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Newborn AND neonatal Unit

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https://www.readbyqxmd.com/read/30104795/prior-caesarean-section-and-likelihood-of-vaginal-birth-2012-2016-china
#1
Yi Mu, Xiaohong Li, Jun Zhu, Zheng Liu, Mingrong Li, Kui Deng, Changfei Deng, Qi Li, Leni Kang, Yanping Wang, Juan Liang
Objective: To examine the trends and safety of vaginal birth after caesarean section around the period of the one-child policy relaxation in China. Methods: We used data from China's National Maternal Near Miss Surveillance System between 2012 and 2016. To examine trends in vaginal birth after caesarean section, we used Poisson regression with a robust variance estimator. We also assessed the association between vaginal birth after caesarean section and maternal and perinatal outcomes...
August 1, 2018: Bulletin of the World Health Organization
https://www.readbyqxmd.com/read/30099417/prevention-of-ventilator-associated-pneumonia-in-newborns
#2
Dmytro Shkurupii
OBJECTIVE: The aim of the study is to optimize the prevention of the development of ventilator-associated pneumonia in newborns by developing a method for tracheal rehabilitation and assessment of its effectiveness. PATIENTS AND METHODS: Materials and methods: A prospective cohort randomized clinical study was organized, particularly artificial ventilation of the lungs was conducted on 90 newborns. Patients were divided into two groups. In the main group (n = 50) an intubation tube of author's design was used, which design allowed prophylactic tracheal sanation on the outer wall of the intubation tube, which included vacuum aspiration of the tracheal secretion and irrigation with a solution of antiseptic decamethoxin 0...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/30098111/nonpharmacological-interventions-for-sleep-promotion-on-preterm-infants-in-neonatal-intensive-care-unit-a-systematic-review
#3
REVIEW
Jin-Hua Liao, Rong-Fang Hu, Li-Jing Su, Shuo Wang, Qin Xu, Xiao-Fang Qian, Hong-Gu He
BACKGROUND: Nonpharmacological interventions are often used to promote sleep among preterm infants in the neonatal intensive care unit (NICU). However, there is a lack of synthesis in the evidence of their effectiveness. AIM: To synthesize the evidence on the effectiveness of nonpharmacological interventions on NICU preterm infants' sleep during hospital stay. METHODS: Seven databases were searched, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Wan-fang database, China National Knowledge Infrastructure, China Biological Medicine Database, and VIP Journal Integration Platform from their inceptions to August 2017...
August 11, 2018: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/30097046/comparison-of-mothers-and-grandmothers-physical-and-mental-health-and-functioning-within-6-months-after-child-nicu-picu-death
#4
JoAnne M Youngblut, Dorothy Brooten
BACKGROUND: Losing a child is devastating for parents and grandparents. Family and friends generally focus on comforting and supporting the bereaved parents, unintentionally ignoring the bereaved grandparents. Grandmothers and grandfathers often struggle with wanting to help their adult children (deceased child's parents) without usurping the parents' responsibilities and decisions regarding the deceased child. Research on mothers' and grandmothers' health at about the same time after the same child's death in the neonatal or pediatric intensive care unit is lacking...
August 10, 2018: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/30096058/congenital-tuberculosis-a-new-concern-in-the-neonatal-intensive-care-unit
#5
Desi M Newberry, Tracey Robertson Bell
BACKGROUND: Congenital tuberculosis (TB) is rare in the United States. Recent immigration patterns to the United States have made the diagnosis of congenital TB an important public health issue. PURPOSE: To explore the epidemiology, pathophysiology, diagnostic evaluation, treatment, and prognosis for congenital TB. The implications for exposed healthcare professionals in the neonatal intensive care unit (NICU) setting are also explored. METHODS/SEARCH STRATEGY: Relevant articles were accessed via PubMed, CINAHL, and Google Scholar...
August 9, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://www.readbyqxmd.com/read/30089091/less-is-more-modern-neonatology
#6
REVIEW
Amir Kugelman, Liron Borenstein-Levin, Huda Jubran, Gil Dinur, Shlomit Ben-David, Elena Segal, Julie Haddad, Fanny Timstut, Iris Stein, Imad R Makhoul, Ori Hochwald
Iatrogenesis is more common in neonatal intensive care units (NICUs) because the infants are vulnerable and exposed to prolonged intensive care. Sixty percent of extremely low-birth-weight infants are exposed to iatrogenesis. The risk factors for iatrogenesis in NICUs include prematurity, mechanical or non-invasive ventilation, central lines, and prolonged length of stay. This led to the notion that "less is more." In the delivery room delayed cord clamping is recommended for term and preterm infants, and suction for the airways in newborns with meconium-stained fluid is not performed anymore...
July 30, 2018: Rambam Maimonides Medical Journal
https://www.readbyqxmd.com/read/30084477/proteinuria-in-preeclampsia-is-it-important
#7
Attila Özkara, Aşkı Ellibeş Kaya, Alper Başbuğ, Sabri Berkem Ökten, Ozan Doğan, Mete Çağlar, Selahattin Kumru
OBJECTIVES: Our aim is to evaluate the laboratory results and proteinuria levels of preeclamptic women and their relation-ships to maternal and fetal outcomes. MATERIAL AND METHODS: One hundred preeclamptic pregnant women who gave birth in our clinic between 2013 and 2015 were included in our study retrospectively. The data collected from the patients included gestational week, age, gravidity, parity, abortus history, blood pressure, biochemical parameters, delivery method, maternal hospitalization time, cesarean indication, complications, blood products required, plasmapheresis use and dialysis need...
2018: Ginekologia Polska
https://www.readbyqxmd.com/read/30083525/risk-factors-for-sensorineural-hearing-loss-in-neonatal-hyperbilirubinemia
#8
Hassan Boskabadi, Maryam Zakerihamidi, Ali Moradi, Mehdi Bakhshaee
Introduction: Hyperbilirubinemia is a common neonatal problem with toxic effects on the nervous system that can cause hearing impairment. This study was conducted to assess the risk factors for sensorineural hearing loss and other coexisting problems in icteric infants. Materials and Methods: In a case-control study, 200 term infants with bilirubin levels higher than 20 mg/dl admitted to the neonatal intensive care unit of Ghaem Hospital, Mashhad during 2007-2015 were investigated...
July 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/30077179/neonatal-hypothermia-and-associated-factors-among-neonates-admitted-to-neonatal-intensive-care-unit-of-public-hospitals-in-addis-ababa-ethiopia
#9
Birhanu Wondimeneh Demissie, Balcha Berhanu Abera, Tesfaye Yitna Chichiabellu, Feleke Hailemichael Astawesegn
BACKGROUND: Neonatal hypothermia is a worldwide problem and an important contributing factor for Neonatal morbidity and mortality especially in developing countries. High prevalence of hypothermia has been reported from countries with the highest burden of Neonatal mortality. So the aim of this study was to assess the prevalence of Neonatal hypothermia and associated factors among newborn admitted to Neonatal Intensive Care Unit of Public Hospitals in Addis Ababa. METHODS: An institutional based cross-sectional study was conducted from March 30 to April 30, 2016, in Public Hospitals in Addis Ababa and based on admission rate a total of 356 Neonates with their mother paired were enrolled for the study...
August 4, 2018: BMC Pediatrics
https://www.readbyqxmd.com/read/30075059/corticosteroids-for-preventing-neonatal-respiratory-morbidity-after-elective-caesarean-section-at-term
#10
REVIEW
Alexandros Sotiriadis, George Makrydimas, Stefania Papatheodorou, John Pa Ioannidis, Emma McGoldrick
BACKGROUND: Infants born at term by elective caesarean section are more likely to develop respiratory morbidity than infants born vaginally. Prophylactic corticosteroids in singleton preterm pregnancies accelerate lung maturation and reduce the incidence of respiratory complications. OBJECTIVES: The objective of this review was to assess the effect of prophylactic corticosteroid administration before elective caesarean section at term, as compared to usual management without corticosteroids, in reducing neonatal respiratory morbidity and admission to special care with respiratory complications...
August 3, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/30072808/introduction-to-neonatologist-performed-echocardiography
#11
REVIEW
Alan M Groves, Yogen Singh, Eugene Dempsey, Zoltan Molnar, Topun Austin, Afif El-Khuffash, Willem P de Boode
Cardiac ultrasound techniques are increasingly used in the neonatal intensive care unit to guide cardiorespiratory care of the sick newborn. This is the first in a series of eight review articles discussing the current status of "neonatologist-performed echocardiography" (NPE). The aim of this introductory review is to discuss four key elements of NPE. Indications for scanning are summarized to give the neonatologist with echocardiography skills a clear scope of practice. The fundamental physics of ultrasound are explained to allow for image optimization and avoid erroneous conclusions from artifacts...
July 2018: Pediatric Research
https://www.readbyqxmd.com/read/30066572/factors-associated-with-early-deaths-following-neonatal-male-circumcision-in-the-united-states-2001-to-2010
#12
Brian D Earp, Veerajalandhar Allareddy, Veerasathpurush Allareddy, Alexandre T Rotta
We sought to quantify early deaths following neonatal circumcision (same hospital admission) and to identify factors associated with such mortality. We performed a retrospective analysis of all infants who underwent circumcision in an inpatient hospital setting during the first 30 days of life from 2001 to 2010 using the National Inpatient Sample. Over 10 years, 200 early deaths were recorded among 9 833 110 subjects (1 death per 49 166 circumcisions). Note: this figure should not be interpreted as causal but correlational as it may include both undercounting and overcounting of deaths attributable to circumcision...
August 1, 2018: Clinical Pediatrics
https://www.readbyqxmd.com/read/30063212/assesment-of-pregnancy-outcomes-among-twin-pregnancies-with-single-fetal-demise-regarding-chorionicity-and-fetal-death-time
#13
Sevcan Arzu Arınkan, Resul Arısoy
OBJECTIVES: The objective of this study is to assess maternal and perinatal outcome of twin pregnancies with single fetal demise in terms of chorionicity and fetal death time. MATERIAL AND METHODS: All the deliveries between January 2008 and July 2015 were reviewed retrospectively and 85 twin pregnancies with single fetal demise were included. These cases were grouped according to chorionicity and fetal death time. RESULTS: The incidence of single fetal demise was 4...
July 31, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/30062090/prevalence-of-hearing-impairment-among-high-risk-newborns-in-ibadan-nigeria
#14
Adeyemi A Labaeka, Olukemi O Tongo, Babatunde O Ogunbosi, James A Fasunla
The burden of severe hearing impairment is increasing with two-thirds of these hearing impaired people residing in developing countries. Newborn hearing screening helps to identify early, babies who need intervention in order to prevent future disability. Neither universal nor targeted hearing screening programme is available in Nigeria. Objectives: This study was carried out to assess the prevalence of hearing impairment among high-risk newborns in UCH and the associated risk factors. Materials and Methods: Two hundred one newborns in the neonatal unit of UCH with risk factors for hearing impairment had hearing screening done using automated auditory brainstem response (AABR) at 30, 45, and 70 dB at admission and discharge, and those that failed screening at discharge were rescreened at 6 weeks post-discharge...
2018: Frontiers in Pediatrics
https://www.readbyqxmd.com/read/30054933/literature-review-informs-clinical-guidelines-for-pain-management-during-screening-and-laser-photocoagulation-for-retinopathy-of-prematurity
#15
REVIEW
Anna Pirelli, Patrizia Savant Levet, Elisabetta Garetti, Gina Ancora, Daniele Merazzi, Carlo Valerio Bellieni, Paola Lago
AIM: The aim of this study was to carry out a literature review and develop clinical guidelines for pain prevention and control during screening and laser photocoagulation for retinopathy of prematurity (ROP) in neonatal intensive care units (NICUs). METHODS: The Italian Society of Neonatology assessed papers published between 1986 and June 2017 and used the Grading of Recommendations, Assessment, Development and Evaluation approach, to develop new guidelines on pain and retinopathy of prematurity...
July 27, 2018: Acta Paediatrica
https://www.readbyqxmd.com/read/30054165/neonatal-sepsis-of-early-onset-and-hospital-acquired-and-community-acquired-late-onset-a-prospective-population-based-cohort-study
#16
Eric Giannoni, Philipp K A Agyeman, Martin Stocker, Klara M Posfay-Barbe, Ulrich Heininger, Ben D Spycher, Sara Bernhard-Stirnemann, Anita Niederer-Loher, Christian R Kahlert, Alex Donas, Antonio Leone, Paul Hasters, Christa Relly, Thomas Riedel, Claudia Kuehni, Christoph Aebi, Christoph Berger, Luregn J Schlapbach
OBJECTIVE: To assess the epidemiology of blood culture-proven early- (EOS) and late-onset neonatal sepsis (LOS). STUDY DESIGN: All newborn infants admitted to tertiary care neonatal intensive care units in Switzerland and presenting with blood culture-proven sepsis between September 2011 and December 2015 were included in the study. We defined EOS as infection occurring <3 days after birth, and LOS as infection ≥3 days after birth. Infants with LOS were classified as having community-acquired LOS if onset of infection was ≤48 hours after admission, and hospital-acquired LOS, if onset was >48 hours after admission...
July 24, 2018: Journal of Pediatrics
https://www.readbyqxmd.com/read/30051971/antenatal-exposure-to-nonsteroidal-anti-inflammatory-drugs-and-risk-of-neonatal-hypertension
#17
Mounira Habli, Corey C Clifford, Tammy M Brady, Zahidee Rodriguez, Michaela Eschenbacher, Malcolm Wu, Emily DeFranco, James Gresh, Beena D Kamath-Rayne
Nonsteroidal anti-inflammatory drugs (NSAIDs) are used as tocolytics, which are medications that suppress uterine contractions for preterm birth prevention. Their effect on cerebral/systemic vascular beds poses the question of whether antenatal NSAID exposure is associated with neonatal hypertension. We performed a retrospective case-control study in a tertiary neonatal intensive care unit, including 40 hypertension cases (hospitalized neonates ≥ 35 weeks with systolic BP > 100 mm Hg on three consecutive days) compared to 134 controls matched by gestational age at delivery, plurality, and delivery date...
July 27, 2018: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/30051146/blood-culture-indications-in-critically-ill-neonates-a-multicenter-prospective-cohort-study
#18
Evelien Hilde Verstraete, Ludo Mahieu, James d'Haese, Kris De Coen, Jerina Boelens, Dirk Vogelaers, Stijn Blot
Due to potential lethality of healthcare-associated sepsis (HAS), a low threshold for blood culturing and antimicrobial therapy (ABT) initiation is accepted. We assessed variability in the trigger for blood culturing between three neonatal intensive care units. A multicenter prospective cohort study was conducted. In newborns with suspicion of HAS, 10 predefined clinical signs, nosocomial sepsis (NOSEP) score, C-reactive protein, ABT initiation, and risk factors were registered at time of culturing. Outcome was lab-confirmed HAS, defined according to the NeoKISS-criteria...
July 26, 2018: European Journal of Pediatrics
https://www.readbyqxmd.com/read/30040747/neonatal-meningitis-and-maternal-sepsis-caused-by-streptococcus-oralis
#19
B N Poi, N K Pasupulety Venkata, C R Auckland, S P Paul
A newborn male infant was admitted to the neonatal unit with suspected early onset neonatal sepsis for monitoring and intravenous antibiotics. Despite his initial normal clinical and laboratory parameters, cerebrospinal fluid cultures done on day 4 of life confirmed Streptococcus oralis meningitis. His mother became unwell shortly after labour, and grew Streptococcus oralis in her blood cultures. Both were successfully treated with antibiotics and made a full recovery. Streptococcus oralis has been associated with meningitis in patients receiving spinal anaesthesia or following dental work, but is an uncommon cause of neonatal meningitis and maternal sepsis...
July 19, 2018: Journal of Neonatal-perinatal Medicine
https://www.readbyqxmd.com/read/30037876/quantifying-nursing-care-delivered-in-kenyan-newborn-units-protocol-for-a-cross-sectional-direct-observational-study
#20
David Gathara, George Serem, Georgina A V Murphy, Nancy Abuya, Rose Kuria, Edna Tallam, Mike English
INTRODUCTION: In many African countries, including Kenya, a major barrier to achieving child survival goals is the slow decline in neonatal mortality that now represents 45% of the under-5 mortality. In newborn care, nurses are the primary caregivers in newborn settings and are essential in the delivery of safe and effective care. However, due to high patient workloads and limited resources, nurses may often consciously or unconsciously prioritise the care they provide resulting in some tasks being left undone or partially done (missed care)...
July 23, 2018: BMJ Open
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