All Things Neonatal.

All Things Neonatal. I am Dr. Michael Narvey a Neonatologist with over 25 years of experience and a passion for education.
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This site is meant for Neonatology and specifically dissemination of interesting research.

New RCT in
07/22/2026

New RCT in

07/22/2026

Episode 2 -22 weeks
You’ve made it in your pregnancy to 22 weeks. Why is this such an important milestone? What can you expect in terms of both survival and outcome?

What will they think of next in the   space?Have you heard of the Active Egg?A pacifier that once sucked on by the infan...
07/21/2026

What will they think of next in the space?

Have you heard of the Active Egg?

A pacifier that once sucked on by the infant will trigger caregivers voice to be played through a bedside speaker.

Could this help with language acquisition or at the very least help support babies in and reduce markers of stress in their journey?

Has anyone used this? Feel free to comment?

07/21/2026

Episode 1

You’ve made it to 21 to 22 weeks gestation. What might your faith in resuscitation mean to these infants?

In a sample of 923   born at < 29 weeks gestation Canadian Neonatal Network & Evidence-based Practice for Improving Qual...
07/21/2026

In a sample of 923 born at < 29 weeks gestation Canadian Neonatal Network & Evidence-based Practice for Improving Quality study finds that number of laryngoscopy attempts for intubation is not associated with risk of developing severe IVH.

While less attempts is better for a number of reasons including establishing earlier secure ventilation and less risk of airway trauma, if you have ever been at the bedside wondering about the risk of an ELGAN developing IVH from the prolonged time to establish an airway this retrospective sample suggests it is not elevated.

https://pubmed.ncbi.nlm.nih.gov/42458018/

Identical NATURALLY CONCEIVED quadruplets born in Australia at 28 weeks plus 4 days gestation.For this to have occurred ...
07/20/2026

Identical NATURALLY CONCEIVED quadruplets born in Australia at 28 weeks plus 4 days gestation.

For this to have occurred one fertilized egg had to split into four.

Before you ask how rare this is, natural quadruplets occur in about 1 in 700000 births!

For the quadruplets to be identical is estimated to about 1 in 10-15 million births!

Can you put a price on extremely preterm birth?Striking differences between being born in a universal health care system...
07/20/2026

Can you put a price on extremely preterm birth?

Striking differences between being born in a universal health care system in Sweden vs the United States (SEE BELOW!)

A study out of Sweden examined the total cost of care for 344 neonates born before 24 weeks gestation.

The greatest health care costs were incurred during the first year of life with a average total cost for care being 3,247,000 Swedish Kroners (about 340000 USD) over the first 14 years of life.

Neonatal morbidities, including bronchopulmonary dysplasia, treated retinopathy of prematurity, and severe intraventricular haemorrhage, were associated with sustained long-term costs.

By comparison, costs in the United States would most likely surpass this amount in the neonatal period alone. One study demonstrated expenditures of $603,778 in the first 6 months (Beam, A.L., Fried, I., Palmer, N. et al. Estimates of healthcare spending for preterm and low-birthweight infants in a commercially insured population: 2008–2016. J Perinatol 40, 1091–1099 (2020).)!

https://pubmed.ncbi.nlm.nih.gov/41914225/

07/19/2026

Case Study - Rare Diagnosis!
A developed pneumonia. The cause might leave your jaw on the floor‼️

07/18/2026

The power of prayer🙏

This is pretty much all the evidence you need to know that your baby in the hospital knows you are there for them😊

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Winnipeg, MB

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