1,036 results match your criteria Advances in Neonatal Care[Journal]


Case Report of Anemia Following Fetal-Maternal Hemorrhage.

Authors:
Kristi L Coe

Adv Neonatal Care 2019 Apr 3. Epub 2019 Apr 3.

Wake Forest Baptist Health, Pediatric Critical Care Transport, Winston-Salem, North Carolina; Duke University School of Nursing, Durham, North Carolina; Cone Health, NICU, Greensboro, North Carolina; and University of North Carolina at Greensboro, Nursing PhD program, Greensboro, NC.

Background: Any maternal history of blood loss, ABO or Rh incompatibility, and hydrops fetalis often leads to suspicion of neonatal anemia postnatally. When maternal history consists only of decreased fetal movement, recognition of neonatal anemia can be problematic.

Clinical Findings: This case was a transported late preterm neonate who presented initially with persistent hypoxia unresponsive to usual respiratory support. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000618DOI Listing
April 2019
1 Read

Multimodal Neurological Enhancement Intervention for Self-regulation in Premature Infants.

Adv Neonatal Care 2019 Apr 2. Epub 2019 Apr 2.

Music Therapy, School of Music, College of Arts and Sciences, The University of Alabama, Tuscaloosa (Dr Cevasco-Trotter); Department of Music Therapy, College of Music, Florida State University, Tallahassee (Ms Hamm); and Department of Information Systems, Statistics, and Management Science, Culverhouse College of Commerce and Business Administration, The University of Alabama, Tuscaloosa, AL (Drs Yang and Parton).

Background: The neonatal intensive care unit is often a noisy, overstimulating environment that disrupts infants' regulation of physiological and behavioral states and interrupts caregiver bonding; however, infants benefit from early intervention, including the use of multimodal neurological enhancement (MMNE) intervention to provide appropriate neurodevelopmental stimulation. No one has investigated whether it assists infants in self-regulation.

Purpose: The purpose of this retrospective longitudinal analysis was to examine the effect of a music therapy intervention, MMNE, on self-regulation of premature infants as measured by changes in heart rate (HR). Read More

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http://dx.doi.org/10.1097/ANC.0000000000000595DOI Listing
April 2019
1 Read

Feeding Tube Placement and Verification: Best Practices Needed Now.

Adv Neonatal Care 2019 Apr;19(2):82

Chair, NOVEL Project Children's Mercy Kansas City, Kansas City, Missouri American Society for Parenteral and Enteral Nutrition Silver Spring, Maryland.

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http://dx.doi.org/10.1097/ANC.0000000000000589DOI Listing

A Community Hospital NICU Developmental Care Partner Program: Feasibility and Association With Decreased Nurse Burnout Without Increased Infant Infection Rates.

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Departments of Communication Studies (Ms Clubbs) and Economics (Dr Gray), Southeast Missouri State University, Cape Girardeau; Level III Neonatal Intensive Care Unit, Saint Francis Medical Center, Cape Girardeau, Missouri (Dr Barnette and Mss Bond and Harden); Department of Communication, University of Illinois at Urbana-Champaign (Dr Weiner); and Program in Occupational Therapy, Department of Pediatrics, Washington University School of Medicine, St Louis, Missouri (Dr Pineda).

Background: Volunteers can provide staff-directed sensory inputs to infants hospitalized in the NICU, but research on volunteer programs is limited.

Purpose: To evaluate the feasibility of a developmental care partner (DCP) program in a level III NICU and determine its relationship with provider burnout and infant infection rates.

Methods: DCPs were trained to provide sensory input to infants, based on the behavioral cues observed by the occupational therapists and nursing staff, in medically stable infants. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000600DOI Listing
March 2019
4 Reads

Relationship of Necrotizing Enterocolitis Rates to Adoption of Prevention Practices in US Neonatal Intensive Care Units.

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Community and Health Systems Science Division, College of Nursing, The University of Arizona, Tucson (Dr Gephart and Ms Quinn); and Cardon Children's Medical Center, Banner Health Network Neonatal Intensive Care Unit, Mesa, Arizona (Ms Quinn).

Background: Applying quality improvement methods has reduced necrotizing enterocolitis (NEC) in some neonatal intensive care units (NICUs) by 40% to 90%.

Purpose: This study was conducted to (1) examine relationships between adoption of prevention practices using the NEC-Zero adherence score and NEC rates, and (2) describe implementation strategies NICUs use to prevent NEC.

Methods: A descriptive cross-sectional correlational study was completed among US quality improvement-focused NICUs. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000592DOI Listing
March 2019
2 Reads

What Is the Impact of NICU-Dedicated Lactation Consultants? An Evidence-Based Practice Brief.

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

University of Connecticut, School of Nursing, Storrs (Drs Mercado, Vittner, and McGrath); Pediatrix Medical Group, Las Vegas, Nevada (Dr Mercado); Valley Health System, Las Vegas, Nevada (Dr Mercado); WakeMed Health & Hospitals, Raleigh, North Carolina (Dr Vittner); and The University of Texas Health Science Center, School of Nursing, San Antonio (Dr McGrath).

Background: Benefits of exclusive human milk diets for preterm and low birth-weight infants are well established. Despite known benefits, supporting mothers in the provision of mother's own milk for high-risk infants is challenging. Lactation support in the neonatal intensive care unit (NICU) is highly variable. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000602DOI Listing
March 2019
4 Reads

A Pilot Study of Oxytocin in Low-Income Women With a Low Birth-Weight Infant: Is Oxytocin Related to Posttraumatic Stress?

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Marcella Niehoff School of Nursing, Loyola University Chicago, Illinois (Dr Garfield); Duke School of Nursing, Durham, North Carolina (Dr Holditch-Davis); Indiana University, Bloomington (Dr Carter); University of Illinois, Chicago (Dr McFarlin); Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor (Dr Seng); The Ohio State University, Columbus (Dr Giurgescu); University of Illinois at Chicago, and Children's Hospital of Wisconsin and Medical College of Wisconsin, Milwaukee (Dr White-Traut).

Background: Negative outcomes related to prematurity may lead to maternal distress. Mothers of premature/low birth-weight infants report increased posttraumatic stress (50%) and depressive symptoms (63%) compared with mothers of full-term infants. Low-income, minority mothers with greater posttraumatic stress and depression have an increased risk for premature/low birth-weight delivery compared with their white counterparts. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000601DOI Listing
March 2019
3 Reads

NICU Graduate Reunion: "A Celebration of Life".

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Department of Pediatrics (Ms Dweck and Dr Golombek) and Clinical Public Health (Dr Golombek), New York Medical College; and Regional Neonatal Center-Maria Fareri Children's Hospital, Valhalla, New York (Ms Dweck and Dr Golombek).

Background: Few understand the experience of having an infant in the neonatal intensive care unit (NICU). This article provides a discussion about the importance of an annual reunion for former NICU infants, their families, and neonatal staff.

Purpose: The purpose of this article is to explain the impact of the NICU reunion on families and neonatal healthcare providers and describe the experience of organizing this reunion over the past 20 years. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000598DOI Listing
March 2019
1 Read

Evaluating Teamwork in the Neonatal Intensive Care Unit: A Survey of Providers and Parents.

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Children's Hospital of Philadelphia, Philadelphia (Ms Masten and Drs Lioy and Chuo); University of Pennsylvania School of Nursing, Philadelphia (Ms Masten); Faculty of Nursing, University of Alberta, Edmonton, Canada (Dr Sommerfeldt); Drexel University, Philadelphia, Pennsylvania (Ms Greubel); Darmouth College, Hanover, New Hampshire (Ms Canning); and University of Pennsylvania Perelman School of Medicine, Philadelphia (Drs Lioy and Chuo).

Background: A unified vision of team mission, psychologically safe practice environment, effective communication, and respect among team members are key characteristics of an effective interdisciplinary neonatal intensive care unit (NICU) team.

Purpose: A quality improvement team in a quaternary NICU surveyed parents, physicians, and nurses on perceptions of teamwork to identify opportunities for improvement.

Design/methods: Parents and healthcare staff (n = 113) completed an anonymous survey from May to July of 2014 to assess team roles and membership, team qualities, shared mission, psychological safety, hierarchy, communications, and conflict awareness. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000604DOI Listing

Systematic Review of the Effects of Skin-to-Skin Care on Short-Term Physiologic Stress Outcomes in Preterm Infants in the Neonatal Intensive Care Unit.

Adv Neonatal Care 2019 Mar 19. Epub 2019 Mar 19.

Boston College William F. Connell School of Nursing (Dr Pados) and Boston College Carolyn A. and Peter S. Lynch School of Education (Mr Hess), Chestnut Hill, Massachusetts.

Background: Infants in the neonatal intensive care unit (NICU) are exposed to many stressors. There is growing evidence that chronic stress early in life has long-term neurodevelopmental implications. Skin-to-skin care (SSC) is an intervention used to reduce stress in the NICU. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000596DOI Listing
March 2019
1 Read

Eat, Sleep, Console Approach: A Family-Centered Model for the Treatment of Neonatal Abstinence Syndrome.

Adv Neonatal Care 2019 Apr;19(2):138-144

Department of Pediatrics, Division of Neonatology (Mss Grisham and Kane and Dr Bader) and Neonatal Intensive Care Unit (Mss Stephen, Coykendall, and Maurer), Banner University Medical Center Tucson, Tucson, Arizona.

Background: The opioid epidemic in the United States has resulted in an increased number of drug-exposed infants who are at risk for developing neonatal abstinence syndrome (NAS). Historically, these infants have been treated with the introduction and slow weaning of pharmaceuticals. Recently, a new model called Eat, Sleep, Console (ESC) has been developed that focuses on the comfort and care of these infants by maximizing nonpharmacologic methods, increasing family involvement in the treatment of their infant, and prn or "as needed" use of morphine. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000581DOI Listing

Feasibility and Safety of the Preemie Orthotic Device to Manage Deformational Plagiocephaly in Extremely Low Birth Weight Infants.

Adv Neonatal Care 2019 Feb 1. Epub 2019 Feb 1.

Department of Pediatrics, Harvard Medical School, Boston, Massachusetts (Drs Knorr, Gauvreau, DeGrazia); Department of Biostatistics, Harvard T.H. Chan School of Public Health, Boston, Massachusetts (Dr. Gauvreau); Division of Newborn Medicine (Dr. Knorr), Cardiovascular and Critical Care Services (Ms Porter and Serino, Dr DeGrazia), Department of Cardiology (Dr. Gauvreau), Boston Children's Hospital, Boston, Massachusetts; Division of Newborn Medicine, Winchester Hospital, Winchester, Massachusetts (Dr. Knorr); Department of Nursing, Brigham and Woman's Hospital, Boston, Massachusetts (Dr. Giambanco); Department of Nursing, St. Elizabeth's Medical Center, Brighton, Massachusetts (Ms Staude); Department of Medicine, U-Mass Memorial Medical Center, Worchester, Massachusetts (Ms St. Germain).

Background: Premature infants are predisposed to developing deformational plagiocephaly. Deformational plagiocephaly may affect the infant's social well-being and neurobehavioral development.

Purpose: This pilot study investigated the feasibility and safety of the preemie orthotic device (POD); a noncommercial, supportive orthotic device to manage deformational plagiocephaly. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000585DOI Listing
February 2019
1 Read

Understanding the Pathophysiology, Implications, and Treatment Options of Patent Ductus Arteriosus in the Neonatal Population.

Adv Neonatal Care 2019 Jan 31. Epub 2019 Jan 31.

Department of Graduate Nursing Science, East Carolina University, Greenville, North Carolina.

Background: Patent ductus arteriosus (PDA) is the persistence of a fetal shunt between the pulmonary artery and the aorta. This structure normally closes in the first 3 days after birth; however, closure is delayed in up to 80% of infants born at 25 to 28 weeks of gestation. Persistent PDA results in pulmonary overcirculation and systemic hypoperfusion. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000590DOI Listing
January 2019
1 Read

Acidity of Enteral Feeding Tube Aspirate in Neonates: Do pH Values Meet the Cutoff for Predicting Gastric Placement?

Adv Neonatal Care 2019 Jan 31. Epub 2019 Jan 31.

Center for Clinical Effectiveness (Dr Kemper), Neonatology (Ms Haney), Pharmacy (Dr Oschman), Health Services and Outcomes Research (Dr Lee), and Patient Care Services (Ms Lyman), Children's Mercy, Kansas City, Missouri; College of Nursing, University of Florida, Gainesville (Dr Parker); and Duke University School of Nursing, Durham, North Carolina (Dr Brandon).

Background: Enteral feeding tubes (EFTs) are commonly used in neonatal practice, but complications from tube misplacement remain a concern. Measuring the pH of EFT aspirate is a recommended method to evaluate EFT placement. A pH value of ≤5. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000591DOI Listing
January 2019
9 Reads

RESPONSE TO LETTER TO THE EDITOR.

Adv Neonatal Care 2019 Apr;19(2):82-83

Associate Professor, University of Florida College of Nursing Gainesville Nurse Coordinator, UF Health Shands Hospital Nurse Manager, Neonatal ICU, UF Health Shands Children's Hospital.

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http://dx.doi.org/10.1097/ANC.0000000000000588DOI Listing

Human Milk and Infants With Congenital Heart Disease: A Summary of Current Literature Supporting the Provision of Human Milk and Breastfeeding.

Adv Neonatal Care 2018 Jan 28. Epub 2018 Jan 28.

UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania (Ms Davis); Helen M. Shearer Professor of Nutrition, University of Pennsylvania School of Nursing, Philadelphia (Dr Spatz); Children's Hospital of Philadelphia (CHOP), Philadelphia, Pennsylvania (Dr Spatz); and Children's Hospital of Philadelphia's Mothers' Milk Bank, Philadelphia, Pennsylvania (Dr Spatz).

Background: Human milk is a life-saving medical intervention. Infants with congenital heart disease are at an increased risk for necrotizing enterocolitis, chylothorax, feeding difficulties, and growth failure. In the absence of evidence-based care, their mothers are also at risk for low milk supply and/or poor breastfeeding outcomes. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000582DOI Listing
January 2018
2 Reads

Guidelines for the Institutional Implementation of Developmental Neuroprotective Care in the NICU: A Joint Position Statement From CANN, CAPWHN, NANN and COINN.

Adv Neonatal Care 2019 Feb;19(1):9-10

Neonatal Intensive Care Unit, CHU Sainte-Justine, Montreal, Quebec, Canada (Ms Milette); Developmental Care Partnership, Montréal, Canada (Ms Milette and Ribeiro da Silva and Dr Martel); Nursing Department, Université du Québec à Trois-Rivières, Montreal, Quebec, Canada (Dr Martel); Neonatal Intensive Care Unit, Montreal Children's Hospital, Montreal, Quebec, Canada (Ms Ribeiro da Silva); and Caring Essentials Collaborative, Boston, Massachusetts (Ms Coughlin).

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http://dx.doi.org/10.1097/ANC.0000000000000465DOI Listing
February 2019
1 Read

Does the Infant-Driven Feeding Method Positively Impact Preterm Infant Feeding Outcomes?

Adv Neonatal Care 2019 Feb;19(1):51-55

Massachusetts General Hospital, Wrentham.

Background: Achievement of independent oral feeding is a major determinant of discharge and contributes to long lengths of stay. Accumulating evidence suggests that there is great variation between and within newborn intensive care units in the initiation and advancement of oral feeding. The Infant-Driven Feeding (IDF) method is composed of 3 behavioral assessments including feeding readiness, quality of feeding, and caregiver support. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000577DOI Listing
February 2019

NANN Celebrates Award Winners!

Authors:

Adv Neonatal Care 2019 Feb;19(1):5-8

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http://dx.doi.org/10.1097/ANC.0000000000000586DOI Listing
February 2019

Improving Neurodevelopmental Outcomes in NICU Patients.

Adv Neonatal Care 2019 Jan 18. Epub 2019 Jan 18.

School of Nursing, Troy University, Montgomery, Alabama (Drs Painter and Hamilton); and School of Nursing, Troy University, Phenix City, Alabama (Dr Lewis).

Background: Premature infants experience stressors such as external stimulation with sounds, light, touch, and open positioning in NICU that negatively affect outcomes.

Purpose: The purpose of this study was to measure the effectiveness of a developmental positioning intervention on length of stay, weight gain, and tone/flexion compared with neonates without structured positioning.

Methods: Study design was quasi-experimental with nonequivalent groups. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000583DOI Listing
January 2019
7 Reads

Survey of Neonatal Intensive Care Unit Nurses' Use of a Motion/Sound Infant Seat.

Adv Neonatal Care 2019 Apr;19(2):151-159

Mission Health, Asheville, North Carolina (Ms Holmes); and School of Nursing, Clemson University, South Carolina (Dr Wright).

Background: Perinatal substance exposure is an increasing concern in infants being cared for in neonatal intensive care units. Current recommendations support nonpharmacologic treatments for this population of infants. Multimodal (motion, sound) seats are often employed to soothe infants. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000579DOI Listing
April 2019
2 Reads

Effects of Underrunning Water Bathing and Immersion Tub Bathing on Vital Signs of Newborn Infants: A Comparative Analysis.

Adv Neonatal Care 2018 Dec;18(6):E3-E12

Pediatric Nursing Department, Florence Nightingale Faculty of Nursing, Istanbul University, Şişli, Turkey.

Background: Newborn infants are susceptible to hypothermia during bathing due to environmental conditions.

Purpose: This study examined the effects of 2 common newborn bathing methods used in Turkey, underrunning water bathing (URWB) and immersion tub bathing (ITB), on infant heart rate (HR), oxygen saturation, and body temperature.

Methods: In this randomized controlled study, 44 newborns were allocated to the ITB group and 36 newborns to the URWB group. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000484DOI Listing
December 2018
3 Reads

Nurses Providing End-of-Life Care for Infants and Their Families in the NICU: A Review of the Literature.

Adv Neonatal Care 2018 Dec;18(6):471-479

School of Nursing and Midwifery, University of South Australia, Adelaide (Mrs Gibson and Drs Hofmeyer and Warland); and Anglia Ruskin University, Cambridge, UK (Dr Hofmeyer).

Background: Nurses working in the neonatal intensive care unit (NICU) who care for dying infants and their families say they do not necessarily have the expertise or the specific training to provide quality end-of-life-care (EOLC).

Purpose: The purpose of this review was to critically appraise the existing qualitative literature regarding nurses' experiences when caring for infants during end of life in the NICU and to identify barriers and enablers to provide quality EOLC.

Search Strategy: A literature search was conducted using CINAHL and OVID databases. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000533DOI Listing
December 2018
2 Reads

Hunter Syndrome: Is It Time to Make It Part of Newborn Screening?

Adv Neonatal Care 2018 Dec;18(6):480-487

West Chester University, West Chester, Pennsylvania (Dr Joseph and Ms DiCesare); and Nemours/A. I. duPont Hospital for Children, Wilmington, Delaware (Ms Miller).

Background: Hunter syndrome, or mucopolysaccharidosis type II (MPS II), is a lysosomal storage disease that affects the breakdown of sugar in the body. Research has made it possible to reveal the cause of the disease, thus helping diagnose and treating this rare disorder. Enzyme replacement therapy will help children live longer and healthier lives. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000569DOI Listing
December 2018
1 Read

Congenital Syphilis and the Prozone Phenomenon: A Case Study.

Authors:
Lauren E Spydell

Adv Neonatal Care 2018 Dec;18(6):446-450

Neonatal Intensive Care Unit, Rady Children's Hospital, San Diego, California.

Background: There is a global rise in maternal syphilis and infants born with congenital syphilis.

Clinical Findings: This case report presents a 32-week gestation premature male infant with initial clinical findings significant for respiratory failure as well as blueberry muffin spot rash and hepatosplenomegaly, which are consistent with congenital syphilis.

Primary Diagnosis: This case study is unique in that the diagnosis of congenital neurosyphilis was demonstrated despite negative maternal serology because of the prozone phenomenon. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000573DOI Listing
December 2018
14 Reads

Maternal Prenatal Screening and Serologies.

Adv Neonatal Care 2018 Dec;18(6):431-437

Wake Forest Hospital-Brenner Children's Hospital, Winston-Salem, North Carolina.

Background: Maternal prenatal screening is essential in preventing pregnancy complications as well as preventing and/or predicting neonatal and infant medical issues after delivery that are due to certain communicable diseases.

Purpose: This article is aimed at gathering and presenting the most recent information regarding the most common prenatal screening laboratory studies and the implications with the various diseases.

Methods/search Strategy: An extensive medical database search was performed and the most relevant medical texts regarding the subject of prenatal screening were obtained. Read More

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http://Insights.ovid.com/crossref?an=00149525-201812000-0000
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http://dx.doi.org/10.1097/ANC.0000000000000568DOI Listing
December 2018
18 Reads

Neonatal Nurses Day and NANNAHEIM Fill Fall With Fun for NANN Members.

Authors:

Adv Neonatal Care 2018 Dec;18(6):429-430

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http://dx.doi.org/10.1097/ANC.0000000000000576DOI Listing
December 2018
1 Read

The Best Interests of Infants and Families During Palliative Care at the End of Life: A Review of the Literature.

Adv Neonatal Care 2019 Apr;19(2):E9-E14

Neonatal NP Program, Duke University School of Nursing, Durham, North Carolina.

Background: Palliative care is an integral element of care provision in neonatal intensive care units (NICUs). Healthcare providers working in NICUs are likely to provide palliative care at some point in their career.

Purpose: This article examines what neonatal palliative care entails, how parents perceive healthcare providers' actions, what they potentially need at the end of their infant's life, and what bereavement interventions are most supportive for parents. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000567DOI Listing
April 2019
25 Reads

Implementation of a Central Line Maintenance Bundle for Dislodgement and Infection Prevention in the NICU.

Authors:
Kira L Short

Adv Neonatal Care 2019 Apr;19(2):145-150

Arizona State University, Phoenix, and Clinical Issues in Neonatal Care, Phoenix Children's Hospital, Arizona.

Background: Infants in the newborn intensive care unit (NICU) often receive medications or nutritional support for extended periods. Due to the fragility of veins, central lines are often used. Adverse outcomes from central lines such as infections and line dislodgements, where the line terminates in a peripheral vessel rather than centrally, can drastically increase infant morbidity and mortality. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000566DOI Listing
April 2019
16 Reads

The Use of Ultrasonography for Verifying Gastric Tube Placement in Newborns.

Adv Neonatal Care 2018 Nov 1. Epub 2018 Nov 1.

School of Nursing (Dr Dias, Ms Franco, and Dr Carmona), School of Medical Sciences, Department of Obstetrics and Gynecology (Dr Jales), Department of Pediatrics (Dr Caldas), Department of Radiology (Dr Alvares) and Woman's Hospital CAISM (Mss Silva and Fabene) - University of Campinas, São Paulo, Brazil.

Background: The use of gastric tubes in newborns admitted to a neonatal intensive care unit is fairly high, and there is a risk of serious complications related to this procedure.

Purpose: Considering the need to find a method that does not involve the patient's exposure to radiation, this study aimed to evaluate the diagnostic accuracy of ultrasonography for verifying gastric tube placement in newborns.

Methods: This was a prospective, double-blind, observational study performed in a neonatal intensive care unit, in which 159 infants had gastric intubation using ultrasound examination and radiological imaging, to verify positioning. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000553DOI Listing
November 2018
21 Reads

Feasibility and Outcomes Associated With the Use of 2.6-Fr Double-Lumen PICCs in Neonates.

Adv Neonatal Care 2019 Apr;19(2):E3-E8

Department of Pediatrics, University of Chicago, Illinois.

Background: Low birth-weight infants' survival continues to improve and there is increased need to provide secure vascular access. This study examines safety of larger peripherally inserted central catheters (PICCs) that offer greater utility.

Purpose: To determine feasibility of 2. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000570DOI Listing
April 2019
17 Reads

Effect of Unimodal and Multimodal Sensorimotor Interventions on Oral Feeding Outcomes in Preterm Infants: An Evidence-Based Systematic Review.

Adv Neonatal Care 2019 Feb;19(1):E3-E20

Department of Paediatrics (Drs Dow and Fucile) and School of Rehabilitation Therapy, (Mss Rhooms, Brandon, and Zhao and Dr Fucile), Queen's University, Kingston, Ontario, Canada.

Background: Preterm infants often experience difficulty with the transition from tube to oral feeding. While many unimodal and multimodal sensorimotor interventions have been generated to optimize oral feeding skills, there has been little cohesion between interventions.

Purpose: The aims of this systematic review were to examine the effect of sensorimotor interventions on oral feeding outcomes and to determine whether multimodal interventions lead to better oral feeding performances than unimodal interventions. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000546DOI Listing
February 2019
2 Reads

Parent Engagement Correlates With Parent and Preterm Infant Oxytocin Release During Skin-to-Skin Contact.

Adv Neonatal Care 2019 Feb;19(1):73-79

School of Nursing, University of Connecticut, Storrs (Drs Vittner and Ms Makris); School of Nursing, University of Texas Health Science Center San Antonio, San Antonio, Texas (Dr. McGrath) Connecticut Children's Medical Center, Hartford (Drs Vittner and Brownell and Ms Smith); Boston Children's Hospital, Boston, Massachusetts (Dr Butler); Harvard Medical School, Harvard University, Boston, Massachusetts (Dr Butler); and School of Nursing, South Dakota State University, Brookings (Dr Samra).

Background: Preterm infants remain increasingly neurodevelopmentally disadvantaged. Parental touch, especially during skin-to-skin contact (SSC), has potential to reduce adverse consequences.

Purpose: To examine relationships between parental engagement and salivary oxytocin and cortisol levels for parents participating in SSC intervention. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000558DOI Listing
February 2019
1 Read

A Pilot Study of Mothers' Breastfeeding Experiences in Infants With Cleft Lip and/or Palate.

Adv Neonatal Care 2019 Apr;19(2):127-137

Children's Mercy Kansas City, Kansas City, Missouri.

Background: Despite the recognized importance of human milk (HM) use, breastfeeding is often discouraged for infants with cleft lip and/or palate because of their anatomical abnormalities. Poor weight gain may require formula for calorie supplementation. Stresses associated with caring for infants with cleft lip/palate may decrease rates of HM provision to these infants. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000551DOI Listing
April 2019
4 Reads

NICU Discharge Feeding Bundle Improves Accuracy of Postdischarge Feeding Preparation and Potentially Prevents Readmission.

Adv Neonatal Care 2019 Apr;19(2):90-96

Clinical Nutrition Department (Ms Vollrath, Ms Marshall, and Mr Rihn), Children's Hospital Colorado (Drs Rosenberg and Grover, Mss Gabrielski and Deacon), Aurora; and University of Colorado School of Medicine, Aurora (Drs Rosenberg, Grover).

Background: Hospitalized infants often need fortified human milk and formulas for growth in the neonatal intensive care unit and postdischarge. Parents must learn how to properly mix infant feedings.At the initial Children's Hospital Colorado follow-up visit, baseline data revealed a 50% rate of mixing inaccuracy of discharge feeding recipes and identified the readmission of 2 infants with life-threatening hypernatremia. Read More

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http://Insights.ovid.com/crossref?an=00149525-900000000-9977
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http://dx.doi.org/10.1097/ANC.0000000000000571DOI Listing
April 2019
8 Reads

Personality Traits Predict Meeting the WHO Recommendation of 6 Months' Breastfeeding: A Prospective General Population Cohort Study.

Adv Neonatal Care 2019 Apr;19(2):118-126

Departments of General Practice (Drs Verbeek and Burger), Epidemiology (Ms de Groot), and Clinical Psychology (Dr Bockting), University Medical Center Groningen, University of Groningen, Groningen, the Netherlands; Department of Midwifery Science, AVAG and EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands (Ms Quittner); Bamford Centre for Mental Health and Wellbeing, Ulster University, Coleraine, Northern Ireland (Dr de Cock); Department of Obstetrics & Gynecology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands (Ms de Groot); and Department of Psychiatry, Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands (Dr Bockting).

Background: Although personality as well as anxiety and depression are recognized as predictors for breastfeeding initiation, evidence of an association of these factors with 6 months' exclusive breastfeeding as recommended by the World Health Organization (WHO) is sparse.

Purpose: The purpose of this study was to investigate the associations of personality and symptoms of anxiety and depression during and after pregnancy with meeting the WHO recommendation of 6 months' exclusive breastfeeding.

Methods: In their first trimester of pregnancy, 5784 pregnant women were enrolled in Dutch primary obstetric care centers and hospitals, of which 2927 completed the breastfeeding assessments 6 months postpartum. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000547DOI Listing
April 2019
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Nurse Decision Making and Attitudes About Circuit Disconnection During Ventilator Therapy at a Swedish Neonatal Intensive Care Unit.

Adv Neonatal Care 2018 12;18(6):E13-E20

Neonatal Intensive Care Unit, University Hospital, Uppsala, Sweden (Mss Larsson and Karlsson and Dr Blomqvist); and Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden (Ms Karlsson and Dr Blomqvist).

Background: There are many challenges to providing care to infants in need of ventilator therapy. Yet, few studies describe the practical handling of the ventilator circuit during nursing care.

Purpose: To describe neonatal intensive care unit (NICU) nurses' decision making regarding whether or not to disconnect the ventilator circuit when changing the infant's position and to investigate the grounds for their decisions. Read More

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http://Insights.ovid.com/crossref?an=00149525-900000000-9977
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http://dx.doi.org/10.1097/ANC.0000000000000564DOI Listing
December 2018
2 Reads

The Delicate Balance: Managing Oxygen Treatment in Neonates.

Authors:

Adv Neonatal Care 2018 Oct;18 Suppl 5S:1-12

This review is based on a Mallinckrodt Pharmaceuticals-sponsored presentation, "The Delicate Balance of Managing Oxygen Treatment in Neonates," delivered by Amy R Koehn, PhD, NNP-BC, at the National Association of Neonatal Nurses (NANN) 33rd Annual Conference, held in Providence, Rhode Island on October 11, 2017. In addition to focusing on the potential risks associated with exposing newborn tissues to episodes of lower (hypoxic) and higher (hyperoxic) than normal concentrations of serum oxygen, the current guidance for target saturation ranges and methods of tissue oxygenation measurements in neonates was reviewed. A total of 181 neonatal nurses, neonatal nurse practitioners, nurse educators, and nurse managers were polled during the presentation using an audience response system (ARS). Read More

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http://dx.doi.org/10.1097/01.ANC.0000547461.94078.09DOI Listing
October 2018
20 Reads

Psychometric Properties of the Early Feeding Skills Assessment Tool.

Adv Neonatal Care 2018 Oct;18(5):E13-E23

School of Nursing, The University of North Carolina, Chapel Hill (Dr Thoyre); Boston College William F. Connell School of Nursing, Chestnut Hill, Massachusetts (Drs Pados and Park); Florida Hospital for Children, Orlando (Ms Shaker); and University of Iowa Stead Family Children's Hospital, Iowa City (Ms Fuller).

Background: Supporting infants as they develop feeding skills is an essential component of neonatal and pediatric care. Selecting appropriate and supportive interventions begins with a thorough assessment of the infant's skills. The Early Feeding Skills (EFS) tool is a clinician-reported instrument developed to assess the emergence of early feeding skills and identify domains in need of intervention. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000537DOI Listing
October 2018
2 Reads

Congenital Tuberculosis: A New Concern in the Neonatal Intensive Care Unit.

Authors:

Adv Neonatal Care 2018 Oct;18(5):E1-E2

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http://dx.doi.org/10.1097/ANC.0000000000000561DOI Listing
October 2018
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Correlation of Premature Infant Sleep/Wakefulness and Noise Levels in the Presence or Absence of "Quiet Time".

Adv Neonatal Care 2018 Oct;18(5):393-399

Nursing School, Universidade Federal de São Paulo, São Paulo, Brazil (Mss Pugliesi, Campillos, and Orsi and Drs Avena, Avelar, and Pinheiro); Associação Fundo de Incentivo à Pesquisa, Instituto do Sono, São Paulo, Brazil (Dr Pradella-Hallinan); and Department of Biostatistics, Universidade Estadual Paulista Júlio de Mesquita Filho, Botucatu, Brazil (Dr Tsunemi).

Background: Peak sound levels during sleep can compromise the development of hospitalized infants. Quiet time is a strategy implemented in neonatal units to promote the sleeping of neonates by reducing noise levels, luminosity, and handling during particular periods of the day.

Purpose: To determine the impact of quiet time on reducing sound levels and increasing total sleep time. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000549DOI Listing
October 2018
6 Reads

Zika Virus: Patient Education Recommendations.

Adv Neonatal Care 2018 Oct;18(5):360-365

Mayo Clinic, Rochester, Minnesota (Ms Towers); and The University of Arizona College of Nursing, Tucson, Arizona (Ms Towers, Dr M. Goldsmith and Ms P. Goldsmith).

Background: A growing threat to maternal-fetal health, the most recent and largest outbreak of the Zika virus disease has introduced the devastating fetal effects of microcephaly and other central nervous system deficits.

Purpose: This brief outlines a history of Zika virus disease, its known effects, best practice recommendations for providers to educate patients, and information for individuals on how to protect themselves.

Methods/search Strategy: A search of the literature using the databases PubMed, UptoDate, and CINAHL was conducted for articles published between 2009 and 2016. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000548DOI Listing
October 2018
18 Reads

Zika Virus Infection: A Vector-Borne Threat to Pregnant Women and Infants.

Adv Neonatal Care 2018 Oct;18(5):350-359

New Jersey Chapter, American Academy of Pediatrics, East Windsor, and former consultant, New Jersey Department of Health Critical Congenital Heart Defects Screening Program and Zika Infant Surveillance, Trenton (Ms Grazel); and Thomas Jefferson School of Nursing, Philadelphia, Pennsylvania, and Duke-Johnson & Johnson Nurse Leadership, Division of Community Health, Durham, North Carolina, and Geisinger Holy Spirit Hospital, Middletown, Pennsylvania (Dr Harris-Haman).

Background: Zika virus (ZIKV) is an emergent flavivirus, transmitted predominately by Aedes genus mosquitos that recently reached the Americas and was soon implicated in an increase in microcephaly and other serious birth defects.

Purpose: This report provides updated information and recommendations on testing, screening, and care for pregnant women and infants affected by ZIKV.

Methods: Current published recommendations from the Centers for Disease Control and Prevention, the World Health Organization, and the American Academy of Pediatrics were reviewed and included in this report. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000557DOI Listing
October 2018
30 Reads

Congenital HIV: Prevention of Maternal to Child Transmission.

Adv Neonatal Care 2018 Oct;18(5):330-340

Coastal Carolina Neonatology, and Neonatal Intensive Care Unit, New Hanover Regional Medical Center, Wilmington, North Carolina (Ms Lynch); and Intensive Care Nursery, Duke University Hospital, Durham, North Carolina (Ms Johnson).

Background: Human immunodeficiency virus (HIV) is caused by a cytopathic lentivirus. HIV without adequate treatment during pregnancy can result in maternal to child transmission (MCT) of the virus. Sequelae can include severe lifelong morbidities, shorter life expectancies, and high mortality rates without antiretroviral therapy. Read More

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http://dx.doi.org/10.1097/ANC.0000000000000559DOI Listing
October 2018
30 Reads