Artificial placentas (APs) are technologies that mimic the human placenta to treat extremely preterm infants. Being an invasive and risky technology, it will raise important ethical questions for human trials. Hence, in this Topic Piece we provide a blueprint of further issues to investigate. First, counselling will have the double role of…

Despite the relative increase in early care and education (ECE) investment over recent decades, access to infant and toddler care continues to be a hurdle for countless families across the nation. While access is a multifaceted issue, main contributors include a lack of available slots and the high cost of providing care to infants and toddlers.…

The "4th trimester" refers to the transition period after childbirth when infants are adjusting to life outside the womb and mothers are adjusting to new parenthood. This critical period is marked by significant biological, psychological, and social changes, which are currently insufficiently supported. The 4th trimester perspective…

Infants are born primed to develop attachment relationships. However, when infants are hospitalized in the neonatal intensive care unit at birth, the stress and trauma associated with the highly specialized medical environment can threaten the development of a nurturing and secure caregiving relationship. Infant mental health is an evidence-based…

The purpose of this special issue of Physical & Occupational Therapy in Pediatrics is to present an evidence-based system to guide the physical therapy management of patients in the Neonatal Intensive Care Unit (NICU). Two systematic guides to patient management will be presented. The first is a care path intended primarily for use by physical…

Over the past decade, the National Advisory Committee on Rural Health and Human Services (hereinafter referred to as "the Committee") has examined a number of rural issues that touch upon the social determinants of health. The Committee's past work has focused on understanding how conditions and outcomes such as homelessness, childhood…

Research suggests that early self-regulatory difficulties among high-risk newborns can lead to poor interactional difficulties and negative long-term cognitive and social-emotional outcomes if not identified and treated early. This article describes why an individualized, developmentally supportive, relationship-based program, such as the Newborn…

This article features Discovery Children's Centre, one of the highest quality centres in the province of Manitoba, Canada. Discovery Children's Centre believes that children, who may have little or no voice in a democratic society, can be heard if some adult will speak on their behalf. Even as it has grown from 35 to 230 children, quality has…

In a relationship-based approach to infant-family work, front-line staff members are frequently called upon to manage their emotions in order to offer a presence that will promote and maintain an effective relationship with parents. The work of managing emotions to elicit a desired response in others is called "emotional labor," and it comes at a…

The focus of this article is to express the importance of early referral to early intervention in the natural environment of a child with feeding disorder. It is also to get the facts about treating feeding disorders early, in order to prevent long-term problems with feeding, to the people who are in any way involved in the life and care of an…

High school chemistry can be intimidating to some students, so it is critical that we engage students in nonthreatening preparatory investigations during middle school. Based on the learning cycle model (Bybee and Landes 1990), this lesson invites students to investigate disposable diapers. As they explore the properties of sodium polyarcylate, a…

Young babies are easily overwhelmed by the pain of hunger or gas. However, when an infant's day is filled with caregiving experiences characterized by quick responses to his cries and accurate interpretations of the meaning of his communication, the baby learns that he can count on being fed and comforted. He begins to develop trust in his teacher…

Teachers of infants need a large bunch of key ideas and activities of all kinds to unlock in each child the treasures of loving kindness, thoughtful and eloquent use of language, intense active curiosity to learn, willingness to cooperate, and the deep desire to work hard to master new tasks. Teachers can tune in to each child's special…

This article reminds infant care teachers of the ways thoughtful interactions between adults and very young children teach babies and toddlers who they are as individuals. "When teachers take the time to respond respectfully and thoughtfully, babies and young children learn and thrive."

The authors discuss three steps to helping babies with transitions: observe, ask, and respond (OAR). They advise teachers about how to ask a family questions about their baby and how to give the family suggestions to alleviate the baby's stress, without offending family members. This column includes a list of recommended resources. (Contains 7…