Neonatal Medicine
News from the FDA/CDC
Declines in infant mortality tempered by disparities
During 2000-2017, the maternal age–adjusted infant mortality rate in the United States dropped from 6.89 per 1,000 births to 6.13.
From the Journals
Liposomal bupivacaine excreted in breast milk, but levels appear safe
Up to 4 days of postcesarean pain control can be obtained using a truncal block with liposomal bupivacaine.
From the Journals
In-hospital formula feeding more than doubles odds of early weaning
Researchers used propensity scoring methods to match breastfed infants who received in-hospital formula to those who were exclusively breastfed....
From the Journals
COVID-19 may increase risk of preterm birth and cesarean delivery
Increased BMI may be a risk factor for severe disease, and fever and dyspnea on admission are associated with subsequent maternal respiratory...
From the Journals
Extremely preterm infants fare better with corticosteroid and magnesium combo
Rates of death were lower in children exposed to both corticosteroids and magnesium sulfate, compared with one therapy or none.
From the Journals
Vitamin D intake among U.S. infants has not improved, despite guidance
For over a decade, the American Academy of Pediatrics has recommended 400 IU daily – but fewer than a third of babies receive it.
News from the FDA/CDC
Progress report: Elimination of neonatal tetanus
Forty-five countries have achieved elimination since 2000.
From the Journals
AAP issues guidance on managing infants born to mothers with COVID-19
Infants born to mothers with COVID-19 should be tested for the virus at 24 hours and, if still in the birth facility, at 48 hours after birth.
From the Journals
Reports suggest possible in utero transmission of novel coronavirus 2019
Three neonates whose mothers had COVID-19 had elevated IgM antibody concentrations.
From the Journals
Despite strict controls, some infants born to mothers with COVID-19 appear infected
But the sources of novel coronavirus 2019 in the neonates’ upper respiratory tracts or anuses likely were maternal in origin.
News
Arsenic levels in infant rice cereal are down
Seventy-six percent of samples of infant rice cereal tested in 2018 had levels of arsenic at or below 100 parts per billion.