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Post Surgical Delivery Newborn Care

Justin B Josephsen, Joanna Kemp, Samer K Elbabaa, Mohamad Al-Hosni
BACKGROUND: Neonatal in-hospital falls occur relatively frequently, although they are likely underreported. Significant intracranial head trauma from a fall or birth injury is not common in the immediate newborn period. Furthermore, intracranial bleeding requiring surgical intervention is exceedingly rare. We present an unusual case of an in-hospital fall in the delivery room requiring neurosurgical intervention. CASE REPORT: A term infant, appropriate for gestational age, delivered precipitously from a maternal standing position...
2015: American Journal of Case Reports
Ewa Sawicka, Lukasz Wieprzowski, Renata Jaczyńska, Tomasz Maciejewski
AIM: The purpose of the study was to evaluate the influence of selected prognostic factors for postoperative course and prognosis in newborns with gastroschisis. MATERIAL AND METHODS: A study of all newborns with gastroschisis treated between 2000-2010 in the Clinic of Surgery of Children and Adolescents, Institute of Mother and Child was performed. Data collected from medical documentation included the following: presence or lack of prenatal diagnosis, mode of delivery, gestational age (below or above 37 weeks), birth weight, necessity on transportation from provincial hospitals or transfer within Institute, condition of the bowel (good - little fibrinous inflammation or bad - massive inflammatory peel, necrosis, perforation, atresia), interval between delivery and operation, kind of surgery (primary repair, silo closure), complication requiring secondary operation, period of ventilatory support (PVS), time needed to achieve full enteral feeding (FEF), total length of hospital stay (TH), number and cause of death...
January 2013: Medycyna Wieku Rozwojowego
Ronald H Gray, Maria J Wawer, Godfrey Kigozi
Three randomised trials demonstrate that voluntary medical male circumcision (MMC) reduces male HIV acquisition by 50-60%, and post-trial surveillance has shown that the effects are long lasting. Scale-up of services has been initiated in 14 high-priority sub-Saharan African countries with high rates of HIV and low prevalence of MMC. However, circumcision coverage in the region remains low. Challenges to MMC rollout include suboptimal demand among higher-risk men, the need to expand access and reduce costs of MMC through personnel task shifting and task sharing, assuring and maintaining a high quality of service provision, and the testing and introduction of non-surgical devices...
August 2013: Sexually Transmitted Infections
E O Uche, U O Ezomike, J C Chukwu, M A Ituen
BACKGROUND: The Federal Medical Centre Umuahia (FMCU) is a tertiary referral centre in Abia state, southeast Nigeria serving a catchment area made of Abia state and environs. An intensive care unit (ICU) was established in the hospital in December 2009 to improve healthcare delivery to critically ill patients. OBJECTIVE: To determine the admission patterns and report the initial experience in the intensive care of patients in the FMCU. METHODS: This is a retrospective study ofthepatients admitted into the ICU of FMCU from December 2009 to March 2011...
January 2012: Nigerian Journal of Medicine: Journal of the National Association of Resident Doctors of Nigeria
Bruno Petinaux, Kabir Yadav
INTRODUCTION: The evacuation of a health care facility is a complex undertaking, especially if done in an immediate fashion, ie, within minutes. Patient factors, such as continuous medical care needs, mobility, and comprehension, will affect the efficiency of the evacuation and translate into evacuation resource needs. Prior evacuation resource estimates are 30 years old. METHODS: Utilizing a cross-sectional survey of charge nurses of the clinical units in an urban, academic, adult trauma health care facility (HCF), the evacuation needs of hospitalized patients were assessed periodically over a two-year period...
April 2013: Prehospital and Disaster Medicine
Alvaro Moreira, Melinda Caskey, Rafael Fonseca, Michael Malloy, Cara Geary
OBJECTIVE: The objective of this study was to determine if the continued use of vitamin A in a nursery utilizing early surfactant and nasal continuous positive airway pressure (CPAP) was warranted. STUDY DESIGN: A retrospective, cohort study of appropriately sized, preterm neonates weighing ≤1000 g at birth was conducted. Two time periods were compared: Pre-Vitamin A was composed of extremely low birth weight who were routinely cared for with early nasal CPAP (n = 76); and Post-Vitamin A (n = 102) consisted of ELBWs who were cared for similar to Pre-Vitamin A, but with the addition of vitamin A...
January 2012: Journal of Maternal-fetal & Neonatal Medicine
Barbara Schmidt, Mary Seshia, Seetha Shankaran, Lindsay Mildenhall, Jon Tyson, Kei Lui, Tai Fok, Robin Roberts
OBJECTIVE: To examine whether treatment with antenatal corticosteroids modifies the immediate and long-term effects of prophylactic indomethacin sodium trihydrate in extremely low-birth-weight infants. DESIGN: Post hoc subgroup analysis of data from the Trial of Indomethacin Prophylaxis in Preterms. SETTING: Thirty-two neonatal intensive care units in Canada, the United States, Australia, New Zealand, and Hong Kong. PARTICIPANTS: A total of 1195 infants with birth weights of 500 to 999 g and known exposure to antenatal corticosteroids...
July 2011: Archives of Pediatrics & Adolescent Medicine
Adriana Campos Passanezi Sant'Ana, Marinele R de Campos, Selma Campos Passanezi, Maria Lúcia Rubo de Rezende, Sebastião Luiz Aguiar Greghi, Euloir Passanezi
OBJECTIVES: The aim of this study was to evaluate the effects of non-surgical treatment of periodontal disease during the second trimester of gestation on adverse pregnancy outcomes. MATERIAL AND METHODS: Pregnant patients during the 1st and 2nd trimesters at antenatal care in a Public Health Center were divided into 2 groups: NIG--"no intervention" (n=17) or IG--"intervention" (n=16). IG patients were submitted to a non-surgical periodontal treatment performed by a single periodontist consisting of scaling and root planning (SRP), professional prophylaxis (PROPH) and oral hygiene instruction (OHI)...
April 2011: Journal of Applied Oral Science: Revista FOB
Gary F Sholler, Nadine A Kasparian, Victoria E Pye, Andrew D Cole, David S Winlaw
AIM: The fetal or post-natal diagnosis of major congenital cardiac abnormality has important medical and psychological consequences. METHODS: We reviewed infants who underwent cardiac surgery in the first year of life at the Heart Centre for Children, The Children's Hospital at Westmead during 2009. The aims of this study were to: (i) examine the key features of cardiac diagnosis and clinical outcome, and (ii) consider how these data can inform priorities for the delivery of clinical services...
October 2011: Journal of Paediatrics and Child Health
Sophie Graner, Marie Klingberg-Allvin, Ho Dang Phuc, Dao Lan Huong, Gunilla Krantz, Ingrid Mogren
Population-based estimations of perinatal and neonatal outcomes are sparse in Vietnam. There are no previously published data on small for gestational age (SGA) infants. A rural population in northern Vietnam was investigated from 1999 to 2005 (n=5521). Based on the birthweight distributions within the population under study, reference curves for intrauterine growth for Vietnamese infants were constructed and the prevalence and distribution of SGA was calculated for each sex. Neonatal mortality was estimated as 11...
November 2010: Paediatric and Perinatal Epidemiology
Krzysztof M Kuczkowski
In the new millennium, the horizons of modern anesthesia practice continue to expand beyond the provision of surgical anesthesia to encompass areas outside of the operating room, including preoperative evaluation, labor analgesia, postanesthesia care, critical care and acute and chronic pain management. Adequate postoperative analgesia following caesarean delivery hastens ambulation, decreases maternal morbidity, improves patient outcome, and facilitates care of the newborn. There is currently no "gold standard" for post-cesarean pain management...
February 2011: Journal of Maternal-fetal & Neonatal Medicine
N J McDonnell, M L Keating, N A Muchatuta, T J G Pavy, M J Paech
As the number of women giving birth by caesarean increases throughout most of the developed world, so too is research into postoperative pain relief for these women. Like most other post-surgical populations, the new mother needs effective pain relief so that she can mobilise early but she also has the added responsibility of needing to care for her newborn baby. There is no 'gold standard' for post-caesarean pain management; the number of options is large and the choice of method is at least partly determined by drug availability, regional and individual preferences, resource limitations and financial considerations...
July 2009: Anaesthesia and Intensive Care
Charles S Algert, Jennifer R Bowen, Ruth M Hadfield, Emily C Olive, Jonathan M Morris, Christine L Roberts
OBJECTIVES: To determine the percentage of liveborn infants with selected antenatally identifiable and correctable birth defects who were delivered at hospitals with co-located paediatric surgical units (co-located hospitals). Additionally, to determine the survival rates for these infants. PATIENTS AND METHODS: Data were from linked New South Wales hospital discharge records from 2001 to 2004. Livebirths with one of the selected defects were included if they underwent an appropriate surgical repair, or died during the first year of life...
June 2008: Australian & New Zealand Journal of Obstetrics & Gynaecology
C A Geary, R A Fonseca, M A Caskey, M H Malloy
OBJECTIVE: To test the hypothesis that three changes in the early management of extremely low birth weight (ELBW) neonates would decrease the incidence of extra-uterine growth restriction (EUGR) by 25%. The three early management practice changes (EMPC) included surfactant at delivery followed by immediate extubation to nasal continuous positive airway pressure (CPAP), decreased oxygen exposure and early parenteral amino acids. STUDY DESIGN: Historical cohort study of preterm infants<or=1000 g birth weight (BW) born at the University of Texas Medical Branch between January 2001 and June 2002 (pre-EMPC, before changes, n=87) and July 2004 to December 2005 (post-EMPC, after changes, n=76)...
May 2008: Journal of Perinatology: Official Journal of the California Perinatal Association
Cara Geary, Melinda Caskey, Rafael Fonseca, Michael Malloy
OBJECTIVE: The goal was to investigate the clinical impact of 3 early management practice changes for infants of < or = 1000 g. METHODS: We performed an historical cohort study of appropriately sized, preterm infants without congenital anomalies who were born between January 2001 and June 2002 (pre-early management practice change group; n = 87) and between July 2004 and December 2005 (post-early management practice change group; n = 76). RESULTS: Only 1 (1%) of 87 infants in the pre-early management practice change group received continuous positive airway pressure treatment in the first 24 hours of life, compared with 61 (80%) of 76 infants in the post-early management practice change group...
January 2008: Pediatrics
Katharina Henrich, Hans P Huemmer, Bertram Reingruber, Peter G Weber
Between February 1994 and April 2004, we treated 40 children with gastroschisis and 26 children with omphalocele. We recorded the course of pregnancy, pre- and post-natal complications, delivery, operation, post-operative therapy, and long-term outcomes. Additionally, we conducted follow-up examinations of 37 of these 66 children (56%). We analysed their abdominal musculature, development, cosmetic result and quality of life. The median duration of follow-up was 6.3 years (range 1-10). In 35/40 children (88%) with gastroschisis and in 18/26 children (69%) with omphalocele, there had been prenatal diagnosis...
February 2008: Pediatric Surgery International
Patricia Jeffery, Abhijit Das, Jashodhara Dasgupta, Roger Jeffery
Intrapartum use of oxytocin should entail controlled dosages administered through infusion, continual monitoring of mother and fetus and surgical back-up, since several adverse outcomes have been reported. However, in Uttar Pradesh, north India, small-scale ethnographic studies as well as a large-scale retrospective survey have established that unmonitored intramuscular oxytocin injections are commonly given to birthing mothers to augment labour by unregistered local male practitioners and auxiliary nurse-midwives employed by government during home deliveries...
November 2007: Reproductive Health Matters
David Aguirre, David Caiseda, María Correa-Rivas, María Maldonado, Wilma Rodríguez, Gabriel Miranda, Amneris Lugo, Jorge Gandia
Placenta previa percreta with bladder invasion occurs rarely. However this disorder has become more common since the increased rate of cesarean deliveries. We present a 26 year old gravida 3, para 2-0-1-2 female with placenta previa, percreta and bladder invasion to stress out the importance of early recognition of this life threatening condition and to point out that the good outcome of this case was mainly due to the multidisciplinary approach chosen during the preoperative and post operative management. The Departments of Obstetrics and Gynecology, Radiology, Anesthesiology, Urology, Neonatology and Pathology were fully involved...
June 2006: Puerto Rico Health Sciences Journal
Upul Senarath, Dulitha N Fernando, Ishani Rodrigo
The aim of the present study was to evaluate the effect of an essential newborn care (ENC) training programme for maternity ward staff in improving newborn care practices after hospital discharge. A before-and-after study was conducted in the community involving mothers who had given birth in two hospitals in the Puttalam district in Sri Lanka. The intervention was a 4-day training programme and primarily aimed at increasing knowledge and skills of ENC among health care providers in the maternity units of these hospitals...
April 2007: Journal of Tropical Pediatrics
Farideh Bastani, Alireza Hidarnia, Kristen S Montgomery, Maria E Aguilar-Vafaei, Anoshirvan Kazemnejad
UNLABELLED: Maternal anxiety and stress are found to be predictors of adverse pregnancy outcomes, including low birth weight and prematurity. OBJECTIVE: The aim of the study was to determine whether relaxation education in anxious pregnant Iranian women in their first pregnancy affects selected pregnancy outcomes, including birth weight, preterm birth, and surgical delivery rate. SUBJECTS: A total of 110 obstetrically and medically low-risk primigravid women in Iran with a high anxiety level demonstrated by Spielberger's State-Trait Anxiety Inventory were randomly assigned into experimental and control groups...
April 2006: Journal of Perinatal & Neonatal Nursing
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