Monthly Archives: November 2016

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

Posted on 23 November 2016 by Keith Barrington

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 , , | 1 Comment

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

Posted on 22 November 2016 by Keith Barrington

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 →

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Maternal complications of extremely preterm delivery

Posted on 22 November 2016 by Keith Barrington

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 | 1 Comment

Breast milk doesn’t make you smarter?

Posted on 16 November 2016 by Keith Barrington

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 | 3 Comments

Teaching clinicians to evaluate encephalopathy

Posted on 10 November 2016 by Keith Barrington

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

Posted on 10 November 2016 by Keith Barrington

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 →

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Re-evaluating what is really friendly to babies

Posted on 9 November 2016 by Keith Barrington

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

Antenatal Steroids closer to term?

Posted on 4 November 2016 by Keith Barrington

A new systematic review in the BMJ (Saccone G, Berghella V. Antenatal corticosteroids for maturity of term or near term fetuses: systematic review and meta-analysis of randomized controlled trials. BMJ. 2016;355:i5044) includes 3 studies which examined the use of antenatal … Continue reading →

Posted in Neonatal Research | Tagged , , , | 7 Comments

What outcomes matter to parents? A new publication

Posted on 1 November 2016 by Keith Barrington

This new publication of ours has been an interesting process, Annie Janvier and I wrote it in collaboration with other parent representatives, Barb Farlow, who we have collaborated with previously, a mother of a little girl who had trisomy 13, … Continue reading →

Posted in Neonatal Research | Tagged , | 2 Comments