Horizon Star - January 2020

Breastfeeding: It Takes a Community

Horizon neonatologists published in academic journal

In Canada, Breastfeeding Week is celebrated from October 1 to 7, which is also Wellness Week in New Brunswick! Breastfeeding and wellness go hand-in-hand: practicing wellness is easier when the people and places around you are supportive. This is why the theme for the 2019 breastfeeding campaign in New Brunswick was Working Together Makes Breastfeeding Better. In the Upper River Valley, the Community Breastfeeding Promotion Committee has been working to create supportive environments for breastfeeding families. The committee includes (along with others): Horizon Public Health dietitians, nurses and a community developer, a regional wellness consultant, staff from the Valley Family Resource Center and Carleton Manor and community moms. This year, Breastfeeding: It Takes a Community was held at the Andrew and Laura McCain Public Library in Florenceville-Bristol and was a huge success. About 55 participants, including moms and babies, partners, grandparents, siblings and residents from the Carleton Manor in Woodstock, took part in activities including: a Quintessence Challenge (latch on); pelvic floor health education session; infant massage; breastfeeding questions and answers; crafts; story time; and face painting for the young and young-at-heart participants. Breastfeeding is not always easy. It is a skill

Two neonatologists at Horizon’s The Moncton Hospital recently published an academic article highlighting their research in the field of neonatology in a peer-reviewed medical journal. Drs. Yasser Soliman and Marc Blayney, along with physicians from other hospitals, authored the article “Neonatal coning secondary to hypoxic ischaemic encephalopathy: A case study and literature review” in the November 2019 issue of Paediatrics & Child Health Journal of the Canadian Pediatrics Society. In their article, the physicians examine the case of a two-day-old infant born at term with severe hypoxic ischaemic encephalopathy (HIE), which is brain damage caused by lack of oxygen and blood to the brain. The infant required therapeutic hypothermia, a treatment used to improve neurologic function of infants with HIE. The newborn experienced a rare complication called brain herniation - the second case of this type of complication ever reported in literature. The article concludes that vigilance in monitoring neonatal neurological status during therapeutic hypothermia is imperative for the early detection and intervention of brain herniation. “Brain herniation in response to therapeutic hypothermia for severe HIE is a very rare occurrence and that’s why its an important

topic to study,” said Dr. Soliman. “Health care workers who may have never seen cases like this before now have the article to refer to and know what to look for.” Dr. Soliman had completed his research for the article while working at The Hospital for Sick Children (SickKids) in Toronto and consulted with Dr. Blayney in Moncton to make sure the research findings were in line with his colleague’s experiences. “Because it is such a rare occurrence, brain herniation in response to therapeutic hypothermia for HIE can be difficult to detect,” said Dr. Blayney. “The research conducted by Dr. Soliman fit with what I knew and had seen. Sometimes a single, rare case like this one can open up whole new areas of research.” Dr. Soliman joined Horizon in mid 2019 and the article was published shortly after. “On behalf of Horizon, I would like to congratulate Dr. Soliman and Dr. Blayney on their academic achievements,” said Dr. Ken Gillespie, Chief of Staff at Horizon’s The Moncton Hospital and Medical Director for Women and Children’s Health. “Horizon is fortunate to have such dedicated neonatologists. Their work highlights the high level of neonatal care that The Moncton Hospital provides for our patients both in Moncton and New Brunswick.”

Dr. Yasser Soliman graduated from Benha Medical School in Egypt with a Master’s degree in Pediatrics. He worked as a neonatologist in Saudi Arabia before accepting a fellowship in neonatal perinatal medicine at the University of Calgary followed by training in neonatal transport medicine at the University of Toronto. He became chief transport physician fellow at SickKids in Toronto in Acute Care Transport Services. He was recognized for his exceptional undergrad medical students teaching program efforts from both the University of Calgary and Toronto. He became a staff neonatologist at Horizon’s The Moncton Hospital in 2019. More of Dr. Soliman’s recent publications include: • May 2019: Neonatal transport services, a cross-sectional study. Soliman et. al, published in Maternal Fetal and Neonatal Medicine Journal. • Sep 2019: Respiratory outcomes of late preterm infants of mothers with early and late onset preeclampsia. Soliman et. al, published in the Journal of Perinatology.

Community members of all ages attended a Breastfeeding: It Takes a Community event, organized by Upper River Valley’s Community Breastfeeding Promotion Committee, in the fall.

and, like any other, requires time, practice and support. Parents often need active family support to start and continue breastfeeding. A little reassurance, encouragement, helping with household chores and being aware of support services in your community goes a long way. By working together, members of the Upper River Valley Community Breastfeeding Promotion Committee are helping create a community where breastfeeding is welcome and supported.

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S O C I A L S H O U T - O U T

On Horizon’s social media platforms, we’ve heard frommany of your patients, clients and families about the professional, safe and quality care you provide. In this new, recurring feature, we’ll highlight some of these “social shout-outs.” If you see a social shout-out, tell us about it by emailing HorizonStar@HorizonNB.ca.

Andy Campbell @fredcityandy Dealt with a Physician Assistant last night. Caring, informative, efficient and effective. Well done @HorizonHealthNB 7:12 AM · Dec. 12, 2019 25 Likes

Peter McDougall @FreddyBeachPete

Dr. Marc Blayney graduated from UCD Medical School in Dublin, Ireland. He completed a Neonatal Fellowship at SickKids, Toronto. He was appointed to the Faculty of the University of Ottawa as neonatologist in both CHEO and the Ottawa General Hospital (OGH) and became Medical Director of the NICU at OGH. He was also appointed to Pediatric Undergraduate Medical Education Program Director and Co-chair of years 3 and 4 at the University of Ottawa as well as Vice-Dean at the Northern Ontario School of Medicine. He later continued to practice clinical paediatric and neonatal medicine at the Sudbury Regional Hospital before moving to Moncton in 2010 where he became a staff neonatologist at Horizon’s The Moncton Hospital and Professor of Paediatrics at Dalhousie Medicine New Brunswick, Moncton (Dalhousie University).

@HorizonHealthNB thank you for the outstanding care given me over past two days. From admitting through discharge, staff were amazing. Special thanks to 4SW and Dr. Jill Hudson 1:56 PM · Nov. 29, 2019 Aaron Sousa @JournoSousa Long nights at the SJ Regional Hospital. Thank you to @SJRHFoundation and @HorizonHealthNB for taking care of my mama tonight. She’ll be “right as rain” (as we NB’ers say) soon enough. 3:40 AM · Dec. 13, 2019

Vince Nash @vnash3

@HorizonHealthNB had to go for bloodwork today in Miramichi (walk in) was in and out in less than 15 minutes!! Staff were professional and friendly, huge improvement in this aspect of your service!! #welloiledmachine 2:24 PM · Nov. 20, 2019

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Dr. Yasser Soliman, left, and Dr. Marc Blayney, pictured in the Neonatal Intensive Care Unit at Horizon’s The Moncton Hospital.

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