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Neonatal Perinatal Asphyxia

Tal Weissbach, Ishai Heusler, Michal Ovadia, Liron David, Yair Daykan, Faye Schreiber, Tal Biron-Shental
OBJECTIVE: To correlate the duration of Category II cardiotocograms (CTG) with adverse neonatal outcomes associated with perinatal asphyxia and determine the duration before fetal compromise. STUDY DESIGN: This retrospective, observational study used electronic medical record data from a cohort of 271 patients, delivered by C-section due to non-reassuring fetal heart rate, at a tertiary medical center, from 2015 through 2017. Duration of Category II CTG, variability, tachycardia and deceleration frequency were analyzed and correlated to immediate postnatal outcomes...
July 30, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Kristin Leifsdottir, Huseyin Mehmet, Staffan Eksborg, Eric Herlenius
BACKGROUND: Cerebral ischemia generates neuroinflammation that can induce neural cell death. This cohort study assessed whether Fas-ligand (FasL) and interleukin (IL)-6 levels in the cerebrospinal fluid (CSF) after hypoxic-ischemic encephalopathy (HIE) can serve as biomarkers of hypoxic brain injury in neonates. METHODS: Term infants (> 37-week gestational age) who were admitted to the neonatal intensive care unit of Karolinska University Hospital in years 2002 to 2004 with perinatal asphyxia were enrolled prospectively...
August 8, 2018: Journal of Neuroinflammation
Cynara Maria Pereira, Rodolfo Carvalho Pacagnella, Mary Angela Parpinelli, Carla Betina Andreucci, Dulce Maria Zanardi, Renato Souza, Carina Robles Angelini, Carla Silveira, José Guilherme Cecatti
OBJECTIVE:  To assess the relationship between the use of psychoactive substances during pregnancy and the occurrence of severe maternal morbidity (SMM), perinatal outcomes and repercussions on the neuropsychomotor development of exposed children. METHODS:  A case-control study nested within a cohort of severe maternal morbidity (COMMAG) was performed. Women with SMM were considered cases. Controls were those with low-risk pregnancy, without SMM and admitted during the same time period as the cases...
July 31, 2018: Revista Brasileira de Ginecologia e Obstetrícia
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
Ioannis Bellos, Georgia Fitrou, Georgios Daskalakis, Despina N Perrea, Vasilios Pergialiotis
There is growing evidence that neutrophil gelatinase-associated lipocalin (NGAL) is a promising biomarker of acute kidney injury. The objective of this meta-analysis is to determine the accuracy of serum and urinary NGAL in the detection of acute kidney injury in neonates with perinatal asphyxia. Medline (1966-2018), Scopus (2004-2018), EMBASE (1980-2018), (2008-2018), and Google Scholar (2004-2018) databases, along with the reference lists of the electronically retrieved articles, were systematically searched...
July 26, 2018: European Journal of Pediatrics
Kiattisak Kongwattanakul, Piyamas Saksiriwuttho, Sukanya Chaiyarach, Kaewjai Thepsuthammarat
Objective: To determine the incidence of preeclampsia with severe features among pregnant women and evaluate the characteristics, maternal complications, and perinatal outcomes between nonsevere preeclampsia versus preeclampsia with severe features and hemolysis, elevated liver enzyme levels, and low platelet levels (HELLP) syndrome. Materials and methods: A retrospective descriptive study was conducted at Khon Kaen University's Srinagarind Hospital, a tertiary care facility in northeast Thailand...
2018: International Journal of Women's Health
Midiã Gomes da Silva Rêgo, Mirella Bezerra Rodrigues Vilela, Conceição Maria de Oliveira, Cristine Vieira do Bonfim
OBJECTIVE: To describe the epidemiological characteristics of perinatal deaths through the actions of the Unified Health System. METHODS: This is a descriptive study of temporal analysis with a population of perinatal deaths of mothers residing in Recife, Brazil, from 2010 to 2014. A list was used to classify the preventable diseases and the variables were analysed using Epi lnfo™ version 7. RESULTS: The perinatal deaths totalled 1,756 (1,019 foetal and 737 neonatal premature) with a reduction of neonatal deaths (-15...
July 23, 2018: Revista Gaúcha de Enfermagem
Narendra K Arora, M K C Nair, Sheffali Gulati, Vaishali Deshmukh, Archisman Mohapatra, Devendra Mishra, Vikram Patel, Ravindra M Pandey, Bhagabati C Das, Gauri Divan, G V S Murthy, Thakur D Sharma, Savita Sapra, Satinder Aneja, Monica Juneja, Sunanda K Reddy, Praveen Suman, Sharmila B Mukherjee, Rajib Dasgupta, Poma Tudu, Manoja K Das, Vinod K Bhutani, Maureen S Durkin, Jennifer Pinto-Martin, Donald H Silberberg, Rajesh Sagar, Faruqueuddin Ahmed, Nandita Babu, Sandeep Bavdekar, Vijay Chandra, Zia Chaudhuri, Tanuj Dada, Rashna Dass, M Gourie-Devi, S Remadevi, Jagdish C Gupta, Kumud K Handa, Veena Kalra, Sunil Karande, Ramesh Konanki, Madhuri Kulkarni, Rashmi Kumar, Arti Maria, Muneer A Masoodi, Manju Mehta, Santosh Kumar Mohanty, Harikumaran Nair, Poonam Natarajan, A K Niswade, Atul Prasad, Sanjay K Rai, Paul S S Russell, Rohit Saxena, Shobha Sharma, Arun K Singh, Gautam B Singh, Leena Sumaraj, Saradha Suresh, Alok Thakar, Sujatha Parthasarathy, Bhadresh Vyas, Ansuman Panigrahi, Munish K Saroch, Rajan Shukla, K V Raghava Rao, Maria P Silveira, Samiksha Singh, Vivek Vajaratkar
BACKGROUND: Neurodevelopmental disorders (NDDs) compromise the development and attainment of full social and economic potential at individual, family, community, and country levels. Paucity of data on NDDs slows down policy and programmatic action in most developing countries despite perceived high burden. METHODS AND FINDINGS: We assessed 3,964 children (with almost equal number of boys and girls distributed in 2-<6 and 6-9 year age categories) identified from five geographically diverse populations in India using cluster sampling technique (probability proportionate to population size)...
July 2018: PLoS Medicine
Willemien S Kalteren, Hendrik J Ter Horst, Anne E den Heijer, Leanne de Vetten, Elisabeth M W Kooi, Arend F Bos
BACKGROUND: Perinatal anemia may cause perinatal asphyxia. Its pathophysiology and neurodevelopmental effects are theoretically different from other causes of perinatal asphyxia. OBJECTIVE: The study aimed to determine whether perinatal anemia results in different short-term and long-term outcomes than other causes of perinatal asphyxia treated with therapeutic hypothermia. METHODS: We retrospectively included infants with moderate to severe hypoxic-ischemic encephalopathy, born between May 2009 and October 2015...
July 19, 2018: Neonatology
Elias Merdassa Roro, Mitike Molla Sisay, Lynn M Sibley
BACKGROUND: Statistics indicate that Ethiopia has made remarkable progress in reducing child mortality. It is however estimated that there is high rate of perinatal mortality although there is scarcity of data due to a lack of vital registration in the country. This study was conducted with the purpose of assessing the determinants and causes of perinatal mortality among babies born from cohorts of pregnant women in three selected districts of North Showa Zone, Oromia Region, Ethiopia...
July 18, 2018: BMC Public Health
Stella Y Lee, Chrystelle M Sirieix, Eugene Nattie, Aihua Li
KEY POINTS: Sudden infant death syndrome (SIDS) is one of the leading causes of death during the first year of life and abnormalities linked to serotonin (5-HT) have been identified in many SIDS cases. Cigarette smoking and associated exogenous stressors, e.g. developmental nicotine exposure, may compound these serotonergic defects and any associated defects in cardiorespiratory function. Using neonatal rodent pups subjected to medullary 5-HT deficiency and perinatal nicotine exposure, we examined the impact of this interplay of factors on the neonates' ability to autoresuscitate at specific ages...
July 15, 2018: Journal of Physiology
Outi Riihimäki, Marjo Metsäranta, Jorma Paavonen, Tiina Luukkaala, Mika Gissler, Sture Andersson, Mika Nuutila, Minna Tikkanen
BACKGROUND AND OBJECTIVES: Placental abruption causes asphyxia and leads to high perinatal mortality. Our objective was to study the overall mortality and causes of death among children born after placental abruption. METHODS: Data on children born from singleton pregnancies complicated by placental abruption between 1987 and 2005 were collected from the Finnish Medical Birth Register, the Hospital Discharge Register, and the Cause-of-Death Register. A reference group consisted of children born from pregnancies without placental abruption...
August 2018: Pediatrics
Oliver Rivero-Arias, Oya Eddama, Denis Azzopardi, A David Edwards, Brenda Strohm, Helen Campbell
OBJECTIVE: To assess the impact of hypothermic neural rescue for perinatal asphyxia at birth on healthcare costs of survivors aged 6-7 years, and to quantify the relationship between costs and overall disability levels. DESIGN: 6-7 years follow-up of surviving children from the Total Body Hypothermia for Neonatal Encephalopathy (TOBY) trial. SETTING: Community study including a single parental questionnaire to collect information on children's healthcare resource use...
July 11, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
Lilian Maureen Nyatichi Kebaya, Jason Kiruja, Michuki Maina, Salome Kimani, Christine Kerubo, Alexa McArthur, Zachary Munn, Philip Ayieko
OBJECTIVE: The overall aim of this project was to assess compliance with evidence-based criteria regarding newborn resuscitation among healthcare workers in the maternity units in Maragua District Hospital (a busy district hospital in Kenya). INTRODUCTION: Globally, the majority of deaths under five years are attributable to neonatal causes. Perinatal asphyxia accounts for a significant portion of these deaths, especially in developing countries. These deaths are largely preventable, and interventions geared towards assisting newborns to initiate their first breath within the first minute of life have markedly reduced mortality...
July 2018: JBI Database of Systematic Reviews and Implementation Reports
Buse Özer Bekmez, Cüneyt Tayman, Mehmet Büyüktiryaki, Aslıhan Köse Çetinkaya, Ufuk Çakır, Turan Derme
BACKGROUND: The role of red cell distribution width-to-platelet ratio (RPR) has not previously been mentioned in reports on patent ductus arteriosus (PDA). Our objective was to evaluate whether RPR would have a role in the diagnosis and/or prediction of pharmacological closure of PDA. METHODS: Preterm infants' gestational age ≤30 weeks and ≤1500 g who were given first ibuprofen treatment in the first week of life for hemodynamically significant PDA (hsPDA) were included in the study...
July 6, 2018: Journal of Clinical Laboratory Analysis
Tanvir M Huda, Mohammad Masudur Rahman, Shahreen Raihana, Sajia Islam, Tazeen Tahsina, Ashraful Alam, Kingsley Agho, Sabrina Rasheed, Alison Hayes, Mohd Anisul Karim, Qazi Sadequr Rahman, Abu Bakkar Siddique, Md Moinuddin, Morseda Chowdhury, Lucky Ghose, Kaosar Afsana, Camille Raynes-Greenow, Shams El Arifeen, Michael J Dibley
BACKGROUND: Iron-deficiency is the most common nutritional deficiency globally. Due to the high iron requirements for pregnancy, it is highly prevalent and severe in pregnant women. There is strong evidence that maternal iron deficiency anaemia increases the risk of adverse perinatal outcomes. However, most of the evidence is from observational epidemiological studies except for a very few randomised controlled trials. IFA supplements have also been found to reduce the preterm delivery rate and neonatal mortality attributable to prematurity and birth asphyxia...
July 3, 2018: BMC Public Health
Licia Lugli, Eleonora Balestri, Alberto Berardi, Isotta Guidotti, Francesca Cavalleri, Alessandra Todeschini, Marisa Pugliese, Elisa Muttini Della Casa, Laura Lucaccioni, Fabrizio Ferrari
BACKGROUND: Neonatal hypoxic-ischemic encephalopathy is still a significant cause of neonatal death and neurodevelopmental disabilities, such as cerebral palsy, mental delay, and epilepsy. After the introduction of therapeutic hypothermia, the prognosis of hypoxic-ischemic encephalopathy has improved, with reduction of death and disabilities. However, few studies evaluated whether hypothermia affects rate and severity of post-neonatal epilepsy. We evaluated rates, characteristics and prognostic markers of post-neonatal epilepsy in infants with moderate to severe hypoxic-ischemic encephalopathy treated or not with therapeutic hypothermia...
July 2, 2018: Minerva Pediatrica
O I Egharevba, B O Kayode-Adedeji, S O Alikah
BACKGROUND: Perinatal asphyxia is an important cause of morbidity and mortality in the neonatal period, accounting for 20-30% of neonatal mortality. A substantial proportion (estimated at 26%) of the 1 million annual intrapartum stillbirths result from asphyxia. Probably higher than the mortality is the plethora of morbidity associated with asphyxia, especially long term neuro-developmental problems including cerebral palsy.The real burden of perinatal asphyxia is difficult to establish because of paucity of information from the rural communities where the majority of neonatal morbidity and deaths occur...
2018: Journal of Neonatal-perinatal Medicine
Ken Imai, Linda S de Vries, Thomas Alderliesten, Nienke Wagenaar, Niek E van der Aa, Maarten H Lequin, Manon J N L Benders, Ingrid C van Haastert, Floris Groenendaal
BACKGROUND: Magnetic resonance imaging (MRI) is the standard neuroimaging technique to assess perinatal asphyxia-associated brain injury in full-term infants. Diffusion-weighted imaging (DWI) is most informative when assessed during the first week after the insult. OBJECTIVES: To study the DWI abnormalities of the thalamus and basal ganglia in full-term infants with perinatal asphyxia. METHODS: Fifty-five (near) term infants (normothermia n = 23; hypothermia n = 32) with thalamus and/or basal ganglia injury were included...
June 29, 2018: Neonatology
Carolyne Lespay-Rebolledo, Ronald Perez-Lobos, Andrea Tapia-Bustos, Valentina Vio, Paola Morales, Mario Herrera-Marschitz
The present report evaluates the effect of global perinatal asphyxia on several parameters of oxidative stress and cell viability in rat brain tissue sampled at an extended neonatal period up to 14 days, a period characterised by intensive neuritogenesis, synaptogenesis, synaptic consolidation, pruning and delayed cell death. Perinatal asphyxia was induced by immersing foetus-containing uterine horns removed by a caesarean section from on term rat dams into a water bath at 37 °C for 21 min. Asphyxia-exposed and sibling caesarean-delivered foetuses were manually resucitated and nurtured by surrogate dams for 1 to 14 postnatal (P) days...
June 29, 2018: Neurotoxicity Research
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