17 articles in Management of Neonatal Care Systems

Discretion at the Bedside, Plans in the Statute Book: Hospital Reporting and State Policy for Infants With Prenatal Substance Exposure
Health Systems & PolicyEpidemiology & Biostatistics

Discretion at the Bedside, Plans in the Statute Book: Hospital Reporting and State Policy for Infants With Prenatal Substance Exposure

In Massachusetts and some other US states, babies exposed to opioids before birth were automatically reported to child protective services, even when the parent was taking prescribed treatment. When one Boston hospital reported only specific safety concerns, reports fell by about half, with no…

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Discharge Timing for Preterm Infants: Rising Discharge Age, Unit-Level Variation and the Evidence for Earlier Discharge with Home Support
Health Systems & PolicyEpidemiology & Biostatistics

Discharge Timing for Preterm Infants: Rising Discharge Age, Unit-Level Variation and the Evidence for Earlier Discharge with Home Support

Babies born very early are going home from hospital a few days later than they used to, and part of the reason seems to be how each hospital does things. A German hospital that taught parents early to tube-feed their babies sent many of them home about two weeks sooner, and those babies grew just…

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Texting Safe Sleep Before and After Birth: A Two-Stage Randomized Trial Meets a Ceiling
Randomized Clinical TrialEpidemiology & Biostatistics

Texting Safe Sleep Before and After Birth: A Two-Stage Randomized Trial Meets a Ceiling

A large US study tested whether sending short safe sleep videos by text message to pregnant women and new mothers with low incomes would change how they put their babies to sleep. Most mothers in every group were already following the main safe sleep advice, and the videos did not clearly change…

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A Shorter Stay Explained by Faster Feeding Skills: Appraising a Non-Randomised Cohort of Family Integrated Care in Single Family Rooms
Epidemiology & BiostatisticsHealth Systems & Policy

A Shorter Stay Explained by Faster Feeding Skills: Appraising a Non-Randomised Cohort of Family Integrated Care in Single Family Rooms

Researchers in the Netherlands compared premature babies cared for in a unit where parents could stay day and night and take on much of their baby's daily care with babies in traditional units where parents could visit but not stay overnight. After allowing for the fact that the babies in the…

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International Variation in Survival and Morbidity at 22–23 Weeks' Gestation: A Registry-Based Analysis of Eleven Neonatal Networks
Epidemiology & BiostatisticsHealth Systems & Policy

International Variation in Survival and Morbidity at 22–23 Weeks' Gestation: A Registry-Based Analysis of Eleven Neonatal Networks

A new international study followed over 5,000 babies born at 22 or 23 weeks of pregnancy — roughly four months early — across 11 countries, and found that survival to going home depended heavily on where a baby was born: in the strongest-performing countries, well over half of 22-week babies…

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Cause-Specific Trends in US Neonatal Mortality From Perinatal Conditions, 1999-2022
Epidemiology & BiostatisticsHealth Systems & Policy

Cause-Specific Trends in US Neonatal Mortality From Perinatal Conditions, 1999-2022

A large new look at 24 years of US government records on newborn deaths brings mostly good news: for almost every one of the leading medical causes of death in the first month of life, things have been getting better, year after year. But the same records point to one specific problem that has…

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The Geography of Extreme Prematurity: A Global Meta-Analysis Quantifies a Survival Gap of More Than Thirty Percentage Points
Epidemiology & BiostatisticsMeta-analysis

The Geography of Extreme Prematurity: A Global Meta-Analysis Quantifies a Survival Gap of More Than Thirty Percentage Points

When a baby is born before 29 weeks of pregnancy—more than eleven weeks early—its chance of surviving depends enormously on where it is born. A major new study that combined data on nearly one million such babies from 44 countries found that about 61 out of every 100 survived to go home overall…

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