News

Compared to formula fed infants, extremely preterm infants fed donated human milk had half the rate of necrotizing enterocolitis, a life threatening condition of the intestines. There were no differences in neurological development between those fed donor milk and those fed formula.

Preterm infants born to people who have been vaccinated for COVID-19 had roughly the same levels of antibodies to the spike protein of SARS-CoV-2 as term infants born to vaccinated people, allaying concerns that fewer antibodies might pass to preterm infants.

Sepsis screening tools designed to account for the physiological changes that may occur during pregnancy perform best from 20 weeks of pregnancy through 3 days postpartum, research suggests. In early pregnancy and later in the postpartum period, tools based on general sepsis screening criteria may more accurately predict which patients are at high risk for maternal sepsis, a leading cause of pregnancy-related deaths.

Researchers linked malformations in stillborn infants to copy number variants—lengths of DNA in which hereditary material is duplicated or deleted. What they learned could lead provide information helpful to parents and for pregnancy care.

Children with enlarged perivascular spaces—fluid-filled cavities surrounding the brain’s small blood vessels—had a higher risk for developing autism spectrum disorder and later sleep problems. Brain scans to detect the enlargement could be helpful for obtaining an earlier diagnosis of autism spectrum disorders.

A questionnaire detecting strong emotional responses to traumatic births could help identify new mothers at risk for developing childbirth-related post-traumatic stress disorder. It may lead to faster diagnosis—and treatment—of post traumatic stress disorder in new mothers.

Pregnant people who tested positive for cannabis use were at 27% higher risk for conditions related to poor placental function—including hypertensive disorders of pregnancy, stillbirth, and growth restriction relative to gestational age—than pregnant people who tested negative.

In 2023, NICHD continued its commitment to research to understand human development, improve reproductive health, promote women’s health, enhance the lives of children and adolescents, and optimize abilities for all. Highlights include steps toward reducing the global burden of maternal sepsis and establishing a standard treatment for opioid-exposed newborns.

By late 2022, widespread COVID-19 vaccination of pregnant people likely halted a spike in the preterm birth rate that began at the start of the pandemic, suggests a new study. The findings underscore the need for pregnant people to keep current on COVID-19 vaccination.

As we ring in 2024, we’d like to take a brief look back on our accomplishments during 2023. These activities illustrate the institute’s continued commitment to research and training in its mission areas.

Researchers developed a new method of evaluating blood from pregnant people to identify anomalies in the genes of fetuses. The new approach is more sensitive than current tests, which screen only for chromosome-level variants, such as an extra chromosome, and a small number of fetal genetic variants. It is also less invasive than current methods, which often involve inserting a needle into the uterus to retrieve fetal cells for analysis.

Endometriosis affects an estimated 10% of women, can cause severe pain and infertility, and typically has long delays in diagnosis. NICHD is accelerating efforts to definitively diagnose, prevent, and treat this chronic disease.

Preterm infants who underwent several painful medical procedures in early life may be at high risk for autism spectrum disorders and lower motor and language scores at 18 months of age, suggesting that repeated exposure to pain may affect early brain development. The findings underscore the need to develop more effective pain management procedures for preterm infants.

For the 35th observance of World AIDS Day, NICHD reflects on recent progress in HIV/AIDS research to optimize outcomes for infants and children, tailor care for adolescents and young adults, promote reproductive health, and support pregnancy and parenthood.

Two-year-old children showed no benefits from their mothers receiving antibodies that target cytomegalovirus (CMV) during pregnancy compared to those whose mothers received a placebo. Findings from this follow-up study were similar to the original, which also found no differences. Full effects of CMV infection during pregnancy may not appear until a child is two years old.

An early study suggests that a questionnaire can detect posttraumatic stress disorder (PTSD) after childbirth with high probability. If large-scale studies verify its effectiveness, the questionnaire could provide a rapid and efficient method for postnatal PTSD screening, allowing timely referral for a thorough assessment and treatment.

This collaboration will promote safe infant sleep with and within American Indian and Alaska Native communities.

Among more than 1,800 women planning a pregnancy, those who received at least one dose of a COVID-19 vaccine before getting pregnant were no more likely to miscarry than those who were unvaccinated. The study also found no increased miscarriage risk among roughly 1,500 couples in which the male partner was vaccinated before trying to conceive.

A treatment that moves blood from the umbilical cord into an infant’s body may provide a safe option for preterm infants born after 28 weeks who need rapid support, according to a study supported by NIH. Umbilical cord “milking”— gently squeezing the cord between the thumb and forefinger and pushing the blood into the newborn’s body—did not increase the risk of bleeding inside the brain for preterm infants born after 28 weeks of pregnancy.

For the first time, researchers were able to track development of the human placenta from the merging of placental cells with blood vessels in the uterus to a fully formed organ using new ultrasound technology that visualizes and measures blood flow through extremely small blood vessels. The images and data provide a reference for typical placental development to help with comparison studies, tracking, identification of placental disorders, and other complications.