Category Archives: Neonatal Research

Nutrition of very preterm babies

Posted on 11 May 2012 by Keith Barrington

There is a ‘growing’ feeling that we don’t give enough protein to our preterm infants, especially during the enteral phases of nutrition. Fortified maternal breast milk use is associated with lower overall rates of weight gain, despite all its benefits. … Continue reading →

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Pain relief for intramuscular injections

Posted on 10 May 2012 by Keith Barrington

Sometimes we can’t avoid giving an IM injection, even though they are painful. Some vaccines should be given IM, and the routine needle in the thigh of every baby for vitamin K is a rite of passage, that has become standard everywhere. … Continue reading →

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The microbiome of the preterm infant, how it relates to NEC

Posted on 10 May 2012 by Keith Barrington

The intestinal flora of the preterm infant and how it relates to NEC. The normal pattern of colonization of the intestine is disturbed by: prematurity; by caesarian delivery; by antibiotics; and by feeding formula rather than breast milk. The abnormal … Continue reading →

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Pain relief and retinopathy screening, part 2.

Posted on 9 May 2012 by Keith Barrington

My good friend Gene Dempsey (a neonatologist and clinical researcher in Cork) reminded me of their trial published in 2010, and suggested that the title of my previous post may be misleading. I guess I really don’t want readers to think that … Continue reading →

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More on Probiotics

Posted on 9 May 2012 by Keith Barrington

I received a comment from Colin Morley (everyone in neonatology knows who Colin is, for anyone else who is reading this, he is a neonatologist and researcher from Cambridge and Melbourne). I asked his permission to post it (with my … Continue reading →

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Preventing Prematurity

Posted on 8 May 2012 by Keith Barrington

We’ve known for a while that progesterones can reduce prematurity in certain situations. Intramuscular 17 hydroxy progesterone caproate reduces prematurity in women who have had a previous premature baby. (Meis’s article link below) Now a systematic review of intravaginal progesterone … Continue reading →

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Pain relief during retinopathy screening, nothing works very well.

Posted on 7 May 2012 by Keith Barrington

Mandel R, Ali N, Chen J, Galic IJ, Levesque L: Nitrous oxide analgesia during retinopathy screening: a randomised controlled trial. Arch Dis Child Fetal Neonatal Ed 2012, 97(2):F83-87. http://fn.bmj.com/content/97/2/F83 My colleagues and friends Romain Mandel and Nabeel Ali performed a … Continue reading →

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Probiotics to Prevent NEC: Why aren’t we saving babies yet?

Posted on 5 May 2012 by Keith Barrington

The latest systematic review of Probiotics to Prevent NEC in Preterm infants Wang Q, Dong J, Zhu Y: Probiotic supplement reduces risk of necrotizing enterocolitis and mortality in preterm very low-birth-weight infants: an updated meta-analysis of 20 randomized, controlled trials. J … Continue reading →

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Can we study Hypotension in Extremely Preterm Infants?

Posted on 5 May 2012 by Keith Barrington

Dr Beau Batton and colleagues from the NICHD network have just published a paper detailing their attempt, and failure, to design a trial of early hypotension treatment. The design looks fine on paper, but when they tried to do the trial there … Continue reading →

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Hello Newborn World!

Posted on 5 May 2012 by Keith Barrington

For many years I have been screening a number of websites, contents pages of pediatrics and general journals, and other services to add references to my personal database, and also to send out reading lists to fellows, nurse practitioners and … Continue reading →

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