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More than two hours of daily screen time linked to cognitive, behavioral problems
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High daily screen time linked to cognitive, behavioral problems in children born extremely preterm
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December 29, 2020
A baby is born with signs of neonatal opioid withdrawal syndrome every 15 minutes in the United States.
Isabel Pavia/Getty Images
Babies born addicted to opioids and suffering from withdrawal receive vastly different treatment depending on where they’re born, according to a new study that looked at treatment at 30 different birth centers across the country. The realization that there is so much variation from site to site highlights the need for a national standard of care, since not all infants are receiving efficient and effective therapy.
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“We’re seeing that if you take five different hospitals, all five are doing different things when they treat neonatal opioid withdrawal,” says Andrew Bremer, MD, PhD, acting chief of the pregnancy and perinatology branch at the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) in Rockville, Maryland, and co-chair of the Enhanced Outcomes for Infants and Children Expose
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Very low birthweight infants often need blood transfusions to survive. A National Institutes of Health-funded study suggests that providing a higher threshold of red cells within accepted limits offers no advantage in survival or reduction in neurological impairment over a lower threshold. The research was conducted by Haresh Kirpalani, B.M., of the University of Pennsylvania, Philadelphia, and colleagues and was funded by the NIH s Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Heart, Lung, and Blood Institute, and National Center for Advancing Translational Sciences. The study appears in
The New England Journal of Medicine.
What
Medical care for newborn infants who were exposed to opioids in the womb varied widely across 30 hospitals nationwide, according to a study funded by the National Institutes of Health. The study authors say that the findings underscore the need for clinical trials to determine the most effective treatments.
The study was conducted by Leslie Young, M.D., of the University of Vermont and colleagues in the Advancing Clinical Trials in Neonatal Opioid Withdrawal Syndrome (ACT NOW) Program, part of NIH’s Helping to End Addiction Long-term Initiative. It appears in the journal
Pediatrics.
Opioid use disorder during pregnancy increased from 1.5 to 6.5 for every 1,000 hospital deliveries from 1999 to 2014, according to the U.S. Centers for Disease Control and Prevention. Opioid use during pregnancy increases the risk for maternal death, miscarriage, poor fetal growth and preterm birth. Newborns who are exposed to opioids in the womb may also have withdrawal symptoms that require
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