Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Editorial CommentNeonatology and obstetric anaesthesia.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Multicenter StudyEpidural analgesia in labour and neonatal respiratory distress: a case-control study.
Epidural analgesia is the commonest mode for providing pain relief in labour, with a combination of bupivacaine and fentanyl most often used in practice. ⋯ Late-preterm and term infants exposed to maternal epidural analgesia in labour are more likely to develop respiratory distress in the immediate neonatal period.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
ReviewDefinitions of extubation success in very premature infants: a systematic review.
Studies of extubation in preterm infants often define extubation success as a lack of reintubation within a specified time window. However, the duration of observation that defines extubation success in preterm infants has not been validated. The purpose of this study was to systematically review published definitions of extubation success in very preterm infants and to analyse the effect of the definition of extubation success on the reported rates of reintubation. ⋯ Variability in the reported definitions of extubation success makes it difficult to compare extubation strategies across studies. The appropriate window of observation following extubation may depend on the population. In infants with BW ≤1000 g, even a week of observation may fail to identify some who will require reintubation.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 2014
Multicenter Study Comparative StudyCompliance with the Baby-Friendly Hospital Initiative and impact on breastfeeding rates.
To examine compliance with the Baby-Friendly Hospital Initiative (BFHI) as well as evaluate the BFHI and its components on breastfeeding initiation and duration overall and according to maternal education level. ⋯ Compliance with BFHI practices among BFHI-accredited facilities is not optimal and needs to be monitored, as greater compliance may have an even larger impact on breastfeeding rates and potentially reduce socio-economic disparities in breast feeding.