Article
Environmental Sciences
Randall Jenkins, Devlynne Ondusko, Luke Montrose, Ryan Forbush, David Rozansky
Summary: The study shows that in a neonatal unit, infants receive 98% of DEHP exposure from respiratory devices, with bubble CPAP accounting for 95% of the total exposure. By avoiding the use of IV tubing containing DEHP and modifying respiratory equipment appropriately, DEHP exposure can be significantly reduced.
Article
Pediatrics
Rachel E. Witt, Mia Malcolm, Bryanne N. Colvin, Monique R. Gill, Joel Ofori, Shireen Roy, Shannon N. Lenze, Cynthia E. Rogers, Eve R. Colson
Summary: This study aimed to understand Black mothers' perspectives on the impact of racism on the quality of care for Black preterm infants in the NICU and to find ways to address this issue.
Article
Pediatrics
Katherine F. Guttmann, Kristina Orfali, Amy S. Kelley
Summary: Communication quality measurement in pediatrics, especially in neonatology, is a challenging and understudied area that is crucial for the advancement of the field. Despite the lack of existing measures specifically for the NICU, our focused review identified validated instruments for adult patients that could potentially be adapted for neonatal populations. Further research is needed to develop a comprehensive tool for assessing communication quality in the NICU.
PEDIATRIC RESEARCH
(2022)
Article
Psychology, Developmental
Manuela Lavelli, Alberto Stefana, Sang Han Lee, Beatrice Beebe
Summary: The study found that preterm infants shortly after birth are capable of contingent communication with parents, with mothers' interactions being more stimulating and fathers being more able to join the infant's dampened state. There were differences in interaction patterns between mothers and fathers, with fathers showing more contingent interactions with infants.
DEVELOPMENTAL PSYCHOLOGY
(2022)
Article
Environmental Sciences
Annemarie Stroustrup, Xueying Zhang, Emily Spear, Sanjukta Bandyopadhyay, Srinivasan Narasimhan, Anil K. Meher, Jaeun Choi, Gao Qi, Brenda B. Poindexter, Susan L. Teitelbaum, Syam S. Andra, Chris Gennings, Judy L. Aschner
Summary: This study found that the timing and concentration of phthalate exposure in the hospital were associated with the risk of developing bronchopulmonary dysplasia in preterm infants. The study included 360 preterm infants and found that female infants at 26-30 weeks post-menstrual age were particularly susceptible to the influence of phthalates.
ENVIRONMENT INTERNATIONAL
(2023)
Article
Pediatrics
Hailemichael Gebremariam, Berhe Tesfai, Seltene Tewelde, Samsom Abay, Danait Tekeste, Fitsum Kibreab
Summary: This study retrospectively evaluated the characteristics and outcomes of neonates admitted to the Neonatal Intensive Care Unit of Dekemhare Hospital in Eritrea. The study found that low birth weight, delivery at a health facility, and length of hospital stay were predictors of neonatal mortality.
Article
Pediatrics
J. Pirrello, G. Sorin, S. Dahan, F. Michel, L. Dany, B. Tosello
Summary: In neonatal intensive care, parents are essential in ensuring the autonomy of the newborn. Informing parents about the status of their infants in critical care is crucial, but it can be challenging for physicians and the medical team. This study aims to assess the dimensions and processes of critical care communication in neonatal intensive care to improve theoretical and applied knowledge in these discussions.
Article
Environmental Sciences
Stefanie A. Busgang, Emily A. Spear, Syam S. Andra, Srinivasan Narasimhan, Jennifer B. Bragg, Stefano Renzetti, Paul Curtin, Mia Bates, Manish Arora, Chris Gennings, Annemarie Stroustrup
Summary: In this study, the impact of NICU-based phthalate exposure on extrauterine growth trajectories was assessed using advanced growth modeling techniques and the NICU Hospital Exposures and Long-Term Health (NICU-HEALTH) study. The results showed that phthalate mixtures were associated with the timing and rate of the first growth spurt, and this relationship was modified by infant sex. These findings suggest that exposure to specific phthalates during NICU hospitalization may alter the timing and pattern of growth in a sexually dimorphic manner.
SCIENCE OF THE TOTAL ENVIRONMENT
(2022)
Article
Pediatrics
Alina Sobczak, Aleksandra Dudzik, Piotr Kruczek, Przemko Kwinta
Summary: Ultrasound scanning during umbilical catheterization in neonatal intensive care units can help prevent catheter-related complications, support the decision-making process, shorten catheterization time, and allow for a prolonged stay of the catheter in patients when alternative central access routes are not available.
FRONTIERS IN PEDIATRICS
(2021)
Article
Pediatrics
Nienke H. van Dokkum, Marlou L. A. de Kroon, Peter H. Dijk, Karianne E. Kraft, Sijmen A. Reijneveld, Arend F. Bos
Summary: Studying the stress response in premature infants during the first 28 days after birth revealed significant variations within infants and over time, with the highest scores occurring in the first 7 days. Factors such as low Apgar scores, sepsis, intraventricular hemorrhages, and mechanical ventilation were significantly associated with higher cumulative stress scores.
Article
Pediatrics
Yi Dai, Li Zhu, Yequn Zhou, Chao Chen, Shulian Zhang
Summary: This study found an increasing trend in the incidence of retinopathy of prematurity among extremely preterm infants in a large neonatal care unit in China over the past 10 years. The increased survival rate and use of high-target oxygen saturation in the later period may partly explain this trend. Further investigations are needed to improve care practices and reduce the incidence of severe retinopathy of prematurity.
FRONTIERS IN PEDIATRICS
(2021)
Article
Multidisciplinary Sciences
Lu Lin, Weiqin Liu, Jing Mu, Enmei Zhan, Hong Wei, Siqi Hong, Ziyu Hua
Summary: The establishment of NNICU has gradually improved and standardized neuroprotective therapy and clinical follow-up to improve neurodevelopmental prognosis of NE patients. The unit focused on neonatal neurocritical care for babies susceptible to NE with evidence-based medicine guidance.
Article
Nursing
Mariana Gonzalez de Oliveira, Desiree de Freitas Valle Volkmer
Summary: The study found that in the NICU unit under study, the majority of very low birth weight infants were breastfed at discharge. Breastfeeding at discharge was associated with shorter lengths of stay.
JOURNAL OF HUMAN LACTATION
(2021)
Article
Health Care Sciences & Services
Katherine Guttmann, John Flibotte, Holli Seitz, Matthew Huber, Sara B. DeMauro
Summary: This study investigated the relationship between quality of Goals of Care (GOC) conversations and moral distress among neonatal intensive care unit (NICU) providers. The findings showed that most providers experienced an increase in moral distress following GOC discussions, and that different elements of discussions and provider roles had varying effects on moral distress levels.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Review
Pediatrics
Alexia Seassau, Pascale Munos, Catherine Gire, Barthelemy Tosello, Isabelle Carchon
Summary: Prematurity is a growing public health issue with an increasing number of prematurely born children and higher prevalence of neurodevelopmental disorders. Early intervention programs in Neonatal Intensive Care Units (NICUs) aim to prevent and detect complications and support the development of preterm infants through uni- or multi-sensorial solicitations. This article distinguishes sensory intervention programs based on the type of solicitations and the person who performs these interventions.