Umbilical cord clamping in preterm infants.

For several years now, the survival of preterm infants has been increasing, which has shifted our concern to preterm infants born before 28 weeks of gestation in particular. The timing of umbilical cord clamping may lead to several disorders, especially when done early (10-15 seconds). In the last two decades, several investigations have shown the considerable benefits of delayed cord clamping (2-3 minutes).

Chronic post-traumatic stress in mothers of very low birth weight preterm infants born before 32 weeks of gestation.

Background: The birth of very low birth weight (VLBW) preterm infants causes stress in mothers, which may continue for over 6 months. This is called chronic post-traumatic stress disorder (CPTSD).

Objective: To detect CPTSD frequency and symptoms among mothers of VLBW preterm infants born before 32 weeks of gestation.

The occurrence of adverse events is associated with increased morbidity and mortality in children admitted to a single pediatric intensive care unit.

Healthcare can cause harm. The goal of this study is to evaluate the association between the occurrence of adverse events (AEs) and morbidity-mortality in critically ill children. A prospective cohort study was designed.

Voluntary and anonymous reporting of medication errors in patients admitted to the Department of Pediatrics.

Objective: To assess reports of medication errors in hospitalized children to establish their frequency, causes, and adverse events(AEs).

Methods: Prospective study of medication errors reported at the Neonatal Intensive Care Unit (NICU), Pediatric Clinic (PC), and Pediatric intensive Care Unit (PICU). Ambulatory Pediatrics reports and incomplete data were excluded.

Neonatal outcomes of antenatal corticosteroids in preterm multiple pregnancies compared to singletons.

Background: Antenatal corticosteroids (ACS) during preterm labour reduce neonatal mortality and morbidity. Evidence on preterm multiple pregnancies is limited and contradictory.

Objective: Compare the effect of ACS on very low birth weight infant's (VLBW) mortality and morbidity among singleton and multiple pregnancies.

Preterm premature rupture of membranes.

Preterm premature rupture of membranes occurs in around 3% of pregnancies, and several aspects related to its management are still controversial. The objective of this update is to provide a detailed review of strategies aimed at reducing morbidity and mortality associated with this maternal condition. We will discuss the available evidence regarding the maternal use of antibiotics, the use of corticosteroids according to gestational age, the use of magnesium sulphate for fetal neuroprotection, the use of tocolytic agents, and the best moment for and route of delivery.

Late Onset Sepsis in Very Low Birth Weight Infants in the South American NEOCOSUR Network.

Background: The main aim is to determine the incidence and associated factors of late onset sepsis (LOS) in very low birth weight infants (500-1500 g), from the NEOCOSUR Network during years 2001-2013. Secondary objectives are to describe the microbiology of the first and second episode of LOS and to study the association between catheter dwell time and LOS.

Methods: Demographic information and outcome data are prospectively and routinely collected across the network using predefined diagnostic criteria and online data entry.