In the spotlight
Workshop on Perinatal Practice Strategies
March 31- April 2, 2017
The 2017 Workshop on Perinatal Practice Strategies in Scottsdale, AZ is fast approaching and promises to be a fantastic meeting for neonatologists, neonatology trainees, advanced practitioners, and any pediatric professional caring for the fetus and newborn! The Workshop on Perinatal Practice Strategies seeks to empower leadership, provide a forum for networking, guide change, encourage quality, and promote advocacy. This year’s sessions focus on using simulation, quality improvement, advocacy, and clinical topics such as transfusions.
Difficult Conversations and Palliative Care in The NICU
During our training, we are taught the knowledge base and management skills needed for the care of critically ill neonates; however, communication in these difficult situations is not often a main focus. We know that communication with the families of our patients is vital to both parent satisfaction and the creation of an environment of trust. Please take time to review the articles below for more information regarding communication with families and end of life care.
New! NeoReviews Question Bank
The AAP-SoNPM is providing the NeoReviews Question Bank from the years 2004 to 2011 for free as an exciting new educational offering. The questions have been categorized into systems as well as by year for the convenience of the readers. This intensively peer-reviewed state-of-the art Question Bank is developed by leading neonatal-perinatal specialists for all providers of neonatal care. Case-based questions will challenge your knowledge in the extensive scope of this specialty. Thorough explanations of preferred responses are included with the most up-to-date references available for your review.
How to Interact with Parents in the NICU
Families cope in different ways during their child’s stay in the NICU. As their child’s physician we need to respect and work with the family for the best possible outcome. Below is a balanced perspective from physicians (some neonatologists) who were parents in the NICU and their recommendations to clinicians and researchers.
Tips For Making and Delivering A Great Oral Presentation:
Creating and delivering an effective oral presentation is an essential skill for a neonatologist whether he/she is presenting at a research conference, at a job interview or teaching clinical concepts to fellows and residents. Attached are some tips borrowed form author Dave Paradi’s books and Pedialink to help with your next presentation.
View NICU-Fellowship Programs in a larger map
Empathy: The Human Connection to Patient Care
Empathy is defined as the feeling that you understand and share another person's experiences and emotions: the ability to share someone else's feelings. As neonatologists, we often put ourselves in the shoes of parents or family members when facing a tough clinical scenario with their child. Attached is a touching video on the importance of empathy in health care and an article that highlights the importance of empathy and communication in the NICU from a parental perspective.
Neonatology Review: Q & A
Editors, Dr. Brodsky and Dr. Martin, have granted us permission to reproduce these questions.
A well-appearing full-term infant born to a 27-year old G2P1 now P2 health woman is brought to
the NICU for a sepsis evaluation as a result of a maternal intrapartum fever. Complete blood count
reveals a white blood cell count of 17,000/microliters with a normal differential, hematocrit of 56%,
and platelet count of 22,000/mircroliter. The infant’s liver function studies are normal. The mother’s
platelet count is normal. Of the following, the most likely cause of this infant’s thrombocytopenia is:
Which of the following is a correct response?
A. Congenital cytomegalovirus
B. Maternal alloantibodies against fetal human platelet antigen-1a
C. Maternal gestational thrombocytopenia
D. Maternal idiopathic thrombocytopenia purpura
E. Maternal lupus autoantibodies
Fetal and Neonatal Alloimmune Thrombocytopenia
Maureen E. Sims, M.D.
Professor Emeritus, University of California, Los Angeles
Fetal and neonatal alloimmune thrombocytopenia (FNAIT), sometimes known as isoimmune thrombocytopenia, is the result of sensitization of the mother to antigens present on fetal platelets that are inherited from the father and are absent on the maternal platelets. This immune-mediated platelet disorder is the equivalent to Rh sensitization of red blood cells with the only difference being that FNAIT develops in the first pregnancy in 50% of cases when platelet incompatibility exists. The maternal antibodies being of the IgG type are transplacentally passed to the fetal circulation, often early in pregnancy, and are subsequently cleared in the reticuoendothelial system, resulting in thrombocytopenia.
New! SoNPM Online Journal Club
The American Academy of Pediatrics Section on Neonatal Perinatal Medicine (AAP-SoNPM) in collaboration with EB-NEO are happy to announce a new initiative. The SONPM Journal Club is an online forum for trainees and early neonatologist to critically evaluate medical literature relevant to the care of newborn infants. Authors are encouraged to submit a constructive and well reasoned critical review of available literature related to neonatology. The Journal Club articles will be peer-reviewed by the AAP-SoNPM Editorial board before being published online.
AAP TECaN Social Media
Section on Perinatal Pediatrics
The Section on Perinatal Pediatrics is the home organization for specialists in Neonatal-Perinatal Medicine and also welcomes affiliate members working in related disciplines. At a membership of nearly 3,500, the Section is the largest specialty group of the American Academy of Pediatrics. The Section's highest priority is to ensure optimal health and well-being of babies and mothers and this is accomplished through the Section's core activities in the realms of advocacy, education, outreach and support of clinicians and researchers.
Articles of Interest
California Association of Neonatologists
March 2-5, 2017
San Diego, CA
Workshop on Perinatal Practice Strategies
March 31- April 2, 2017
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