Science Current Events | Science News | Brightsurf.com
 

Choosing the right hospital may save your baby's life

April 26, 2012
Choosing the right hospital may make the difference between life and death for very low birth weight infants, according to research led by the University of Pennsylvania School of Nursing and released today in JAMA, The Journal of the American Medical Association.

In a comprehensive study of 72,235 infants born in 558 hospitals across the nation, the researchers found that babies cared for in hospitals with the Magnet credential were less likely to die, acquire a hospital-based infection, or suffer severe brain hemorrhage. While only 1.5 percent of births nationally are very low birth weight babies, weighing between 1 and 3.3 pounds, they account for more than half of all infant deaths. Nearly 16,000 VLBW infants died in 2007, most within the first month of life.

"Babies born in Magnet hospitals had 13 percent lower odds of death within the first week of life, 14 percent lower odds of infection, and 12 percent lower odds of hemorrhage," said lead author and nursing professor Eileen Lake, PhD, RN. "Surviving hemorrhage may have serious lifelong consequences for these infants, and can result in cerebral palsy, lower IQ, and developmental delays." Babies born in for-profit hospitals showed higher rates of infection, the researchers found, which doubles the infants' chances of dying; brain hemorrhage results in a six times greater risk of death.

The Magnet designation is given to hospitals after an extensive review by the American Nurses Credentialing Center for "quality patient care, nursing excellence, and innovations in professional nursing practice," the researchers wrote, noting that these tiniest of infants require nurses to make "complex assessments, implement highly intensive therapies, and make immediate adjustments dependent on infant response."

While only seven percent of US hospitals have the Magnet designation, one in five hospitals (20 percent) with a NICU have been awarded the credential. However, the study noted that twice as many white infants as black infants were born in Magnet hospitals.

"In absolute terms, the outcomes are 1 to 2 percentage points lower in Magnet hospitals, which translates to 300 infants each year who could be spared each of these severe consequences," said Dr. Lake. "Access to Magnet hospitals can literally make a life or death difference." The Magnet designation which refers to a hospital's ability to attract and retain nurses, can usually be found on a hospital's website or on the ANCC website.

The researchers studied premature infants weighing from 500 to 1500 grams at birth with the average being 1036 (2.2 pounds). Forty-seven percent were white; 29 percent were black, and 24 percent Hispanic, Asian or American Indian and were born in 2007 and 2008.

###

The team of researchers conducted phases of the research under the auspices of a $2.1 million grant from the National Institute of Nursing Research, one of the National Institutes of Health, and $300,000 from The Robert Wood Johnson Foundation.

University of Pennsylvania School of Nursing


Related Low Birth Weight Current Events and Low Birth Weight News Articles


Minorities underrepresented in US special education classrooms
Although minority children are frequently reported to be overrepresented in special education classrooms, a team of researchers suggests that minority children are less likely than otherwise similar white children to receive help for disabilities.

Pregnancy safer for women with lupus than previously thought
New findings may help ease concerns for women with lupus who are interested in having a child. A new study concludes that most women with lupus whose disease is not very active will have a safe pregnancy.

Study finds most women with lupus can have good pregnancy outcomes
One of the most important and anxiety-producing concerns among patients with lupus is whether it is safe to become pregnant.

Low birth weight and childhood infections predict ankylosing spondylitis
The results of a study presented today at the European League Against Rheumatism Annual Congress (EULAR 2015) Press Conference showed that a diagnosis of ankylosing spondylitis (AS) can be predicted by low birth weight, having older siblings and hospitalisation for infection between the ages of 5-16 years.

New risk factor for pregnancies
Women who were born preterm have a higher risk of giving birth to preterm children, according to a study, published in the journal Obstetrics & Gynecology, from researchers of the CHU Sainte-Justine and the University of Montreal.

Study characterizes the incidence and effects of severe kidney injury during pregnancy
A new study indicates that severe kidney injury is rare during pregnancy, but it typically occurs in otherwise healthy women who acquire a major pregnancy-related complication.

Vanderbilt study shows babies born with drug withdrawal symptoms on the rise
The number of infants born in the United States with drug withdrawal symptoms, also known as neonatal abstinence syndrome (NAS), nearly doubled in a four-year period. By 2012, one infant was born every 25 minutes in the U.S. with the syndrome, accounting for $1.5 billion in annual health care charges, according to a new Vanderbilt study published in the Journal of Perinatology.

In utero exposure to extreme morning sickness may cause developmental deficits in children
Women who experience extreme morning sickness during pregnancy are three times more likely to have children with developmental issues, including attention disorders and language and speech delays, than woman who have normal nausea and vomiting, a UCLA study has found.

Victorian baby teeth could help predict future health of children today
The team from the Universities of Bradford and Durham analysed the teeth of children and adults from two 19th century cemeteries, one at a Workhouse in Ireland where famine victims were buried and the other in London, which holds the graves of some of those who fled the famine.

Babies exposed to narcotic pain relievers more likely to experience withdrawal
Neonatal abstinence syndrome (NAS), a drug withdrawal syndrome in infants following birth, has historically been associated with illicit drug use among pregnant women.
More Low Birth Weight Current Events and Low Birth Weight News Articles

Golden Hours: Care of the Very Low Birth Weight Infant

Golden Hours: Care of the Very Low Birth Weight Infant
by Robin L. Bissinger (Author)


Time is of the essence when dealing with the Golden Hours, that short window to intervene on behalf of a very low birth weight infant. Representing expertise from specialistsfrom around the country, Golden Hours: Care of the Very Low Birth Weight Infant is a comprehensive guide that can help you change the outcome for an at-risk infant. Find information quickly - each chapter is organized in an easy-to-follow, outline format for rapid review. Explore airway management, cardiac support, thermoregulation, respiratory diseases, pulmonary emergencies, hypoglycemia, sepsis, congenital anomalies, communications, ethical dilemmas, and many other topics of great interest to the neonatal care team. An indispensible resource - The book includes full-color illustrations, as well as quick reference...

Helping Low Birth Weight, Premature Babies: The Infant Health and Development Program

Helping Low Birth Weight, Premature Babies: The Infant Health and Development Program
by Ruth Gross (Editor), Donna Spiker (Editor), Christine Haynes (Editor)


Each year in the United States, 250,000 infants are born too soon, weighing too little. For these low birth weight, premature infants, the future is uncertain, since they are at risk for a variety of serious medical and developmental problems—including behavioral and learning disorders that may have damaging effects for the rest of their lives. The extent to which a comprehensive early intervention program could improve or prevent these adverse outcomes was examined in the Infant Health and Development Program, a randomized controlled trial involving almost 1,000 infants in eight cities in the United States. This book describes in detail the program, its research methodology, the progress of the program, and the results of the clinical trial.

The program was administered by an...

Nutritional Strategies for the Very Low Birthweight Infant (Cambridge Medicine)

Nutritional Strategies for the Very Low Birthweight Infant (Cambridge Medicine)
by David H. Adamkin MD (Author)


The goal of nutritional management in VLBW and ELBW infants is the achievement of postnatal growth at a rate that approximates the intrauterine growth of a normal fetus at the same postconceptional age. In reality, however, growth lags considerably after birth; although non-nutritional factors are involved, nutrient deficiencies are critical in explaining delayed growth. This practical clinically-oriented pocketbook reviews and summarises all available clinical evidence. It enables the reader to implement parenteral or enteral feeding plans, with the goals of reducing postnatal weight loss, earlier return to birthweight, and improved catch-up growth. Both nutrient balance and growth and the impact on neurodevelopment and health outcomes are evaluated. With many tables and algorithms to...

"Andrea 1" - Standard Gauge Machine Knitting Pattern - 16" dolls/Low birth weight babies

"Andrea 1" - Standard Gauge Machine Knitting Pattern - 16" dolls/Low birth weight babies


DOLLY-KNITS RANGE
“Andrea 1”
Bonnet, Coat and Boots


Communication Intervention: Birth to Three

Communication Intervention: Birth to Three
by Louis M. Rossetti (Author)


The only textbook addressing communication based intervention for children under the age of three years, this work identifies children at-risk for developmental delay, details effective assessment and intervention, and provides insight on the unique needs of families. This work offers effective strategies for early intervention professionals in the fields of speech-language pathology, occupational and physical therapy, early childhood education, social work, psychology, and parent education. With extensive information on meonatal intensive care nursery factors, this completely updated edition features a wide range of transdisciplinary intervention approaches, backed up by solid efficacy data.

Thermoregulation of Sick and Low Birth Weight Neonates: Temperature Control. Temperature Monitoring. Thermal Environment

Thermoregulation of Sick and Low Birth Weight Neonates: Temperature Control. Temperature Monitoring. Thermal Environment
by Albert Okken (Editor), Jochim Koch (Editor)


In this book, the editors have succeeded in bringing together many renowned authors in the field. They discuss the physical principles of heat transfer in various heating devices used in neonatal care for temperature distribution throughout the body, such as incubators, open radiant warmers, and heated mattresses, as well as the significance of simultaneously monitoring core and periphal temperature. Alongside a treatment of extreme thermal conditions, contributions also pinpoint the optimal thermal environment. An invaluable aid for all those working in the field of neonatal care, including doctors, scientists, students, and nurses.

The Starting Gate: Birth Weight and Life Chances

The Starting Gate: Birth Weight and Life Chances
by Dalton Conley (Author), Kate W. Strully (Author), Neil G. Bennett (Author)


Seven percent of newborns in the United States weigh in at less than five and one half pounds. These "low birth weight" babies face challenges that others will never know—challenges that begin with a greater risk of infant mortality and extend well into adulthood in the form of health and developmental problems. Because low birth weight is often accompanied by social risk factors such as minority racial status, low education, young maternal age, and low income, the question of causes and consequences—of precisely how biological and social factors figure into this equation—becomes especially tricky to sort out. This is the question that The Starting Gate takes up, bringing a novel perspective to the nature-nurture debate by using the starting point of birth as a lens to examine...

One Hot Mama: The Guide to Getting Your Mind and Body Back After Baby

One Hot Mama: The Guide to Getting Your Mind and Body Back After Baby
by Erin Cox (Author)


After giving birth, even the most confident, fit, and spiritually centered women can feel depressed, overwhelmed by the responsibilities of motherhood, and disheartened by their plump postpartum bodies. Erin Cox knows exactly how they feel. She wrote One Hot Mama as a comprehensive guide to support, nurture, and steer women through a fun and completely doable process to lose unwanted pregnancy pounds and create an exceptional life. Erin understands that weight loss is an emotional process, and new mothers need to feel empowered and supported to make healthy lifestyle changes. New moms don’t have the time or energy to count calories, but rather need guidelines and easy-to-implement suggestions on how to improve their diet and exercise routines.Using a realistic approach that has proven...

The Whole30: The 30-Day Guide to Total Health and Food Freedom

The Whole30: The 30-Day Guide to Total Health and Food Freedom
by Melissa Hartwig (Author), Dallas Hartwig (Author)


Millions of people visit Whole30.com every month and share their stories of weight loss and lifestyle makeovers. Hundreds of thousands of them have read It Starts With Food, which explains the science behind the program. At last, The Whole30 provides the step-by-step, recipe-by-recipe guidebook that will allow millions of people to experience the transformation of their entire life in just one month.

Melissa and Dallas Hartwig’s critically-acclaimed Whole30 program has helped hundreds of thousands of people transform how they think about their food, bodies, and lives. Their approach leads to effortless weight loss and better health—along with stunning improvements in sleep quality, energy levels, mood, and self-esteem. Their first book, the New York...

  Folic acid supplementation may reduce risk of low birth weight.(Nutraceuticals Research): An article from: Nutraceuticals World
by Unavailable (Author)




© 2015 BrightSurf.com