In the spotlight
Screening for Critical Congenital Heart Disease: Update
Newborn screening for Critical Congenital Heart Disease (CCHD) has now become routine across most of the United States. Click below to view the newborn CCHD screening progress map.
Early Weight Loss Nomograms for Exclusively Breastfed Newborns
Mmost well newborns experience weight loss during the first several days after birth, and breast fed babies tend to lose more weight than formula fed babies. Mode of delivery - c-section vs. vaginal - also plays a role in the amount of weight loss a newborn may experience. A recent publication by Flaherman, et. al. analyzes weight loss trends among a large cohort of well newborns, and establishes weight loss nomograms based on mode of delivery and hour of age. These nomograms can be useful for predicting normal weight loss in well newborns, assessing the need for feeding intervention, as well as educating parents and health care providers.
in the news
The Importance of Childhood Vaccines
Pursuant to the AAP’s January 23rd press release urging parents to vaccinate their children against measles, AAP president Dr. Sandra Hassink issued a letter to all AAP members stressing the importance of childhood vaccines. In her February 2nd letter, Dr. Hassink states, “The evidence is clear that the best way to protect children is to follow the recommended immunization schedule. The measles outbreak is a stark reminder of this. Advocacy of delayed or alternative immunization schedules increases the risks to all children.”
Parental refusal of routine medical interventions aimed at reducing morbidity and mortality certainly seem to be on the rise. This trend extends to the newborn hospitalization where refusal of eye prophylaxis, hepatitis B vaccine, newborn metabolic screening, and the vitamin K injection are being reported more often. A recent article published in Pediatrics found that parents who refused the newborn vitamin K injection were more likely to have unimmunized children. These same parents were also more likely to have a planned midwifery delivery at home or in a birthing center. When identified early, pediatricians can begin discussions with these families about the importance of vaccines, and the dangers of opting out of vaccines, as early as the prenatal visit.
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.
National Conference & Exhibition
October 24-27, 2015
National Conference Website »
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