Step by Step






Credit Hours: CME 1.50

Target Audience:

This activity is directed to physicians who take care of hospitalized children, medical students, nurse practitioners, and physician assistants working in the emergency room, intensive care unit, or hospital wards.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Identify the personnel and describe the role for everyone needed in the delivery room describe the skills necessary to be an effective leader.
  • Review Group B Streptococci screen in mother and early infection concerns and management in a newborn.
  • Describe neonatal hypoglycemia and management.

There is no educational content to this course. This course is designed to only administer the post-test and collect CME evaluations for the podcast associated with this training.
A Note From Dr. Tarchichi:
Welcome to a series of podcasts on pediatric hospital medicine. This series was created to keep the busy physician of today informed and up to date on some of the most important diagnoses and issues we face every day in the care of hospitalized children. I hope to provide you with a unique and interesting perspective on the origins of pediatric hospital medicine.

Suggested Additional Reading:

  1. Recommendations for the Prevention of Perinatal Group B Streptococcal (GBS) Disease. PEDIATRICS. Volume 128, Number 3, September 2011.
  2. Postnatal Glucose Homeostasis in Late-Preterm and Term Infants. Pediatrics. Mar 2011, 127 (3) 575-579.
  3. Brady MT, Polin RA. Prevention and Management of Infants With Suspected or Proven Neonatal Sepsis. Pediatrics Jul 2013, 132 (1) 166-168.
  4. Committee on Obstetric Practices. ACOG Committee Opinion Intrapartum Management of Intraamniotic Infection. Number 712, August 2017.
  5. Simmons R, Stanley C. Neonatal Hypoglycemia studies – Is There a Sweet Story of Success Yet? N Engl J Med. Oct 15, 2015. 376;16.
  6. Rozance PJ, Hay Jr WW. New approaches to neonatal hypoglycemia. Maternal Health, Neonatology and Perinatology. 2016. 2:3.
  7. McKinlay C, Alsweiler J, Ansell J, Anstice N, Chase G, Gamble G, et al. Neonatal Glycemia and Neurodevelopemental Outcomes at 2 Years. N Engl J Med 2015; 373:1507-1518.
  8. Group B Streptococcal Infections. AAP Redbook. 31st Edition
  9. Kaiser JR, Bai S, Gibson N, Holland G, Lin TM, Swearingen CJ, Mehl JK, ElHassan NO. Association Between Transient Newborn Hypoglycemia and Fourth-Grade Achievement Test ProficiencyA Population-Based Study. JAMA Pediatr. 2015;169(10):913–921.
  10. McKinlay CJD, Harding JE. Revisiting Transitional HypoglycemiaOnly Time Will Tell. JAMA Pediatr. 2015;169(10):892–894.

Arcangela Balest, MD — Assistant Professor, Division of Newborn Medicine, Children's Hospital of Pittsburgh of UPMC and Magee Womens Hospital, University of Pittsburgh School of Medicine
No relationships with industry relevant to the content of this educational activity have been disclosed.
Tony R. Tarchichi MD — Assistant Professor, Department of Pediatrics, Children's Hospital of Pittsburgh of the University of Pittsburgh Medical Center (UPMC.) Paul C . Gaffney Diagnostic Referral Group
No relationships with industry relevant to the content of this educational activity have been disclosed.
No other members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships with any companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

The University of Pittsburgh is an affirmative action, equal opportunity institution.