• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • Write for us
  • Contact us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • AccountLog-in/out
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Obstetrics

Adjusted neonatal care coincides with decreased morbidity and mortality

bys25qthea
July 16, 2013
in Obstetrics, Pediatrics
Reading Time: 3 mins read
0
Share on FacebookShare on Twitter

Image: PD

1. From 2000 to 2009, neonatal intensive care units (NICUs) increased use of antenatal steroids, cesarean delivery, surfactant in the delivery room, and less-invasive respiratory support for very low birth weight infants (VLBW). 

2. Decreases in steroid use for chronic lung disease, delayed surfactant use, and endotracheal tube ventilation in VLBW infants were also observed. 

Study Rundown:  From 2000-2009, evidence and recommendations for and against interventions for VLBW infants changed drastically. During the same period, morbidity and mortality among VLBW infants have improved. This observational study examined obstetric and neonatal care practices across North American hospitals with results that showed increased compliance with new recommendations.  Supported practices for VLBW infants including antenatal steroids, cesarean delivery, early surfactant use and less-invasive respiratory support increased in use. Concurrently, practices that were not recommended, including delayed use of surfactants, steroids for chronic lung disease, and endotracheal tube ventilation, declined in use. While the results of this study do not allow for implied causation between the  changes studied and improved outcomes, the diverse sample gives a strong illustration of changing practices in obstetric and neonatal care.

Click to read the study, published today in Pediatrics

Relevant Reading: Trends in neonatal morbidity and mortality for very low birth weight infants

In-Depth [observational study]: 669 North American hospitals participating in the Vermont Oxford Network from 2000 to 2009 were studied, with inclusion of infants  weighing 501-1500g. Infants weighing under 500g were excluded as clinical practice addressing their medical problems varies widely. Data from 2009 was used as a reference for all analyses. Practices that increased included antenatal steroids and cesarean delivery. Practices that increased significantly included early surfactant use (AD 17.0%and less invasive respiratory practices such as nasal CPAP, nasal ventilation, and high-flow nasal cannula. Practices that decreased significantly included the use of steroids for chronic lung disease (AD -15.35), delayed surfactant use (AD -9.3) and endotracheal tube ventilation (AD -3.7%).   

RELATED REPORTS

Mediterranean diet superior to low-fat diet in secondary prevention of cardiovascular events

Virtual yoga and meditation intervention may be associated with increased health-related quality of life

Monthly subsidy increased purchase of fresh fruits and vegetables in Supplemental Nutrition Assistance Program beneficiaries

By Laurel Wickberg and Leah H. Carr

More from this author: European primary care lacks confidence in obesity management  Acellular Pertussis vaccine less effective than whole-cell vaccine  Teens who text and drive take other driving risks   TV associated with higher BMI in teens   American Academy of Pediatrics updates its Medicaid Policy Statement 

© 2013 2minutemedicine.com. All rights reserved. No works may be reproduced without written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. Content is produced in accordance with fair use copyrights solely and strictly for the purpose of teaching, news and criticism. No benefit, monetary or otherwise, is realized by any participants or the owner of this domain. 

Tags: cesarean deliveryhealthneonatal intensive caresurfactant
Previous Post

The MELD score: Predicting survival in end-stage liver disease [Classics Series]

Next Post

Longer duration of obesity increases risk of coronary heart disease

RelatedReports

FDA-approved weight loss medications associated with weight loss at one year
Cardiology

Mediterranean diet superior to low-fat diet in secondary prevention of cardiovascular events

May 25, 2022
Exercise intervention linked to reduced functional decline among elderly patients admitted to the hospital
Wellness

Virtual yoga and meditation intervention may be associated with increased health-related quality of life

May 20, 2022
Vegetarian diet may lower incidence of colorectal cancer
Wellness

Monthly subsidy increased purchase of fresh fruits and vegetables in Supplemental Nutrition Assistance Program beneficiaries

October 18, 2021
No differences in pain between suture and staple C-Section closure
Emergency

Prophylactic tranexamic acid prevents significant blood loss after cesarean delivery

May 4, 2021
Next Post
Fibrosis linked with mortality in nonischemic dilated cardiomyopathy patients

Longer duration of obesity increases risk of coronary heart disease

Soy supplementation does not reduce risk of prostate cancer recurrence

Androgen deprivation therapy increases risk of kidney injury in prostate cancer patients

Patient transfers to trauma centers often unnecessary

Combined therapy during CPR improves neurological outcomes

License Our Award-Winning Physician-Written Medical News and Visual Abstracts

2 Minute Medicine is the leading authoritative medical news licensing service, and the only with reports written by practicing doctors.

LICENSE CONTENT

2MM+ Premium Access

No ads & unlimited access to all current reports, over 9000 searchable archived reports, visual abstracts, Weekly Rewinds, and the online edition of The Classics Series™ textbook.

Subscription Options
2 Minute Medicine

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Same appointment mammogram results may result in less stress for patients being screened for breast cancer
  • Increased use of pediatric CT poses significant oncogenic risk [Classics Series]
  • Pediatric asthma morbidity is associated with geographic location and social determinants of health
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • Wellness
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.