BMJ Paediatrics & Child Health

WHAT IS ALREADY KNOWN ON THIS TOPIC Previous research has questioned the validity of informed consent for neonatal trials where fear, anxiety and time pressure may compromise informed decision-making. Alternatives to informed consent include an ‘opt-out’ approach which may address such concerns. There is a paucity of data describing how a verbal opt-out approach is experienced by parents and operationalised by staff in neonatal trials.

Studies on ARA and DHA supplementation have shown the following: They are highly enriched in the fetus via the placenta, particularly during the last trimester.1 Currently administered amounts of these long-chain polyunsaturated fatty acids (LC-PUFAs) are far below the physiological fetal accretion.2 The lipidome of plasma and accessible tissues of preterm infants at term-equivalent age comprises reduced fractions of ARA and DHA and increased fractions of linoleic acid.3–5 These findings thus...

WHAT IS ALREADY KNOWN ON THIS TOPIC HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY Introduction Prematurity is a major risk factor of neurodevelopmental disabilities.

A term female infant was born weighing 3.4 kg after uneventful antenatal care. There was no significant family medical history of note. Evident at birth were a series of erythematous nodular lesions on the back (10 mm by 10 mm) and groin (8 mm by 8 mm). The nodules were firm and well demarcated, with purple discolouration. There were visible capillaries with an area of central pallor which crusted within 24 hours (figure 1). The rest of the examination was unremarkable. Empirical treatment for …

At 21 weeks of gestation, a fetus was diagnosed with a left-sided congenital diaphragmatic hernia (CDH). At 26 weeks of gestation, fetoscopic endoluminal tracheal occlusion (FETO)1 was undertaken because of a low lung-to-head ratio (LHR) of 25%. Preterm labour occurred and the infant delivered at 27 weeks of gestation with a birth weight of 1000 g and LHR of 32%. At birth, the FETO balloon was deflated ex-utero and the baby was intubated and ventilated.

School outcomes after HIE: a population-based cohort study Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Child Health Neonatology Paediatrics Using electronic devices to monitor infants at home has a somewhat tragic history. Such devices were first introduced in the early 1970s based on the belief that apnoea plays a causal role in the events leading to sudden infant death syndrome (SIDS).

Abstract Objective To describe early management of infants born to a parent with gene-positive long QT syndrome (LQTS) referred for specialist review. Review the diagnostic utility of the early neonatal and first clinic ECG. Design Retrospective cohort study, including a review of the first neonatal and first clinic ECG. Setting Quaternary paediatric-only referral hospital with specialised unit for the management of paediatric inherited cardiovascular diseases.

Objectives To determine the percentage of adequate umbilical cord blood (UCB) collections defined as ≥70 mL of UCB after delayed cord clamping for 3 min was applied. Second, to correlate the UCB volume to gestational age at birth, birth weight and sex. Design We conducted a multicentre, prospective, feasibility study in near-term infants delivered through caesarean section between November 2023 and December 2024. UCB was collected ex-utero, immediately after the placenta was removed from the womb.

X @neonatalresearc Contributors All authors have had a substantial contribution in: (a) conception and design, acquisition of data or analysis and interpretation of data; AND (b) Drafting the article or revising it critically for important intellectual content; AND (c) Final approval of the version to be published; AND (d) Agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately...