@article {3630, title = {Making the first days of life safer: preventing sudden unexpected postnatal collapse while promoting breastfeeding.}, journal = {J Hum Lact}, volume = {31}, year = {2015}, month = {2015 Feb}, pages = {47-52}, abstract = {

Early and prolonged skin-to-skin contact (SSC) after birth between a mother and her newborn has been shown to generate beneficial effects on the mother-infant relationship and breastfeeding. Close mother-infant body contact immediately after birth positively enhances exclusive breastfeeding during the hospital stay, with a dose-response relationship. Skin-to-skin contact may ease the infant{\textquoteright}s transition to extra-uterine life and helps regulate the infant{\textquoteright}s body temperature and nursing behavior. However, reports of sudden unexpected postnatal collapse (SUPC) soon after birth, in healthy term neonates, in association with SSC, have raised concerns about the safety of this practice. Based on available evidence, we developed a surveillance protocol in the delivery room and postnatal ward of the Institute for Maternal and Child Health of Trieste (Italy). The aim of our protocol is (a) to promote safe mother and infant bonding and (b) to establish successful breastfeeding, without increasing the risk of SUPC. As there is no known effective intervention to prevent SUPC, our protocol has been conceived as a potential best practice.

}, issn = {1552-5732}, doi = {10.1177/0890334414554927}, author = {Davanzo, Riccardo and De Cunto, Angela and Paviotti, Giulia and Travan, Laura and Inglese, Stefania and Brovedani, Pierpaolo and Crocetta, Anna and Calligaris, Chiara and Corubolo, Elisa and Dussich, Valentina and Verardi, Giuseppa and Causin, Enrica and Kennedy, Jaquelyn and Marrazzo, Francesca and Strajn, Tamara and Sanesi, Cecilia and Demarini, Sergio} } @article {7716, title = {More than (Double) Bubble.}, journal = {J Pediatr}, volume = {167}, year = {2015}, month = {2015 Oct}, pages = {942-942.e1}, keywords = {Amniotic Fluid, Duodenum, Female, Humans, Infant, Infant, Newborn, Polyhydramnios, Pregnancy, Pregnancy Trimester, Third, Prenatal Diagnosis, Ultrasonography, Prenatal}, issn = {1097-6833}, doi = {10.1016/j.jpeds.2015.06.066}, author = {Ferrara, Giovanna and Stampalija, Tamara and Codrich, Daniela and Simionato, Cristina and Taddio, Andrea and Travan, Laura} } @article {1853, title = {Managing children under 36 months of age with febrile urinary tract infection: a new approach.}, journal = {Pediatr Nephrol}, volume = {27}, year = {2012}, month = {2012 Apr}, pages = {611-5}, abstract = {

BACKGROUND: Recent guidelines on urinary tract infection (UTI) agree on reducing the number of invasive procedures. None of these has been validated by a long-term study. We describe our 11-years experience in the application of a diagnostic protocol that uses a reduced number of invasive procedures.

METHODS: We reviewed retrospectively the records of 406 children aged between 1 and 36 months at their first UTI. All patients underwent renal ultrasound (RUS). Children with abnormal RUS and those with UTI recurrences underwent voiding cystourethrography (VCUG) and dimercaptosuccinic acid (DMSA) renal scans.

RESULTS: RUS after the first UTI was pathological in 7.4\% children; 4.4 \% had a second UTI. We performed 48 VCUG: 14 patients (29\%) had vesicoureteral reflux (VUR), 12 of which showed an abnormal RUS while 2 had recurrent UTI. After DMSA renal scan renal damage appeared in only 6 of them (12.5\%); all these children showed grade IV VUR.

CONCLUSIONS: The application of our guidelines leads to a decrease in invasive examinations without missing any useful diagnoses or compromising the child{\textquoteright}s health.

}, keywords = {Anti-Bacterial Agents, Child, Preschool, Female, Humans, Infant, Male, Pediatrics, Recurrence, Retrospective Studies, Urinary Tract Infections}, issn = {1432-198X}, doi = {10.1007/s00467-011-2087-3}, author = {Pennesi, Marco and L{\textquoteright}erario, Ines and Travan, Laura and Ventura, Alessandro} }