Relevant bibliographies by topics / Neonatal medicine

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Neonatal medicine'

Author: Grafiati
Published: 4 June 2021
Last updated: 31 July 2024

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Journal articles on the topic "Neonatal medicine"

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Fudge, Alan M. "Neonatal Medicine." AAV Today 1, no. 2 (1987): 62. http://dx.doi.org/10.2307/30134374.

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Randis, Tara M., and Richard A. Polin. "Neonatal medicine." Current Opinion in Pediatrics 28, no. 2 (April 2016): 133–34. http://dx.doi.org/10.1097/mop.0000000000000342.

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Ryan, S. "Neonatal medicine." Postgraduate Medical Journal 73, no. 865 (November 1, 1997): 767. http://dx.doi.org/10.1136/pgmj.73.865.767-b.

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O’Brien, Fiona, David Clapham, Kamelia Krysiak, Hannah Batchelor, Peter Field, Grazia Caivano, Marisa Pertile, Anthony Nunn, and Catherine Tuleu. "Making Medicines Baby Size: The Challenges in Bridging the Formulation Gap in Neonatal Medicine." International Journal of Molecular Sciences 20, no. 11 (May 31, 2019): 2688. http://dx.doi.org/10.3390/ijms20112688.

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The development of age-appropriate formulations should focus on dosage forms that can deliver variable yet accurate doses that are safe and acceptable to the child, are matched to his/her development and ability, and avoid medication errors. However, in the past decade, the medication needs of neonates have largely been neglected. The aim of this review is to expand on what differentiates the needs of preterm and term neonates from those of the older paediatric subsets, in terms of environment of care, ability to measure and administer the dose (from the perspective of the patient and carer, the routes of administration, the device and the product), neonatal biopharmaceutics and regulatory challenges. This review offers insight into those challenges posed by the formulation of medicinal products for neonatal patients in order to support the development of clinically relevant products.
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Zisovska, Elizabeta, Blerina Koshi, and Renata Slaveska-Raichki. "A study of off-label and unlicensed medicines use in neonatal units." Macedonian Pharmaceutical Bulletin 62, no. 2 (2016): 65–72. http://dx.doi.org/10.33320/maced.pharm.bull.2016.62.02.008.

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Despite all efforts to improve the on-label use of licensed medicines for neonates, there is still high percentage and demands of offlabel and unlicensed medicines use in neonatal therapy. Therefore, the general objective of this survey is to provide a description of off-label and unlicensed medicines use within the neonatal therapeutic areas in a Department of Neonatology, University Clinic for Gynecology and Obstetrics, in Skopje, Republic of Macedonia. All analyzed prescriptions were given in accordance with the Evidence Based Guidelines applied in the Department. During the three months’ period in 2015, there were given 1595 prescriptions, comprising 3.99 prescriptions per newborn during the hospital stay. Out of them, 532 (33.3%) were on-label medicine uses, 1052 (66%) were off-label medicines, and 11 prescriptions (0.7%) were unlicensed medicines. The results from this study show the high level of off-label medicine use in neonatal therapy. These results present only the “top of the iceberg” and require more comprehensive analysis that will gradually evolve in a National Guideline on off-label use areas in pediatric medicine, especially for critically ill newborns who are prescribed much more life-saving medicines.
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Yue, Yan, Libin Chen, Imti Choonara, Tao Xiong, Shalini Ojha, Jun Tang, Yan Wang, et al. "Cross-sectional study of drug utilisation in a Chinese neonatal unit." Journal of International Medical Research 48, no. 5 (May 2020): 030006052091419. http://dx.doi.org/10.1177/0300060520914197.

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Objective This study aimed to describe drug utilisation in a large Chinese neonatal unit and to compare the findings with those from other countries. Methods Data were collected from electronic medical records. Prescription drugs were defined as the number of unique medication names for each patient. Medicine doses were defined as the total number of doses of all medicines administered. Information was collected regarding drugs prescribed to inpatients between March 1 and April 1 2018 in the neonatal intensive care unit and the general neonatal ward of West China Second University Hospital. Results The 319 neonates received 1276 prescription drugs and 11,410 medicine doses involving 81 drugs. Vitamin K1, hepatitis B vaccine, and cefoperazone-sulbactam were the three most frequently prescribed drugs. Antimicrobials were the most frequently used group of medicines, with cefoperazone-sulbactam and piperacillin-tazobactam the most frequently used in an off-label manner. Domperidone and simethicone were both widely used. Conclusions The most commonly prescribed antimicrobials differed greatly from those reported for other countries. The evidence base for the use of some medicines is poor, and is indicative of irrational prescribing.
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McGurk, Valerie. "Essential Neonatal Medicine." Nursing Children and Young People 30, no. 5 (September 12, 2018): 13. http://dx.doi.org/10.7748/ncyp.30.5.13.s10.

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Fanos, Vassilios, and Murat Yurdakök. "Personalized Neonatal Medicine." Journal of Maternal-Fetal & Neonatal Medicine 23, sup3 (September 7, 2010): 4–6. http://dx.doi.org/10.3109/14767058.2010.513103.

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Nickel, Robert Sheppard, and Cassandra D. Josephson. "Neonatal Transfusion Medicine." Clinics in Perinatology 42, no. 3 (September 2015): 499–513. http://dx.doi.org/10.1016/j.clp.2015.04.006.

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Patel, Ravi Mangal, and Amy Keir. "Neonatal Transfusion Medicine." Clinics in Perinatology 50, no. 4 (December 2023): i. http://dx.doi.org/10.1016/s0095-5108(23)00091-x.

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Dissertations / Theses on the topic "Neonatal medicine"

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Ohlin, Andreas. "Aspects on early diagnosis of neonatal sepsis." Doctoral thesis, Örebro universitet, Hälsoakademin, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-11928.

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This thesis presents four studies, all designed to improve the problematic diagnostic situation concerning infants with suspected sepsis. Study I included 401 neonates with suspected sepsis. Nine signs of sepsis and C-reactive protein were prospectively recorded and logistic regression was used to assess associations between these signs and a subsequently confirmed diagnosis of sepsis. C-reactive protein and five of the clinical signs were statistically significantly associated with a positive bloodculture. When the material was stratified by gestational age, differences between premature and full term infants were detected.Studies II and III were prospective studies that used samples collected from neonates with suspected sepsis to evaluate a novel real-timepolymerase chain reaction (PCR) method. The results where compared with simultaneously collected blood cultures. Study II used plasma samples and resulted in a sensitivity of 42% and specificity of 95%. In study III, the protocol was improved and adapted to whole blood samples which resulted in a sensitivity of 79% and specificity of 90%. Both protocols included species-specific probes and study III indicated that PCR has the potential to detect bacteria in culture-negative sepsis.Staphylococcus epidermidis is the most common pathogen in neonatal sepsis, but there is still a lack of typing methods suitable for large materials of S. epidermidis. In Study IV we therefore evaluated a new S. epidermidisgenotyping method based on PCR for the repeat regions of four genes thatencode for cell wall anchoring proteins. The method was applied to 49well-defined neonatal blood isolates of S. epidermidis. The combination ofsdrF and aap seemed to be optimal, resulting in a diversity index of 0.92.Conclusions • Bradycardia, apnoea, low blood pressure, feeding intolerance and distended abdomen are obvious early signs of neonatal sepsis. Premature and full-term infants differ in terms of the signs they display in neonatal sepsis. • Blood is superior to plasma for developing PCR methods for bacterial DNA detection. The PCR method described in study III can detect neonatal bacteraemia, but it can be further improved before it is used in routine care. • There has been a lack of useful typing methods for S. epidermidis.We can now present PCR of the genes for the cell wall anchoring proteins sdrF and aap as a novel and feasible approach when there is a need to type a large number of S. epidermidis isolates.
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Troxler, Joyce. "Quick Notes on Neonatal Abstinence Syndrome." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6512.

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Funkquist, Eva-Lotta. "Policies and Practice in Neonatal Nursing Related to Nutrition." Doctoral thesis, Uppsala universitet, Institutionen för kvinnors och barns hälsa, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-130316.

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The aim of these studies was to increase knowledge about hospital feeding routines in high-risk neonates. A retrospective medical chart review procedure was used to study routines at the neonatal units of two Swedish hospitals. In Papers I and II, the sample (Uppsala n=21 and Umeå n=21) comprised of small for gestational age (SGA) infants, in Papers III (Uppsala n=64 and Umeå n=59) and IV (n=127), the samples comprised of appropriate for gestational age (AGA) infants. Paper I indicated large enteral/oral milk volumes rendered i.v. administration of glucose unnecessary, reduced weight loss and helped SGA infants regain birth weight earlier. More rapid postnatal growth did not remain up to 18 months with corrected age in any growth variable (Paper II). In Paper III, effects were compared whether the infants’ volume of breast milk intake in hospital was estimated by “clinical indices” or determined by test-weighing. Infants treated in hospitals where test-weighing was practised attained exclusive breastfeeding at an earlier postmenstrual age (PMA), and they were discharged at an earlier PMA. However, the two study units were similar regarding the proportion of infants attaining exclusive breastfeeding. Paper IV revealed preterm AGA infants with higher standard deviation scores (SDS) at birth had more negative changes from birth to discharge for all growth variables. Conclusions: Papers I and II indicated that early initiation of enteral/oral feeding with proactive increases in milk volume was beneficial short term. No evidence was found for a proactive nutrition regimen with initial large volumes of milk resulting in a different pattern of growth up to the corrected age of 18 months. Test-weighing before and after breastfeeding might help infants to attain exclusive breastfeeding at an earlier PMA (study III). Finally, preterm AGA infants with higher SDS at birth are at higher risk of inadequate growth during their hospital stay (study IV).
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Chumas, Paul D. "Cerebral metabolic changes occurring in feline neonatal hydrocephalus." Thesis, Queen Mary, University of London, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268905.

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Fernandez, Maria Isabel. "Comparison of perceived needs of mothers of neonates and nurses in the neonatal intensive care unit." FIU Digital Commons, 1996. http://digitalcommons.fiu.edu/etd/3298.

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The transition to motherhood is not easy for any new parent but it is especially difficult for the mother of an infant in the Neonatal Intensive Care Unit (NICU). There may be instances in the NICU where the nurses' perception of maternal needs may be incongruent with the mother's perception. Many NICU nurses focus on the physical needs of infants such as cardiorespirartory monitoring, mechanical ventilator support, and I.V. therapy. Mothers may instead be focused on their own need for emotional and psychological support. This study investigated the differences and similarities regarding maternal needs as perceived by the mothers and NICU nurses. A 30 item questionnaire called the Perceived Needs of Family Members of Critically Ill Patients (Norris and Grove, 1986) was given to a group of mothers and a group of NICU nurses. The instrument consists of "needs" statements which are ranked on a Likert Scale from "very important" to "not important". The rankings by mothers and the rankings by nurses were compared. The results of this study demonstrated that the mothers' perceptions and the nurses perceptions of maternal needs were similar in most instances, althought there were some differences. Therefore, it is important that the mothers' needs are accurately identified so that nursing interventions can be developed to meet them.
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Thomson, Anne H. "The measurement of lung mechanics during neonatal intensive care." Thesis, University of Aberdeen, 1986. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.377624.

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The aim of this thesis was to establish methods of measuring the mechanical properties of the respiratory system in small infants while they were being ventilated in the intensive care unit. A double pneumotachograph system which fitted in the ventilator bias flow-circuit was used to measure flow, overcoming the problems of adding resistance or dead space to the infant's breathing circuit. Two methods for measuring compliance in infants (< 1500 g) breathing spontaneously through endotracheal tubes were assessed. The traditional measurement of dynamic lung compliance (Cdyn) using oesophageal pressue was compared with a technique for measuring total respiratory compliance (Crs) based on the utilisation of the Hering-Breuer reflex (Olinsky 1976) and using airway pressure. Values of Cdyn were poorly reproducible and correlated poorly with Crs and this was due to variability and inaccuracy of oesophageal pressure measurement in infants with chest wall distortion. Total respiratory compliance was reliably measured in intubated infants both when breathing spontaneously and when fully ventilated. Another approach based on the passive expiratory flow-volume relationship (Zin 1982) was developed for use in ventilated infants. The expiratory time constant (Trs) was measured and total respiratory resistance (Rrs) calculated from the relationship Trs = Rrs.Crs. This technique was validated by adding resistive loads and deriving new volumes for Rrs from the altered Trs. The first measurements of the time constant and respiratory resistance of preterm infants during the acute stage of illness were made using this technique. Representative mean values from 12 infants < 1500 g with hyaline membrane disease were Crs = 0.41 ml.cmH2O-1; Trs = 0.073 s; Rrs = 219 cmH2O.ℓ-1.s. A computerised technique was developed to enable these measurements to be made at the cotside. This provided a preliminary model for a lung function monitor to assess mechanical lung function continuously during neonatal ventilation.
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Klüttgens, Bettina Ursula. "Pan-European investigation of neonatal and paediatric parenteral nutrition." Thesis, University of Bath, 2003. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.275829.

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Sibbons, Paul David. "Investigations into the aetiology and pathogenesis of neonatal necrotising enterocolitis." Thesis, Brunel University, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.278404.

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Allie, Nazneen. "Abdominal surgery in very low birth weight neonates in a developing world neonatal unit- Short term outcomes and risk factors for mortality." Master's thesis, Faculty of Health Sciences, 2021. http://hdl.handle.net/11427/33439.

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Background The surgical infant requires care in specialized neonatal units. Very low birth weight (VLBW) infants are a group particularly vulnerable to the risks and outcomes associated with preterm birth. There is an increased number of abdominal emergencies seen, attributed to improved survival in this birthweight category. Objectives To describe the short-term survival to discharge in VLBW infants following abdominal surgery at a South African public tertiary hospital and to examine the utility of common scoring systems for prognostication. Methods A retrospective study of VLBW infants with abdominal surgery was conducted in patients admitted to the neonatal unit at Groote Schuur Hospital between 2012 and 2016. CRIB and SNAPPE scores were calculated for patients where sufficient data was available. Results Fifty-two patients were included. The mean gestational age (GA) and birthweight (BW) were 29.5 weeks (SD 2.1) and 1102g (SD 197.8) respectively. Necrotizing enterocolitis was the most common (50%) surgical emergency. The leading postoperative complication was sepsis (37%). Fourty-two (81%) infants survived to discharge, the mean age at presentation 21 days (SD 21.1) with a mean hospital stay of 74 days in survivors vs 52 days in the non-survivors (p=0.06). There was no statistically significant difference in SNAPPE scores between survivors and non-survivors. Conclusion Abdominal emergencies have a high mortality and adds to the overall length of stay in VLBW infants. Neonatal scoring systems have proven to be useful adjuncts in predicting neonatal mortality, further study is warranted in infants who deteriorate due to surgical abdominal complications.
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Farrell, John G. "Computerised post neonatal cry analysis and its use in general practice." Thesis, Queen's University Belfast, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.317017.

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Books on the topic "Neonatal medicine"

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1931-, Stern Leo, and Vert Paul, eds. Neonatal medicine. New York: Masson, 1987.

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Levene, Malcolm I. Essential neonatal medicine. 4th ed. Malden, Mass: Blackwell Pub., 2008.

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Lawrence, Miall, Jardine Luke, and Levene Malcolm I, eds. Essential neonatal medicine. 5th ed. Chichester, West Sussex: John Wiley & Sons, 2012.

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Levene, Malcolm I. Essentials of neonatal medicine. 3rd ed. Oxford: Blackwell Science, 2000.

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I, Tudehope David, ed. Essentials of neonatal medicine. 2nd ed. Oxford: Blackwell Scientific Publications, 1993.

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Uniformed Services University of the Health Sciences. and Uniformed Services University of the Health Sciences. Dept. of Pediatrics. Section on Neonatal Medicine., eds. Fellowship in neonatal-perinatal medicine. Bethesda, MD: Section on Neonatal Medicine, Dept. of Pediatrics, Uniformed Services University of the Health Sciences, 1989.

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E, Madigan John, ed. Manual of equine neonatal medicine. Woodland(Calif.): Live Oak Publishing, 1987.

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Uniformed Services University of the Health Sciences. and Uniformed Services University of the Health Sciences. Dept. of Pediatrics. Section on Neonatal Medicine, eds. Fellowship in neonatal-perinatal medicine. Bethesda, MD: Section on Neonatal Medicine, Dept. of Pediatrics, Uniformed Services University of the Health Sciences, 1989.

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Uniformed Services University of the Health Sciences. and Uniformed Services University of the Health Sciences. Dept. of Pediatrics. Section on Neonatal Medicine., eds. Fellowship in neonatal-perinatal medicine. Bethesda, MD: Section on Neonatal Medicine, Dept. of Pediatrics, Uniformed Services University of the Health Sciences, 1989.

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E, Madigan John, ed. Manual of equine neonatal medicine. 2nd ed. Woodland, CA: Live Oak Pub., 1991.

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Book chapters on the topic "Neonatal medicine"

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Coen, Ronald W., and Barry R. Tharp. "Neonatal Electroencephalography." In Advances in Perinatal Medicine, 267–97. Boston, MA: Springer US, 1985. http://dx.doi.org/10.1007/978-1-4684-7998-0_7.

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Aslam, Muhammad, and Omid Fathi. "Neonatal." In Prepare for the Pediatric Emergency Medicine Board Examination, 147–73. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28372-8_8.

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Rent, Sharla, Dmitry Dukhovny, and Shweta Parmekar. "Neonatal-Perinatal Medicine Fellowship." In A Pediatrician’s Path, 57–64. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75370-2_8.

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Cochran, Christina L., and Parul P. Soni. "Neonatal Emergencies." In Clinical Pathways in Emergency Medicine, 201–21. New Delhi: Springer India, 2016. http://dx.doi.org/10.1007/978-81-322-2713-7_11.

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Houston, James. "Maternal and Neonatal Health." In Disaster Medicine, 337–50. London: Springer London, 2012. http://dx.doi.org/10.1007/978-1-4471-4423-6_23.

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Rooth, G. "Fetal and neonatal assessment." In Perinatal Medicine, 65–69. Dordrecht: Springer Netherlands, 1985. http://dx.doi.org/10.1007/978-94-009-4918-8_11.

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Kellaway, Peter, and Eli M. Mizrahi. "Neonatal Seizures." In Clinical Medicine and the Nervous System, 13–47. London: Springer London, 1987. http://dx.doi.org/10.1007/978-1-4471-1401-7_2.

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Margolis, Carol A., and Margret L. Casal. "Neonatal Resuscitation." In Textbook of Small Animal Emergency Medicine, 775–78. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2018. http://dx.doi.org/10.1002/9781119028994.ch120.

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Drayton, Mark. "Neonatal cardiac output." In Developments in Cardiovascular Medicine, 349–64. Dordrecht: Springer Netherlands, 1993. http://dx.doi.org/10.1007/978-94-011-1848-4_26.

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Thorkelsson, Thordur, and Gunnlaugur Sigfusson. "Neonatal Lung Diseases." In Pediatric Critical Care Medicine, 249–62. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-6356-5_14.

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Conference papers on the topic "Neonatal medicine"

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Gale, Chris. "OC-57 Efficient trials in neonatal medicine." In 8th Europaediatrics Congress jointly held with, The 13th National Congress of Romanian Pediatrics Society, 7–10 June 2017, Palace of Parliament, Romania, Paediatrics building bridges across Europe. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2017. http://dx.doi.org/10.1136/archdischild-2017-313273.57.

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Suzuki, Kentaro, and Fumihiko Takatori. "Development of Neonatal Flow Sensor for Neonatal Resuscitation." In 2022 44th Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2022. http://dx.doi.org/10.1109/embc48229.2022.9871129.

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Sammut, A., and W. Kelsall. "G639(P) Should a placement in neonatal transport be recognised for RCPCH neonatal medicine spin rotations." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.618.

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Abdel-Rahman, Y., A. Jeremic, and K. Tan. "Neonatal heart rate prediction." In 2009 Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2009. http://dx.doi.org/10.1109/iembs.2009.5334205.

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Gonchar, M. O., Ye V. Ivanova, V. S. Tokariev, I. R. Kolesnikov, and H. O. Pizniak. "Neonatal arrhythmia: development risk factors." In NEW TRENDS AND UNRESOLVED ISSUES OF PREVENTIVE AND CLINICAL MEDICINE. Baltija Publishing, 2020. http://dx.doi.org/10.30525/978-9934-588-81-5-1.19.

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Zhang, Yue, Nan Qin, Yupu Diao, Yangtai Guan, Lu Fan, Michael C. Crair, and Jiayi Zhang. "Optogenetic tools for in vivo applications in neonatal mice." In SPIE Nanosystems in Engineering + Medicine, edited by Sang H. Choi, Jin-Ho Choy, Uhn Lee, and Vijay K. Varadan. SPIE, 2012. http://dx.doi.org/10.1117/12.2001205.

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Gomez-Quintana, Sergi, Ihor Shelevytsky, Victoriya Shelevytska, Emanuel Popovici, and Andriy Temko. "Automatic segmentation for neonatal phonocardiogram." In 2021 43rd Annual International Conference of the IEEE Engineering in Medicine & Biology Society (EMBC). IEEE, 2021. http://dx.doi.org/10.1109/embc46164.2021.9630574.

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Stevenson, N. J., J. M. O'Toole, I. Korotchikova, and G. B. Boylan. "Artefact detection in neonatal EEG." In 2014 36th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2014. http://dx.doi.org/10.1109/embc.2014.6943743.

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Mohamed, Khalid Awad. "Evaluation of Neonatal Hypotonia: The Neuromuscular Perspectives." In Congenital Dystrophies - Neuromuscular Disorders Precision Medicine: Genomics to Care and Cure. Hamad bin Khalifa University Press (HBKU Press), 2020. http://dx.doi.org/10.5339/qproc.2020.nmd.16.

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Drayton, M. "The neonatal intensive care unit and technology." In IEE Colloquium on Technology in Medicine: Has Practice Met the Promise? IEE, 1996. http://dx.doi.org/10.1049/ic:19961020.

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Reports on the topic "Neonatal medicine"

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Balk, Ethan M., Kristin J. Konnyu, Wangnan Cao, Monika Reddy Bhuma, Valery A. Danilack, Gaelen P. Adam, Kristen A. Matteson, and Alex Friedman Peahl. Schedule of Visits and Televisits for Routine Antenatal Care: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), June 2022. http://dx.doi.org/10.23970/ahrqepccer257.

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Background. The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine plan a new evidence-based joint consensus statement to address the preferred visit schedule and the use of televisits for routine antenatal care. This systematic review will support the consensus statement. Methods. We searched PubMed®, Cochrane databases, Embase®, CINAHL®, ClinicalTrials.gov, PsycINFO®, and SocINDEX from inception through February 12, 2022. We included comparative studies from high-income countries that evaluated the frequency of scheduled routine antenatal visits or the inclusion of routine televisits, and qualitative studies addressing these two topics. We evaluated strength of evidence for 15 outcomes prioritized by stakeholders. Results. Ten studies evaluated scheduled number of routine visits and seven studies evaluated televisits. Nine qualitative studies also addressed these topics. Studies evaluated a wide range of reduced and traditional visit schedules and approaches to incorporating televisits. In comparisons of fewer to standard number of scheduled antenatal visits, moderate strength evidence did not find differences for gestational age at birth (4 studies), being small for gestational age (3 studies), Apgar score (5 studies), or neonatal intensive care unit (NICU) admissions (5 studies). Low strength evidence did not find differences in maternal anxiety (3 studies), preterm births (3 studies), and low birth weight (4 studies). Qualitative studies suggest that providers believe fewer routine visits may be more convenient for patients and may free up clinic time to provide additional care for patients with high-risk pregnancies, but both patients and providers had concerns about potential lesser care with fewer visits. In comparisons of hybrid (televisits and in-person) versus in-person only visits, low strength evidence did not find differences in preterm births (4 studies) or NICU admissions (3 studies), but did suggest greater satisfaction with hybrid visits (2 studies). Qualitative studies suggested patients and providers were open to reduced schedules and televisits for routine antenatal care, but importantly, patients and providers had concerns about quality of care, and providers and clinic leadership had suggestions on how to best implement practice changes. Conclusion. The evidence base is relatively sparse, with insufficient evidence for numerous prioritized outcomes. Studies were heterogeneous in the care models employed. Where there was sufficient evidence to make conclusions, studies did not find significant differences in harms to mother or baby between alternative models, but evidence suggested greater satisfaction with care with hybrid visits. Qualitative evidence suggests diverse barriers and facilitators to uptake of reduced visit schedules or televisits for routine antenatal care. Given the shortcomings of the evidence base, considerations other than proof of differences in outcomes may need to be considered regarding implications for clinical practice. New studies are needed to evaluate prioritized outcomes and potential differential effects among different populations or settings.
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2

Focusing on Multiple Micronutrient Supplements in Pregnancy: Second Edition. Sight and Life, May 2011. http://dx.doi.org/10.52439/uznq4230.

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Abstract:
Despite marked progress in improving nutrition and health globally, micronutrient deficiencies remain prevalent in low and middle income countries (LMIC), especially among pregnant women with far-reaching consequences for mother and baby including preterm birth, stillbirth or neonatal death, impaired fetal growth. Multiple micronutrient supplements (MMS) taken during pregnancy provide 15 vitamins and minerals to fill the dietary gaps often present in LMIC and the increased nutrient needs of pregnancy. Crucially, MMS provide benefits far beyond those of traditional iron and folic acid supplements (IFA) – prompting the World Health Organization to add the UNIMMAP (United Nations International Multiple Micronutrient Antenatal Preparation) MMS formulation to its Essential Medicines List (EML) in 2021. The Sight and Life Special Report, Focusing on Multiple Micronutrient Supplements in Pregnancy: Second Edition puts forth a compelling case that maintaining the status quo of IFA supplementation is no longer possible when so many stand to benefit from MMS, and demonstrates the benefits and process of switching to MMS. The report compiles the latest evidence, country case studies, and resources in a single place to support implementers and country governments in introducing and scaling-up MMS.
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