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Abusive head trauma accounts for most deaths because of physical abuse and most serious head injuries among infants. Dias and colleagues evaluated a statewide shaken baby prevention program in Pennsylvania among parents of all newborn infants. There was no difference in the rates of hospitalization for abusive head trauma over the intervention period in Pennsylvania compared with those of 5 other states. The accompanying editorial by Leventhal et al discussed the need to move beyond mother-focused, antishaking education during the postpartum period to prevent the potentially devastating injuries of abusive head trauma.
Pregnant women infected with influenza A(H1N1) are at a substantially higher risk for hospitalization and intensive care hovel admissions with a disproportionately severe clinical course. In this large cohort study conducted in Denmark, 61 359 children were followed up from birth to age 5 years. Children exposed to the maternal influenza A(H1N1) vaccination in the first trimester were not more likely to be hospitalized during the first 5 years of life than unexposed children. Children of mothers vaccinated in the second or third trimester had a 7% lower risk of hospitalization, primarily a result of a reduced risk for infection-related hospitalizations. These results support the safety profile of the influenza A(H1N1) vaccine used during pregnancy.
Highlights. JAMA Pediatr. 2017;171(3):207. doi:10.1001/jamapediatrics.2016.3093
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