Gastrointestinal Issues

In the follow up of neonates ( who was admitted to our unite in first week of life for photo-therapy duo to exaggerated physiological jaundice ) i some times notice that there is still a tinge of jaundice seen in the skin at the age of one month , is this normal or i need to order some investigations for these neonates ? Mohamad Ismail Neonatology resident Mansoura Egypt .

The ProPrems Trial investigated the use of probiotics in very preterm infants. The study has been reported at meetings, but the full article will be published in Pediatrics in December. The primary outcome was late onset sepsis, but the finding given most publicity was reduction of NEC. Keith Barrington, neonatologist in Canada and blogging at neonatalresearch.org, argued that probiotics should now be used as NEC prevention and that future research should focus on refining probiotic therapy, not comparing it with placebo. In the new 99nicu Poll we ask about your practise regarding probiotics as NEC prevention. Please also comment your votes. If you use probiotics, ple…

Dear netters Have a question? Baby 31 WG with IUGR (1030g). Clinically good, without respiratory, cardio support. Ultrasound N. Stool regular (2 times per day). In R graph peritoneal air on 2 day of life. Feeding is about 4 ml breast milk with good tolerance. Do you continue small feeding or TPN only?

Hi all. I've recently seen some neonatologists treating medical NEC for 10 days with antibiotics and probably NPO just for 5-7 days... Has any one done this or is there any article supporting this kinda approach?

we had a newborn who was bringing out froathy saliva.Ruled out TEF. Had difficulty in initiation of breastfeeding. took 36 hrs to settle down. My question is when should we investigate these cases?

what is differentiation diognosis wbc in stool exam neonate?

The case reports I read here: http://pediatrics.aappublications.org/content/129/6/e1601.abstract http://www.ncbi.nlm.nih.gov/pubmed/22641760?dopt=Abstract seemed very promising. I hope they become standard practice soon.

hello to neonatologists in the world.after Npo period in treatment of NEC which kind milk is better? what is your idea about neutramigen in NEC? thanks,dr.bita najafian tehran iran

A recent CT published in Pediatrics. 2008 Oct;122(4):693-700, demonstrated the efficacy of oral probiotics in prevention of NEC. Oral probiotics prevent necrotizing enterocolitis in very low birth weight preterm infants: a multicenter, randomized, controlled trial. Lin HC, Hsu CH, Chen HL, Chung MY, Hsu JF, Lien RI, Tsao LY, Chen CH, Su BH. OBJECTIVE: The goal was to investigate the efficacy of orally administered probiotics in preventing necrotizing enterocolitis for very low birth weight preterm infants. METHODS: A prospective, blinded, randomized, multicenter controlled trial was conducted at 7 NICUs in Taiwan, to evaluate the beneficial effects of probiotics …

I was reading this abstract here: http://www.fsneo.org/JourClub/12-009.htm and wondering how many of you hold feedings during transfusion? How long do you stop feedings? Have you seen any decrease in incidence of NEC after stopping feeds during transfusion?