Antenatal Steroid Exposure Among Infants Born at 22 to 25 Weeks’ Gestation

We studied administration of antenatal steroids (ANS) and rates of survival and major morbidities of infants born at the edge of viability receiving postnatal life support at VON member hospitals in the U.S. This research recently published in JAMA Network Open shows receipt of ANS is associated with significantly higher rates of survival and survival without major morbidities for these infants. While more infants born at 22 to 25 weeks’ gestational age are receiving postnatal life support, there is inconsistent use of ANS. We can reach beyond the NICU walls to help reevaluate national obstetric guidelines and promote shared decision making at the edge of viability with consistent obstetrical and neonatal care plans.

Click here to read the full article.

Some VON members can also log in to VON’s Learning Management System to view a presentation from Danielle Ehret, MD, MPH at the 2017 Annual Quality Congress about antenatal steroid use at the edges of viability (available to members at centers participating in NICQ 2018-19,  Virtual Quality Congress Pass subscribers, and participants of the 2018 Annual Quality Congress).

  1. Log onto the LMS at  (If you have not set/reset your VON Password within the past 90 days, please Reset Your Password before logging in.)
  2. After logging in, click the Collaboratives tab.
  3. Select 2017 Virtual Quality Congress Transforming Newborn Care
  4. Click on 2017 Annual Quality Congress – Plenary Day 2
  5. Select View Recorded Lesson for Framing the Challenges at the “Edges of Viability and Vermont Oxford Network Data at the “Edges” of Viability

Annual Quality Congress 2018 Encore Webinar

For the best experience, we strongly recommend that you watch the webinar as a team and designate one individual to take a leadership role to schedule a meeting room, test the computer in that room on WebEx, and spread the word so that as many team … [Continue reading]

TECaN/VON Helping Babies Breathe Co-Facilitators

HBB Co-Facilitators

We are pleased to announce our first TECaN/VON HBB Co-facilitator Scholarships for the 2018 Helping Babies Breathe (HBB) 2nd edition Master Trainer Course, co-sponsored by the American Academy of Pediatrics (AAP) Section on Neonatal-Perinatal … [Continue reading]

Howard Cohen’s Reflections on the 2018 Annual Quality Congress

As we traveled to Chicago last week for NICQ, iNICQ and the VON Quality Congress we were all aware that the 6000 UNITE HERE Local 1 Hotel workers were on strike and picketing outside our host hotel and 25 other downtown Chicago hotels. The strike … [Continue reading]

VON teams lead the way for Antibiotic Stewardship in Newborn Care

VON Teams Lead the Way for Antibiotic Stewardship in Newborn Care During the United Nations (UN) General Assembly in New York on September 25, 2018, the United States announced the AMR Challenge—the most ambitious global initiative to date to combat … [Continue reading]

Vermont Oxford Rady Children’s Genomic Network Launched at 2018 Annual Quality Congress

Vermont Oxford Network and Rady Children's Institute for Genomic Medicine (RCIGM) are collaborating to create a learning network for multidisciplinary neonatal care teams. The Genomic Network will advance research and implementation of evidence-based … [Continue reading]

Virginia Focuses on Improving Care of Infants Affected by Substance Use

Virginia Task Force Focuses on Improving Care of Infants Affected by Substance Use Virginia Neonatal-Perinatal Collaborative to implement Vermont Oxford Network’s NAS Universal Training The Virginia Neonatal-Perinatal Quality Improvement C … [Continue reading]

Your VON Newsletter June 2018

NICU by the Numbers Increasingly, NICUs Integrate Families into Care with Single-Family Rooms VON analysis shows one-fifth of hospitals caring for infants in single family rooms. Dr. Robert White calls for examining structural and operational … [Continue reading]

Show the Great Work You Do – Call for Images

We want to show what it is like to turn data into action and provide ever-improving care for infants and families. We know you do this every day – show us by submitting your photos! This is an opportunity for you, your team, and your center to be s … [Continue reading]

Data Informs Shared Decision-Making for Treatment of NEC

Vermont Oxford Network and Boston Children's Hospital collaborate to improve clinical prognosis and family counseling When Boston Children’s Hospital surgeons and clinical teams discuss treatment options for neonates with necrotizing enterocolitis, t … [Continue reading]