Tag Archives: families

Giving bad news as it happens

Posted on 30 January 2020 by Keith Barrington

A new publication from my great group at Sainte Justine. Lizotte MH, et al. Techniques to Communicate Better With Parents During End-of-Life Scenarios in Neonatology. Pediatrics. 2020:e20191925. We have already published about what residents think about being part of a … Continue reading →

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Should we try?

Posted on 11 October 2019 by Keith Barrington

Arnolds M, et al. Worth a Try? Describing the Experiences of Families during the Course of Care in the Neonatal Intensive Care Unit When the Prognosis is Poor. The Journal of pediatrics. 2018;196:116-22 e3. A few times a year many … Continue reading →

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Guidelines to help parents who have lost one of twins

Posted on 5 November 2017 by Keith Barrington

Many readers of this blog will recognize the name of Nick Embleton as someone who has done a great deal of nutrition research, and research into the intestinal microbiome of very preterm infants. He also has a major interest in … Continue reading →

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Single Family Rooms in the NICU

Posted on 24 March 2017 by Keith Barrington

We have just moved to a brand new NICU, with 80 beds, in 60 single family rooms, and 10 twin rooms. It is enormous, and beautiful, each room has a parent space with a smallish pull out bed (not enough … Continue reading →

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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 →

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Antenatal Consultations before very preterm birth; what do parents want?

Posted on 20 September 2016 by Keith Barrington

Gaucher N, et al. Personalized Antenatal Consultations for Preterm Labor: Responding to Mothers’ Expectations. The Journal of pediatrics. 2016. Call me biased, but I think is a game-changer. (One of the authors is my wife and colleague, another is a … Continue reading →

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Making Good Decisions; part 2

Posted on 24 May 2016 by Keith Barrington

Green J, et al. Quality versus quantity: The complexities of quality of life determinations for neonatal nurses. Nurs Ethics. 2016. This study used a mixture of quantitative (survey of over 400 nurses) and qualitative (interviews with 24 nurses) methods. The … Continue reading →

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Death of a twin

Posted on 6 April 2016 by Keith Barrington

Twins are much more likely to end up in the care of the NICU than singletons, and much more likely to be extremely preterm, and as a result the phenomenon of having one of twins die, while the other remains … Continue reading →

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Are we family centered? Families don’t think so!

Posted on 25 May 2015 by Keith Barrington

Finlayson K, et al. Mothers’ perceptions of family centred care in neonatal intensive care units. Sex Reprod Healthc. 2014;5(3):119-24. This qualitative study interviewed mothers who had babies in one of three NICUs in the UK which claim to practice family-centered care. As … Continue reading →

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Before 24

Posted on 7 May 2015 by Keith Barrington

The latest New England Journal of Medicine has a fascinating article the first author of which was a medical student who was working with Ed Bell in Iowa (I say was a medical student as I believe he has now … Continue reading →

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