BORN

The potential of the BORN Network lies in you! The evidence for newborn care can only be developed with enrollment of a large, diverse, nationally representative sample of newborns. Your ideas, energy, and willingness to collect a small amount of data will set the national agenda, shape the practice of physicians, and ensure high quality care in newborn nurseries everywhere.

Incentives to Participate

Once you have joined the network, you will have the following opportunities to participate and contribute to furthering the evidence-base for newborn care:

• Complete surveys on your current newborn practices that will allow us to understand the current state of newborn care in the US and link specific practices to outcomes.
• Collect data on network research studies
• Be elected to either the Research or Executive Committees of BORN and formulate the future of the network
• Be elected as a managing director of BORN
• Develop a research study for the BORN network to conduct
• Be a principal investigator or co-investigator on BORN network studies
• Provide comments on proposed, planned or ongoing research projects

Ongoing Studies

Management of Newborns with Lumbosacral Findings
This cross-sectional study of management choices made by practitioners who see newborns in a regular newborn nursury setting aims to see how much inter-observer agreement exists for management of various neonatal lumbosacral findings.

Vitamin K Refusal
As a follow-up to PI Jaspreet Loyal's, Yale University, earlier project surveying BORN nursery directors perceptions of Vitamin K refusals at their institutions, the aims of the current study are to 1) report the number of infants discharged from newborn nurseries in the BORN network who did not receive IM vitamin K and 2) describe the epidemiology of infants not receiving IM vitamin K and their mothers.

Completed Studies

The Utility of Transcutaneous Bilirubin Measurement
Jim Taylor, University of Washington, served as PI for the first study conducted by the BORN network. The specific aims of the study were to: 1) Describe the distribution of TcB values in term and late preterm newborns measured in diverse settings by developing a TcB nomogram based on the data collected (BORN TcB nomogram) 2) Identify test thresholds for TcB percentiles that maximize the specificity of the screening tool while maintaining sensitivity near 100% for identification of infants with significantly elevated TSB and 3) Identify systematic sources of error in TcB measurements.

BORN Delphi Study
The objective of this study led by PI Elizabeth Simpson, University of Missouri, was to develop a consensus-based, prioritized agenda for well newborn care. A two-round modified Delphi survey of BORN members was conducted. The highest rated research questions of importance to BORN clinicians were: 1) At what weight-loss percentage is it medically necessary to formula supplement a breastfeeding infant? 2) What is the optimal management of infants with neonatal abstinence syndrome? 3) How and when should we initiate a workup for sepsis, and how should these newborns be managed?

Variation in Care of Opioid-Exposed Newborns: a BORN survey
BORN member hospitals were surveyed to identify practice variations for newborns with in-utero chronic opioid exposure. Identification of variation is the first step toward establishing best practice standards to improve care for this rapidly growing population. Deb Bogen from University of Pittsburgh, was PI for this survey.

Practice Variation in Evaluation of Term Infants at Risk for Early-Onset Sepsis
PIs Sagori Mukhopadhyay and Karen Puopolo from UPenn surveyed BORN nursery directors to determine variation in the management of newborns at risk for EOS.

2017
Loyal J, Taylor JA, Phillipi CA, Goyal NK, Dhepyasuwan N, Shapiro ED, Colson E. Refusal of vitamin K by parents of newborns: A survey of the Better Outcomes through Research for Newborns (BORN) Network. Academic Pediatrics. 2017. 17(4): 368-373.

Bogen DL, Whalen B, Kair LR, Vining M, King BA. Wide variation found in care of opioid-exposed newborns. Academic Pediatrics. 2017. 17(4): 374-380.

2016
Taylor JA, Burgos AE, Flaherman V, Chung EK, Simpson EA, Goyal NK, Von Kohorn I, Dhepyasuwan N. Utility of decision rules for transcutaneous bilirubin measurements. Pediatrics. 2016. 137(5).

2015
Taylor JA, Burgos AE, Flaherman V, Chung EK, Simpson EA, Goyal N, Von Kohorn I, Dhepyasuwan N. Discrepancies between transcutaneous and serum bilirubin measurements. Pediatrics. 2015. 135(2):224-231.

Mukhopadhyay S, Taylor J, Von Kohorn I, Flaherman V, Burgos AE, Phillipi CA, Dhepyasuwan N, King E, Dhudasia M, Puopolo KM. Variation in sepsis evaluation across a national network of nurseries. Pediatrics. 2017. 139(3).

2014
Simpson E, Goyal N, Dhepyasuwan N, Flaherman V, Chung E, Von Kohorn I, Burgos T. E, Taylor J. Prioritizing a research agenda: a delphi study of the Better Outcomes Through Research for Newborns (BORN) network. Hospital Pediatrics. 2014. 4(4): 195-202.

Managing Directors

Steering Committee