Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152156
Mary Lauren Neel , Kristen L Benninger
Traditional measures of neurodevelopmental outcomes in preterm children are deficit focused and not informed by parent and family perspectives. Parents care less about medical classification of severity of disability and more about the child’s ability to function and participate. Positive health encompasses a broad and dynamic perspective on health that goes beyond the absence of disease and focuses on physical, mental, and social well-being, life-satisfaction, and goal attainment. Measuring positive health as an outcome in children at high risk of disability is challenging but possible. Further exploration of positive health as an outcome may meet the needs of both families and researchers.
{"title":"Perception of neonatal outcomes: lessons learned from positive health","authors":"Mary Lauren Neel , Kristen L Benninger","doi":"10.1016/j.semperi.2025.152156","DOIUrl":"10.1016/j.semperi.2025.152156","url":null,"abstract":"<div><div>Traditional measures of neurodevelopmental outcomes in preterm children are deficit focused and not informed by parent and family perspectives. Parents care less about medical classification of severity of disability and more about the child’s ability to function and participate. Positive health encompasses a broad and dynamic perspective on health that goes beyond the absence of disease and focuses on physical, mental, and social well-being, life-satisfaction, and goal attainment. Measuring positive health as an outcome in children at high risk of disability is challenging but possible. Further exploration of positive health as an outcome may meet the needs of both families and researchers.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152156"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131877","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152150
Joanna Parga-Belinkie , Benjamin Courchia , Daphna Yasova Barbeau
In this era of rapid digital transformation, media has become an essential tool for education, communication, collaboration, and advocacy in neonatal-perinatal care. This article explores the evolving media ecosystem within the neonatal intensive care unit (NICU), highlighting how healthcare professionals are using traditional media, video content, blogs, podcasts, and social media to connect with one another, share the latest research, educate peers and families, improve clinical practice, and amplify public health messaging. Drawing on diverse examples and expert commentary, the authors argue that strategic engagement in media enhances family-centered care, bridges the gap between research and bedside application, and fosters a connected, informed, and empowered neonatal community. The article presents a framework for assessing media engagement and invites clinicians to consider how media integration can shape their professional identity and expand their impact beyond their units.
{"title":"Using media to transform education and public health messaging in the neonatal intensive care unit","authors":"Joanna Parga-Belinkie , Benjamin Courchia , Daphna Yasova Barbeau","doi":"10.1016/j.semperi.2025.152150","DOIUrl":"10.1016/j.semperi.2025.152150","url":null,"abstract":"<div><div>In this era of rapid digital transformation, media has become an essential tool for education, communication, collaboration, and advocacy in neonatal-perinatal care. This article explores the evolving media ecosystem within the neonatal intensive care unit (NICU), highlighting how healthcare professionals are using traditional media, video content, blogs, podcasts, and social media to connect with one another, share the latest research, educate peers and families, improve clinical practice, and amplify public health messaging. Drawing on diverse examples and expert commentary, the authors argue that strategic engagement in media enhances family-centered care, bridges the gap between research and bedside application, and fosters a connected, informed, and empowered neonatal community. The article presents a framework for assessing media engagement and invites clinicians to consider how media integration can shape their professional identity and expand their impact beyond their units.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152150"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152148
Matthew J. Kielt , Lauren A. Sanlorenzo
Bronchopulmonary dysplasia (BPD) is the most common morbidity experienced by infants born extremely preterm. With improved survival of extremely preterm infants, rates of BPD have increased and the number of infants with established BPD being cared for in neonatal intensive care units (NICU) is increasing. To address the complex clinical needs of infants with established BPD, interdisciplinary BPD programs have been developed at level-IV NICUs throughout the United States. Interdisciplinary BPD programs adopt the principles of chronic care models that differ in size, scope, and practices when compared to traditional acute care NICU’s clinical programs. The purpose of this review is to summarize the collaborative and innovative features of interdisciplinary BPD clinical care programs.
{"title":"Interdisciplinary collaboration and innovation in established bronchopulmonary dysplasia","authors":"Matthew J. Kielt , Lauren A. Sanlorenzo","doi":"10.1016/j.semperi.2025.152148","DOIUrl":"10.1016/j.semperi.2025.152148","url":null,"abstract":"<div><div>Bronchopulmonary dysplasia (BPD) is the most common morbidity experienced by infants born extremely preterm. With improved survival of extremely preterm infants, rates of BPD have increased and the number of infants with established BPD being cared for in neonatal intensive care units (NICU) is increasing. To address the complex clinical needs of infants with established BPD, interdisciplinary BPD programs have been developed at level-IV NICUs throughout the United States. Interdisciplinary BPD programs adopt the principles of chronic care models that differ in size, scope, and practices when compared to traditional acute care NICU’s clinical programs. The purpose of this review is to summarize the collaborative and innovative features of interdisciplinary BPD clinical care programs.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152148"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152155
Leeann Pavlek , Debra Armbruster , Cecilie Halling , Kaitlyn Hipp , Maria Jebbia , Susan Lopata , Matthew Rysavy , Rebecca Saliga , Sheria Wilson , Claire Beaullieu
As survival rates of extremely preterm (EPT) infants continue to improve, focus has shifted to reduce morbidity and complications in these vulnerable patients. Management of EPT infants presents significant clinical, logistical, and sometimes ethical challenges. Outcomes across centers are highly variable and strongly influenced by the care provided in the early neonatal period. Standardized guidelines, based on published literature and center-specific experiences, play an important role in improving outcomes for EPT infants. Multidisciplinary guidelines provide a framework for clinical management and support a consistent care approach. Guidelines can improve care throughout the entire neonatal intensive care unit (NICU) course, beginning prior to delivery during antenatal counseling, delivery room management, golden hour, and throughout the NICU stay as infants’ needs evolve based on physiologic changes.
{"title":"Transforming preterm care: The power of small baby guidelines in enhancing outcomes","authors":"Leeann Pavlek , Debra Armbruster , Cecilie Halling , Kaitlyn Hipp , Maria Jebbia , Susan Lopata , Matthew Rysavy , Rebecca Saliga , Sheria Wilson , Claire Beaullieu","doi":"10.1016/j.semperi.2025.152155","DOIUrl":"10.1016/j.semperi.2025.152155","url":null,"abstract":"<div><div>As survival rates of extremely preterm (EPT) infants continue to improve, focus has shifted to reduce morbidity and complications in these vulnerable patients. Management of EPT infants presents significant clinical, logistical, and sometimes ethical challenges. Outcomes across centers are highly variable and strongly influenced by the care provided in the early neonatal period. Standardized guidelines, based on published literature and center-specific experiences, play an important role in improving outcomes for EPT infants. Multidisciplinary guidelines provide a framework for clinical management and support a consistent care approach. Guidelines can improve care throughout the entire neonatal intensive care unit (NICU) course, beginning prior to delivery during antenatal counseling, delivery room management, golden hour, and throughout the NICU stay as infants’ needs evolve based on physiologic changes.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152155"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neonatal follow-up programs are critical in monitoring the long-term outcomes of infants born preterm. The current focus is on neurodevelopmental impairment (NDI). However, such deficit-based outcomes often exclude parental perspectives, failing to capture what matters the most to families: function and quality of life over diagnoses. This paper explores the integration of new family-important outcomes (FIO) measures into neonatal follow-up using patient-reported outcome measures. FIO measures are patient-completed questionnaires that assess a range of health outcomes such as health status, functional ability, and quality of life. We discuss the importance and ethical imperative of integrating FIO measures into neonatal follow-up programs to better align care with family priorities and challenges in bringing practice changes. We propose using an implementation science approach to successfully embed FIO measures into practice and research, enhancing the relevance, equity, and quality of neonatal follow-up care.
{"title":"Measuring family-important outcomes in large neonatal networks: where we are and where we need to go","authors":"Catherine Demers , Thuy Mai Luu , Stephanie Glegg , Jehier Afifi , Rebecca Pearce , Émilie Thivierge , Annie Janvier","doi":"10.1016/j.semperi.2025.152149","DOIUrl":"10.1016/j.semperi.2025.152149","url":null,"abstract":"<div><div>Neonatal follow-up programs are critical in monitoring the long-term outcomes of infants born preterm. The current focus is on neurodevelopmental impairment (NDI). However, such deficit-based outcomes often exclude parental perspectives, failing to capture what matters the most to families: function and quality of life over diagnoses. This paper explores the integration of new family-important outcomes (FIO) measures into neonatal follow-up using patient-reported outcome measures. FIO measures are patient-completed questionnaires that assess a range of health outcomes such as health status, functional ability, and quality of life. We discuss the importance and ethical imperative of integrating FIO measures into neonatal follow-up programs to better align care with family priorities and challenges in bringing practice changes. We propose using an implementation science approach to successfully embed FIO measures into practice and research, enhancing the relevance, equity, and quality of neonatal follow-up care.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152149"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152153
Marliese Dion Nist, Nicole Cistone, Rita H. Pickler
Stress exposure in the neonatal intensive care unit (NICU) is ubiquitous and affects long-term outcomes for preterm infants. The NICU hospitalization occurs during a critical period of experience-dependent and experience-expectant development when the immature brain is particularly sensitive to environmental exposures, but the experiences of preterm infants are often poorly matched to their neurologic expectations. The mismatch between preterm infants’ experiences and neurologic expectations may cause abnormal brain development and programming of the stress response systems. Routine nursing care and parental separation are two neurologically unexpected experiences that, while often overlooked, may be amenable to interventions, including system-level changes. To guide the development and implementation of effective interventions, it is necessary to understand how nurse caregiving practices and parental separation specifically contribute to the preterm infant’s stress burden. The purpose of this paper is to provide an overview of the effects of routine nursing care and parental separation, two persistent NICU stressors, and offer recommendations for interventions that nurses and other care providers can use to mitigate the negative effects of these exposures.
{"title":"Improving outcomes for preterm infants: Mitigating stress exposure","authors":"Marliese Dion Nist, Nicole Cistone, Rita H. Pickler","doi":"10.1016/j.semperi.2025.152153","DOIUrl":"10.1016/j.semperi.2025.152153","url":null,"abstract":"<div><div>Stress exposure in the neonatal intensive care unit (NICU) is ubiquitous and affects long-term outcomes for preterm infants. The NICU hospitalization occurs during a critical period of experience-dependent and experience-expectant development when the immature brain is particularly sensitive to environmental exposures, but the experiences of preterm infants are often poorly matched to their neurologic expectations. The mismatch between preterm infants’ experiences and neurologic expectations may cause abnormal brain development and programming of the stress response systems. Routine nursing care and parental separation are two neurologically unexpected experiences that, while often overlooked, may be amenable to interventions, including system-level changes. To guide the development and implementation of effective interventions, it is necessary to understand how nurse caregiving practices and parental separation specifically contribute to the preterm infant’s stress burden. The purpose of this paper is to provide an overview of the effects of routine nursing care and parental separation, two persistent NICU stressors, and offer recommendations for interventions that nurses and other care providers can use to mitigate the negative effects of these exposures.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152153"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152144
Robert Barrett , Brooke Lawler , Star Liu , Woo Yeon Park , Marjan Davoodi , Ben Martin , Sai Manasa Kalyanam , Kartikeya Makker , Jordan R. Kuiper , Khyzer B. Aziz
Significant strides have been made in utilizing data, information, and knowledge to enhance neonatal outcomes. This review examines how data informatics, encompassing electronic health records (EHRs), data standards, and artificial intelligence (AI), has facilitated advancements in neonatal care and research. Vast amounts of data, structured and unstructured, have been produced from clinical care. In turn AI stands to improve patient care, safety, and quality improvement initiatives. Facilitated by AI, clinicians’ interaction with neonatal informatic tools is transitioning from reactive to real-time, proactive care. Historically, necrotizing enterocolitis, sepsis, medical imaging, and neonatal mortality have been the targets of AI-integrated neonatal care. While much progress has been made in developing state-of-the-art AI tools, their development and implementation must consider optimization of patient care, clinical workflows, and aim to decrease clinician burnout. Employing a sociotechnical framework to assess both technical and human factors is key to effectively evaluating clinical utility, promoting adoption, and facilitating successful deployment. Beyond technical concerns, ethical considerations such as trust in AI, data security, and model transparency are critical to the responsible deployment of informatics tools. Ongoing advancements in neonatal care coupled with informatics, multi-omics, AI, and federated learning expands the possibilities of personalized care for neonates.
{"title":"Transforming neonatal care through informatics: A review of artificial intelligence, data, and implementation considerations","authors":"Robert Barrett , Brooke Lawler , Star Liu , Woo Yeon Park , Marjan Davoodi , Ben Martin , Sai Manasa Kalyanam , Kartikeya Makker , Jordan R. Kuiper , Khyzer B. Aziz","doi":"10.1016/j.semperi.2025.152144","DOIUrl":"10.1016/j.semperi.2025.152144","url":null,"abstract":"<div><div>Significant strides have been made in utilizing data, information, and knowledge to enhance neonatal outcomes. This review examines how data informatics, encompassing electronic health records (EHRs), data standards, and artificial intelligence (AI), has facilitated advancements in neonatal care and research. Vast amounts of data, structured and unstructured, have been produced from clinical care. In turn AI stands to improve patient care, safety, and quality improvement initiatives. Facilitated by AI, clinicians’ interaction with neonatal informatic tools is transitioning from reactive to real-time, proactive care. Historically, necrotizing enterocolitis, sepsis, medical imaging, and neonatal mortality have been the targets of AI-integrated neonatal care. While much progress has been made in developing state-of-the-art AI tools, their development and implementation must consider optimization of patient care, clinical workflows, and aim to decrease clinician burnout. Employing a sociotechnical framework to assess both technical and human factors is key to effectively evaluating clinical utility, promoting adoption, and facilitating successful deployment. Beyond technical concerns, ethical considerations such as trust in AI, data security, and model transparency are critical to the responsible deployment of informatics tools. Ongoing advancements in neonatal care coupled with informatics, multi-omics, AI, and federated learning expands the possibilities of personalized care for neonates.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152144"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152141
Mattie F. Wolf , Diana Montoya-Williams , Michelle-Marie Peña
In 2022, United States infant mortality increased for the first time in over 20 years, driven largely by deaths due to maternal complications and preterm birth, and highlighted significant racial/ethnic and socioeconomic inequities in both infant mortality and morbidities. This underscores the relationship between maternal and infant health outcomes. This article presents a framework for understanding the mother-infant dyad using an adaptation of the socio-ecological model and focuses on patient and family factors, provider and healthcare system factors, community factors, and policy and societal factors that perpetuate inequities in infant outcomes. The neonatal intensive care unit (NICU) is a driver of inequities, but also provides critical, yet underutilized, opportunities for intervention. Strategies to promote physical, emotional, social, and financial well-being of mothers and infants include NICU-based lactation and mental health support, culturally responsive care, screening for social determinants of health, and engagement of families in care and quality improvement. Beyond the NICU, broader structural and policy changes are essential, including equitable access to risk-appropriate care, paid family leave, comprehensive health insurance, and investments in community partnerships. Addressing these drivers of inequity through coordinated healthcare, policy, and community action can better support the mother-infant dyad and improve the well-being of all families.
{"title":"Interventions to address inequities in infant mortality and morbidity in the NICU and beyond: A focus on the mother-infant dyad","authors":"Mattie F. Wolf , Diana Montoya-Williams , Michelle-Marie Peña","doi":"10.1016/j.semperi.2025.152141","DOIUrl":"10.1016/j.semperi.2025.152141","url":null,"abstract":"<div><div>In 2022, United States infant mortality increased for the first time in over 20 years, driven largely by deaths due to maternal complications and preterm birth, and highlighted significant racial/ethnic and socioeconomic inequities in both infant mortality and morbidities. This underscores the relationship between maternal and infant health outcomes. This article presents a framework for understanding the mother-infant dyad using an adaptation of the socio-ecological model and focuses on patient and family factors, provider and healthcare system factors, community factors, and policy and societal factors that perpetuate inequities in infant outcomes. The neonatal intensive care unit (NICU) is a driver of inequities, but also provides critical, yet underutilized, opportunities for intervention. Strategies to promote physical, emotional, social, and financial well-being of mothers and infants include NICU-based lactation and mental health support, culturally responsive care, screening for social determinants of health, and engagement of families in care and quality improvement. Beyond the NICU, broader structural and policy changes are essential, including equitable access to risk-appropriate care, paid family leave, comprehensive health insurance, and investments in community partnerships. Addressing these drivers of inequity through coordinated healthcare, policy, and community action can better support the mother-infant dyad and improve the well-being of all families.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152141"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152131
Mark A. Petersen , Hannah C. Glass
Neonatal Neurocritical Care (NNCC) is transforming neonatal medicine through a brain-centered approach that reflects the complexity and rapid progression of early neurodevelopment. NNCC provides a comprehensive care model built on a foundation of real-time neuromonitoring, advanced neuroimaging, and multidisciplinary collaboration to deliver timely neurological support for newborns at risk of injury. This framework has evolved to bridge the full arc of early brain development, linking fetal evaluation, neonatal management, and post-discharge follow-up into a cohesive continuum. Recent technological advances in bedside monitoring, functional neuroimaging, machine learning, and rapid genomics are shifting NNCC toward a more proactive and personalized model of care. Emerging therapies are also expanding the clinical reach of NNCC, opening new frontiers for early intervention and neurorepair. As the field continues to advance, the central goal of NNCC remains to improve neurodevelopmental outcomes while ensuring widespread access to high-quality, family-centered neurological care. This review outlines the evolving landscape of NNCC and highlights its essential role in guiding brain-focused care from the earliest stages of development through childhood and beyond.
{"title":"Extending the Branches of Neonatal Neurocritical Care","authors":"Mark A. Petersen , Hannah C. Glass","doi":"10.1016/j.semperi.2025.152131","DOIUrl":"10.1016/j.semperi.2025.152131","url":null,"abstract":"<div><div>Neonatal Neurocritical Care (NNCC) is transforming neonatal medicine through a brain-centered approach that reflects the complexity and rapid progression of early neurodevelopment. NNCC provides a comprehensive care model built on a foundation of real-time neuromonitoring, advanced neuroimaging, and multidisciplinary collaboration to deliver timely neurological support for newborns at risk of injury. This framework has evolved to bridge the full arc of early brain development, linking fetal evaluation, neonatal management, and post-discharge follow-up into a cohesive continuum. Recent technological advances in bedside monitoring, functional neuroimaging, machine learning, and rapid genomics are shifting NNCC toward a more proactive and personalized model of care. Emerging therapies are also expanding the clinical reach of NNCC, opening new frontiers for early intervention and neurorepair. As the field continues to advance, the central goal of NNCC remains to improve neurodevelopmental outcomes while ensuring widespread access to high-quality, family-centered neurological care. This review outlines the evolving landscape of NNCC and highlights its essential role in guiding brain-focused care from the earliest stages of development through childhood and beyond.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152131"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-01DOI: 10.1016/j.semperi.2025.152152
Eugenia K. Pallotto , Michelle-Marie Peña , C. Briana Bertoni , Beverly S. Brozanski , Laurel B. Moyer , Anthony Piazza
Quality improvement collaborative (QIC) networks have been instrumental in improving care and outcomes across various populations, demonstrating a consistent track record of success, particularly within neonatal intensive care units on both national and international levels. Successful networks require many structural factors to be in place at both the collaborative and local level. Engagement and investment in QICs promote equitable care by decreasing variation and driving practice improvements. This review provides an overview of the historical context and a successful methodology in neonatology.
{"title":"Quality improvement collaboratives: A neonatal perspective","authors":"Eugenia K. Pallotto , Michelle-Marie Peña , C. Briana Bertoni , Beverly S. Brozanski , Laurel B. Moyer , Anthony Piazza","doi":"10.1016/j.semperi.2025.152152","DOIUrl":"10.1016/j.semperi.2025.152152","url":null,"abstract":"<div><div>Quality improvement collaborative (QIC) networks have been instrumental in improving care and outcomes across various populations, demonstrating a consistent track record of success, particularly within neonatal intensive care units on both national and international levels. Successful networks require many structural factors to be in place at both the collaborative and local level. Engagement and investment in QICs promote equitable care by decreasing variation and driving practice improvements. This review provides an overview of the historical context and a successful methodology in neonatology.</div></div>","PeriodicalId":21761,"journal":{"name":"Seminars in perinatology","volume":"49 7","pages":"Article 152152"},"PeriodicalIF":3.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145150810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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