Impact of the Nursing Home Visit to the newborn/ infant/family

Objective: To identify the impact of the home visit to the newborn/infant/family, when performed by nurses, on the health and well-being of the child and family. Methodology: A systematic review of the literature was carried out following the Joanna Briggs Institute methodology, based on a research on the EBSCO and pubmed platform, and bibliographical references of the articles found, with the chronological frieze 2010 and 2017. Were included Randomized controlled trials evaluating the impact of the home visit of nursing performed when they were newborns/infants, in the health and wellbeing of the child and family, in children/adolescents/families. Results: We selected 11 articles, randomized controlled trials, 7 experimental and 4 follow-up. The data systematization process was carried out using tables that facilitated the analysis of the studies. We have found studies that evaluate the impact of the home visit to the newborn/infant/family in the short (2) and long (9) term, developed with great heterogeneity in the intervention of the home visit performed and evaluated impacts, but the results show gains in the well-being of children and families. Conclusions: It is evident from the results found that the home visit of the newborn/ infant/family, performed by nurses, has a positive impact on the health and well-being of the child and the family

Acute Neonatal Intestinal Obstruction

A CAJM article on Acute Neonatal Intestinal Obstruction.The newborn infant ejected from his comfortable isothermic habitat into a hostile world has many physiological adjustments to make in the first four weeks of life. If, as a result of intestinal obstruction, the newborn infant persistently vomits, fails to pass meconium stools and develops abdominal distension, then it is mortally ill. Three factors will militate against a successful surgical outcome in these infants

Sex assignment in conditions affecting sex development

The newborn infant with atypical genitalia presents a challenging clinical scenario and requires expert input. There have been appreciable advances in our knowledge of the underlying causes that may lead to a mere difference or a more serious disorder of sex development (DSD), the natural history of conditions, as well as the short and long-term complications of these conditions themselves, together with the clinical interventions that are associated with these conditions. With this information, the DSD expert can be more confident when discussing options with the parents of the newborn infant. By working within a multidisciplinary team, the expert should be able to support the family whilst individualising the management plan so that it is also cognizant of the shifts in societal attitudes and expectations around concepts of diversity and openness. It is, therefore, likely that the practice of assigning sex, especially in those cases where sex assignment is unclear on expert assessment, will continue to show temporal, social and geographical variations. It is imperative that clinical data for rare conditions such as these are collected in a standardized format and shared through a common registry so that any evidence that is used for future shifts in practice has a stronger foundation than that which is currently available

Progeny, June 2013, Vol 29, no.1

This newsletter from The Department of Public Health about perinatal health care and statistics

Developing Interprofessional Teams using High Fidelity Resuscitation

Interprofessional simulations using scenarios, megacodes, algorithms, and high fidelity equipment provide a closer approximation to what clinicians are likely to face as a team in the actual resuscitation of a newborn infant

Toward a solution for cardiac failure in the newborn

The newborn infant with severe cardiac failure owed to congenital structural heart disease or cardiomyopathy poses a daunting therapeutic challenge. The ideal solution for both might be cardiac transplantation if availability of hearts was not limiting and if tolerance could be induced, obviating toxicity of immunosuppressive therapy. If one could safely and effectively exploit neonatal tolerance for successful xenotransplantation of the heart, the challenge of severe cardiac failure in the newborn infant might be met. We discuss the need, the potential for applying neonatal tolerance in the setting of xenotransplantation and the possibility that other approaches to this problem might emerge.Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/146972/1/xen12479.pdfhttps://deepblue.lib.umich.edu/bitstream/2027.42/146972/2/xen12479_am.pd

Failed detection of complex congenital heart disease (including double outlet right ventricle and total anomalous pulmonary venous return) by neonatal pulse oximetry screening

We report on a newborn infant with complex congenital heart disease (CHD) featuring double outlet right ventricle and hypoplastic left ventricle who had postductal oxygen saturation well above 95% and thus eluded pulse oximetry screening for CH