Monthly Archives: June 2012

What do babies die of in resource poor countries?

Posted on 28 June 2012 by Keith Barrington

Two very recent publications about neonatal mortality in resource poor countries. The first is from 6 different low resource countries and one medium resource country (Argentina) the authors presented the birth weight, gestational age and age at death of babies … Continue reading →

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What next for birth asphyxia?

Posted on 27 June 2012 by Keith Barrington

Now that therapeutic hypothermia has been proven effective and safe for infants with Hypoxic Ischemic Encephalopathy, one might ask what next? We still are not sure if it is of any value to cool infants after 6 hours of age, … Continue reading →

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Perinatal outcomes of IVF twins

Posted on 22 June 2012 by Keith Barrington

Another post about twins and IVF. I’ll back off soon, I promise. A systematic review published just last year notes that the outcomes of twins conceived after IVF is worse than those who are conceived naturally. (Rossi AC, D’Addario V. … Continue reading →

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Twins and triplets five times more likely to die within first year

Posted on 21 June 2012 by Keith Barrington

Twins and triplets five times more likely to die within first year | Society | The Guardian. To most of us in neonatology, this news item, published in the Guardian, based on data from the UK national database,  is no real surprise. … Continue reading →

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When to deliver twins?

Posted on 21 June 2012 by Keith Barrington

A new RCT from Australia randomized 235 mothers carrying twins to be either delivered at 37 weeks gestation, or allowed to continue for at least another week (Dodd J, Crowther C, Haslam R, Robinson J, for the Twins Timing of … Continue reading →

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What is heteroresistance?

Posted on 20 June 2012 by Keith Barrington

Recent cases of coagulase negative staphylococci, that were very difficult to eradicate, have led to an assessment of whether the phenomenon of heteroresistance may play a part. To be honest, for me this is entirely new; I was not aware … Continue reading →

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Trying harder

Posted on 19 June 2012 by Keith Barrington

One interesting recent publication, that I think may describe a phenomenon in medicine that has not previously been described, is from the NICHD network. This publication noted that there is a great deal of variation in outcomes, specifically survival without … Continue reading →

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EEGs for preterm infants: Predicting Long Term Outcomes part 3

Posted on 15 June 2012 by Keith Barrington

In some parts of the world EEGs are frequently performed in very preterm infants in the first few days of life as a screening test, and occasionally used to redirect care if abnormalities are found. Is this justified? Are there abnormalities which … Continue reading →

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Pulmonary compliance changes after surfactant

Posted on 15 June 2012 by Keith Barrington

This blog is a bit different: not a review of a recent publication, but rather a teaching point for my junior trainees (and maybe some seniors). The question is this: when you have preterm infant with typical HMD and respiratory … Continue reading →

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This is what it’s all about: Bad Astronomy

Posted on 14 June 2012 by Keith Barrington

This has nothing directly to do with neonatology. I just thought it was a wonderful 5 minute explanation of what science is all about. Thanks to Phil Plait at his blog Bad Astronomy. It is a brief speech he made … Continue reading →

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