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In October 2015, the American Heart Association and the American Academy of Pediatrics released advanced notification of substantive changes to appear in the seventh edition of the Neonatal Resuscitation Program (NRP) scheduled for release in the spring of 2016. The expectation is that all NRP providers will be educated in the seventh edition of the NRP during 2016, with the national implementation target date set as January 2017. This column presents a brief discussion and summary of changes to the NRP., (© 2016 AWHONN, the Association of Women’s Health, Obstetric and Neonatal Nurses.)

The practice of perinatal regionalization is designed to ensure that newborns are born in facilities with a care level designation that is consistent with expected pregnancy outcomes. Regionalization practices have resulted in lower neonatal mortality and morbidity rates. However, despite regionalization efforts, approximately 10 percent of newborns will require some level assistance with breathing, and a few (<1 percent) will require resuscitation in the birthing room. After resuscitation, many of these newborns require acute transport to a different facility. This column provides an overview of principles from the STABLE Program, which guides clinicians in providing postresuscitation care and pretransport stabilization for compromised newborns., (© 2015 AWHONN.)

Prophylactic treatment of newborns with intramuscular vitamin K has been the standard of care for many years in the United States. However, instances of parental refusal of routine prophylaxis are currently on the rise. Refusal of routine prophylaxis can have serious long-term neurodevelopmental consequences for some newborns, who may subsequently develop vitamin K deficiency-associated hemorrhagic disease of the newborn (HDN)., (© 2015 AWHONN.)