Risks discussed for alternative peripartum, neonatal practices

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MONDAY, Jan. 24, 2022 (HealthDay News) — Risks associated with new emerging alternative perinatal and neonatal practices are discussed in a report published online Jan. 24 in Pediatrics.

Dawn Nolt, MD, MPH, of Oregon Health and Science University in Portland, and colleagues describe the infectious disease risk associated with emerging alternative perinatal and neonatal practices to help pediatricians counsel families before birth and to assess and treat exposed newborns.

The researchers note that water immersion for labor and delivery improves comfort in the first stage, but not in the second stage of labor or during delivery. Potential neonatal infections associated with water immersion include Legionella and Pseudomonas rare but serious species. Vaginal seeding has no known benefit and may expose infants to vaginal pathogens such as Group B Streptococcus (GBS) or herpes simplex virus (HSV). To date, umbilical non-separation has no clear benefit and may increase the risk of neonatal sepsis due to the presence of necrotic umbilical or placental tissue. Placentophagy provides no benefit to the caregiver and should be avoided; one case report linked the practice to recurrent GBS sepsis in a neonate. Non-medical postponement of the hepatitis B birth dose should be discouraged because the birth dose serves as an essential safety net for the prevention of infection. Delayed bathing should be discouraged in neonates exposed to active genital HSV lesions or with a known history of HIV infection in the biological parent. “The purpose of this report is to educate pediatric health care providers about new alternative perinatal and neonatal practices, to provide information that providers can use to counsel expectant parents, and to highlight the need for risk assessment of ‘infections,’ the authors write.

Summary/Full text

Copyright © 2021 health day. All rights reserved.

MONDAY, Jan. 24, 2022 (HealthDay News) — Risks associated with new emerging alternative perinatal and neonatal practices are discussed in a report published online Jan. 24 in Pediatrics.

Dawn Nolt, MD, MPH, of Oregon Health and Science University in Portland, and colleagues describe the infectious disease risk associated with emerging alternative perinatal and neonatal practices to help pediatricians counsel families before birth and to assess and treat exposed newborns.

The researchers note that water immersion for labor and delivery improves comfort in the first stage, but not in the second stage of labor or during delivery. Potential neonatal infections associated with water immersion include Legionella and Pseudomonas rare but serious species. Vaginal seeding has no known benefit and may expose infants to vaginal pathogens such as group B Streptococcus (GBS) or herpes simplex virus (HSV). To date, umbilical non-separation has no clear benefit and may increase the risk of neonatal sepsis due to the presence of necrotic umbilical or placental tissue. Placentophagy provides no benefit to the caregiver and should be avoided; one case report linked the practice to recurrent GBS sepsis in a neonate. Non-medical postponement of the hepatitis B birth dose should be discouraged because the birth dose serves as an essential safety net for the prevention of infection. Delayed bathing should be discouraged in neonates exposed to active genital HSV lesions or with a known history of HIV infection in the biological parent. “The purpose of this report is to educate pediatric health care providers about new alternative perinatal and neonatal practices, to provide information that providers can use to counsel expectant parents, and to highlight the need for risk assessment of ‘infections,’ the authors write.

Summary/Full text

Copyright © 2021 health day. All rights reserved.
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