Monthly Archives: February 2020

NHS Resolution’s Early Notification scheme: learning from avoidable brain injuries at birth

NHS Resolution launched the flagship Early Notification (EN) scheme on 1 April 2017, as part of a drive to improve maternity and neonatal services nationally. A key ambition of the EN scheme has been to shorten the time taken to … Continue reading

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Developmental dysplasia of the hips: a three-year cross sectional study of hip screening in Leeds

This retrospective review considers the number of infants screened for developmental dysplasia of the hips (DDH) as per national guidance, and the incidence of actual pathology at Leeds Teaching Hospitals NHS Trust over a three-year period. Approximately 10% of infants … Continue reading

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Challenges in reducing central line-associated bloodstream infections in a tertiary neonatal unit: an ongoing quality improvement project

Central line-associated bloodstream infections (CLABSI) in neonates can lead to increased mortality risk, prolonged neonatal intensive care unit stays, increased costs of care and poor neurodevelopmental outcomes. The potential cause and effect relationships for CLABSI were studied by the neonatal … Continue reading

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Sepsis and central line-associated neonatal infection: a care bundle QI project

Neonatal late-onset sepsis (LOS) is a significant cause of mortality and morbidity within neonatal units. These infections are often associated with the insertion and use of central lines. Data from 2017 identified the local neonatal unit at Gloucestershire Hospitals NHS … Continue reading

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Threshold blood glucose intervention for neonates at risk for hypoglycemia

A precise blood glucose threshold for intervention in neonates at risk for hypoglycemia that prevents poor neurodevelopmental (ND) outcomes is unknown. In a recent, multicenter trial of almost 700 otherwise healthy newborns born at ≥35 weeks of gestation and who … Continue reading

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Iron nutrition, erythrocytes, and erythropoietin in the NICU: erythropoietic and neuroprotective effects

Prematurity, maternal diabetes, maternal smoking, being medically underserved, and small size for gestational age are common characteristics of neonates in the NICU and can predispose them to develop congenital iron deficiency. Iron is critical for organ development. In the fetus … Continue reading

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Impact of a mobile application for heart rate assessment in simulated neonatal resuscitation: a randomised controlled cross-over study

Clinical assessment of newborn heart rate (HR) at birth has been reported to be inaccurate. NeoTapAdvancedSupport (NeoTapAS) is a free-of-charge mobile application that showed good accuracy in HR estimation. This study aimed to evaluate the impact of NeoTapAS on timing … Continue reading

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Lactation newsmakers: protecting breastfeeding from conflicts of interest

In order to maximize profits from sales of breastmilk substitutes, manufacturers use a whole gamut of strategies to interfere with the effective implementation of policies that protect, promote, and support breastfeeding (e.g., the International Code of Marketing of Breastmilk Substitutes with its … Continue reading

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Ankyloglossia identification, diagnosis, and frenotomy: a qualitative study of community referral pathways

Researchers and practitioners continue to debate the most appropriate assessment, diagnostic, and treatment practices for ankyloglossia (tongue-tie). Health care workers struggle to provide evidence-based care in the absence of consistent standards. The aims of this pilot study were to qualitatively … Continue reading

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