Dear colleagues,I would love to read your thoughts on how you manage moderate/late preterm infants admitted in the NICU who do not have enough mother's milk. How do you feed them? Do you prefer to keep them on IV fluids/PN until MOM is available? Do you have unlimited donor milk to use for every baby? How is your level of concern about cow's milk allergy (CMA)?I work in a teaching hospital in South Brazil and I'm an enthusiast (aren't we all?) on improving breastfeeding rates in the NICU.How things work here: we have a limited resource of human donor milk, so we prioritize it to newborns under 32 weeks (when MOM is not available, of course). For babies older than that, when MOM is not available, we are using hydrolyzed formula in the first 24 hours - as an intention to try to avoid early exposure to cow's milk protein. I am very aware that we don't have good evidence for that. In the ESPGHAN position paper on CMA (https://www.espghan.org/knowledge-center/publications/Gastroenterology/2024-Diagnois-and-Management-of-Cows-Milk-Alergy), it might seem OK to give hydrolyzed formula, and I like the thoughts on how offering this different type of formula might help parents to see it as something temporary. The thing is sometimes babies keep on receiving hydrolyzed formula for longer than 24 hours, and we also do not have enough of that. New thoughts on CMA prevention seem to go on a way that probably continue exposure to CMP might help prevent allergies. So, probably, offering hydrolyzed formula to babies who will stay longer in NICU might not be a good idea. Maybe later on I'll start a new topic on CMA in NICU too :)

Dear Colleagues,A collaborative team of Spanish and Italian researchers specialized in neonatal pharmacology, infectious diseases, and vascular access has developed a survey focused on managing vascular access devices across Europe. Some team members are affiliated with the European Society of Pediatric Research (ESPR) and the European Society of Pediatric and Neonatal Intensive Care (ESPNIC). The survey aims to better understand how neonatologists manage vascular access devices in European Neonatal Intensive Care Units (NICUs) during clinical practice. Additionally, we strive to explore the potential adherence to local or international guidelines.We recommend that the NICU team leader or a senior neonatologist from the unit participate in this survey.The name of the Neonatal Unit is requested solely to mitigate the risk of response duplication and will be eliminated before data processing. No individual or institution will receive information regarding the specific responses provided.The implementation of the survey will require approximately 20 minutes. Main researcher contacts:Giacomo Cavallaro: giacomo.cavallaro@policlinico.mi.it; and Felipe Garrido: fgarridom@unav.es.  Should you have any inquiries or remarks, please do not hesitate to contact us via email: Andrea Ronchi: andrea.ronchi@policlinico.mi.it; Roberto Raschetti: roberto.raschetti@policlinico.mi.it; Carmen Rodriguez: carmen.rodriguez@asst-spedalicivili.it; Francesco Risso: francesco.risso@asst-spedalicivili.it; Nunzia Decembrino: n.decembrino@policlinico.unict.it; Carlo Pietrasanta: carlo.pietrasanta@unimi.it; Genny Raffaeli: genny.raffaeli@policlinico.mi.it; Antonio Perez Iranzo: antonio.perez.iranzo@gmail.com; Silvia Garrido: sgarridoe@unav.es; Daniela Svedin Figo: dsvedinfigo@alumni.unav.es; Mónica Riaza Gómez: mriazagomez@unav.es; Roberto Ortiz Movilla: rortizmovilla@gmail.com.We thank you for your interest in participating in our study. The Research Ethics Committee of the University of Navarra has approved this study. Before deciding on participation in this survey, please ensure you understand the purpose of the research, what your involvement will entail, and how your information will be used.What is the purpose of the study?The study aims to gather information about managing vascular access for newborns in neonatal units at the European level.How will the study be conducted?We will use a questionnaire developed and validated by the researchers using the Delphi methodology.Your participation in this study is entirely voluntary. Once you complete the questionnaire, please note that your responses will be anonymous and cannot be deleted.Who can participate?The study is open to all healthcare professionals caring for newborns in European neonatal units. You can participate by accessing the questionnaire through the various dissemination channels.Your role in this study is limited to answering the questionnaire. We do not collect any identifiable information, such as your IP address.Financial Compensation: There is no financial compensation for participation in this study.Funding: This study does not have any external funding.The project has been approved by the ethics committee of the University of Navarra: Proyecto 2025.088, Aprobado CEI Unav: Acta 10.04.2025.I attach the link and QR code of our surveyhttps://it.surveymonkey.com/r/K9WDJXX

The American Academy of Pediatrics, AAP calls NICU staff, researchers, families and all others policy makers, kicking off the #BabiesNeedScience campaign on April 25!While the initiative seems to originate in the current US context, we all know that science is essential for improving public health of infants world wide.As an organisation connecting health care professionals in a global network, we share the values behind this campaign. It may seem like an obvious position that science is instrumental for evidence-based practices in NICUs. However, we experience a time in history where high-pitched opinions want to change the narrative about meaningful public health strategies to reduce the disease burden of newborns.Therefore, the #BabiesNeedScience campaign is a timely initiative that we fully support. We want to encourage all 99nicu members to join this campaign, by speaking out why #BabiesNeedScience, on this web site and in your social media channels. Support and follow AAPs example.https://www.instagram.com/p/DIsjikrxc4h/

Test your diagnostic and management skills with our newest quiz: "Critical Care Challenge: Unexpected Complications in a Premature Infant" - can you navigate the complex clinical course of a preterm neonate with multiple emerging complications?

I wanted to share a few Journal Clubs that @EBNEO did a few years back, great educational videos that are published on their Youtube account.I suggest that one watches them in the order as embedded below!P-values - should it be this simple?Interpreting effectsNetwork meta-analyses