In the spotlight
The US Secretary of Health and Human Services recently recommended routine oxygen screening of all infants for detection of critical congenital heart disease (heart defects) in the first days after birth. A mother's experience with her newborn's testing is presented in a compelling recent article in The New York Times.
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
New AHRQ Toolkit Designed to Improve
Safety of Fragile Newborms
A new toolkit is available to help improve the safety of infants born preterm or with complex congenital conditions as they transition from the neonatal intensive care unit to their home. Funded by the Agency for Healthcare Research and Quality, the toolkit features information on how to create a Health Coach Program, where the “Health Coach” serves as a teacher and facilitator who encourages open communication with the parents/caregivers to identify their needs and concerns and facilitates follow-up care for the infant by primary care providers. As an online product, the Health Coach Program can customize a broad range of information for each family based on their needs and concerns. Included are approximately 30 fact sheets, directed to either the clinician or the infant’s family, on topics that range from medications to breastfeeding to insurance coverage tips.
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
he 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
- » Guidelines & Statements
- » Hypoglycemia Guidelines
- » Neonatologist Directory
- » Preemie Milestones brochure
- » Primary Care of the Premature Infant
- » Publications
- » Section Leadership
- » 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