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From the Editors for 2021(2) - ​

Thank you for your continued support of Advances in Neonatal Care. This issue contains a variety of topics. We begin first with our editorial addressing Parents as “Essential” Caregivers in the neonatal intensive care unit (NICU). With the onslaught of COVID-19, parents have on many occasions not been treated as essential in many caregiving settings around the globe. The neglect of the parent role as “essential” to their infant cannot continue and we ask that we all be vigilant and advocate for the rights of parents. 

Our noteworthy news continues with a great discussion of the indirect effects of the COVID crisis. We have much to learn about caregiving during a pandemic. We then continue with the last 2 articles in our Special Series related to care of the substance exposed infant. Eat, sleep and console protocols are a practice becoming more common in the care of these infants. Ms. Miller and her team discuss the outcomes of this practice in their setting. The second article examines neonatal abstinence syndrome in preterm infants and the current practices. Preterm infants with substance exposure may not receive care that acknowledges their withdrawal. This article provides an overview of current practices in this area that could help us all to rethink our caregiving practices. We then have 3 different articles revolving around care for infants with more rare needs and syndromes: 1) infants with neonatal alloimmune thrombocytopenia, 2) treatment of extravasation-induced injuries, and lastly 3) infants with Donnai-Barrow syndrome. Caregiving for each of these infants requires intense assessment, attentive care with attention to detail that also encompasses addressing the needs of their families. These 3 articles are followed by a great article on patient ethics which also address how to provide excellent communication that fully engages families in the care of their high-risk infant. Infant feeding continues as a priority in neonatal care. 

Our first research article examines the correlates and trajectories of preterm sucking and breathing and how these evolve over time with maturation. Understanding the complexity of this dynamic and seemingly simple process can be important in providing the best care to infants and families. Lastly, is a research report of patterns of parenting confidence for infants with medical complexity. These infants and thus their parents have great needs and we need to better understand those needs so we can provide the best care.  Online we have two articles. First, we have a practice improvement project that describes the successful implementation of skin-to-skin holding in a cardiac and surgery NICU. Then we have a research report providing the results of a maternally administered care bundle for very preterm infants. This pilot study provides direction for next steps in this trajectory of research.

NEW From Issue 2! Neonatal Abstinence Syndrome and the Preterm Infant: A Look at Current Practice​
This study explored the current state of practice for preterm infants born less than 34 weeks gestational age exposed to intrauterine drugs. Great variability in practice exists across the country supports the need for a validated preterm infant 

NEW From Issue 2! Neonatal Alloimmune Thrombocytopenia: A Concise Review
This article provides an overview of Neonatal alloimmune thrombocytopenia (NAIT). NAIT is an uncommon platelet disorder caused by maternal alloimmunization to human specific antigens (HPA) that are paternally inherited. Nursing and medical care are explored. 

This literature review provides a synthesis of neonatal sepsis risk factors, causative pathogens, and the neonates immune response.  In addition, sepsis presentation, diagnosis, management, and implications are described.

Recent research provided evidence that “babywearing” by nurses is effective for management of Neonatal Abstinence Syndrome. In this article nurses share their perceptions about the delivery of this intervention.​

A Review of Feeding Practices in Infants with Neonatal Abstinence Syndrome
Feeding infants with neonatal abstinence syndrome is not always easier. These infants often require extra time and support. This article examines the evidence about how to best support these infants.

“Babywearing” in the NICU: An Intervention for Infants With Neonatal Abstinence Syndrome​​​
Babywearing may be a new concept for you and may seem uncomfortable yet there are ways to safely provide this nonpharmacologic intervention for babies. This study provides evidence that the intervention can be effective. ​

Current Issue Highlights

Substance Exposed Infants