In the spotlight
Early Identification and Evaluation
The AAP released a clinical report by the Neuromotor Screening Expert Panel promoting developmental surveillance at preventative care visits. This multidisciplinary group has published an algorithm to assist primary care providers to survey and screen all children at 9, 18, 30 and 48 month visits. During these visits, the Panel recommends that PCPs administer a developmental screening tool, review past medical history for high risk events (such as prematurity or NICU stay) and perform a neurologic exam to evaluate for high, normal or low tone. Any concerning findings should prompt the PCP to refer to Early Childhood intervention, consult/refer to specialists and pursue diagnostic testing.
Planned Home Births
The Committee on Fetus and Newborn has released a statement for Pediatricians to help them provide “supportive, informed counsel” to women who choose to deliver their newborns at home. The AAP statement agrees with the ACOG statement but adds that every newborn deserves the same standard of care regardless of the location of birth. This care starts with a designated person at the delivery whose primary responsibility it is to monitor and care for the infant including providing resuscitation if needed. Subsequent care should follow the recommendations as per the Guidelines of Perinatal Care, including newborn screening, eye prophylaxis, Hepatitis B vaccination and screening for hyperbilirubinemia.
in the news
AAP Genetics in Primary Care Institute Webinar Series
Integrating Genetics in Your Practice: What Every Primary Care Provider Needs to Know webinar series. This webinar series is a 6-part series that focuses on providing primary care providers with the knowledge and resources to better provide genetic medicine as part of a medical home.
IAC: Give Birth to the End of Hepatitis B!
The Immunization Action Coalition (IAC) has created a comprehensive guide to promote the administration of the Hepatitis B vaccine to newborns prior to discharge from the hospital or birthing center. They report that nearly 1 in 3 newborns currently do not receive the recommended Hepatitis B vaccine at birth and that receiving the vaccine could prevent 800 newborns from contracting perinatal Hepatitis B.
Infant Deaths Associated with the Usage of Infant Sleep Positioners
The CDC reports that 13 infants in the past 13 years have died of suffocation as a result of Infant Sleep Positioners (ISPs). These ISPs are devices that allow an infant to sleep on his/her side, rather than the supine position recommend by the AAP. Pediatricians and other healthcare providers should remember to counsel families about “safe sleep” habits at home which include infants sleeping in their own bed, supine and without soft objects or loose bedding.
Raising Awareness: Late Preterm Birth and Non-Medically Indicated Introductions Prior to 39 Weeks
The National Child and Maternal Health Program offers an online educational module, Raising Awareness: Late Preterm Birth and Non-Medically Indicated Inductions Prior to 39 Weeks, that addresses the science behind medical recommendations to schedule elective deliveries on or after 39 weeks’ gestation.
More information »
New resources are available. This is designed to help pediatricians deliver quality care and conduct an efficient, fiscally sound practice.
what does the section on perinatal pediatrics do?
The Section on Perinatal Pediatrics committees and working groups focus on perinatal health from many viewpoints.
- » AAP Policy
- » GBS Guidelines 2010
- » Hypoglycemia Guidelines
- » Neonatologist Directory
- » Section Leadership
- » Publications
- » Guidelines & Statements
- » Preemie Milestones brochure
- » American Board of Pediatrics
- » BabyFirst.com
- » Baby's First Test
- » Bilirubin Management
- » Bilirubin Tool
- » Breastfeeding Initiatives
- » Bright Futures
- » Cardiovascular Multimedia Library
- » Centers for Disease Control
- » Children & Clinical Studies
- » Committee of Fetus & Newborn
- » Countdown to 2015
- » Gene Tests
- » March of Dimes
- » Medscape
- » Neonatal Resuscitation Program
- » NICHD Preemie Outcome Calculator
- » NFIMR
- » Online Medelian Inheritance in Man
- » PediaLink CME Finder
- » Pediatric Care Online
- » Pediatrics
- » Pediatrics in Review
- » Premature Infant Follow-up Toolkit
- » Public Library of Science
- » PubMed
- » SIDS Resource Center
- » Upcoming Meetings
- » VT-Oxford QI