Tag Archives: long term outcomes

Talk to me!

Posted on 12 February 2014 by Keith Barrington

A new review article and a new research publication address the same issues, the first is a thoughtful review article: (Rand K, Lahav A. Impact of the NICU environment on language deprivation in preterm infants. Acta Paediatrica. 2014;103(3):243-8.), the authors … Continue reading →

Posted in Neonatal Research | Tagged | Leave a comment

Communicating with parents, and decision making for the extremely immature infant

Posted on 28 January 2014 by Keith Barrington

The other two articles that I mentioned in the last post, from the new issue of Seminars in Perinatology, were written to discuss a framework for decision making for the extremely immature infant. (Dupont-Thibodeau A, Barrington KJ, Farlow B, Janvier … Continue reading →

Posted in Neonatal Research | Tagged , , | 1 Comment

Long term outcomes after Very Extremely Preterm Delivery

Posted on 15 December 2013 by Keith Barrington

Another blog post suggested by a reader, this time from Jim Goodmar from San Diego. This study of neurological and developmental outcomes of babies born before 25 weeks is remarkable in a number of ways. (Herber-Jonat S, Streiftau S, Knauss … Continue reading →

Posted in Neonatal Research, The CPS antenatal counselling statement | Tagged , , , | 4 Comments

Perpetuating Prejudice against Preterms; where should we go from here?

Posted on 19 November 2013 by Keith Barrington

Do we really need a position statement? There is no position statement of the CPS about counselling parents when their child presents with meningococcal disease. There is no position statement for the child with serious brain trauma. A position statement … Continue reading →

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Perpetuating Prejudice against Preterms: 6 Conflating Death and Disability

Posted on 11 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. This particular … Continue reading →

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Communication ability in persons with trisomy 18 and trisomy 13

Posted on 10 November 2013 by Keith Barrington

As a neonatologist there is much important pediatric literature that I do not follow. There is much that has relevance to what we do in the NICU, so much that no-one can keep up with it all. Many of us are … Continue reading →

Posted in Advocating for impaired children | Tagged , | 22 Comments

Perpetuating Prejudice against Preterms: 5. Impairment, what does it mean?

Posted on 7 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading →

Posted in Advocating for impaired children, The CPS antenatal counselling statement | Tagged , | 1 Comment

Perpetuating Prejudice against Preterms: 4. Selectively quoting the literature

Posted on 7 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading →

Posted in The CPS antenatal counselling statement | Tagged , , | 1 Comment

Perpetuating Prejudice against Preterms: 3. Misquoting the evidence.

Posted on 7 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading →

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Perpetuating Prejudice against Preterms: 1. Inappropriate simplistic rules are unethical.

Posted on 5 November 2013 by Keith Barrington

Towards the end of last year the Canadian Pediatric Society published a new ‘position statement’. These are official proclamations of the society, supposedly based on the best available evidence to guide practice, and which become de facto standards of care. … Continue reading →

Posted in The CPS antenatal counselling statement | Tagged , , | 2 Comments