Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2005
ReviewQuality of care by neonatal nurse practitioners: a review of the Ashington experiment.
The Ashington experiment, an innovative neonatal service run entirely by advanced neonatal nurse practitioners (ANNPs), has been evaluated. This is a report of that evaluation and a review of the benefits, hazards, and implications of nurse practitioner led services.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2005
ReviewNeonatal sepsis: an international perspective.
Neonatal infections currently cause about 1.6 million deaths annually in developing countries. Sepsis and meningitis are responsible for most of these deaths. ⋯ To reduce global neonatal mortality, strategies of proven efficacy, such as hand washing, barrier nursing, restriction of antibiotic use, and rationalisation of admission to neonatal units, need to be implemented. Different approaches require further research.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2005
What do parents think about enrolling their premature babies in several research studies?
To investigate parents' opinions about enrolling their premature baby into several research studies in the few days after birth. ⋯ Most of these parents were willing to join several studies. The majority were not worried about their baby participating in the studies. The profession needs to be aware that parents are supportive of neonatal research and participation in multiple studies.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2005
Review Case ReportsResuscitation of the preterm infant against parental wishes.
Over the past 40 years, the norms on who is to make treatment decisions for newborns, and on what standards, have been significantly altered and revised. Today the standard for treatment of newborns is the "best interest" of the child. A recent ruling of the Texas Supreme Court authorizing a doctor to resuscitate a potentially viable very premature newborn over the parents' objection is a challenge to that standard.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 2005
Is surgical ligation of patent ductus arteriosus necessary? The Western Australian experience of conservative management.
Surgical ligation of patent ductus arteriosus (PDA) is widely practised in preterm infants despite no clear evidence that this improves outcomes. Geographical isolation meant that ductal ligation was not an option in King Edward Memorial Hospital until recently. ⋯ Mortality was higher in infants with a persistent PDA, but other morbidities were not significantly different. A randomised trial is needed to determine whether surgical ligation will reduce mortality in such infants.