Neonatology/Newborn Issues

Jan 1, 2013 Issue
Screening for Developmental Dysplasia of the Hip in Newborns [Cochrane for Clinicians]

Although screening increases the proportion of newborns who are treated for DDH, there is insufficient evidence that targeted or universal ultrasound screening improves long-term orthopedic outcomes.

May 1, 2012 Issue
AAP Expands Recommendations on SIDS and Other Sleep-Related Deaths [Practice Guidelines]

Sudden infant death syndrome (SIDS) is a term attributed to any infant death that cannot be explained. Sudden unexpected infant death describes any sudden and unexpected death, whether explained or unexplained, that occurs during infancy. The American Academy of Pediatrics (AAP) first recommended th...

May 1, 2012 Issue
Managing Adverse Birth Outcomes: Helping Parents and Families Cope [Article]

Unexpected adverse fetal and neonatal outcomes (e.g., stillbirth, birth trauma, congenital anomalies) present a crisis for the family and the medical care team. In cases of stillbirth, the family physician should be flexible in supporting the parents’ choices, validate the loss, and work as a team w...

Apr 15, 2012 Issue
Neonatal Jaundice [Clinical Evidence Handbook]

What are the effects of treatments for unconjugated hyperbilirubinemia in term and preterm infants?

Jan 15, 2012 Issue
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum [Putting Prevention into Practice]

Case study: You are called to an emergent but uncomplicated spontaneous vaginal delivery at 38 weeks' gestation. The mother is 19 years of age, with a history of heroin use and multiple sex partners. She has not received medical care for the past few years.

Jan 15, 2012 Issue
Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Reaffirmation Recommendation Statement [U.S. Preventive Services Task Force]

The U.S. Preventive Services Task Force (USPSTF) recommends prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum.

Sep 15, 2011 Issue
Umbilical Cord Blood: A Guide for Primary Care Physicians [Article]

Umbilical cord blood stem cell transplants are used to treat a variety of oncologic, genetic, hematologic, and immunodeficiency disorders. Physicians have an important role in educating, counseling, and offering umbilical cord blood donation and storage options to patients. Parents may donate their ...

May 1, 2011 Issue
CDC Updates Guidelines for the Prevention of Perinatal GBS Disease [Practice Guidelines]

The Centers for Disease Control and Prevention (CDC) published guidelines for the prevention of perinatal group B streptococcus (GBS) disease in 1996; the guidelines were updated in 2002 and again in 2010. The most recent guidelines elaborate on laboratory methods and thresholds for GBS identificati...

Apr 15, 2011 Issue
Neonatal Resuscitation: An Update [Article]

Appropriate resuscitation must be available for each of the more than 4 million infants born annually in the United States. Ninety percent of infants transition safely, and it is up to the physician to assess risk factors, identify the nearly 10 percent of infants who need resuscitation, and respond...

Aug 15, 2010 Issue
Bilirubin Screening in Newborns: What Should We Do? [Editorials]

A more aggressive approach to screening for hyperbilirubinemia does not have good evidence to support it, nor is it justified to abandon what we have been taught just because there is insufficient evidence at this time. In this case, a middle ground is best: continuing current practice while we wait for better evidence.

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