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SIDS and Safe Sleeping Environments for Infants: AAP Updates Recommendations - Practice...

Jun 15, 2017 - 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.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0615/p806.html

Inborn Errors of Metabolism in Infancy and Early Childhood: An Update - American Family...

Jun 1, 2006 - Recent innovations in medical technology have changed newborn screening programs in the United States. The widespread use of tandem mass spectrometry is helping to identify more inborn errors of metabolism. Primary care physicians often are the first to be contacted by state and ...

American Family Physician : Article

https://www.aafp.org/afp/2006/0601/p1981.html

Steroids at 34 to 36 Weeks’ and Before Term Cesarean Decrease Respiratory Distress ...

Feb 15, 2017 - For women admitted for imminent premature delivery at 34 to 36 weeks of gestation, one or two doses of betamethasone or dexamethasone (8 to 12 mg) decrease the likelihood of neonatal respiratory distress syndrome and shorten lengths of stay in the intensive care unit.

American Family Physician : POEMs

https://www.aafp.org/afp/2017/0215/od2.html

Primary Care Interventions to Support Breastfeeding: Recommendation Statement - U.S. ...

Apr 15, 2017 - The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2017/0415/od1.html

Fever in Well-Appearing Children Younger Than Two Years: A Clinical Policy from the ...

Apr 15, 2017 - The American College of Emergency Physicians (ACEP) has released a clinical policy addressing issues in children younger than two years who visit the emergency department with fever, but who appear well.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0415/p524.html

Primary Interventions to Support Breastfeeding - Putting Prevention into Practice - ...

Apr 15, 2017 - A.R., a 26-year-old woman, presents for a routine prenatal visit at 28 weeks' gestation. Her medical history is significant for poorly controlled asthma, and her family history is significant for breast cancer diagnosed in her mother. Her physical examination is unremarkable.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2017/0415/p517.html

AAP Releases Guideline on Brief Resolved Unexplained Events (BRUEs) and Evaluation of ...

Mar 1, 2017 - 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).

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2017/0301/p330.html

Universal Newborn Hearing Screening - American Family Physician

May 1, 2007 - Congenital hearing loss is estimated to affect one in every 1,000 newborns. Causes of hearing loss can be conductive, sensorineural, mixed, or central. Known risk factors for congenital hearing loss include cytomegalovirus infection and premature birth necessitating a stay in the ...

American Family Physician : Article

https://www.aafp.org/afp/2007/0501/p1349.html

Bilious Vomiting in the Newborn: Rapid Diagnosis of Intestinal Obstruction - American ...

May 1, 2000 - Bilious vomiting in newborns is an urgent condition that requires the immediate involvement of a team of pediatric surgeons and neonatologists for perioperative management. However, initial detection, evaluation and treatment are often performed by nurses, family physicians and general ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0501/p2791.html

Step-by-Step Approach to Ruling Out Infant Infection Is Accurate - POEMs - American ...

Dec 1, 2016 - 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 ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1201/p933.html

Larger Bottles Associated with Greater Weight in Infants - POEMs - American Family ...

Dec 1, 2016 - 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 ...

American Family Physician : POEMs

https://www.aafp.org/afp/2016/1201/p936.html

Craniosynostosis - American Family Physician

Jun 15, 2004 - Skull deformity in infants continues to be a diagnostic and therapeutic challenge. Deformational plagiocephaly is a common and somewhat benign cause of skull deformity in infants that must be distinguished from the more serious craniosynostosis, which occurs alone or as a syndrome. ...

American Family Physician : Article

https://www.aafp.org/afp/2004/0615/p2863.html

Acetaminophen for the Treatment of Pain in Newborns - Cochrane for Clinicians - ...

Aug 1, 2016 - 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.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0801/p216.html

Failure to Pass Meconium: Diagnosing Neonatal Intestinal Obstruction - American Family ...

Nov 1, 1999 - Timely passage of the first stool is a hallmark of the well-being of the newborn infant. Failure of a full-term newborn to pass meconium in the first 24 hours may signal intestinal obstruction. Lower intestinal obstruction may be associated with disorders such as Hirschsprung's disease,...

American Family Physician : Article

https://www.aafp.org/afp/1999/1101/p2043.html

FDA Implements New Labeling for Medications Used During Pregnancy and Lactation - ...

Jul 1, 2016 - Deciding which medications to take during pregnancy and lactation can be a complex and individualized decision that should be discussed with a physician. The new PLLR can help remove some of the uncertainty clinicians and patients face by replacing the potentially confusing letter ...

American Family Physician : Editorials

https://www.aafp.org/afp/2016/0701/p12.html

Management of Newborns Exposed to Maternal HIV Infection - American Family Physician

May 15, 2002 - The management of infants whose mothers are infected with the human immunodeficiency virus (HIV) involves minimizing the risk of vertical transmission of HIV, recognizing neonatal HIV infection early, preventing opportunistic infections, and addressing psychosocial issues. Maternal ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0515/p2049.html

The Impact of Contraception on Lactation - Cochrane for Clinicians - American Family ...

Mar 1, 2016 - Use of hormonal contraception does not appear to shorten breastfeeding duration or negatively impact infant growth, based on inconsistent evidence of moderate quality. It is unclear if hormonal contraception negatively impacts breast milk volume or composition. Overall, there was ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2016/0301/p356.html

Prevention of Group B Streptococcal Disease in the Newborn - American Family Physician

Mar 1, 2005 - Group B streptococcus (GBS) is a leading cause of morbidity and mortality among newborns. Universal screening for GBS among women at 35 to 37 weeks of gestation is more effective than administration of intrapartum antibiotics based on risk factors. Lower vaginal and rectal cultures for ...

American Family Physician : Article

https://www.aafp.org/afp/2005/0301/p903.html

American Academy of Pediatrics Releases Report on Infantile Hemangiomas - Practice ...

Mar 15, 2016 - The American Academy of Pediatrics has published a report to provide an update on diagnosing and managing infantile hemangiomas.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2016/0315/p526.html

Evaluation of Newborns with Preauricular Skin Lesions - FPIN's Clinical Inquiries - ...

May 15, 2012 - All newborns should be screened for hearing loss, whether or not they have preauricular skin lesions. Newborns with these anomalies may be at increased risk of hearing impairment.

American Family Physician : FPIN's Clinical Inquiries

https://www.aafp.org/afp/2012/0515/p993.html

AAP Issues Updated Guidance on Palivizumab Prophylaxis for RSV Infection - Practice ...

Dec 15, 2014 - The American Academy of Pediatrics (AAP) Committee on Infectious Diseases has updated its guidance on the use of palivizumab (Synagis) prophylaxis in infants and children at increased risk of respiratory syncytial virus (RSV) infection. Because the palivizumab package labeling does not ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2014/1215/p867.html

The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the ...

Jan 1, 2002 - The routine newborn assessment should include an examination for size, macrocephaly or microcephaly, changes in skin color, signs of birth trauma, malformations, evidence of respiratory distress, level of arousal, posture, tone, presence of spontaneous movements, and symmetry of ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0101/p61.html

AAFP Releases Position Paper on Breastfeeding - Practice Guidelines - American Family ...

Jan 1, 2015 - Family physicians can have an important role in promoting breastfeeding, and are well positioned to provide support in the context of family-centered care. The position paper from the American Academy of Family Physicians (AAFP) provides key recommendations to assist family physicians ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2015/0101/p56.html

Neonatal Herpes Simplex Virus Infections - American Family Physician

Mar 15, 2002 - Neonatal herpes simplex virus infections can result in serious morbidity and mortality. Many of the infections result from asymptomatic cervical shedding of virus after a primary episode of genital HSV in the third trimester. Antibodies to HSV-2 have been detected in approximately 20 ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0315/p1138.html

The Gomco Circumcision: Common Problems and Solutions - American Family Physician

Sep 15, 1998 - Circumcision performed using the Gomco clamp is usually quick and effective, and results in very little bleeding. However, every clinician performing circumcision occasionally has concerns or questions regarding the procedure. Some of the more common concerns regarding the use of the ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0915/p891.html

Updated AAP Guidelines on Newborn Screening and Therapy for Congenital Hypothyroidism -...

Aug 1, 2007 - Guidelines on newborn screening and therapy for congenital hypothyroidism have been released by the American Academy of Pediatrics (AAP). Congenital hypothyroidism can cause mental retardation unless thyroid therapy is initiated within two weeks of birth.

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2007/0801/p439.html

Early Developmental Intervention Programs for Preterm Infants - Cochrane for Clinicians...

Mar 1, 2014 - Early intervention programs improve cognitive performance in preterm infants up to 36 months of age, but no effect can be detected by five years of age. A small effect of early intervention on motor performance was found in infancy, but it did not persist until preschool or school age.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2014/0301/p336.html

Congenital Toxoplasmosis - American Family Physician

May 15, 2003 - Approximately 85 percent of women of childbearing age in the United States are susceptible to acute infection with the protozoan parasite Toxoplasma gondii. Transmission of T. gondii to the fetus can result in serious health problems, including mental retardation, seizures, blindness, ...

American Family Physician : Article

https://www.aafp.org/afp/2003/0515/p2131.html

The Maternal Health Benefits of Breastfeeding - Editorials - American Family Physician

May 1, 2015 - Advertisement << Previous article Next article >> May 1, 2015 Issue Editorials The Maternal Health Benefits of Breastfeeding ELEANOR B. SCHWARZ, MD, MS, University of California–Davis, Sacramento, California MELISSA NOTHNAGLE, MD, MSC, Brown University, Providence, Rhode Island Am...

American Family Physician : Editorials

https://www.aafp.org/afp/2015/0501/p602.html

Returning to Work While Breastfeeding - American Family Physician

Dec 1, 2003 - Mothers who work outside the home initiate breastfeeding at the same rate as mothers who stay at home. However, the breastfeeding continuance rate declines sharply in mothers who return to work. While the work environment may be less than ideal for the breastfeeding mother, obstacles ...

American Family Physician : Article

https://www.aafp.org/afp/2003/1201/p2201.html

Screening for Developmental Dysplasia of the Hip - American Family Physician

Jul 1, 1999 - Screening programs relying primarily on physical examination techniques for the early detection and treatment of congenital hip abnormalities have not been as consistently successful as expected. Since the 1980s, increased attention has been given to ultrasound imaging of the hip in ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0701/p177.html

Impact of Breastfeeding Support - Cochrane for Clinicians - American Family Physician

Feb 1, 2013 - Proactive support in many forms, provided by health care professionals or laypersons, increases the duration of any breastfeeding (including partial and exclusive) and exclusive breastfeeding. Face-to-face support is superior to telephone-based interventions. Support for continued ...

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0201/p176.html

Screening for Developmental Dysplasia of the Hip in Newborns - Cochrane for Clinicians ...

Jan 1, 2013 - 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.

American Family Physician : Cochrane for Clinicians

https://www.aafp.org/afp/2013/0101/p10.html

Issues in Newborn Screening for Phenylketonuria - American Family Physician

Oct 1, 1999 - The blood sample for phenylketonuria (PKU) screening should be obtained at least 12 hours after the infant's birth. Newborn screening for PKU has largely eliminated mental retardation caused by this disease. If the first phenylalanine test demonstrates positive results, a repeat test ...

American Family Physician : Article

https://www.aafp.org/afp/1999/1001/p1462.html

The Newborn Examination: Part II. Emergencies and Common Abnormalities Involving the ...

Jan 15, 2002 - Careful examination of the neonate at delivery can detect anomalies, birth injuries, and disorders that may compromise successful adaptation to extrauterine life. A newborn with one anatomic malformation should be evaluated for associated anomalies. If a newborn is found to have an ...

American Family Physician : Article

https://www.aafp.org/afp/2002/0115/p265.html

Common Issues in the Care of Sick Neonates - American Family Physician

Nov 1, 2002 - Newborn infants may be transferred to a special care nursery because of conditions such as prematurity (gestation less than 37 weeks), prolonged resuscitation, respiratory distress, cyanosis, and jaundice, and for evaluation of neonatal sepsis. Newborn infants' core temperature should ...

American Family Physician : Article

https://www.aafp.org/afp/2002/1101/p1685.html

Caring for Infants with Congenital Heart Disease and Their Families - American Family ...

Apr 1, 1999 - Congenital heart defects are classified into two broad categories: acyanotic and cyanotic lesions. The most common acyanotic lesions are ventricular septal defect, atrial septal defect, atrioventricular canal, pulmonary stenosis, patent ductus arteriosus, aortic stenosis and coarctation...

American Family Physician : Article

https://www.aafp.org/afp/1999/0401/p1857.html

Neonatal Jaundice - Clinical Evidence Handbook - American Family Physician

Apr 15, 2012 - What are the effects of treatments for unconjugated hyperbilirubinemia in term and preterm infants?

American Family Physician : Clinical Evidence Handbook

https://www.aafp.org/afp/2012/0415/p824.html

Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Reaffirmation Recommendation ...

Jan 15, 2012 - The U.S. Preventive Services Task Force (USPSTF) recommends prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2012/0115/p195.html

Care of the Premature Infant: Part I. Monitoring Growth and Development - American ...

May 1, 1998 - When monitoring growth and development in the premature infant, physicians should make adjustments for the estimated due date. With minor exceptions, administration of immunizations is based on the chronologic age. Administration of hepatitis B vaccine should be delayed until the infant...

American Family Physician : Article

https://www.aafp.org/afp/1998/0501/p2123.html

Aseptic Meningitis in the Newborn and Young Infant - American Family Physician

May 15, 1999 - When a toxic newborn or young infant presents with fever and lethargy or irritability, it is important to consider the diagnosis of meningitis even if the classic localizing signs and symptoms are absent. Cerebrospinal fluid should be obtained (unless lumbar puncture is clinically ...

American Family Physician : Article

https://www.aafp.org/afp/1999/0515/p2761.html

Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum - Putting Prevention into ...

Jan 15, 2012 - 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.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2012/0115/p197.html

Umbilical Cord Blood: Importance of Supporting Public Banks - Editorials - American ...

Sep 15, 2011 - Umbilical cord blood, which is rich in hematopoietic progenitor and stem cells, has become a major alternative donor source for blood and marrow transplantation in patients with leukemia, bone marrow failure, and immune disorders. In many cases, it is the only timely option for therapy.

American Family Physician : Editorials

https://www.aafp.org/afp/2011/0915/p638.html

Initial Management of Breastfeeding - American Family Physician

Sep 15, 2001 - Breast milk is widely accepted as the ideal source of nutrition for infants. In order to ensure success in breastfeeding, it is important that it be initiated as early as possible during the neonatal period. This is facilitated by skin-to-skin contact between the mother and infant ...

American Family Physician : Article

https://www.aafp.org/afp/2001/0915/p981.html

Promoting and Supporting Breast-Feeding - American Family Physician

Apr 1, 2000 - The family physician can significantly influence a mother's decision to breast-feed. Prenatal support, hospital management and subsequent pediatric and maternal visits are all-important components of breast-feeding promotion. Prenatal encouragement increases breast-feeding rates and ...

American Family Physician : Article

https://www.aafp.org/afp/2000/0401/p2093.html

Office Care of the Premature Infant: Part II. Common Medical and Surgical Problems - ...

May 15, 1998 - Medical problems associated with prematurity are frequently complex, and a multidisciplinary approach is often required. Some common problems include the following: (1) anemia, which can be reduced by iron supplementation, (2) cerebral palsy or mental retardation as a result of ...

American Family Physician : Article

https://www.aafp.org/afp/1998/0515/p2383.html

Bilirubin Screening in Newborns: What Should We Do? - Editorials - American Family ...

Aug 15, 2010 - 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 ...

American Family Physician : Editorials

https://www.aafp.org/afp/2010/0815/p336.html

Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin Encephalopathy...

Aug 15, 2010 - Case study: K.J. is a full-term newborn male who was born 24 hours ago after an uncomplicated spontaneous vaginal delivery. His parents, who are Asian American, have been attending your practice for five years. K.J. does not appear jaundiced on examination.

American Family Physician : Putting Prevention into Practice

https://www.aafp.org/afp/2010/0815/p411.html

Screening of Infants for Hyperbilirubinemia to Prevent Chronic Bilirubin ...

Aug 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) concludes that the evidence is insufficient to recommend screening infants for hyperbilirubinemia to prevent chronic bilirubin encephalopa.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0815/p408.html

Primary Care Interventions to Promote Breastfeeding: Recommendation Statement - U.S. ...

May 15, 2010 - The U.S. Preventive Services Task Force (USPSTF) recommends interventions during pregnancy and after birth to promote and support breastfeeding.

American Family Physician : U.S. Preventive Services Task Force

https://www.aafp.org/afp/2010/0515/p1265.html

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