROUND: Child malnutrition, a leading cause of death and disability worldwide, is particularly severe in Madagascar, where 47% of children under 5 years are stunted (low height-for-age) and 8% are wasted (low weight-for-height). Widespread poverty and a weak health system have hindered attempts to implement life-saving malnutrition interventions in Madagascar during critical periods for growth faltering. OBJECTIVE: This study aimed to shed light on the most important factors associated with child malnutrition, both acute and chronic, and the timing of growth faltering, in Ifanadiana, a rural district of Madagascar...
2018: Global Health Action
https://www.readbyqxmd.com/read/29584924/an-open-label-randomized-controlled-trial-to-compare-weight-gain-of-very-low-birth-weight-babies-with-or-without-addition-of-coconut-oil-to-breast-milk
#20
Sumitha Arun, Manish Kumar, Thomas Paul, Nihal Thomas, Sarah Mathai, Grace Rebekah, Niranjan Thomas
Background: Nutritional guidelines involving the feeding of very low birth weight babies (VLBW) recommend addition of Human Milk Fortifiers to breast milk. Owing to financial constraints, it is a practice in low- and middle-income countries (LMIC) to add coconut oil to aid better weight gain. There are inadequate data on improvement of growth parameters with oral coconut oil supplementation of breast milk. Methods: In this randomized controlled trial, we measured growth parameters and body composition of 60 babies who received either breast milk with coconut oil or breast milk alone...
March 23, 2018: Journal of Tropical Pediatrics
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