The Incubator

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Most major bleeds in preterm infants occur in the absence of severe thrombocytopenia: an observational cohort study. van der Staaij H, Hooiveld NMA, Caram-Deelder C, Fustolo-Gunnink SF, Fijnvandraat K, Steggerda SJ, de Vries LS, van der Bom JG, Lopriore E.Arch Dis Child Fetal Neonatal Ed. 2024 Jul 15:fetalneonatal-2024-326959. doi: 10.1136/archdischild-2024-326959. Online ahead of print.PMID: 39009429

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As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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Systemic Postnatal Corticosteroids, Bronchopulmonary Dysplasia, and Survival Free of Cerebral Palsy. Doyle LW, Mainzer R, Cheong JLY.JAMA Pediatr. 2024 Nov 18:e244575. doi: 10.1001/jamapediatrics.2024.4575. Online ahead of print.PMID: 39556404

Systemic Corticosteroids to Prevent Bronchopulmonary Dysplasia: Balancing Risk and Reward. Jensen EA.JAMA Pediatr. 2024 Nov 18. doi: 10.1001/jamapediatrics.2024.4572. Online ahead of print.PMID: 39556388 No abstract available.

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As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this conversation, Leah and Parijat Deshpande explore the profound impact of high-risk pregnancies and NICU experiences on parents. Parijat shares her personal journey through a traumatic pregnancy and the lessons learned about intentional living, relationships, and the importance of grieving. They discuss the role of healthcare professionals in supporting NICU families and the need for radical acceptance and mindful presence during such challenging times. The conversation emphasizes the normalization of trauma and the ongoing nature of grief as parents navigate their new realities. In this conversation, Parijat shares her experiences and insights on navigating the emotional landscape of being a parent in the NICU. She emphasizes the importance of understanding and accepting feelings of anxiety and fear as normal reactions to abnormal situations. The discussion highlights the need for empowerment through knowledge, the significance of addressing basic needs during trauma recovery, and the healing potential of trauma informed somatic therapy. Ultimately, the conversation underscores the importance of finding hope amidst uncertainty and the shared journey of NICU families.

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As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this episode of The Incubator Podcast, Ben and Daphna host Fabiana Bacchini, Executive Director of the Canadian Premature Babies Foundation (CPBF) and author of From Surviving to Thriving: A Mother's Journey Through Infertility, Loss, and Miracles. Fabiana shares her deeply personal journey of becoming an advocate for premature babies and their families after spending five months in the NICU with her son, Gabriel. Her transformative experience with family-integrated care inspired her mission to ensure parents are empowered to play an active role in their baby’s care.

Fabiana highlights the vital importance of parent involvement in the NICU, discussing how the CPBF provides education, support, and advocacy for families. She shares the foundation's initiatives, including their global educational platform, "Preemie Chats," and the recent launch of a research engagement platform to connect parents and researchers.

The conversation delves into the cultural and systemic challenges of engaging parents, from NICU policies labeling parents as visitors to addressing barriers like parental leave. Fabiana passionately advocates for recognizing parents as partners in care, emphasizing that empowering families not only benefits babies’ outcomes but also strengthens long-term parental confidence.

This episode is a must-listen for anyone committed to improving neonatal care, as Fabiana’s insights and advocacy provide an inspiring call to action.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this engaging conversation, Dr. Emin Maltepe shares his journey as a neonatologist and physician scientist, discussing the serendipitous events that shaped his research interests, particularly in hypoxia and drug development for neonatology. He reflects on the importance of mentorship, the challenges of drug development in pediatrics, and the MD-PhD pathway, providing insights into the complexities of balancing clinical practice with research. In this conversation, Emin Maltepe discusses his journey through the MD-PhD program and how it shaped his career in pediatric drug development. He highlights the significant challenges faced in developing therapeutics for pediatric populations, particularly preterm infants, and the lack of attention and funding in this area. Emin shares insights into his innovative approaches to drug and device development, including collaborations with global organizations and the importance of using appropriate animal models. He emphasizes the need for policy advocacy and business knowledge in the field of pediatric therapeutics, while also reflecting on the personal challenges and rewards of balancing family life with a demanding career.

Resources mentioned in episode:

https://www.ahajournals.org/doi/10.1161/STROKEAHA.124.048264

https://journals.lww.com/shockjournal/fulltext/2024/07000/omx__a_novel_oxygen_delivery_biotherapeutic.14.aspx

https://www.nature.com/articles/s41598-023-36653-9

https://www.nature.com/articles/s41587-021-00866-y

https://journals.plos.org/plosbiology/article?id=10.1371/journal.pbio.2005924

Episode Webpage Link:

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As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this inaugural episode of our brand-new series, NeoNews, hosts Ben Courchia, Daphna Yasova Barbeau, and new team member Dr. Eli Cahan dive into articles from major news outlets like Rolling Stone, The Wall Street Journal, and The New York Times to unpack their relevance to neonatology, newborn care, and perinatology.

Dr. Cahan, a pediatrician and aspiring neonatologist with a background in journalism, leads discussions on critical topics, including prenatal cannabis use and its impact on families, disparities in treatment for 22-week preemies, the neuroscience of "mom brain," rising rates of sudden infant death syndrome (SIDS) post-COVID, and the concerning state of maternity care deserts in the U.S.

The episode concludes with quick updates on viral health concerns and a significant FDA meeting on probiotics for NEC prevention. Join us as we bring the latest news to the neonatal community in this exciting new format!

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As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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This episode of the Global Neonatal Podcast features reflections from the Tiny Feet Big Steps Conference, highlighting the growth and impact of neonatal care initiatives in Africa. Dr. Steven Swanson and Dr. Margaret Nakaketo share insights on the importance of networking, quality improvement, and the future of neonatology in the region. The conversation emphasizes collaboration, the need for real-time translation in training, and the significance of engaging with healthcare systems and government for better newborn care.

Resources mentioned in episode:

Link to playlist from Tiny Feet Big Steps conference https://youtube.com/playlist?list=PL-94lDL-ozLatIqf_yQVHjubePerN7NGg&si=fgFOBLpWVP2w5Yy4

Institute of Child Health Africa (ICHA) https://www.tanzanianchildren.com

Tiny Feet Big Steps Conference https://tinyfeetbigsteps.com

Episode Webpage Link: https://www.the-incubator.org/post/255-reflections-from-the-tiny-feet-big-steps-conference-in-arusha-tanzania-ft-dr-stephen-swa

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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In this latest episode of The Incubator Podcast Journal Club, Ben and Daphna explore studies that may shift clinical practices in neonatal care. They begin with a study from India examining oral calcium phosphate as an adjunct to phototherapy in treating neonatal jaundice. This double-blind, randomized, placebo-controlled trial investigates how calcium phosphate may help reduce bilirubin levels by binding to unconjugated bilirubin in the gut, potentially minimizing the need for prolonged phototherapy. The findings suggest that calcium phosphate could lower phototherapy duration and decrease cases of rebound hyperbilirubinemia, offering a possible new approach for jaundiced newborns.

The episode also covers an intriguing study on alternative treatments for persistent pulmonary hypertension of the newborn (PPHN). By comparing oral sildenafil to bosentan, this research sheds light on the potential of sildenafil to reduce PASP more efficiently, especially in resource-limited settings. The team discusses these insights and examines how they may influence care for PPHN cases worldwide.

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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The who, when, and why of pacifier use.

Mitev K, Frewin KL, Augustinova M, Niedenthal PM, Rychlowska M, Vanderwert RE.Pediatr Res. 2024 Oct 15. doi: 10.1038/s41390-024-03540-6. Online ahead of print.PMID: 39406952

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

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National Trends in Infant Mortality in the US After Dobbs.

Singh P, Gallo MF.JAMA Pediatr. 2024 Oct 21. doi: 10.1001/jamapediatrics.2024.4276. Online ahead of print.PMID: 39432283

Support the show

As always, feel free to send us questions, comments, or suggestions to our email: [email protected]. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

Enjoy!