Neonatology/Newborn Issues

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.

Dec 1, 2015 Issue
Petechiae in a Newborn [Photo Quiz]

Five hours after birth, scattered petechiae developed over the trunk and extremities of a newborn.

Dec 1, 2015 Issue
Newborn Respiratory Distress [Article]

Diagnosing the cause of respiratory distress in newborns takes into account the patient and maternal history, risk factors, and possibly laboratory and chest radiography findings. Most neonates with respiratory distress can be treated with respiratory support and noninvasive methods.

Oct 1, 2015 Issue
Infantile Colic: Recognition and Treatment [Article]

Although the mainstay of treatment remains parental reassurance, dietary modifications may help. Find out which infants benefit from probiotic supplementation, and which common dietary allergens can be eliminated.

Sep 15, 2015 Issue
Atopic Eczema and Early Introduction of Solid Foods [FPIN's Clinical Inquiries]

In most children, solid foods may be introduced before four to six months of age without increasing the risk of atopic eczema.

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