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    Science

    The Incubator

    A weekly discussion about new evidence in neonatal care and the fascinating individuals who make this progress possible. Hosted by Dr. Ben Courchia and Dr. Daphna Yasova Barbeau.

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    Copyright: © 2022 CATO NEONATAL INNOVATIONS INC.

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    Latest Episodes:
    #325 - [Journal Club Shorts] - 📌 Cold Milk for Infants with Feeding Challenges Jun 29, 2025
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    From Warm to Cold: Feeding Cold Milk to Preterm Infants with Uncoordinated Oral Feeding Patterns.

    Ferrara-Gonzalez L, Kamity R, Htun Z, Dumpa V, Islam S, Hanna N.Nutrients. 2025 Apr 26;17(9):1457. doi: 10.3390/nu17091457.PMID: 40362766 Free PMC article. Clinical Trial.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #325 - [Journal Club Shorts] - 📌 Teleneonatology and Hypothermia Timing Jun 29, 2025
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    Impact of teleneonatology on time to goal temperature in outborn neonates with hypoxic-ischemic encephalopathy requiring therapeutic hypothermia.

    Kaczor M, Hentz R, Youssef PE, Fine A, Fang J.J Perinatol. 2025 May 29. doi: 10.1038/s41372-025-02324-y. Online ahead of print.PMID: 40442292

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #325 - [Journal Club Shorts] - 📌 Prophylactic Hydrocortisone and Sepsis Risk Jun 29, 2025
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    Prophylactic hydrocortisone and the risk of sepsis in neonates born extremely preterm.

    Baud O, Lehert P; PREMILOC study group.Eur J Pediatr. 2025 Jun 14;184(7):419. doi: 10.1007/s00431-025-06248-9.PMID: 40515786 Clinical Trial.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #325 - [Journal Club Shorts] - 📌 Prone Positioning in Preterms: Hypoxemia and Feeding Jun 29, 2025
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    Prone Positioning Was Associated With Less Hypoxemic Events and Improved Feeding Tolerance in Preterm Infants.

    Bohnhorst B, Lutz E, Pirr S, Peter C, Böhne C.Acta Paediatr. 2025 May 26. doi: 10.1111/apa.70153. Online ahead of print.PMID: 40418109

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #325 - [Journal Club Shorts] - 📌 Severe Neonatal Morbidity and Mortality Through Adolescence Jun 29, 2025
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    Severe Neonatal Morbidity and All-Cause and Cause-Specific Mortality Through Infancy and Late Adolescence.

    Graham H, Johansson K, Persson M, Norman M, Razaz N.JAMA Pediatr. 2025 Jun 10:e251873. doi: 10.1001/jamapediatrics.2025.1873. Online ahead of print.PMID: 40493844

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #324 – Looking for Answers: Parenting, Uncertainty, and the Digital Age Jun 27, 2025
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    In this episode of Neo News, journalist and New York Times critic-at-large Amanda Hess joins host Dr. Eli Cahan to revisit the story behind her viral essay, “My Son Has a Rare Syndrome, So I Turned to the Internet.” Amanda shares the disorienting experience of receiving her son’s diagnosis of Beckwith-Wiedemann syndrome during a routine third-trimester ultrasound and the digital spiral that followed.

    As a new parent navigating the NICU and early medical complexities, she reflects on the paradox of modern care: how high-tech diagnostics coexist with emotional disconnection—and how often the only available companion is the search bar. The conversation explores the reality of caregiving with limited context, the emotional fallout of confronting diagnosis alone, and the unpredictable role of the internet and social media in shaping parental perception.

    Drawing from her upcoming book Second Life: Having a Child in the Digital Age, Amanda brings a clear-eyed perspective on the information gaps, algorithmic noise, and the human need for clarity when the stakes are impossibly high.

    Listen in for a raw and thoughtful look at what happens between the scan, the screen, and the real child in your arms.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #322 – Neonatal Pain and Stress: What We See, What We Miss, and What We Can Do Jun 22, 2025
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    In this episode, we speak with neonatal nurse scientists Dr. Marliese Nist and Dr. Kathy Dudding to explore the evolving understanding of neonatal pain and stress in the NICU. Together, we look at how outdated assumptions about infant pain still influence clinical care, and what providers can do to better recognize and respond to the signs of stress in fragile newborns.

    Our guests discuss how even routine care can be a source of stress for preterm infants, and why thoughtful, individualized approaches—such as comfort touch and parental involvement—can make a meaningful difference. They also highlight the lack of standardization in pain protocols across NICUs and the limitations of existing assessment tools.

    This conversation offers practical takeaways for clinicians at the bedside and makes the case for system-wide change in how we approach pain management and developmental care. The episode is part of our collaboration with the National Association of Neonatal Nurses (NANN), and underscores the vital role of interdisciplinary teamwork in improving neonatal outcomes.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #319 - Medicaid at a Crossroads: What Neonatologists Need to Know Jun 15, 2025
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    In this special “advocacy roundup” episode, Dr. Shetal Shah and Stephanie Glier return to break down the latest developments in federal healthcare policy and their real-world consequences for neonatologists and the families they serve. With sweeping budget legislation threatening to cut Medicaid funding by nearly 10%, they explain how these changes could destabilize the financial foundations of neonatal care, reduce access to critical services, and deepen existing health disparities. From threats to NICU funding and children’s hospitals to the ripple effects of limiting postpartum and parental coverage, they connect the dots between Washington decisions and bedside realities.

    Listeners also get a pragmatic guide on how clinicians—without needing to be policy experts—can engage effectively with lawmakers to protect Medicaid’s role in children’s healthcare. If you work in neonatal care or advocate for health equity, this is an essential listen that explains what’s on the line and what you can do about it—now.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #317 - 📑 Journal Club - The Complete Episode from June 8th 2025 Jun 08, 2025
    Show notes

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    In this week’s Journal Club, Ben and Daphna dive into the latest report from the American Academy of Pediatrics on the management of patent ductus arteriosus (PDA) in preterm infants. They dissect the nuances of prophylactic versus selective treatment, review recent meta-analyses, and explore why early intervention might not yield better outcomes despite effective PDA closure. They also break down new echocardiographic criteria for diagnosing a hemodynamically significant PDA and discuss the role of transcatheter procedures.

    The conversation then shifts to MRI timing and classification in neonatal encephalopathy, highlighting recent Canadian consensus recommendations for standardizing imaging protocols post-therapeutic hypothermia. The episode wraps up with a look at the TOHOP trial on permissive hypotension, challenging long-standing blood pressure treatment thresholds in preterm infants.

    Listeners will gain a pragmatic view of evolving clinical practices and research gaps in neonatal care, particularly for infants with PDA and hypoxic-ischemic encephalopathy. If you’re looking to stay current on evidence-based recommendations without the fluff, this episode is for you.

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


    #317 - [Journal Club Shorts] - 📌 Permissive Hypotension: A novel way to think of hypotension in preterm neonates Jun 08, 2025
    Show notes

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    Treatment of Hypotension of Prematurity: a randomised trial.

    Alderliesten T, Arasteh E, van Alphen A, Groenendaal F, Dudink J, Benders MJ, van Bel F, Lemmers P.Arch Dis Child Fetal Neonatal Ed. 2025 May 24:fetalneonatal-2024-328253. doi: 10.1136/archdischild-2024-328253. Online ahead of print.PMID: 40413017

    Support the show

    As always, feel free to send us questions, comments, or suggestions to our email: nicupodcast@gmail.com. You can also contact the show through Instagram or Twitter, @nicupodcast. Or contact Ben and Daphna directly via their Twitter profiles: @drnicu and @doctordaphnamd. The papers discussed in today's episode are listed and timestamped on the webpage linked below.

    Enjoy!


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