Tag Archives: long term outcomes

Improved survival and improved Bayley scores among infants born in the periviable period.

Posted on 21 February 2017 by Keith Barrington

If you were to report survival and other outcomes among infants with a very high risk of dying or having long-term impairments, why would you include babies for whom a decision was made to let them die? Let me put … Continue reading →

Posted in Neonatal Research | Tagged , | 3 Comments

The FDA warns against anaesthesia in the very young

Posted on 10 February 2017 by Keith Barrington

There has been accumulating evidence of the potential risks of anaesthetic agents, such as risks of enhanced apoptosis in animal models and long-term functional effects in  those various animal models also. All anaesthetic agents appear to be affected, which I … Continue reading →

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Premature labour changes a mother’s brain, and her baby’s

Posted on 7 February 2017 by Keith Barrington

In this rather weird, but interesting study from Italy, 10 mothers of preterm babies (less than 32 weeks or less than 1500 grams) without ultrasound brain injury or severe retinopathy, and 11 mothers of full term babies were shown photos … Continue reading →

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Should we freeze maternal breast milk in the NICU? Pasteurize it?

Posted on 1 February 2017 by Keith Barrington

Maternal breast milk is what we should be giving to every preterm infant as much as possible. But we know that there are cases of transmission of cytomegalovirus (CMV) and reports of transmission of other pathogens to babies from breast … Continue reading →

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Venous catheters and thrombosis, risk factors, consequences and treatment.

Posted on 23 December 2016 by Keith Barrington

We had a journal club for the fellows lately, everyone had to find an article about venous thrombosis and association with central catheters. We chose the topic because seem to have many more thromboses than in the past, whether that … Continue reading →

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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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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 →

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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 →

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We found more bad things, that must be a good thing

Posted on 22 August 2016 by Keith Barrington

Frequent readers of this blog will know that I have been critical of the promotion of pre-discharge MRI as a universal screening standard for very preterm babies. The positive predictive value of most findings on MRI at term-equivalent age is … Continue reading →

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Neonatal Updates: Recent Nutritional Publications part 1.

Posted on 16 August 2016 by Keith Barrington

As there is no way I can catch up after the break, I will post a few ‘neonatal Updates’ to point my readers to things I found interesting over the last couple of months, this first group is all about … Continue reading →

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