Infant Journal
for neonatal and paediatric healthcare professionals

NNAP can help neonatal units to plan improvement

Of the 750,000 babies born each year in England, Scotland and Wales, nearly 105,000 receive specialist neonatal care. The National Neonatal Audit Programme (NNAP) supports professionals, families and commissioners in their efforts to evolve and improve the care provided to these babies.

Sam Oddie
Consultant Neonatologist and Clinical Lead for the National Neonatal Audit Programme
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aplasia cutis congenita; skin disorder; congenital; placental infarct; fetus papyraceus
Key points
  1. Extensive ACC lesions on the trunk and limbs are rare.
  2. ACC can be associated with placental infarcts or the in utero death of a twin fetus, as in the case presented here.
  3. Obstetric history should review maternal medications/infections during pregnancy, determine an initial multiple pregnancy with death of a co-twin and investigate any placental anomalies.
  4. Despite their large size, truncal and limb ACC lesions usually resolve within the first few months of life.

Also published in Infant:

Congenital enterovirus infection case series: early recognition can improve outcome
Congenital enterovirus infection is caused by a group of single stranded RNA viruses transmitted vertically from an infectious mother; symptoms can begin in utero or in the immediate neonatal period. Symptoms can be mild but when occurring in the first two weeks of life, can be more severe and life threatening. We present a case series of five neonates with congenital enterovirus infection. Three of the infants developed severe infection requiring intensive care, one of whom died of multi-organ failure. A high index of suspicion is required as early treatment may be lifesaving.