Comment on Human milk for preterm infants: why, what, when and how? [Arch Dis Child Fetal Neonatal Ed. 2013]
Gestational diabetes mellitus and maternal ethnicity: high prevalence of fetal macrosomia in non-Caucasian women (2013)
Background and objective: Differences in perinatal outcomes according to ethnicity have been described in pregnant women with gestational diabetes mellitus (GDM). We analysed the relationship between ethnicity, maternal characteristics and perinatal outcomes in pregnant women with GDM.
Patients and methods: Retrospective analysis of women with GDM attended at the centre between 1986 and 2007. We studied 2,543 mother-infant pairs (8.9% multiple pregnancies, 2,480 Caucasian [C] and 63 non-Caucasian [NC] mothers). Maternal characteristics and perinatal outcomes were compared according to maternal ethnicity and multivariable logistic regression analyses (backward method) were performed to predict perinatal outcomes.
Necessary resources and barriers perceived by professionals in the implementation of the NIDCAP (2013)
Background: The implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) requires a significant effort from all professionals involved.
Aim: To determine the necessary requirements and barriers perceived by health professionals in the implementation of the NIDCAP.
Study design: A questionnaire covering requirements and obstacles perceived in the implementation of the NIDCAP was developed and validated in two Spanish level III neonatal intensive care units. The questionnaire was answered by 305 health professionals (response rate of 85%).
The biological family from the perspective of kinship fostered adolescents (2013)
Background: Previous studies emphasise the importance of the biological family to the welfare of fostered adolescents. However, the majority of these studies only take into consideration the viewpoints of the professionals, foster parents and biological parents, not those of the adolescents themselves. For this reason little is known about the perceptions the adolescents have and the needs they express.
Method: This study has gathered data from 57 adolescents in kinship family foster care in Spain (AFE). The study applied qualitative research, using focus groups to gather data, and the Atlas.ti programme to analyse the data. The qualitative data give us a more profound understanding of how the fostered adolescents relate to their biological families.
Breastfeeding and bigger brains. What comes first? (2013)
Comment on Breastfeeding and early brain development: the Generation R study. [Matern Child Nutr. 2013]
Staff perceptions on Newborn Individualized Developmental Care and Assessment Program (NIDCAP) during its implementation in two Spanish neonatal units (2013)
Background: The implementation of the Newborn Individualized Developmental Care and Assessment Program (NIDCAP) requires great effort. Few studies evaluating staff perception of NIDCAP exist, especially in Southern Europe, and these few studies usually have a low representation of the medical staff.
Aims: Exploration of staff perception (neonatologists, nurses and nursing assistants) of NIDCAP during its implementation and their attitude towards it and intention to put it into practice.
Study design: This study is a descriptive survey measuring staff perceptions of NIDCAP and its effects on their work in two Spanish neonatal level III intensive care units (NICUs). Validated questionnaires were distributed to neonatologists, nurses and nursing assistants of which 305 were completed (response rate: 85%).
Perinatal maternal and neonatal outcomes in women with gestational diabetes mellitus according to fetal sex (2012)
Background: Male sex is a well-known risk factor for unfavorable perinatal outcomes. Fetal sex has been considered only occasionally in diabetic pregnancy.
Objective: Our aim was to evaluate perinatal outcomes in women with gestational diabetes mellitus (GDM) according to fetal sex.
Methods: We conducted a retrospective review of all singleton pregnancies of women with GDM progressing to >22 weeks and delivering in our center between 1981 and 2007. Evaluated maternal characteristics included anthropometrics, obstetric history, GDM diagnosis characteristics (ie, gestational age, blood glucose values), HbA(1c) (after diagnosis and in the third trimester). Outcomes variables were cesarean section (CS), gestational hypertension, preterm birth, abnormal Apgar, large and small for gestational age newborns, obstetric trauma, major and minor malformations, neonatal hypoglycemia, jaundice, respiratory distress, polycythemia, hypocalcemia, perinatal mortality, and a composite outcome. We used a descriptive and multiple logistic regression analysis (backwards method).
Maternal Body Mass Index Is a Predictor of Neonatal Hypoglycemia in Gestational Diabetes Mellitus (2012)
In diabetic pregnancy, neonatal hypoglycemia (NH) is usually attributed to insufficient regulation of maternal glycemic control. Recent data suggest that maternal body mass index (BMI) could have an influence.
Our objective was to determine whether an association exists between maternal prepregnancy BMI category and occurrence of NH among infants born to women with gestational diabetes mellitus (GDM).
Quality of life in childhood with Congenital Heart Disease (2012)
The objective of this study is to identify the socio-educational needs in childhood with congenital heart disease. Our study was carried out using a multi-method, it combines quantitative and qualitative data collected in Catalonia (Spain). The results obtained from the questionnaires and interviews with education professionals, children with congenital heart disease and their families have enabled us to establish categories. Analysis of these has provided knowledge of their socio-educational needs. This article highlights the need to consider this impact as well as its psychosocial and educational effect, and the need to focus school education on improving their quality of life.
Parental Education as Health Protection Factor in Vulnerable Childhood and Adolescence (2011)
Family education is considered a protection factor with regards to the healthy development of children, especially in social risk situations. In this paper we present the results related to the family’s role in the healthy development of their children, from two works that stress on two moments of special difficulty for families, as the birth of a child and the adolescence. They are part of the strategic lines on sexual and reproductive health of the Autonomous Government of Catalonia (Spain), and of the Spanish State. Such works try to explore the families’ guidance needs to outline a program on parenthood education and, to analyse the needs of teenager
Poorer perinatal outcome in male newborns of women with pregestational diabetes mellitus (2011)
Aims: To assess perinatal outcome in women with pregestational diabetes mellitus according to the sex of the fetus.
Methods: A retrospective review of all singleton pregnancies of women with pregestational diabetes progressing to a gestational age of 22 weeks or more who attended the diabetes and pregnancy clinic from 1981 to 2006 (n = 455). We compared maternal characteristics and perinatal outcomes (perinatal mortality, major congenital malformations, small and large for gestational age newborns, preterm birth and a composite of the former) according to the sex of the fetus. A logistic regression analysis was performed using the composite perinatal outcome as the dependent variable and all maternal variables and sex of fetus as potential predictors.
Diagnostic accuracy of a 16S ribosomal DNA gene-based molecular technique (RT-PCR, microarray, and sequencing) for bacterial meningitis, early-onset neonatal sepsis, and spontaneous bacterial peritonitis (2011)
The diagnostic accuracy of a 16S ribosomal DNA (rDNA) gene-based molecular technique for bacterial meningitis (BM), early-onset neonatal sepsis (EONS), and spontaneous bacterial peritonitis (SBP) is evaluated. The molecular approach gave better results for BM diagnosis: sensitivity (S) was 90.6% compared to 78.1% for the bacterial culture. Percentages of cases correctly diagnosed (CCD) were 91.7% and 80.6%, respectively. For EONS diagnosis, S was 60.0% for the molecular approach and 70.0% for the bacterial culture; and CCD was 95.2% and 96.4%, respectively. For SPB diagnosis, the molecular approach gave notably poorer results than the bacterial cultures. S and CCD were 48.4% and 56.4% for the molecular approach and 80.6% and 89.1% for bacterial cultures. Nevertheless, bacterial DNA was detected in 53.3% of culture-negative samples. Accuracy of the 16S rDNA PCR approach differs depending on the sample, the microorganisms involved, the expected bacterial load, and the presence of bacterial DNA other than that from the pathogen implied in the infectious disease.