A5020576506- Breastfeeding Practices and Influences
- Infant Nutrition and Health
- Neonatal Respiratory Health Research
- Infant Development and Preterm Care
- Neuroscience of respiration and sleep
- Prenatal Substance Exposure Effects
- Child Nutrition and Feeding Issues
- Child Nutrition and Water Access
- Neonatal Health and Biochemistry
- Family and Patient Care in Intensive Care Units
- Ethics and Legal Issues in Pediatric Healthcare
- Child and Adolescent Health
- Nursing Diagnosis and Documentation
- COVID-19 Impact on Reproduction
- Cleft Lip and Palate Research
- Pediatric Pain Management Techniques
- Head and Neck Anomalies
- Electronic Health Records Systems
- Cannabis and Cannabinoid Research
- Adolescent and Pediatric Healthcare
- Urological Disorders and Treatments
- Congenital Anomalies and Fetal Surgery
- Vaccine Coverage and Hesitancy
- Cytomegalovirus and herpesvirus research
- Antibiotics Pharmacokinetics and Efficacy
University of California, San Diego
2011-2024
Mothers’ Milk Bank
2020-2023
UC San Diego Health System
2018
Foundation for Human Potential
2016
University of California San Diego Medical Center
2006-2012
Anderson University - South Carolina
2011
Pharmacology Research Institute
2011
Harvard University
1985
The use of donor human milk is increasing for high-risk infants, primarily infants born weighing <1500 g or those who have severe intestinal disorders. Pasteurized may be considered in situations which the supply maternal insufficient. pasteurized safe when appropriate measures are used to screen donors and collect, store, pasteurize then distribute it through established banks. nonpasteurized other forms direct, Internet-based, informal sharing does not involve this level safety...
Marijuana is one of the most widely used substances during pregnancy in United States. Emerging data on ability cannabinoids to cross placenta and affect development fetus raise concerns about both outcomes long-term consequences for infant or child. Social media tout use marijuana severe nausea associated with pregnancy. Concerns have also been raised by breastfeeding mothers. With this clinical report, we provide current rates among pregnant lactating women, discuss what known effects...
Provision of mother's own milk for hospitalized very low birth weight (VLBW) (≤1500 g) infants in the NICU provides short- and long-term health benefits. Mother's milk, appropriately fortified, is optimal nutrition source VLBW infants. Every mother should receive information about critical importance to a infant. Pasteurized human donor recommended when not available or sufficient. Neonatal care providers can support lactation potentially reduce disparities provision by providing...
<h3>Objective:</h3> To evaluate the incidence and characteristics of torticollis, plagiocephaly facial asymmetry in normal newborn infants. <h3>Design:</h3> 102 healthy infants were examined prospectively during their birth hospitalisation for torticollis with neck range motion (ROM) assessment facial, mandibular cranial by photographic analysis. <h3>Results:</h3> 73% newborns had one or more asymmetry: (16%), mandible (13%), (42%) head (61%). Torticollis was associated maternal report fetus...
BACKGROUND Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)–specific antibodies have been detected in human milk up to 6 weeks post–coronavirus disease 2019 (COVID-19) vaccination. We evaluated SARS-CoV-2-specific antibodies, neutralization activity, effect of pasteurization, and persistence through months after METHODS This prospective longitudinal study enrolled 30 pregnant or lactating women. SARS-CoV-2 capacity were analyzed using an enzyme-linked immunosorbent assay compared...
Pediatricians and pediatric health care professionals caring for infants born to people living with at risk HIV infection are likely be involved in providing guidance on recommended infant feeding practices. Care team members need aware of the transmission from breastfeeding recommendations perinatal exposure United States. The via a parent who is receiving antiretroviral treatment (ART) virally suppressed estimated less than 1%. American Academy Pediatrics recommends that States, avoidance...
Abstract The pediatric pneumogram is a frequently used tool in the diagnosis and management of apnea during infancy. We analyzed 287 pneumographic recordings from 123 full‐term infants (63 males) obtained first 12 months life to establish normative values for apnea, periodic breathing, bradycardia. results analysis were compared by sex age. number who exhibited breathing decreased significantly over time (78% at 0–2 weeks vs 29% 39–52 weeks; P < 0.05). However, those did breathe...
Abstract Objective There is widespread overuse of antibiotics in neonatal intensive care units (NICUs). The objective this study was to safely reduce antibiotic use participating NICUs by targeting early-onset sepsis (EOS) management. Study design Twenty-eight participated statewide multicenter stewardship quality improvement collaborative. primary aim the total monthly mean utilization rate (AUR) 25% participant NICUs. Result Aggregate AUR reduced 15.3% ( p < 0.001). a wide range among...
Ankyloglossia refers to a congenitally tight lingual frenulum that limits the motion of tongue. Whether release in neonates improves breastfeeding is not clear. Because many symptoms ankyloglossia overlap those other difficulties, team partnership necessary.
In Brief OBJECTIVE: To estimate the extent of passage hydrocodone and its active metabolite, hydromorphone, into breast milk. METHODS: This is a pharmacokinetic study 30 postpartum women receiving bitartrate for pain in inpatient setting. Mothers donated timed milk samples analysis hydromorphone. RESULTS: Fully breastfed neonates received 1.6% (range 0.2%–9%) maternal weight-adjusted dosage. When combined with total median opiate dosage from 0.7% therapeutic older infants. Most mothers...
A case is presented of a breast-feeding mother receiving meropenem treatment for postpartum urinary tract infection caused by extended-spectrum beta-lactamase producing Escherichia coli. Five milk samples were collected in 48-hour period during therapy. The average and maximum concentrations 0.48 0.64 µg/mL, respectively. Based on the concentration, calculated infant daily exposure from breast was 97 µg/kg/d, weight-adjusted percentage maternal dosage 0.18%. There no dermatologic or...
We hypothesized that pooling a mother's expressed breastmilk for 24 hours compared with individual pump session collection of milk would provide more consistent caloric product without increasing bacterial contamination.We investigated 24-hour pooled by enrolling 19 mothers who were expressing their infants. Mothers followed standardized protocol 4 study days: daily was in sterile 1-L bottle on Day 1, and 2 aliquoted each into 120-mL container. The next week the order reversed. Milk samples...
Breastfeeding and human milk (HM) improve maternal infant morbidities mortality. Therefore, monitoring the safety of breastfeeding access to HM is critical importance. In this study, we assessed tools monitor presence monkeypox virus (MPXV) in whether standard Holder pasteurization inactivates MPXV.
Background: A growing number of diverse familial structures wish to colactate their infant. For transgender and gender (TGD) individuals, chestfeeding or breastfeeding may be within goals parenthood. There is limited evidence on how induce lactation for a nongestational parent affirming estrogen treatment. Case Presentation: We report the case woman who successfully underwent induction following protocol using galactogue domperidone plus use breast pump. The patient had modifications her...
Anderson, Philip PharmD; Sauberan, Jason Stellwagen, Lisa MD Author Information
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After completing this article, readers should be able to: Recent advances in obstetrics and pediatrics have brought about numerous changes the care of healthy newborn led to a re-evaluation old routines, commitment helping mothers breastfeed their infants exclusively, improvements infant medical safety. In we review newborn, including issues antenatal testing, prenatal visit, delivery, on postpartum/newborn unit, discharge from hospital, first outpatient emphasizing contemporary...
Background: Families with newborns in the neonatal intensive care unit (NICU) often feel detached from newborn’s care. While studies encourage family centered rounds (FCR) for parent participation, many infants have extended hospitalization parents unable to attend rounds. Studies demonstrated improved satisfaction and readiness discharge a daily electric medical record (EMR) derived report laymen terminology distributed families participate However, this(THERE) is limited data on EMR tools...
Abstract Objective The study compares the short-term outcomes of late preterm infants (LPI) at an academic center in San Diego, California after a change protocol that eliminated previously mandatory 12-hour neonatal intensive care unit (NICU) observation period birth. Study Design This is retrospective observational examining all LPI born with gestational age 35 to 366/7 weeks between October 1, 2016 and 31, 2017. A total 189 were included review. Short-term analyzed before change. Results...