Inhaled nitric oxide doesn't lower mortality in extreme preemies with RDS | Higher early nutritional intake may boost brain growth in preemies | ACA dependent coverage provision improved prenatal care use
Off-label use of inhaled nitric oxide wasn't significantly associated with reduced in-hospital mortality among extremely preterm infants with respiratory distress syndrome, researchers reported in Pediatrics. The findings were based on data involving 37,909 babies born at 22 to 29 weeks' gestation between 2004 and 2014.
Very preterm infants who received greater nutritional intake and enteral feeding during the first two weeks of life had increased brain growth and accelerated white matter maturation at term-equivalent age, compared with those with lower early nutritional intake, Canadian researchers reported in Pediatrics. The findings also showed that brain growth was associated with psychomotor outcomes at 18 months' corrected age.
A study in the Journal of the American Medical Association showed that mothers ages 24 to 25, especially those who weren't married, had increased use of early and adequate prenatal care, reduced preterm births, higher private insurance payments, and lower Medicaid payments and self-payments after the implementation of the Affordable Care Act dependent coverage provision, compared with those ages 27 to 28. However, the findings showed similar rates of low birth weight, cesarean delivery and NICU admission before and after the ACA dependent coverage enactment.
Researchers found that the rate of sudden unexpected infant deaths in the US dropped from 154.6 per 100,000 live births in 1990 to 92.4 per 100,000 in 2015, with a 44.6% decline from 1990 to 1998 but only a 7% decrease from 1999 to 2015. Sudden infant death syndrome prevalence declined by 35.8% while the rate of accidental suffocation and strangulation in bed rose by 183.8% during the same period, according to the study in Pediatrics.
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Researchers found 142 of 391 women who underwent a first cycle of in vitro fertilization using frozen embryos achieved an ongoing pregnancy, compared with 135 of 391 women who received fresh embryos. The study in The New England Journal of Medicine found median time to conception was shorter among women who received fresh embryos but there was not a significant difference in the live birth rate between the two groups.
Researchers found that fetal MRI analysis with machine learning yielded 82% accuracy, 80% sensitivity and 84% specificity in identifying infants who need to undergo cerebrospinal fluid diversion after birth. The approach, described in JAMA Pediatrics, also had 91% accuracy, 75% sensitivity and 95% specificity in determining candidates for postnatal CSF diversion in a replicated cohort model.
It's that time of year where our favorite actors, artists, and shows earn their well-deserved awards. You too can get into the spirit of the season by nominating a nursing colleague for a NANN award! Visit our Awards page for a complete list of individual excellence awards. Deadline to nominate or apply for a NANN award us May 1, 2018.
Calling all researchers: NANN's Small Grant applications are now open! Neonatal nurses who have not been previously engaged in writing research or evidence-based practice proposals are encouraged to apply! Learn more and apply today.