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Latest & greatest articles for babies
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on babies or other clinical topics then use Trip today.
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Integrating health interventions for women, newborn babies, and children: a framework for action. For women and children, especially those who are poor and disadvantaged, to benefit from primary health care, they need to access and use cost-effective interventions for maternal, newborn, and child health. The challenge facing weak health systems is how to deliver such packages. Experiences from countries such as Iran, Malaysia, Sri Lanka, and China, and from projects in countries like Tanzania
Survival of extremely premature babies in a geographically defined population: prospective cohort study of 1994-9 compared with 2000-5. OBJECTIVE: To assess changes in survival for infants born before 26 completed weeks of gestation. DESIGN: Prospective cohort study in a geographically defined population. SETTING: Former Trent health region of the United Kingdom. SUBJECTS: All infants born at 22+0 to 25+6 weeks' gestation to mothers living in the region. Terminations were excluded but all other (...) births of babies alive at the onset of labour or the delivery process were included. MAIN OUTCOME MEASURES: Outcome for all infants was categorised as stillbirth, death without admission to neonatal intensive care, death before discharge from neonatal intensive care, and survival to discharge home in two time periods: 1994-9 and 2000-5 inclusive. RESULTS: The proportion of infants dying in delivery rooms was similar in the two periods, but a significant improvement was seen in the number of infants
Are there strategies to reduce the length of stay for well near-term babies? BestBets: Are there strategies to reduce the length of stay for well near-term babies? Are there strategies to reduce the length of stay for well near-term babies? Report By: N Bajaj, R Nicholl - Consultants Search checked by Bob Phillips - Section Editor, Archimedes Institution: Neonatal Unit, Northwick Park, Harrow, UK Date Submitted: 29th April 2008 Date Completed: 30th April 2008 Last Modified: 30th April 2008 (...) Status: Green (complete) Three Part Question For [well, near-term babies] are there [strategies or policy changes]to [safely reduce length of stay]? Clinical Scenario As part of a bench-marking exercise in your neonatal network, the length of stay (LoS) for babies born at 30+0 to 34+6 weeks' gestation was measured over a 12-month period (only babies who were inborn and admitted within the first 24 h and had their care on the same unit were included). Corrected gestational age at day of discharge
Every death counts: use of mortality audit data for decision making to save the lives of mothers, babies, and children in South Africa. South Africa is one of the few developing countries with a national confidential inquiry into maternal deaths. 164 health facilities obtain audit data for stillbirths and neonatal deaths, and a new audit network does so for child deaths. Three separate reports have been published, providing valuable information about avoidable causes of death for mothers (...) , babies, and children. These reports make health-system recommendations, many of which overlap and are intertwined with the scarcity of progress in addressing HIV/AIDS. The leaders of these three reports have united to prioritise actions to save the lives of South Africa's mothers, babies, and children. The country is off-track for the health-related Millennium Development Goals. Mortality in children younger than 5 years has increased, whereas maternal and neonatal mortality remain constant
Mother and baby units for schizophrenia. BACKGROUND: Mother and baby units (MBUs) are recommended, in the UK, as an optimal site for treating post partum psychoses. Naturalistic studies suggest poor outcomes for mothers and their children if admission is needed during the first year after birth, but the evidence for the effectiveness of MBUs in addressing the problems faced by both mothers with mental illness and their babies is unclear. OBJECTIVES: To review the effects of mother and baby (...) units for mothers with schizophrenia or psychoses needing admission during the first year after giving birth, and their children, in comparison to standard care on a ward without a mother and baby unit. SEARCH STRATEGY: We undertook electronic searches of the Cochrane Schizophrenia Group's Register (June 2006). SELECTION CRITERIA: We included all randomised clinical trials comparing placement on a mother and baby unit compared to any other standard care without attachment to such a unit. DATA
Provision of taped conversations with neonatologists to mothers of babies in intensive care: randomised controlled trial. 17142256 2007 01 05 2007 01 18 2014 09 07 1756-1833 334 7583 2007 Jan 06 BMJ (Clinical research ed.) BMJ Provision of taped conversations with neonatologists to mothers of babies in intensive care: randomised controlled trial. 28 To determine whether providing mothers of babies in neonatal intensive care units with audiotapes of their conversations with a neonatologist (...) improves recall of information and psychological wellbeing. Randomised, single blinded trial. Neonatal intensive care unit, North Queensland, Australia. 200 mothers of babies in a neonatal intensive care unit. Mothers given (n=102) or not given (n=98) audiotapes of their conversations with a neonatologist. Recall of information, attitudes to and use of the tape, satisfaction with conversations, postnatal depression, anxiety, general health, and stress about parenting, at 10 days and four and 12 months
Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study. OBJECTIVE: To provide perinatal mortality and congenital anomaly rates for babies born to women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland. DESIGN: National population based pregnancy cohort. SETTING: 231 maternity units in England, Wales, and Northern Ireland. PARTICIPANTS: 2359 pregnancies to women with type (...) %). Perinatal mortality in babies of women with diabetes was 31.8/1000 births. Perinatal mortality was comparable in babies of women with type 1 (31.7/1000 births) and type 2 diabetes (32.3/1000) and was nearly four times higher than that in the general maternity population. 141 major congenital anomalies were confirmed in 109 offspring. The prevalence of major congenital anomaly was 46/1000 births in women with diabetes (48/1000 births for type 1 diabetes; 43/1000 for type 2 diabetes), more than double
Cost-effectiveness of palivizumab in the prevention of hospital admissions for syncytial respiratory virus in pre-term babies born at 32 to 35 weeks Cost-effectiveness of palivizumab in the prevention of hospital admissions for syncytial respiratory virus in pre-term babies born at 32 to 35 weeks Cost-effectiveness of palivizumab in the prevention of hospital admissions for syncytial respiratory virus in pre-term babies born at 32 to 35 weeks Raya Ortega L, Marquez Calderon S, Navarro Caballero (...) J A, Villegas Portero R Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Raya Ortega L, Marquez Calderon S, Navarro Caballero J A, Villegas Portero R. Cost-effectiveness of palivizumab in the prevention of hospital admissions for syncytial respiratory virus in pre-term babies born at 32 to 35 weeks. Seville: Andalusian Agency for Health
Routine postnatal care of women and their babies Routine postnatal care of women and their babies Routine postnatal care of women and their babies National Institute for Health and Clinical Excellence Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation National Institute for Health and Clinical Excellence. Routine postnatal care of women and their babies. London (...) : National Institute for Health and Clinical Excellence (NICE). Clinical Guideline 37. 2006 Authors' objectives This guideline aims to identify the essential core (routine) care that every woman and her baby should receive in the first 6-8 weeks after birth, based on the best evidence available. Project page URL Indexing Status Subject indexing assigned by CRD MeSH Infant, Newborn; Mothers; Postnatal Care Language Published English Country of organisation England Address for correspondence MidCity Place
Transplantation of umbilical-cord blood in babies with infantile Krabbe's disease. BACKGROUND: Infantile Krabbe's disease produces progressive neurologic deterioration and death in early childhood. We hypothesized that transplantation of umbilical-cord blood from unrelated donors before the development of symptoms would favorably alter the natural history of the disease among newborns in whom the disease was diagnosed because of a family history. We compared the outcomes among these newborns (...) with the outcomes among infants who underwent transplantation after the development of symptoms and with the outcomes in an untreated cohort of affected children. METHODS: Eleven asymptomatic newborns (age range, 12 to 44 days) and 14 symptomatic infants (age range, 142 to 352 days) with infantile Krabbe's disease underwent transplantation of umbilical-cord blood from unrelated donors after myeloablative chemotherapy. Engraftment, survival, and neurodevelopmental function were evaluated longitudinally for four
Audio recordings of consultations with doctors for parents of critically sick babies. BACKGROUND: Family centred care is an important part of neonatal intensive care. Ensuring effective communication in the neonatal intensive care unit (NICU) is a challenge but is crucial to the implementation of family centred care. Providing parents in NICU with audiotape recordings of their conversations with neonatologists could promote effective communication. OBJECTIVES: The objective of this review (...) was to assess the usefulness of providing parents of sick babies with audiotape recordings of their consultations with neonatologists. SEARCH STRATEGY: The standard search strategy of the Cochrane Neonatal Review Group was used. This included searches of electronic databases: Oxford Database of Perinatal Trials, Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library Issue 3, 2004), and MEDLINE (1966 - February 2004); and previous reviews including cross references and expert
Screening for congenital cataracts: a cost-consequence analysis of eye examination at maternity wards in comparison to well-baby clinics Screening for congenital cataracts: a cost-consequence analysis of eye examination at maternity wards in comparison to well-baby clinics Screening for congenital cataracts: a cost-consequence analysis of eye examination at maternity wards in comparison to well-baby clinics Magnusson G, Persson U Record Status This is a critical abstract of an economic (...) evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined the use of two different eye screening strategies for newborn babies in order to detect congenital cataracts. Mandatory eye screening in maternity wards in combination with well-baby clinic screening was compared with eye
Joint statement on Shaken Baby Syndrome Joint statement on Shaken Baby Syndrome | Position statements and practice points | Joint statement on Shaken Baby Syndrome | Canadian Paediatric Society Protecting and promoting the health and well-being of children and youth CPS Member Login | Who We Are What We Do Get Involved Education/CPD Publications Careers > Share POSITION STATEMENT Joint statement on Shaken Baby Syndrome Posted: Nov 1 2001 Reaffirmed: Sep 1 2005 The Canadian Paediatric Society (...) of purpose Shaken Baby Syndrome is a preventable tragedy. There are several purposes for the joint statement on Shaken Baby Syndrome as follows: to create a common understanding, based on current evidence, of its definition, cause, outcomes and consequences for the family and community; to stimulate the development of effective ongoing local and national prevention strategies; and to encourage the provision of support for affected children and families. The statement provides a basis for work