Podcasts about preterm

Happy Wednesday, Women of Strength! Today we are joined by our friend, Nichole, from Nevada who shares her SEVEN birth stories. Nichole has had a wild ride when it comes to birth. Every story is so different and so unique. This episode is jam-packed with things like placental abruption, NICU time, preeclampsia, a surprise HBA2C, induced VBA2C, changing providers, and two VBA3C stories. Her last birth, a 2VBA3C, sparks an important conversation about how interventions can sometimes be a necessary part of a successful VBAC. Knowing the general pros and cons of interventions is just the first step. We all then have to apply what we've learned to our specific situations, adapt, and do what feels best to us!Needed Website: Code VBAC20 for 20% OffCoterie Diapers - Use code VBAC20 for 20% OffThe Ultimate VBAC Prep Course for ParentsOnline VBAC Doula TrainingSupport this podcast at — https://redcircle.com/the-vbac-link/donationsAdvertising Inquiries: https://redcircle.com/brands

Delayed (AKA deferred) Cord Clamping (DCC) is extremely beneficial for both the preterm and term neonate. In September 2025, a new Clinical Practice Update (CPU) will be released by the ACOG regarding the amount of time DCC should be done for preterm newborns. This updates data from a Clinical Expert Series which was released in 2022, called “Management of Placental Transfusion to the Neonate”. Is the recommended amount of DCC 30 sec, 45 sec, or at least 60 seconds for preterm newborns? We will highlight this data in this episode. PLUS, we will very quickly summarize a separate yet related publication from JAMA Pediatrics regarding the use of supplemental O2 (100% PP face mask) during DCC for babies born at 22- 28 weeks. Listen in for details.1. ACOG CPU, Sept 2025: “An Update to Clinical Guidance for Delayed UmbilicalCord Clamping After Birth in Preterm Neonates”2. ACOG Clinical Expert Series, Management of Placental Transfusion to the Neonate”; 2022. 3. JAMA PEDIATRICS (July 21, 2025): https://jamanetwork.com/journals/jamapediatrics/article-abstract/2836681

Send us a textIn this episode of Rupa's Fellows Friday on The Incubator Podcast, host Rupa Srirupa welcomes Dr. Ambika Bhatnagar, a third-year neonatology fellow at Yale. Dr. Bhatnagar shares her journey from medical school in India to fellowship in the U.S. and dives into her research focusing on moderate to late preterm infants—an often overlooked but significant portion of the preterm population.She explains why this group, though not as critically ill as extremely preterm infants, still faces unique morbidities and places a substantial burden on families and the healthcare system. Her study investigates long-term healthcare utilization in these infants over their first two years of life, analyzing not just hospital readmissions but also ER visits, subspecialty consultations, and therapy appointments.Dr. Bhatnagar discusses her findings, including the role of breastfeeding in reducing healthcare utilization and surprising trends in demographic factors. She also shares insights on mentorship during fellowship, building a research project from scratch, and her involvement with NeoQuest, an educational platform for neonatology fellows.This conversation highlights the importance of curiosity-driven research and its potential to improve outcomes for a vulnerable but under-researched neonatal population. Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textEarly full enteral nutrition with fortified milk in very preterm infants: a randomized clinical trial.Salas AA, Gunawan E, Jeffcoat S, Nguyen K.Am J Clin Nutr. 2025 May;121(5):1117-1123. doi: 10.1016/j.ajcnut.2025.02.019. Epub 2025 Feb 21.PMID: 39986385 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textExtended Caffeine for Apnea in Moderately Preterm Infants: The MoCHA Randomized Clinical Trial.Carlo WA, Eichenwald EC, Carper BA, Bell EF, Keszler M, Patel RM, Sánchez PJ, Goldberg RN, D'Angio CT, Van Meurs KP, Hibbs AM, Ambalavanan N, Cosby SS, Newman NS, Vohr BR, Walsh MC, Das A, Ohls RK, Fuller J, Rysavy MA, Ghavam S, Brion LP, Puopolo KM, Moore R, Baack ML, Colaizy TT, Baserga M, Osman AF, Merhar SL, Poindexter BB, DeMauro SB, Kumar V, Cotten CM; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA. 2025 Jun 24;333(24):2154-2163. doi: 10.1001/jama.2025.5791.PMID: 40294395 Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textLate Permissive Hypercapnia for Mechanically Ventilated Preterm Infants: A Randomized Trial.Travers CP, Gentle SJ, Shukla VV, Aban I, Yee AJ, Armstead KM, Benz RL, Laney D, Ambalavanan N, Carlo WA.Pediatr Pulmonol. 2025 Jun;60(6):e71165. doi: 10.1002/ppul.71165.PMID: 40525736 Free PMC article. Clinical Trial.Support the showAs always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

In this moving episode, we follow Tina's powerful VBAC journey — from becoming a young mum at 21 and experiencing a caesarean under general anaesthetic, to reclaiming her birthing power with the vaginal birth of her MCDA twins.Tina opens up about the heartbreak of missing her son's first moments, the emotional toll of separation and how that experience shaped her path to becoming a midwife. She takes us through her next pregnancy — the shock of conceiving twins, the challenges of preterm labour and navigating birth during the height of COVID.Against the odds, Tina chose a VBAC, birthing her twins vaginally at 32 weeks. She shares the raw details and experiences — the mind game of having to push two babies out, the near en caul birth of her second twin, and the moment she met her daughters before they were taken to NICU. Tina's story doesn't end there! She also shares her deeply emotional NICU journey, her commitment to breastfeeding through enormous obstacles, and the deep empowerment she now carries as a mother and a midwife, influencing the way she can support other families on their own journeys.This is a story of which explores advocacy and self-empowerment; a story of resilience, and triumph. We hope you love it as much as we loved sharing it!Please join us on our journey to bringing you all kinds of VBAC stories from across the country from here on in by subscribing and following us on social media, @australianvbacstories on Instagram and Australian VBAC Stories on Facebook. If you enjoyed this episode, we'd love to rate or review, and tell your friends!If you are feeling that you might benefit from mental health support after listening to our podcast, please reach out to one of the organisations below:PANDA ⁠⁠⁠⁠⁠https://panda.org.au/⁠⁠⁠⁠⁠Gidget Foundation ⁠⁠⁠⁠⁠https://www.gidgetfoundation.org.au/⁠⁠⁠⁠⁠COPE Australia ⁠⁠⁠⁠⁠https://www.cope.org.au/⁠⁠⁠⁠⁠If you've experienced mistreatment or disrespectful care in your pregnancy, birth or postpartum and are seeking advocacy support, please contact one of the following organisations:Maternity Choices Australia ⁠⁠⁠⁠⁠https://www.maternitychoices.org/⁠⁠⁠⁠⁠Maternity Consumer Network ⁠⁠⁠⁠⁠https://www.maternityconsumernetwork.org.au/⁠⁠⁠⁠⁠Thank you for tuning in to our podcast.

How do you go from spreadsheets to spinning babies, and end up on national perinatal boards? In this episode, Hillary sits down with LaToshia Rouse, a birth and postpartum doula, childbirth educator, and speaker who brings her whole self (and sometimes her whole family!) to the work of changing maternal care from the inside out. We talk about: Parenting triplets and how NICU life shaped LaToshia's why How doulas can support clients without overextending themselves What it really takes to build connections with hospital systems Why flexibility, strong boundaries, and knowing your season are everything You'll laugh, nod along, and walk away feeling like you've just made a new doula bestie.

Join us on this episode of the Birth Journeys as Ruth shares how she always had a desire to homebirth. She shares her first sons birth at home and what she learned through that experience as well as a miscarriage birth and finally how her third pregnancy was a planned homebirth with twins but she unexpectedly gave birth in the hospital preterm and had a two week nicu stay. This episode covers homebirth, miscarriage, hospital birth, medical assault, preterm birth and NICU stay.Resources: Birthing instincts podcast: https://open.spotify.com/show/5IYrdNqDATUbK7FDAk2EKc?si=HPLdu81PSXG3uExOEvnREAWork with Dr. Stu: https://www.birthinginstincts.com/workwithstuhttps://open.spotify.com/show/2IGK3JDmaHkVkjxQw0Q4ig?si=_j1JyvXFSp-GRGDRnuiAVw

Before ​we ​get ​started ​with ​today's ​show, ​we ​want ​to ​take ​a ​moment ​to ​dedicate ​this ​episode ​to ​someone ​very ​special. ​Emma, ​Sharon's ​granddaughter ​and ​the ​daughter ​of ​today's ​guest ​co-​host ​Michelle, ​was ​born ​prematurely ​and ​spent ​her ​short ​life ​in ​the ​NICU. ​She ​passed ​away ​just ​three ​days ​after ​she ​was ​born. ​Today's ​episode ​is released on ​Emma's ​birthday ​and ​we're ​honored ​to ​share ​it ​in ​her ​memory. Our guest today is a mother and former labor and delivery nurse who has become an incredible entrepreneur. Ashley Crafton joins us to share the incredible story behind her startup, Galena Innovations, and the development of the Hannah Cervical Cup, a device designed to help prevent spontaneous preterm birth. Here's some of what you'll hear in this episode:

It is with deep reverence and gratitude that we share Angela's birth stories with you. Midwife Angela shares her powerful journey through three profoundly different births. Her story begins with the premature birth of her first son, Colton, at just 26 weeks following an antepartum haemorrhage and preterm premature rupture of membranes. Angela recounts the emotional and clinical intensity of undergoing a caesarean, navigating the heartbreak of NICU life and the following devastating decision to say goodbye to her baby boy after 22 days on life support. She shares how her midwifery brain helped her to slow down, appreciate the birth experience at the time and also helped her advocate for the information and support she needed as her family had to say goodbye to their baby. Angela then opens up about the grief that followed the loss of her baby boy, an early miscarriage melting into that same grief, and then the conception of her next baby—whose birth would take place just 13 months later, putting her in a 'high-risk' category for VBAC. Despite pressure to have a repeat caesarean, Angela advocated for herself with the support of a trusted midwife and birthed her baby vaginally, powerfully after an artificial rupture of membranes.Her third and final birth was fast and intense, an induction with breaking of waters following reduced movements and increasing blood pressure. This labour was just 50 minutes from the first contraction to holding her baby! Again, with the support of her midwife, Angela experienced a powerful, swift vaginal birth after caesarean.With heartfelt wisdom, vulnerability and remarkable strength, Angela reflects on how her midwifery experience shaped her own birth experiences and also how her personal experiences of birth have shaped her practice as a midwife.Please join us on our journey to bringing you all kinds of VBAC stories from across the country from here on in by subscribing and following us on social media, @australianvbacstories on Instagram and Australian VBAC Stories on Facebook. If you enjoyed this episode, we'd love to rate or review, and tell your friends!If you are feeling that you might benefit from mental health support after listening to our podcast, please reach out to one of the organisations below:PANDA ⁠⁠⁠⁠https://panda.org.au/⁠⁠⁠⁠Gidget Foundation ⁠⁠⁠⁠https://www.gidgetfoundation.org.au/⁠⁠⁠⁠COPE Australia ⁠⁠⁠⁠https://www.cope.org.au/⁠⁠⁠⁠If you've experienced mistreatment or disrespectful care in your pregnancy, birth or postpartum and are seeking advocacy support, please contact one of the following organisations:Maternity Choices Australia ⁠⁠⁠⁠https://www.maternitychoices.org/⁠⁠⁠⁠Maternity Consumer Network ⁠⁠⁠⁠https://www.maternityconsumernetwork.org.au/⁠⁠⁠⁠Thank you for tuning in to our podcast.

Dr. Tony Capra and Dr. Marina Sirota, scientists from the March of Dimes Prematurity Research Center (PRC) at the University of California, San Francisco (UCSF), discuss their foundational finding that spontaneous, or unplanned, preterm birth is fundamentally different from indicated preterm birth.

Join us for a compelling conversation with Dr. Siobhan Corcoran, a distinguished consultant obstetrician at the National Maternity Hospital in Dublin, as we tackle the intricate subject of preterm birth. Dr. Corcoran brings her expertise to the table, sharing insights from her work at the preterm birth prevention clinic, and her pivotal role in the PREPOP study, which explores the potential of oral probiotics in reducing spontaneous preterm birth among high-risk pregnancies. Our discussion highlights the delicate balance between extending pregnancies safely and my role as a neonatologist caring for those who arrive too soon. The episode sheds light on the often-overlooked challenges of late preterm births, particularly the impact on families who navigate both practical and psychological hurdles. We explore the myriad health issues that contribute to preterm births, including infection and inflammation, and discuss prevention strategies that underscore the importance of robust maternal health and targeted antenatal care. Dr. Corcoran and I delve into the complexities of identifying high-risk pregnancies, touching on the debate surrounding universal cervical length screening and the need for a personalized approach to care. As we focus on prevention, we examine the multifaceted strategies available, from preconceptual counselling and lifestyle modifications to the use of cervical cerclage and progesterone interventions. Our conversation underscores the importance of a holistic approach to maternal care, integrating emotional support and mental health resources for parents. With Dr. Corcoran's valuable insights, we reflect on the broader implications for neonatal outcomes, long-term development, and the support systems crucial for families facing the uncertainties of preterm birth. Preterm Birth Episode: https://open.spotify.com/episode/4S53qMaaomixfTzQSwvZYk?si=PWaSIFwmTYGDUN1t2HAPkA Proudly sponsored by: www.happytummy.ie Learn more about your ad choices. Visit megaphone.fm/adchoices

In this week's episode, Brianna shares her experience as a two-time NICU mom. She shares about her first pregnancy, marked by an unexpected 20-week anatomy scan that revealed she was already two centimeters dilated. After an emergency cerclage and weeks of anxiety-filled bedrest, Brianna gave birth to her son at 28 weeks. His 60-day NICU stay, though miraculously smooth, left a lasting emotional impact.Just 14 months later, Brianna returned to the NICU after giving birth to her second son at 33 weeks. This time, the challenges of healing were compounded by the reality of having a baby at home while navigating the NICU once again.Brianna shares vulnerably what it's like to walk through two high-risk pregnancies, how her perspective shifted between them, and what healing looks like after back-to-back trauma. Her story is a powerful reminder that even in the midst of fear and uncertainty, you are stronger than you think—and you are never alone.To get connected with DNM:Website | Private Facebook Group | InstagramTo Give to the Mission of Dear NICU Mama: dearnicumama.com/giveSupport the show

Send us a textTreatment of Hypotension of Prematurity: a randomised trial.Alderliesten T, Arasteh E, van Alphen A, Groenendaal F, Dudink J, Benders MJ, van Bel F, Lemmers P.Arch Dis Child Fetal Neonatal Ed. 2025 May 24:fetalneonatal-2024-328253. doi: 10.1136/archdischild-2024-328253. Online ahead of print.PMID: 40413017As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textIn this week's episode, Ben and Daphna sit down with Michelle Kelly, Pediatric Nurse Practitioner and Associate Professor at Villanova University. Michelle is a leading voice in recognizing the lasting impact of preterm birth on long-term health. She shares insights from her co-authored article, Addressing Preterm Birth History with Clinical Practice Recommendations Across the Life Course, which outlines how a history of prematurity should inform lifelong clinical care.The conversation highlights the gap between neonatal and adult healthcare systems, and why identifying preterm birth history should be a routine part of medical assessments. Michelle also discusses practical strategies to educate families, empower survivors of prematurity, and shift provider assumptions about long-term outcomes. This episode offers a thoughtful and grounded discussion on turning early-life health factors into actionable care across the lifespan. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textTrajectory of Postnatal Oxygen Requirement in Extremely Preterm Infants.Groves AM, Bennett MM, Loyd J, Clark RH, Tolia VN.J Pediatr. 2025 Feb;277:114414. doi: 10.1016/j.jpeds.2024.114414. Epub 2024 Nov 20.PMID: 39577761As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textToday we are joined by Dr Radhika Madali, who is a third year NICU fellow from Children's Hospital at Montefiore, Montefiore Medical Center, Bronx, NY. We talked about the QI efforts that she took during her fellowship in implementing faster enteral feed advancement and early fortification in a level IV neonatal intensive care unit. She shared the multidisciplinary experience that she developed with this project and also appreciates the support and mentorship she received. Radhika also shared insights on other projects that she got involved in- notably investigating the impact of glycemic variability on treatment-requiring ROP. She shared about her experience being a representative to the Fellowship Recruitment Action Team (FRAT) from the AAP Section on Pediatric Training. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Understanding Unicornuate Uterus: What It Is, Prevalence, Risks, and a Positive Outlook A unicornuate uterus is a rare congenital condition where the uterus develops with only one half, or "horn," instead of the typical two-horned shape of a normal uterus. This happens during fetal development when one of the Müllerian ducts, which form the uterus, fails to develop fully. As a result, the uterus is smaller, has only one functioning fallopian tube, and may or may not have a rudimentary horn (a small, underdeveloped second horn). This condition falls under the category of Müllerian duct anomalies, which affect the female reproductive tract. For those diagnosed, understanding the condition, its implications, and the potential for a healthy pregnancy can provide reassurance and hope.   What Is a Unicornuate Uterus? The uterus typically forms as a pear-shaped organ with two symmetrical halves that fuse during fetal development. In a unicornuate uterus, only one half develops fully, creating a smaller-than-average uterine cavity. This anomaly can occur with or without a rudimentary horn, which may or may not be connected to the main uterine cavity. If a rudimentary horn is present, it might cause complications like pain if it accumulates menstrual blood, as it often lacks a connection to the cervix or vagina. The condition is often diagnosed during routine imaging, such as an ultrasound, MRI, or hysterosalpingogram (HSG), typically when a woman seeks medical advice for fertility issues, pelvic pain, or irregular menstruation. In some cases, it's discovered incidentally during pregnancy or unrelated medical evaluations.   How Prevalent Is It? Unicornuate uterus is one of the rarest Müllerian duct anomalies, occurring in approximately 0.1% to 0.4% of women in the general population. Among women with Müllerian anomalies, it accounts for about 2% to 13% of cases. The condition is congenital, meaning it's present at birth, but it often goes undiagnosed until adulthood because many women experience no symptoms. Its rarity can make it feel isolating for those diagnosed, but awareness and medical advancements have made it easier to manage and understand. Risks Associated with Unicornuate Uterus While many women with a unicornuate uterus lead healthy lives, the condition can pose challenges, particularly related to fertility and pregnancy. The smaller uterine cavity and reduced endometrial surface area can increase the risk of certain complications, though these are not inevitable. Below are some potential risks: Fertility Challenges: The smaller uterus and single fallopian tube may slightly reduce the chances of conception, especially if the rudimentary horn or other structural issues interfere with ovulation or implantation. However, many women with a unicornuate uterus conceive naturally without intervention. Miscarriage: The limited space in the uterine cavity can increase the risk of miscarriage, particularly in the first trimester. Studies suggest miscarriage rates may be higher (around 20-30%) compared to women with a typical uterus, though exact figures vary. Preterm Birth: The smaller uterus may not accommodate a growing fetus as easily, potentially leading to preterm labor or delivery before 37 weeks. Research indicates preterm birth rates in women with a unicornuate uterus range from 10-20%. Fetal Growth Restriction: The restricted uterine space can sometimes limit fetal growth, leading to low birth weight or intrauterine growth restriction (IUGR). Malpresentation: Babies in a unicornuate uterus may be more likely to position themselves in a breech or transverse position due to the confined space, which could complicate delivery. Cesarean Section: While not mandatory, a cesarean may be recommended in cases of malpresentation, preterm labor, or other complications. However, this is not a universal requirement. Other Complications: Women with a unicornuate uterus may have a higher risk of endometriosis or painful periods, especially if a non-communicating rudimentary horn is present. Kidney abnormalities are also associated with Müllerian anomalies, as the kidneys and reproductive tract develop simultaneously in the fetus. Despite these risks, it's critical to note that not every woman with a unicornuate uterus will experience these complications. With proper medical care, many achieve successful pregnancies and deliveries.   A Positive Outlook: Normal Vaginal Delivery Is Probable The diagnosis of a unicornuate uterus can feel daunting, but it's important to emphasize that a healthy, full-term pregnancy and a normal vaginal delivery are entirely possible. Advances in obstetrics and prenatal care have significantly improved outcomes for women with this condition. Here's why you can remain optimistic: Personalized Care: Working with an experienced obstetrician or maternal-fetal medicine specialist ensures close monitoring throughout pregnancy. Regular ultrasounds can track fetal growth, position, and amniotic fluid levels, allowing for timely interventions if needed. Not Doomed to Cesarean: While some women may need a cesarean due to specific complications, many with a unicornuate uterus deliver vaginally without issue. The decision depends on factors like fetal position, labor progression, and overall health, not the uterine anomaly alone. Full-Term Pregnancies Are Achievable: With careful monitoring, many women carry their pregnancies to term (37-40 weeks). Preterm birth is a risk, but it's not a certainty, and modern neonatal care can support babies born slightly early if needed. Healthy Babies: Countless women with a unicornuate uterus give birth to healthy, thriving babies. The condition does not inherently affect the baby's development or genetic health. Support and Advocacy: Connecting with others who have similar experiences, whether through online communities or support groups, can provide emotional strength and practical advice. Knowing you're not alone can make all the difference. A unicornuate uterus is a rare but manageable condition that requires awareness and, in some cases, specialized care. While there are risks to consider, they are not insurmountable, and many women with this anomaly experience successful pregnancies and vaginal deliveries without complications. With the right support, you can embrace your unique journey, knowing that a unicornuate uterus does not mean you're destined for preterm birth, cesarean delivery, or pregnancy complications. Instead, it's a testament to your resilience and the incredible capabilities of modern medicine to support you every step of the way.   Connect With Us: YouTube: Dive deeper into pregnancy tips and stories atyoutube.com/maternalresources . Instagram: Follow us for daily inspiration and updates at @maternalresources . Facebook: Join our community at facebook.com/IntegrativeOB Tiktok: NatureBack Doc on TikTok Grab Our Book! Check out The NatureBack Method for Birth—your guide to a empowered pregnancy and delivery. Shop now at naturebackbook.myshopify.com .    

Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from April 26-May 2, 2025.

How do we lower the amount of preterm or low weight births? Dongqing Wang, Assistant Professor in the Department of Global and Community Health at George Mason University's College of Public Health, examines one solution. Dongqing Wang is an Assistant Professor in the Department of Global and Community Health. Wang's research focuses on the nutritional […]

This Earth Sunday, we celebrate not God's gift of the earth to us, but God's gift to us of our interconnected relationship with the earth, God's wider, deeper, higher, and altogether “very good” creation of which we are a part. Our guest preacher will be The Rev. Dr. Chris Davies, one of the executive ministers of our Southern New England Conference of our United Church of Christ denominational family… and an avid beekeeper! She will share with us spiritual lessons for our current moment she's gleaned from caring for bees and the way bees care for each other.About our guest preacher:  The Rev. Dr. Chris Davies is a Celtic spiritualist, Christ-follower, organizer, queer femme, visionary, beekeeper, and liturgist.  An ordained minister in the United Church of Christ, she loves faith deeply, and is committed to finding ways to continue to bring the gospel into the world, past this generation and into those to follow.  Chris attended Smith College for her undergrad work and Andover Newton for both a Masters of Divinity and Doctor of Ministry, focusing on queering proclamation.  She is passionate about justice and Jesus, works as the Executive Minister of Programs and Initiatives in the Southern New England Conference of the UCC.  Chris serves on the foundation board of Preterm, an independent abortion Clinic in Cleveland, OH.Join us for worship Sundays @ 10am EDT, on-site & online via Zoom. Connect at www.NeedhamUCC.org—-The Congregational Church of Needham strives to be a justice-seeking, peace-making, LGBTQ+ affirming, radically inclusive congregation of the United Church of Christ in Needham, MA. www.NeedhamUCC.orgChurch is the practice.Love is the point.

Send us a textFunisitis increases the risk of death or cerebral palsy in extremely preterm infants.Jain VG, Parikh NA, Rysavy MA, Shukla VV, Saha S, Hintz S, Jobe A, Carlo WA, Ambalavanan N; Eunice Kennedy Shriver NICHD Neonatal Research Network.Am J Obstet Gynecol. 2025 As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textLung Recruitment Before Surfactant Administration in Extremely Preterm Neonates: 2-Year Follow-Up of a Randomized Clinical Trial.Gallini F, De Rose DU, Iuliano R, Romeo DM, Tana M, Paladini A, Fusco FP, Nobile S, Cota F, Tirone C, Aurilia C, Lio A, Esposito A, Costa S, D'Andrea V, Ventura ML, Carnielli V, Dani C, Mosca F, Fumagalli M, Scarpelli G, Giordano L, Fasolato V, Petrillo F, Betta P, Solinas A, Gitto E, Gargano G, Mescoli G, Martinelli S, Di Fabio S, Bernardo I, Tina LG, Staffler A, Stasi I, Mondello I, Scapillati E, Vedovato S, Maffei G, Bove A, Vitaliti M, Terrin G, Lago P, Gizzi C, Strozzi C, Villani PE, Berardi A, Cacace C, Bracaglia G, Pascucci E, Cools F, Pillow JJ, Polglase G, Pastorino R, van Kaam AH, Mercuri E, Orfeo L, Vento G; IN-REC-SUR-E Study Group; Malguzzi S, Rigotti C, Cecchi A, Nigro G, Costabile CD, Roma E, Sindico P, Venafra R, Mattia C, Conversano M, Ballardini E, Manganaro A, Balestri E, Gallo C, Catenazzi P, Astori MG, Maranella E, Grassia C, Maiolo K, Castellano D, Massenzi L, Chiodin E, Gallina MR, Consigli C, Sorrentino E, Bonato S, Mancini M, Perniola R, Giannuzzo S, Tranchina E, Cardilli V, Dito L, Regoli D, Tormena F, Battajon N, Arena R, Allais B, Guidotti I, Roversi F, Meli V, Tulino V, Casati A.JAMA Netw Open. 2024 Sep 3;7(9):e2435347. doi: 10.1001/jamanetworkopen.2024.35347.PMID: 39320892 Free PMC article. Clinical Trial.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Early Detection and Early Intervention - where are we now (and what does the future hold)?The last time we had Alicia on the pod, we spoke about the Cochrane Review she led titled “Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants” which was published in 2024. In this week's episode, we thought we'd ask Alicia about the state of early intervention right now and what the provision of therapy looks like within our current context of early detection and early intervention for children with cerebral palsy.There have been some rather significant developments in the early detection and early intervention space over the past 20 years. From the rapid technological advances to the value of co-design and involvement of people with lived experience, we now have some impressive evidence to guide our clinical pathways. However, what is very clear now is the vital importance of implementation. The industry has generated substantial knowledge that now needs to be implemented into practice with one particularly important aspect that we must include - family involvement and well-being. Alicia speaks ever so passionately about our role as therapists and I cannot help but to feel even more compelled to ensure that the family is at the centre of everything we do. It is exciting to know that we have the evidence now, so it's time to put it into practice and it can start in your very next session.https://findanexpert.unimelb.edu.au/profile/27041-alicia-spittle

Send us a textThis week we have a couple of great Local interviews! Ochsner Children's Hospital has been one of our anchoring sponsors for years now and for our fifth season, We have created a BRAND NEW SEGMENT called         "A Mother's Giving: & the Milk Bank of Louisiana with Dr. Harley Ginsberg."Dr. Ginsberg is board certified in both pediatrics and neonatal-perinatal medicine and has been on staff at Ochsner since 1987. He served as both the Section Head of neonatal medicine at Ochsner and the Medical Director of the neonatal intensive care unit (NICU) at Ochsner Baptist Medical Center from 1989 until 2021. Dr. Ginsberg managed the team at Ochsner that took care of babies during Hurricane Katrina. Currently he is Medical Director of the NICU at Ochsner Kenner Medical Center. Dr. Ginsberg is the Founder and Medical Director of Mothers Milk Bank of Louisiana at Ochsner Baptist and is a member of the Standards Committee for the Human Milk Banking Association of North America. He has written chapters for medical textbooks on neonatology and has published scientific medical in articles in the New England Journal of Medicine, Pediatrics, Journal of Perinatology and Clinics in Perinatology. Fully accredited by the Human Milk Banking Association of North America, Mothers' Milk Bank of Louisiana at Ochsner Baptist was Louisiana's first human milk bank and the 24th nonprofit milk bank in the United States. Preterm infants are at risk for a condition called necrotizing enterocolitis, which results in inflamed intestines, bacterial infection and damage to the colon and intestines. Without proper care, the infant may die.Pasteurized donor human milk helps offset these potential dangers. Unfortunately, some mothers of preterm infants cannot produce their own milk. That's where Mothers' Milk Bank of Louisiana steps in.As of August 2020, Louisiana provides Medicaid coverage for using pasteurized donor human milk in a hospital. In 2022, Louisiana legislators approved inpatient and outpatient coverage for pasteurized donor human milk. Listen as Dr. Ginsberg and I dive into the Milk bank of Louisiana and hear the powerful impacts it has on our community and state! Go to https://www.ochsner.org/services/mothers-milk-bank-at-ochsner-baptist to learn more or to make a donation today!______________________________________________________________________________________________Then later we welcome back DIRTY DOGS! The local documentary making big waves in our city yall. Not only did the documentary chronicle the heated monopoly on New Orleans' food cart licenses for the French Quarter. What WAS a half century monopoly was essentially ended by a group of passionate film makers that felt convicted to MAKE THINGS RIGHT.  I am so excited to welcome restauranteur and host Brad Bohannan and Cinematographer, Adrian Sosebee to talk about their HOLLYWOOD AWARD they just received in  Beverly Hills! Brad also talks to us about his latest venture with his inspirational wife, Jefferson Parrish Council Person, Arita Bohannan. Together and with a village behind them, they work to bring inclusive and autistic friendly playgrounds to neighborhoods and communities tThank you to our family of amazing sponsors! Ochsner Hospital for ChildrenWww.ochsner.orgRouses MarkersWww.rousesmarkets.comSandpiper VacationsWww..sandpipervacations.comCafe Du Monde www.shop.cafedumonde.com The Law Firm of Forrest Cressy & James Www.forrestcressyjames.comComfort Cases Www.comfortcases.orgNew Orleans Ice Cream CompanyWww.neworleansicecream.comERA TOP REALTY: Pamela BreauxAudubon Institute www.auduboninstitute.orgUrban South Brewery www.urbansouthbrewery.com

Send us a textResponse to Inhaled Nitric Oxide and Mortality Among Very Preterm Neonates With Pulmonary Hypertension.Baczynski M, Weisz D, Thomas L, Fevrier S, Castaldo M, Soraisham A, Hyderi A, Agarushi R, Bhattacharya S, Lalitha R, Sidhu A, Abdul Wahab MG, Altit G, Hébert A, Louis D, Elsayed Y, Mitra S, Deshpande P, Kharrat A, Zhu F, Ting J, Yoon E, Shah PS, Jain A; Canadian Neonatal Network Investigators.JAMA Netw Open. 2025 Feb 3;8(2):e2458843. doi: 10.1001/jamanetworkopen.2024.58843.PMID: 39928335 Free PMC article.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textEvaluating decision regret after extremely preterm birth.Belden L, Kaempf J, Mackley A, Kernan-Schloss F, Chen C, Sturtz W, Tomlinson MW, Guillen U.Arch Dis Child Fetal Neonatal Ed. 2025 Feb 21;110(2):191-199. doi: 10.1136/archdischild-2024-327287.PMID: 39164062As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textShort Duration of Antenatal Corticosteroid Exposure and Outcomes in Extremely Preterm Infants.Chawla S, Wyckoff MH, Lakshminrusimha S, Rysavy MA, Patel RM, Chowdhury D, Das A, Greenberg RG, Natarajan G, Shankaran S, Bell EF, Ambalavanan N, Younge NE, Laptook AR, Pavlek LR, Backes CH, Van Meurs KP, Werner EF, Carlo WA; National Institute of Child Health and Human Development (NICHD) Neonatal Research Network (NRN).JAMA Netw Open. 2025 Feb 3;8(2):e2461312. doi: 10.1001/jamanetworkopen.2024.61312.PMID: 39982720 Free PMC article.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textWhole-Body Hypothermia for Neonatal Encephalopathy in Preterm Infants 33 to 35 Weeks' Gestation: A Randomized Clinical Trial.Faix RG, Laptook AR, Shankaran S, Eggleston B, Chowdhury D, Heyne RJ, Das A, Pedroza C, Tyson JE, Wusthoff C, Bonifacio SL, Sánchez PJ, Yoder BA, Laughon MM, Vasil DM, Van Meurs KP, Crawford MM, Higgins RD, Poindexter BB, Colaizy TT, Hamrick SEG, Chalak LF, Ohls RK, Hartley-McAndrew ME, Dysart K, D'Angio CT, Guillet R, Kicklighter SD, Carlo WA, Sokol GM, DeMauro SB, Hibbs AM, Cotten CM, Merhar SL, Bapat RV, Harmon HM, Sewell E, Winter S, Natarajan G, Mosquera R, Hintz SR, Maitre NL, Benninger KL, Peralta-Carcelen M, Hines AC, Duncan AF, Wilson-Costello DE, Trembath A, Malcolm WF, Walsh MC; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network.JAMA Pediatr. 2025 Feb 24:e246613. doi: 10.1001/jamapediatrics.2024.6613. Online ahead of print.PMID: 39992674As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

This week Bobbi Conner talks with MUSC's Dr. Christopher Goodier about reducing risk of pre-term birth.

On New York University Week:  Reducing the rising rate of preterm births is an important goal for the future. Laura Jelliffe-Pawlowski, professor of epidemiology and precision health at the Rory Meyers College of Nursing, looks into the data to find solutions. Dr. Laura Jelliffe-Pawlowski is a Professor of Epidemiology and Precision Health at NYU Rory […]

Today on the podcast, Radical Birth Keeper School graduate, Eveliina shares her three unique birth stories. At 30 weeks with her second child, Eveliina experienced bleeding and was coerced into an “emergency” c-section, leaving her with a painful vertical incision. The death of her daughter woke up Eveliina's inner mother lion. With Eveliina's third pregnancy, she had a wild pregnancy and freebirthed her beautiful healthy third daughter at home with her family in Finland.Follow Eveliina on Instagram @vapaasynnytyssuomi✨Doors to the Radical Birth Keeper School are OPEN! - The groundbreaking program for women embarking on the path of sovereign birth-work. https://www.freebirthsociety.com/radicalbirthkeeperschool✨ Matriarch Rising Festival tickets are now LIVE! Join us for our annual women's gathering -  https://www.matriarchrisingfestival.com/✨The FBS private membership community, “The Lighthouse” is the most epic space for conscious women! - Get on the waitlist for when doors open next! - https://www.freebirthsociety.com/membership✨Connect with Free Birth Society on Instagram at - https://www.instagram.com/freebirthsociety✨Check out our best-selling course, The Complete Guide to Freebirth - https://www.freebirthsocietycourses.com/cgtf✨ Join the waitlist for the MatriBirth Midwifery Institute - https://www.freebirthsociety.com/mmiwaitlist✨Get our FREE Freebirth starter kit here! - https://www.freebirthsociety.com/start-here✨Are you a sovereign birth professional? Get listed on the MatriBirth Directory here - https://Matribirthdirectory.com✨Join the MatriBirth Directory and connect with sovereign birth professionals near you! -  https://matribirthdirectory.com/✨ Get on the waitlist for REIGN ~ Emilee Saldaya's action-oriented coaching container that is guaranteed to elevate you into your next phase of life for 2025 - https://www.freebirthsociety.com/reign✨Donate to the podcast - https://www.paypal.com/donate/?hosted_button_id=2YJBSCNYXT52Y✨Subscribe to our Youtube channel - https://www.youtube.com/@FreeBirthSociety✨Learn about everything we do at  - https://www.freebirthsociety.com~~~~~This episode is brought to you by MASA Chips. MASA is part of a growing movement to bring back real food. The kind of food our grandparents ate before Big Food got involved. MASA chips are just three simple ingredients: organic corn, salt, and beef tallow. No seed oils, no fillers, no ultra-processed garbage.When you snack, snack on something real! Go to https://masachips.com/discount/FREEBIRTHSOCIETY and use code FREEBIRTHSOCIETY for 20% off your first order!~~~~~When you need guidance from someone you can truly trust, someone who aligns with your values on sovereignty and natural living, look no further than Dr. Jennifer Tice, ND - Naturopathic Pediatrician + Homeopathic Expert

Send us a textIn this episode, I had the pleasure of speaking with Dr Ilana Levene, who is now a Neonatology subspeciality trainee at Oxford, England. Ilana has done some fantastic work on exploring the important topic of human milk expression. She described her randomized control trial in using relaxing techniques to facilitate human milk expression in the NICU. She shared the challenges that she had in conducting her RCT. We also talked about RCTs with negative results and how negative results are also important in conducting research. Ilana has now created a website with printables for parents and staff in the NICU on human milk expression. This can be assessed for free here : http://www.hifn.org/printable . Ilana also shared her interest in perinatal equity and shared details on her project Spectrum which involves gathering photos of the lactating breast conditions/chest from people with a wide spectrum of skincolours. These will be provided as a free educational image library. Currently she is chairing a priority setting partnership for LGBTQIA+ perinatal care. As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Dr. Phillip Bennett, a co-director of the March of Dimes Prematurity Research Center at Imperial College London, discusses a historic randomized controlled trial (RCT) that will test a vaginal probiotic's ability to reduce preterm birth risk.

There is a lot doctors and scientists still don't fully understand about what includes labour, both pre and at term. But we do know that there are treatments that can reduce your chance of having a preterm birth, especially if you have had one in the past. Preterm birth can be especially traumatic for those living in remote communities which is why in our guests on today's podcast, Drs. Kirsten Duckitt and Jennifer Kask, developed a prevention of preterm birth pathway in Northern Vancouver Island that is spreading to other remote communities. They share with us a moving story of a pregnant individual from a remote community who had her baby in their hospital, and break down the definitions and rates of preterm birth, risks to mama and baby, and how they can be decreased. Listen to our podcast on Being a NICU parent! Taking you from anxious and overwhelmed to confident during your childbirth experience: Pregnancy to Parenthood Online Prenatal Masterclass. *This episode is a re-release. Original release date: November 3, 2021.

There is a lot doctors and scientists still don't fully understand about what includes labour, both pre and at term. But we do know that there are treatments that can reduce your chance of having a preterm birth, especially if you have had one in the past. Preterm birth can be especially traumatic for those living in remote communities which is why in our guests on today's podcast, Drs. Kirsten Duckitt and Jennifer Kask, developed a prevention of preterm birth pathway in Northern Vancouver Island that is spreading to other remote communities. They share with us a moving story of a pregnant individual from a remote community who had her baby in their hospital, and break down the definitions and rates of preterm birth, risks to mama and baby, and how they can be decreased. Listen to our podcast on Being a NICU parent! Taking you from anxious and overwhelmed to confident during your childbirth experience: Pregnancy to Parenthood Online Prenatal Masterclass. *This episode is a re-release. Original release date: November 3, 2021.

Send us a textDouble Jeopardy: A Distinct Mortality Pattern Among Preterm Infants with Congenital Heart Disease.Higgins BV, Levy PT, Ball MK, Kim M, Peyvandi S, Steurer MA.Pediatr Cardiol. 2025 Apr;46(4):939-946. doi: 10.1007/s00246-024-03519-4. Epub 2024 Jun 12.PMID: 38864860 Free PMC article.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textSimilarities and Differences in the Neurodevelopmental Outcome of Children with Congenital Heart Disease and Children Born Very Preterm at School Entry.Wehrle FM, Bartal T, Adams M, Bassler D, Hagmann CF, Kretschmar O, Natalucci G, Latal B.J Pediatr. 2022 Nov;250:29-37.e1. doi: 10.1016/j.jpeds.2022.05.047. Epub 2022 Jun 2.PMID: 35660491 Free article.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textParental and Medical Classification of Neurodevelopment in Children Born Preterm.Richter LL, Janvier A, Pearce R, Bourque CJ, Church PT, Luu TM, Synnes A.Pediatrics. 2025 Feb 1;155(2):e2024066148. doi: 10.1542/peds.2024-066148.PMID: 39786567As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

In this Complex Care Journal Club podcast episode, Ms. Pearce and Dr. Synnes discuss a series of patient-oriented research studies aimed at partnering with parents in reimagining meaningful outcomes for premature infants. They describe the inclusion of parents on the study team, recruitment of parent participants, lessons and challenges while conducting the study, messages for other researchers and parents, and the next steps from this work. SPEAKERS Rebecca Pearce, B. Ed, MSc Vice Principal Villa Maria High School Parent Partner CHU Sainte-Justine and Canadian Premature Babies Foundation‌ Anne Synnes, MDCM, MHSc Clinical Professor, Neonatologist University of British Columbia British Columbia's Women's Hospital and British Columbia's Children's Hospital Research Institute HOST Kilby Mann, MD Assistant Professor Pediatric Rehabilitation Medicine Children's Hospital Colorado DATE Initial publication date: February 10, 2025. ARTICLES REFERENCED Pearce R, Synnes A, Lam MM, Richter LL, Bacchini F, Jones M, Luu TM, Janvier A; PARENTS' VOICE NETWORK. Partnering With Parents to Change Measurement and Reporting of Preterm Birth Outcomes. Pediatrics. 2024 Nov 1;154(5):e2024067093. doi: 10.1542/peds.2024-067093. PMID: 39354888. Haslam MD, Lisonkova S, Creighton D, Church P, Yang J, Shah PS, Joseph KS, Synnes A; Canadian Neonatal Network and the Canadian Neonatal Follow-Up Network. Severe Neurodevelopmental Impairment in Neonates Born Preterm: Impact of Varying Definitions in a Canadian Cohort. J Pediatr. 2018 Jun;197:75-81.e4. doi: 10.1016/j.jpeds.2017.12.020. Epub 2018 Feb 3. PMID: 29398054. TRANSCRIPT https://cdn.bfldr.com/D6LGWP8S/as/p65m4p98gppf65mz3zhmm9g/February_Pearce_and_Synnes_ccjcp_final_revisions‌ Please visit: http://www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open-access thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu CITATION Pearce R, Synnes A, Mann K. Focus on Abilities: Parent-Identified Outcomes of Preterm Infants. 2/2025. OPENPediatrics. Online Podcast: https://soundcloud.com/openpediatrics/focus-on-abilities-parent-identified-outcomes-of-preterm-infants

Breastfeeding twins can be challenging, especially when the babies are late preterm. What are some of the ways these babies behave differently? What should you know before attempting to tandem nurse? Plus, some great advice for managing triple feedings: breastfeeding, supplementation and pumping. Learn more about your ad choices. Visit megaphone.fm/adchoices

HeHe welcomes Zhenya Lindgardt, President and CEO of Sera Prognostics, to discuss the critical issue of preterm birth, its rising incidence in the U.S., and innovative solutions available today. Zhenya explains the definition and statistics of preterm birth, and introduces the Preterm test, a blood test that predicts the risk of preterm birth as early as 18 weeks of gestation. The conversation also covers the effectiveness of Sera Prognostics' intervention bundles, improvements in pregnancy care, and the importance of innovation in maternal health. Listeners will learn about the accessibility and process of the Preterm test and the overall goal of making this technology widely available to improve maternal and neonatal outcomes.   Understanding Preterm Birth Advancements in Preterm Birth Testing Interventions for High-Risk Pregnancies Clinical Trials and Results At-Home Testing and Accessibility Innovation in Maternal Health Guest Bio: Zhenya Lindgardt is an accomplished leader in healthcare innovation, currently serving as the President, CEO, and Board Director of Sera Prognostics, Inc. and CEO of The Commons Project Foundation. As the leader of Sera, Zhenya is revolutionizing the maternal and infant health space by addressing the preterm birth crisis with cutting-edge science. With a rich background including senior roles at Uber Technologies and a 19-year tenure at Boston Consulting Group, she has demonstrated expertise in driving growth and fostering innovation. Her contributions span multiple therapeutic areas and focus on leveraging data to improve patient outcomes and reduce healthcare costs. INSTAGRAM: Connect with HeHe on IG  Connect with HeHe on YouTube   https://www.facebook.com/serapregnancy https://www.instagram.com/serathepregnancycompany?igsh=NTc4MTIwNjQ2YQ== https://www.linkedin.com/company/sera-prognostics BIRTH EDUCATION: Join The Birth Lounge here for judgment-free childbirth education that prepares you for an informed birth and how to confidently navigate hospital policy to have a trauma-free labor experience!   Download The Birth Lounge App for birth & postpartum prep delivered straight to your phone!   LINKS MENTIONED: Websites: Sera | The Pregnancy Company PreTRM® Premature Birth Risk Blood Test from Sera March of Dimes Report Card CDC NYU article about racial disparities in pre-term birth rates What is causing the rise in pre-term birth?   Diagnostics: AVERT Trial Press Release: Sera PreTRM® Test Prevention Strategy Demonstrates 18% Reduction in Severe Neonatal Morbidity and Mortality in Newly Published AVERT Trial | Sera   AVERT Trial Data: https://www.mdpi.com/2075-4418/14/14/1462

Understanding Amniotic Fluid: What's Normal and What's Not Amniotic fluid is the protective liquid contained within the amniotic sac that surrounds a baby during pregnancy. This vital fluid plays a critical role in fetal development, providing cushioning, regulating temperature, and enabling the baby to move and grow within the uterus. It also facilitates the development of essential systems like the lungs, digestive tract, and musculoskeletal system. What Is Amniotic Fluid Made Of? Amniotic fluid begins to form around the 12th day of pregnancy and is initially composed of water from the mother. As the pregnancy progresses, it includes fetal urine, nutrients, hormones, and antibodies, creating a nutrient-rich environment for the growing baby. What's Normal? The amount of amniotic fluid changes throughout pregnancy, peaking around 34 weeks and then gradually decreasing. Here's what's considered normal: Volume: Typically, the amount of amniotic fluid ranges from 500 to 1,000 milliliters at term. Clear or Slightly Tinted Fluid: Normal amniotic fluid is clear or slightly yellow-tinted. Healthy Fetal Movement: Adequate fluid allows the baby to move freely, which promotes muscle and bone development. Doctors assess amniotic fluid levels using ultrasound and measure the Amniotic Fluid Index (AFI) or the Deepest Vertical Pocket (DVP) to ensure levels are within a healthy range. What's Not Normal? Abnormalities in amniotic fluid levels can indicate potential complications: Low Amniotic Fluid (Oligohydramnios): This condition occurs when fluid levels are too low and can lead to: Restricted fetal growth. Increased risk of umbilical cord compression. Complications during labor, such as reduced cushioning for the baby. Excess Amniotic Fluid (Polyhydramnios): Excess fluid can result from issues such as gestational diabetes, fetal anomalies, or infections. It may cause: Preterm labor. Difficulty breathing for the mother due to uterine overdistension. Increased risk of placental abruption or cord prolapse. Discolored Fluid: Green or Brown (Meconium-Stained Fluid): This indicates that the baby has passed its first stool in utero, which could signal fetal distress. Bloody Fluid: This may suggest complications like placental abruption or injury. Monitoring Amniotic Fluid Routine prenatal care includes monitoring amniotic fluid levels. If abnormalities are detected, your healthcare provider may recommend additional tests, interventions, or close monitoring to ensure the safety of both mother and baby.   Your feedback is essential to us! We would love to hear from you. Please consider leaving us a review on your podcast platform or sending us an email at info@maternalresources.org. Your input helps us tailor our content to better serve the needs of our listeners. For additional resources and information, be sure to visit our website at Maternal Resources: https://www.maternalresources.org/. You can also connect with us on our social channels to stay up-to-date with the latest news, episodes, and community engagement: Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources Instagram: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB Thank you for being part of our community, and until next time, let's continue to support, uplift, and celebrate the incredible journey of working moms and parenthood. Together, we can create a more equitable and nurturing world for all

Preterm infants, especially those born at periviability, are at inherent risk of a variety of short-term neonatal complications- depending on their gestational age- including sepsis, respiratory distress, IVH, and have an overall higher mortality compared to term born infants. Well known interventions are intended to reduce these complications; these include antenatal corticosteroids, magnesium sulfate for CNS protection, and antibiotics for latency in PPROM. This is an even bigger issue for those born in the periviable interval. That group is a unique population. But does mode of delivery matter? Cesarean delivery is currently not recommended before 25 weeks' gestation unless for maternal indications, even in the setting of malpresentation. We'll cover recently stated guideline in this episode. These recommendations are based on a lack of evidence of improved neonatal outcomes and survival following cesarean delivery and the maternal risks associated with cesarean delivery at this early gestational age. Plus, for non-vertex presenting fetuses, C-section has been reported to reduce risk of neonatal mortality, but what about vertex presenting preterm/periviable babies? In this episode, we will review the mode of delivery and neonatal outcomes in preterm birth with a special focus on those born in the periviable interval, like 22- and 23-weeks gestation. There's lots to cover here…so listen in for details.

Oscar-winning Michelle Yeoh's career has spanned four decades. Starting out as a martial arts actor, she became a key figure in the Hong Kong action scene. But it was her role in James Bond film Tomorrow Never Dies that catapulted her into Hollywood. She's since starred in many hits including Crouching Tiger, Hidden Dragon and the multi-Oscar winning movie - including for her own performance - Everything Everywhere all At Once. Now, she's in the film adaptation of the musical Wicked. She joined Nuala McGovern live in the studio to discuss it.We look back at a special programme, that came live from the Radio Theatre in Broadcasting House in London, looking at the support for children with Special Educational Needs and Disabilities – or SEND as it's often known in England. Nuala heard from guest panellists including Kellie Bright, an actress in EastEnders but also a mum to a child with SEND, Katie, who is 17 and says she was completely failed by the SEND system, and the Minister for School Standards, Catherine McKinnell.On 22 September 1994, the American TV show Friends premiered on NBC and the characters Monica, Rachel, Phoebe, Joey, Chandler and Ross became household names. To celebrate its 30th anniversary, Anita spoke to one of the show's writers and producers, Betsy Borns and the journalist Emma Loffhagen about why the show still resonates today.We hear from listener Siobhan Daniels. She wrote to us on Instagram: 'I would love you to talk about van life and an alternative way of living.' Siobhan is 65 years old and after selling her home and possessions has lived in her motorhome for the last five years. Preterm birth is the leading cause of neonatal deaths in the UK. Last month the House of Lords Preterm Birth Committee published a report calling on the government to do more to reduce the risks of babies being born prematurely and to improve the lives of those families who are affected. Anita discussed the proposed changes with Nadia Leake, who gave birth to twins eleven years ago at just 22 weeks and is the author of 'Surviving Prematurity,'Corinne Bailey Rae's latest album is a complete departure from her previous work. Black Rainbows is inspired by a trip to Stony Island Arts Bank, a Chicago-based archive of black art and culture. The record spans punk, rock, experimental jazz, electronica and more. She joined Anita for a very special performance live from the Woman's Hour Glastonbury picnic table back in the summer.Presenter: Anita Rani Producer: Annette Wells Editor: Emma Pearce

Is that your water breaking or did you just pee yourself (again?) At this stage of pregnancy, it's important to learn the signs of pre-term labor in case that baby wants to make an early appearance! Sarah chats symptoms to look out for and some tell-tale signs birth is near, PLUS baby's development, tips for the week, and a to-do list to help keep us all on track Want more from Sarah? Personal Instagram: @SarahMerrill_Hall Share some Laughs: @bigkidproblems Check out the NEW IG @bottleserviceBKP Shop Sarah's Pregnancy/ Postpartum Must Haves on Amazon Shop Bottle Service MERCH!  Big Thank You to our Episode Sponsors! MANSCAPED - Get 20% off + free shipping with the code bottleservice at Manscaped.com Green Chef - The #1 Meal Kit for Clean Eating. Go to greenchef.com/bottleservice50 and use code bottleservice50 for 50% off your first box plus 20% off your next two months! Learn more about your ad choices. Visit megaphone.fm/adchoices

Send us a textIn this episode, Ben and Daphna sit down with Dr. Cindy McEvoy, professor of pediatrics and director of neonatal research at Oregon Health & Science University, to discuss optimizing lung development in preterm infants. Dr. McEvoy shares insights from her research on the benefits of prolonged CPAP use in preterm infants, showing how it supports lung growth, improves alveolar volume, and enhances pulmonary function. She emphasizes the importance of education and proper CPAP application to maximize benefits while debunking myths about weaning protocols. This conversation highlights the potential of targeted respiratory strategies to improve long-term outcomes.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

Send us a textIn this episode, Ben and Daphna sit down with Dr. Dieter Wolke, professor of developmental psychology at the University of Warwick, to discuss life course outcomes for very preterm, very low birth weight infants. Dr. Wolke explores the concept of life tasks, emphasizing milestones like independence, social integration, and relationships. He highlights the long-term impacts of neonatal experiences, the role of overprotective parenting, and the need for individualized support across the life span. This insightful conversation challenges traditional labels and advocates for a nuanced approach to fostering well-being and resilience in preterm children.As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. 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!

In the United States, more than 400,000 babies are born prematurely each year, which is about 1 in 10 babies. Over the last several decades, multiple studies have shown a link between poor oral health and increased occurrence of preterm birth. Researchers have looked at various ways to improve dental health during pregnancy, including doing a “deep-teeth cleaning” (also called ‘scaling and planing'), which involves removing plaque and tarter on the teeth and below the gum line. However, despite improving periodontitis, deep teeth cleaning approaches have not proven to be effective in the prevention of preterm birth. But now new data has discovered an easy and inexpensive way to improve oral health and potentially reduce preterm births. This data was originally presented at the annual Pregnancy meeting at SMFM, but now it is a peer reviewed publication. In this episode, we will review how chewing xylitol gum has promising results for preterm birth reduction. Nonetheless, some important limitations must be reviewed. Listen In for details.