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Newborn Care

Oct 15, 2017 Issue
Fetal Alcohol Syndrome and Fetal Alcohol Spectrum Disorders [Article]

The percentage of women who drink or binge drink during pregnancy has increased since 2012. Find out how to screen women for alcohol use that increases risk to their fetus, which clinical features should prompt a workup for fetal alcohol spectrum disorders, and how to manage commonly co-occurring conditions.


Aug 1, 2017 Issue
Developmental Dysplasia of the Hip in Infants: A Clinical Report from the AAP on Evaluation and Referral [Practice Guidelines]

Developmental dysplasia of the hip (DDH) can range from a mild abnormality to dislocation. In infants and young children, it is asymptomatic; therefore, screening is required to diagnose it in otherwise healthy children.


Jun 15, 2017 Issue
SIDS and Safe Sleeping Environments for Infants: AAP Updates Recommendations [Practice Guidelines]

The American Academy of Pediatrics (AAP) updated its recommendations to reduce the risk of SIDS and suffocation, asphyxia, and entrapment associated with sleep, focusing on SUIDs that transpire during sleep in infants one year or younger.


Jun 1, 2017 Issue
Expanded Newborn Screening: Information and Resources for the Family Physician [Article]

Each year, 4 to 5 million newborns receive state-mandated screening in an effort to detect and treat serious disorders before harmful effects can occur. Learn about the recommended screening tests and resources for determining the next steps if a newborn screening result is positive.


Mar 1, 2017 Issue
AAP Releases Guideline on Brief Resolved Unexplained Events (BRUEs) and Evaluation of Lower-Risk Infants [Practice Guidelines]

This guideline from the American Academy of Pediatrics (AAP) addresses apparent life-threatening events (ALTEs), a term recommended to be replaced by brief resolved unexplained events (BRUEs).


Mar 1, 2017 Issue
Mass Connected to a Newborn's Finger [Photo Quiz]

A newborn has a small, pedunculated mass attached by a fine stalk to the ulnar aspect of his fifth digit.


Dec 1, 2016 Issue
Step-by-Step Approach to Ruling Out Infant Infection Is Accurate [POEMs]

The Step-by-Step approach, using a basic physical examination and readily available urine and blood tests (without lumbar puncture; see the Synopsis section), can successfully identify low-risk infants younger than 90 days who will not need empiric antibiotic treatment and lumbar puncture.


Dec 1, 2016 Issue
Larger Bottles Associated with Greater Weight in Infants [POEMs]

In nonbreastfed infants, using large bottles (at least 6 oz [180 mL]) to feed infants two months of age was associated with greater weight gain by six months of age. The authors did not report adverse effects associated with bottle size. This is an interesting study that suggests that smaller bottles may prevent overfeeding.


Nov 1, 2016 Issue
Getting an Infant to Sleep: Graduated Extinction and Sleep Fading are Effective [POEMs]

This study found that graduated extinction (increasing intervals between comforting the infant) and sleep fading (putting the child to bed progressively later until the parent finds the sweet spot) are both effective at decreasing sleep latency and the number of awakenings and decreasing maternal an...


Aug 1, 2016 Issue
Acetaminophen for the Treatment of Pain in Newborns [Cochrane for Clinicians]

Acetaminophen does not significantly reduce pain associated with heel lance, eye examinations, or assisted vaginal births in newborns. Acetaminophen may reduce the total amount of morphine a newborn needs in the first 48 hours following major abdominal or thoracic surgery.


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