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


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.

Low birth weight reduces ability to metabolize drugs
Researchers have identified another concern related to low birth weight - a difference in how the body reacts to drugs, which may last a person's entire life and further complicate treatment of illnesses or diseases that are managed with medications.

Loyola researchers identify risk factor for life-threatening disease in preemies
Many premature infants suffer a life-threatening bowel infection called necrotizing enterocolitis (NEC).

Air pollution increases risk for hypertension in pregnant women
Breathing the air outside their homes may be just as toxic to pregnant women -if not more so - as breathing in cigarette smoke, increasing a mom-to-be's risk of developing deadly complications such as preeclampsia, according to findings from a new University of Florida study.
More Low Birth Weight Current Events and Low Birth Weight News Articles

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...

Human Milk for Very-Low-Birth Weight Infants (Ross Conference on Pediatric Research, Report 108)

Human Milk for Very-Low-Birth Weight Infants (Ross Conference on Pediatric Research, Report 108)
by N/A (Author)




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...

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,...

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...

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...

What to Expect When You're Expecting, 4th Edition

What to Expect When You're Expecting, 4th Edition
by Heidi Murkoff (Author), Sharon Mazel (Author)


Announcing a brand new, cover-to-cover revision of America's pregnancy bible. What to Expect When You're Expecting is a perennial New York Times bestseller and one of USA Today's 25 most influential books of the past 25 years. It's read by more than 90% of pregnant women who read a pregnancy book--the most iconic, must-have book for parents-to-be, with over 14.5 million copies in print. Now comes the Fourth Edition, a new book for a new generation of expectant moms--featuring a new look, a fresh perspective, and a friendlier-than-ever voice. It's filled with the most up-to-date information reflecting not only what's new in pregnancy, but what's relevant to pregnant women. Heidi Murkoff has rewritten every section of the book, answering dozens of new questions and including loads of new...

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.

Low Birth Weight Babies And It's Determinants In Baghdad City, Iraq

Low Birth Weight Babies And It's Determinants In Baghdad City, Iraq
by Mohammed A. AbdalQader (Author), Idayu Badilla (Author), Rahmah Mohd. Amin (Author)


This study was carried out in four general hospitals in Baghdad city, Iraq to determine the prevalence and the risk factors associated with low birth weight babies (LBW).The result of the study showed that the prevalence of LBW was 21.3%. it was found that the monthly family income , mothers with chronic hypertension , booking visit and place of antenatal care had significant association with LBW in those four general hospitals in Baghdad city, Iraq.From this study, it is clearly evidenced that the lack of equity in populations and disparity in socioeconomic status are common related factors for the LBW babies as can be seen as a public and global health problem

© 2014 BrightSurf.com