Neonatology

Neonatal Outcomes following 2 Cases of Maternal CAR-T Therapy for High-Grade B-Cell Lymphoma
O'Reilly D, Jones C, Smith A, Mackin D, Mc Donald L, Quinn J, O'Reilly M, Flinn AM, Leahy R, Williams D, Donnelly J and Corcoran D
Chimeric antigen receptor T cells (CAR-Ts) targeting CD19 represent a significant advance in treatment for patients with relapsed/refractory B-cell malignancies. Although a significant minority of recipients are women during their reproductive years, there is a paucity of data regarding pregnancy and neonatal outcomes in women previously treated with CAR-T. This is important as maternal T cells are known to cross the placenta and into breastmilk during pregnancy and breastfeeding, respectively.
Association between Time with Open Ductus Arteriosus and Outcomes in Congenital Diaphragmatic Hernia
Hari Gopal S, Tillman R, Hammond Ii JD, Hagan JL, Gowda SH, Varghese NP and Fernandes CJ
While a patent ductus arteriosus (PDA) helps offload the right ventricle in the acute congenital diaphragmatic hernia (CDH)-associated pulmonary hypertension, its role on long-term outcomes in CDH has not been investigated. Our objective was to examine associations of the PDA with long-term clinical outcomes in CDH.
Immediate Care for Common Conditions in Term and Preterm Neonates: The Evidence
Jiang L, Dominguez G, Cummins A, Muralidharan O, Harrison L, Vaivada T and Bhutta ZA
Several interventions provided to newborns at birth or within 24 h after birth have been proven critical in improving neonatal survival and other birth outcomes. We aimed to provide an update on the effectiveness and safety of these interventions in low- and middle-income countries (LMICs).
Response to Härtel et al. "Less Invasive Surfactant Administration for Preterm Infants - State of the Art"
Maiwald CA, Poets CF and Franz AR
Intravenous Dextrose for the Treatment of Neonatal Hypoglycaemia: A Systematic Review
Roberts LF, Lord LG, Crowther CA, Harding JE and Lin L
Hypoglycaemic neonates are usually admitted to neonatal intensive care for intravenous (IV) dextrose infusion if increased feeding and dextrose gel fail to restore normoglycaemia. However, the effectiveness of this intervention is uncertain. This review aimed to assess the evidence for the risks and benefits of IV dextrose for treatment of neonatal hypoglycaemia.
Reply letter to "Less Invasive Surfactant Administration for Preterm Infants - State of the Art"
Härtel C, Kribs A, Göpel W, Dargaville PA and Herting E
The Care of Preterm and Term Newborns with Respiratory Conditions: A Systematic Synthesis of Evidence from Low- and Middle-Income Countries
Dominguez G, Muralidharan O, Lee Him R, Harrison L, Vaivada T and Bhutta ZA
Neonatal respiratory conditions are leading causes of mortality and morbidity during the neonatal period. This review evaluated 11 management interventions for respiratory distress syndrome (RDS), apnoea of prematurity (AOP), meconium aspiration syndrome (MAS), transient tachypnea of the newborn (TTN), as well as bronchopulmonary dysplasia (BPD) as a potential complication from respiratory care in low- and middle-income countries (LMICs).
Oscillatory blood pressure values in newborn infants: observational data over gestational ages
Hillman NH, Williams HL and Petersen RY
Normative blood pressure (BP) values on preterm infants exist but are based on small cohorts of infants. Utilizing electronic medical records (EMR), we can explore earlier gestational ages (GA) and follow their progression to 40 weeks corrected gestational age (CGA).
Reference ranges for preductal oxygen saturation and heart rate in moderate and late preterm infants with deferred cord clamping
Valles-Murcia N, Solaz-García Á, Pinilla-González A, Torrejón-Rodriguez L, Gormaz M, Escrig-Fernández R, González-Timoneda A, Cernada M and Vento M
Moderate and late preterm (MLPT) infants represent a substantial percentage of all preterm infants and frequently need support in the delivery room (DR). Deferring cord clamping (DCC) improves SpO2 and heart rate (HR) stabilization in term infants. However, data on MLPT infants are limited.
Supportive Care for Common Conditions in Small Vulnerable Newborns and Term Infants: The Evidence
Jiang L, Lee Him R, Sihota D, Muralidharan O, Dominguez G, Harrison L, Vaivada T and Bhutta ZA
Small vulnerable newborns (SVNs) are at an increased risk of early death and other morbidities. Essential interventions provided to SVN, and other high-risk newborns have been proven critical in improving their outcomes. We aimed to provide an update on the effectiveness and safety of these interventions in low- and middle-income countries (LMICs).
Effectiveness of neonatal resuscitation training programs, implementation and scale-up in low- and middle-income countries
Sihota D, Lee Him R, Dominguez G, Harrison L, Vaivada T and Bhutta ZA
To describe recent evidence regarding the most effective neonatal resuscitation training program and scale-up of these programs in low-and middle-income countries (LMICs), which has contributed to the upcoming Lancet Global Newborn Care Series 2025, and forms part of a supplement describing an extensive synthesis on effective newborn interventions in LMICs.
Antenatal care strategies to improve perinatal and newborn outcomes
Yasin R, Azhar M, Allahuddin Z, Das JK and Bhutta ZA
Antenatal care strategies (ANC) play a pivotal role in ensuring a healthy gestational period for expectant mothers and promote optimal outcomes for their babies. Implementing these interventions can contribute to a supportive environment for pregnant women, resulting in positive perinatal and neonatal outcomes.
Nutritional Management of Low Birth Weight and Preterm Infants in Low- and Low Middle-Income Countries
Azhar M, Yasin R, Hanif S, Bughio SA, Das JK and Bhutta ZA
Preterm and low birth weight (LBW) infants are at an increased risk of morbidity and mortality compared with their term counterparts, with more than 20 million LBW infants born each year, the majority in lower middle-income countries (LMICs). Given the increased vulnerability and higher nutritional needs of these infants, optimizing feeding strategies may play a crucial role in improving their health outcomes.
The Effectiveness of Regionalization of Perinatal Care and Specific Facility-Based Interventions: A Systematic Review
Ali AA, Naseem HA, Allahuddin Z, Yasin R, Azhar M, Hanif S, Das JK and Bhutta ZA
Appropriate perinatal care provision and utilization is crucial to improve maternal and newborn survival and potentially meet Sustainable Development Goal 3. Ensuring availability of healthcare infrastructure as well as skilled personnel can potentially help improve maternal and neonatal outcomes globally as well as in resource-limited settings.
Post-Asphyxial Aftercare and Management of Neonates in Low- and Middle-Income Countries: A Systematic Evidence Synthesis
Muralidharan O, Rehman S, Sihota D, Harrison L, Vaivada T and Bhutta ZA
Effective post-resuscitation care is crucial for improving outcomes in neonates post-asphyxia. This review aimed to provide a comprehensive overview of post-asphyxial aftercare strategies and forms part of a supplement describing an extensive synthesis of effective newborn interventions in low- and middle-income countries (LMICs).
Neonatal Sequential Organ Failure Assessment Score Predicts Respiratory Outcomes in Preterm Newborns with Late-Onset Sepsis: A Retrospective Study
Poggi C, Sarcina D, Miselli F, Ciarcià M and Dani C
Neonatal sequential organ failure assessment (nSOFA) score predicts mortality in preterm newborns. The aim of the study was to assess whether nSOFA score could predict respiratory outcomes in preterm infants with late-onset sepsis (LOS).
Prevention and Treatment of Neonatal Infections in Facility and Community Settings of Low- and Middle-Income Countries: A Descriptive Review
Lee Him R, Rehman S, Sihota D, Yasin R, Azhar M, Masroor T, Naseem HA, Masood L, Hanif S, Harrison L, Vaivada T, Sankar MJ, Dramowski A, Coffin SE, Hamer DH and Bhutta ZA
We present a robust and up-to-date synthesis of evidence on the effectiveness of interventions to prevent and treat newborn infections in low- and middle-income countries (LMICs). Newborn infection prevention interventions included strategies to reduce antimicrobial resistance (AMR), prevention of healthcare-associated infections (HAIs), clean birth kits (CBKs), chlorhexidine cleansing, topical emollients, and probiotic and synbiotic supplementation. Interventions to treat suspected neonatal infections included prophylactic systemic antifungal agents and community-based antibiotic delivery for possible serious bacterial infections (PSBIs).
Urinary output of very low birth weight infants during the first weeks of life
Cosgun ZC, Burgmaier K, Zeiher M, Weber A, Klein R, Aydin A, Kribs A, Mehler K and Habbig S
Daily urinary output (UOP) serves as important tool to identify acute kidney injury (AKI) in preterm infants. However, reference values for UOP, especially stratified for gestational age, are missing.
Fifteen Years of Neonatal Therapeutic Hypothermia: Clinical Trends Show Unchanged Post-Rewarming Outcomes despite Reduction in Hypoxic-Ischemic Encephalopathy Severity
van Oldenmark BO, van Steenis A, de Vries LS, Groenendaal F and Steggerda SJ
Hypoxic-ischemic encephalopathy (HIE) affects 1-2 per 1,000 births and is associated with mortality and long-term neurodevelopmental challenges. At present, therapeutic hypothermia (TH) is the only neuroprotective intervention for these infants. This study examines whether HIE severity, clinical management during TH, and post-rewarming outcomes have changed since its introduction 15 years ago.
Neurodevelopmental Changes and Postnatal Growth in the First 3 Years of Extremely Preterm Infants
Matsunaga Y, Inoue H, Miyauchi Y, Watabe T, Yasuoka K, Sawano T, Ochiai M, Sakai Y and Ohga S
Infants born extremely preterm are at high risk for neurodevelopmental problems. However, their neurodevelopment exhibits a variety of trajectories. This study aimed to investigate the association between changes in neurodevelopmental outcomes and clinical characteristics among extremely preterm infants.
Optimal Strategies for Screening Common Birth Defects in Children of Low- and Middle-Income Countries: A Systematic Review
Zaki U, Qazi SH, Shamim U, Fatima S, Das JK and Bhutta ZA
Congenital anomalies are one of the major causes of the global burden of diseases, and low- and middle-income countries (LMICs) are disproportionately affected. This review assesses the prenatal and postnatal screening methods and compares the prevalence of major congenital anomalies in LMICs.