Monthly Archives: November 2016

Neonatal Sepsis after Chorioamnionitis, what to do about healthy appearing newborns

In 2007, when I was chair of the CPS Fetus and Newborn Committee, we published a guideline regarding the approach to term and late preterm infants with perinatal risk factors for sepsis. Obviously any infant with clinical signs consistent with … Continue reading

Posted in Clinical Practice Guidelines, Neonatal Research | Tagged , , | Leave a comment

Podcast starring Annie Janvier: the harms of a gestational age label

The Archives of Disease in Childhood (and several other BMJ journals) have a series of podcasts, most of them seem to be interviews between a member of the editorial board and an author of a recent article. In this new … Continue reading

Posted in Neonatal Research | Leave a comment

Maternal complications of extremely preterm delivery

When there is a threatened delivery in the periviable period, one of the decisions that have to be made is about the mode of delivery. In my opinion (IMHO, I think those young’uns say) we should consider the different parts … Continue reading

Posted in Neonatal Research | Tagged | Leave a comment

Breast milk doesn’t make you smarter?

A newly published RCT seems at first glance to challenge the overall verdict of the literature that consuming breast milk improves intellectual development, particularly for preterm infants. (O’Connor DL, et al. Effect of Supplemental Donor Human Milk Compared With Preterm Formula on … Continue reading

Posted in Neonatal Research | 1 Comment

Teaching clinicians to evaluate encephalopathy

I hope this link stays active for ever as it is a great resource… Courtney Wusthoff from Stanford has developed a web-based educational tool, designed initially, I think, for medical (pediatric) residents. Their team has evaluated whether or not this … Continue reading

Posted in Neonatal Research | Tagged | 3 Comments

38 weeks is too early

In New South Wales (the part of Australia around Sydney) their public health databases record not just gestational age, but the mode of delivery and whether there was an induction of labour, or labour prior to caesarean delivery. In the … Continue reading

Posted in Neonatal Research | Tagged | Leave a comment

Re-evaluating what is really friendly to babies

Many hospitals are very proud of being “baby friendly” or are trying to achieve “baby friendly hospital” certification, under the WHO initiative. Unfortunately many parts of that program are not evidence-based, such as (as one example) the ban on soothers … Continue reading

Posted in Clinical Practice Guidelines, Neonatal Research | Tagged , | 4 Comments