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


Human milk fat improves growth in premature infants
For premature infants, adequate growth while in the neonatal intensive care unit is an indicator of better long-term health and developmental outcomes.

Mind and body: Scientists identify immune system link to mental illness
Children with high everyday levels of a protein released into the blood in response to infection are at greater risk of developing depression and psychosis in adulthood, according to new research which suggests a role for the immune system in mental illness.

Gloves after hand washing associated with fewer infections in preterm babies
Extremely premature babies in a neonatal intensive care unit (NICU) had fewer infections when medical staff wore gloves after washing their hands compared with hand washing alone.

Green spaces found to increase birth weight -- Ben-Gurion U. researcher
Mothers who live near green spaces deliver babies with significantly higher birth weights, according to a new study, "Green Spaces and Adverse Pregnancy Outcomes" published in the journal, Occupational and Environmental Medicine.

Newborn health improves despite income gap
The U.S. economic inequality gap has been widening for decades, and research shows that maternal disadvantage may have health consequences for newborns.

Despite economic blows, infant health has improved among US poor
Despite worsening economic conditions for those at the bottom, infant health has steadily improved among the most disadvantaged Americans, according to a review published in Science by Princeton University's Woodrow Wilson School of Public and International Affairs.

Medication does not lower risk of fungal infection, death among ELBW infants
Use of the antifungal medication fluconazole for six weeks for extremely low birth-weight infants did not significantly reduce the risk of death or invasive candidiasis, a serious infection that occurs when candida (a type of fungus) enters the bloodstream and spreads through the body.

Report documents cardiopulmonary arrest in premature infant after cyclomydril eyedrops
Eyedrops administered to infants as part of routine outpatient retinopathy of prematurity (ROP) screening can have life-threatening consequences.

Some racial disparities in childbirth more environmental than genetic
A new study investigating racial disparities in birth outcomes shows that contrary to some theories Vitamin D is unlikely to play a role in differences in preterm birth and low birth weight between African-Americans and whites.

Scientists from Penn and CHOP Confirm Link Between Missing DNA and Birth Defects
In 2010, scientists in Italy reported that a woman and her daughter showed a puzzling array of disabilities, including epilepsy and cleft palate.
More Low Birth Weight Current Events and Low Birth Weight News Articles

Patient Citizens, Immigrant Mothers: Mexican Women, Public Prenatal Care, and the Birth Weight Paradox (Critical Issues in Health and Medicine)

Patient Citizens, Immigrant Mothers: Mexican Women, Public Prenatal Care, and the Birth Weight Paradox (Critical Issues in Health and Medicine)
by Alyshia Galvez (Author)


According to the Latina health paradox, Mexican immigrant women have less complicated pregnancies and more favorable birth outcomes than many other groups, in spite of socioeconomic disadvantage. Alyshia Gálvez provides an ethnographic examination of this paradox. What are the ways that Mexican immigrant women care for themselves during their pregnancies? How do they decide to leave behind some of the practices they bring with them on their pathways of migration in favor of biomedical approaches to pregnancy and childbirth?This book takes us from inside the halls of a busy metropolitan hospital’s public prenatal clinic to the Oaxaca and Puebla states in Mexico to look at the ways Mexican women manage their pregnancies. The mystery of the paradox lies perhaps not in the recipes...

Golden Hours: Care of the Very Low Birth Weight Infant

Golden Hours: Care of the Very Low Birth Weight Infant
by Robin L. Bissinger PhD APRN NNP-BC FAAN (Editor), David J. Annibale MD (Editor)


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...

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...

This Changes Everything: Capitalism vs. The Climate

This Changes Everything: Capitalism vs. The Climate
by Naomi Klein (Author)


The most important book yet from the author of the international bestseller The Shock Doctrine, a brilliant explanation of why the climate crisis challenges us to abandon the core “free market” ideology of our time, restructure the global economy, and remake our political systems.

In short, either we embrace radical change ourselves or radical changes will be visited upon our physical world. The status quo is no longer an option.

In This Changes Everything Naomi Klein argues that climate change isn’t just another issue to be neatly filed between taxes and health care. It’s an alarm that calls us to fix an economic system that is already failing us in many ways. Klein meticulously builds the case for how massively reducing our greenhouse emissions is our best chance...

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...

Neurodevelopmental Outcomes of Preterm Birth: From Childhood to Adult Life (Cambridge Medicine)

Neurodevelopmental Outcomes of Preterm Birth: From Childhood to Adult Life (Cambridge Medicine)
by Chiara Nosarti (Editor), Robin M. Murray (Editor), Maureen Hack (Editor)


The improved survival of very preterm and very low birth weight infants in recent decades has been associated with an increase in the prevalence of physical and neurodevelopmental problems. Attention is increasingly being focused on the quality of life of survivors, who are at greater risk of brain damage and consequent neurological disorders, and neuropsychological and behavioural impairments. In this volume, leading experts present a comprehensive and up-to-date perspective on research in various aspects of the long-term consequences of very preterm birth. As well as extending existing knowledge of the neurodevelopmental sequelae following very preterm birth, a shared aim of this burgeoning body of research is to identify the mechanisms underlying variations in outcome, and thus...

Low Birth Weight: A Case for Chinhoyi Provincial Hospital in Zimbabwe

Low Birth Weight: A Case for Chinhoyi Provincial Hospital in Zimbabwe
by Lucia Sithole (Author), Musaemura Jabulani Sithole (Author)


This study was designed to explore factors that influence low birth weight among infants born at Chinhoyi Provincial Hospital in zimbabwe. Data was collected on the 1st, 3rd, 5th, 7th, 9th, 11th, 13th, 15th, 17th, 19th, 21st, 23rd, 25th, 27th and 29th March 2010. The study sample consisted of 100 respondents (mothers) and 103 subjects (infants). Structured questionnaires were used to collect data. Frequency tables and chi-square were used to test hypotheses at 95% level of confidence. Results indicated that there was a significant relationship between family income, marital status, maternal level of education, parity, number of pregnancies, maternal age, number of maternal antenatal clinic visits and infants low birth weight. Two variables of family income and maternal antenatal...

Caring for Your Baby and Young Child, 5th Edition: Birth to Age 5

Caring for Your Baby and Young Child, 5th Edition: Birth to Age 5
by American Academy Of Pediatrics (Author)


The most up-to date, expert advice for mothers, fathers and care providers from the American Academy of Pediatrics.

From the most respected organization on child health comes this essential resource for all parents who want to provide the very best care for their children. Here is the one guide pediatricians routinely recommend and parents can safely trust, covering everything from preparing for childbirth to toilet training to nurturing your child’s self-esteem. Whether it’s resolving common childhood health problems or detailed instructions for coping with emergency medical situations, Caring for Your Baby and Young Child has everything you need.

• Basic care from infancy through age five
• Guidelines and milestones for physical, emotional, social,...

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.

© 2014 BrightSurf.com