Gastrointestinal Issues

Hi everyone As we all know, NEC is our night mare in NICU. Especially in extreme preterm, we are facing a significant problem when we ran short of breast milk where we don't have breast milk bank. Since 2017 I used to start amino acid based formula with extreme preterm till reach full feed, then start shifting to regular preterm formula gradually. This led to reduction of NEC rate significantly but no study has been done so far. Few other consultants in scattered tertiary centers are following the same approach. Can you please tell us your input.?

Greeting. What is your practice for managing the distal intestinal segment after surgery in a newborn? Especially if the distal segment starts from the colon. Is it through refeeding the stoma output from the proximal segment? Breast milk? Or just providing electrolyte fluids?"

Do you use it??

What is definotion of distention in premature ? Mature ? Abdominal wall higher than chest ?

In this paper out of China (https://doi.org/10.1001/jamanetworkopen.2024.7145) Zheng shows the safety and discusses the possible pathophysiologic effect of breast milk used for enemas in preterm infants for meconium evacuation. Lange et al (https://doi.org/10.1111/apa.16528) and also Gross et al (https://doi.org/10.3390/children9081122) showed that breast milk enemas are used in NICUS in Germany, although in a small amount of cases. We are using breast milk for enemas for some time now with good experiences. As the evidence is still little, I was wondering if there are some experiences of other centers. What is your opinion?

Dear all Colleagues "I am currently undertaking a research project examining the microbiota of infants born to mothers with placenta accreta. I would appreciate any additional information or insights that colleagues may have on this topic." Warm Regard Kartika Darma Handayani, MD (Neonatologist) Pediatric Department of Dr.Soetomo General Hospital Airlangga University (UNAIR) Jl. Prof.Dr. Moestopo No. 6-8 Surabaya 60286 I Indonesia (+62) Email : kartika09rama@gmail.com Mobile phone : +62 81359333653

Dear colleagues, I'm a neonatologist in South Brazil and we're writing a new feeding protocol... we frequently disagree about the amount of milk we should start for late preterm/term infants, who cannot breastfeed right away, but can be enterally fed. They are babies that are not so sick that need to be NPO, but still have to be in neonatal ward. Some people calculate same volume as It would be parenterally, some tend to wait to see if baby will be able to breastfeed in the next hours, some tend to start with 10ml... In my opinions and in my readings, it is not very easy to get an agreement... so I would love to read some opinions around the world to chec…

Last week there has been quite som buzz on the social media-site formerly known as Twitter, regarding a decision from the FDA to warn about the use of probiotics in preterm babies. This after a strain of Bifidobacterium Longum was found in a blood culture of a septic preterm infant weighing <1000 g, possibly contributing to the infants death. It was published on September 29th. https://www.fda.gov/media/172606/download?attachment My timeline was filled with people reacting with surprise and also being a bit put down. There has been more and more evidence piling up in favour of probiotic use, and it has been wide spread across many well known centers Two …

hi,a neonate 30days,refer to hospital for icter,bil total 30,direct 20,indirect 10(no kern symptom),your plan!(exchange or no)?if indirect 20 and direct10 ,your plan!(exchange or no)?

We have term baby mother blood group was O positive , antibody negative. Baby was A positive, antibody test positive . Serum bilirubin at 6 hours was 130 mmol/L .started on intensive phototherapy , but serum bilirubin still high was 160 at 10 hours At 24 hours ,serum bilirubin was 220 but direct was 190 mmol/L. Retic count was only 7%. Liver enzymes 3 fold more Gamma GT was 80 then 110 HB was 15 grams .not much changed over first 3 days. US abdomen showed mud in gall bladder. Is this case cholestatic jaundice from start or may be was indirect then becomes direct ?? Inspissated bile syndrome Especially normal colour if stool. …