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Newborn, care, premature

Barbara Prediger, Stephanie Polus, Tim Mathes, Stefanie Bühn, Frank Louwen, Edmund A M Neugebauer, Dawid Pieper
BACKGROUND: The rate of caesarean sections increased in the last decades to about 30% of births in western populations. Many caesarean sections are electively planned without an urgent medical reason for mother or child. Especially in women with a foregoing caesarean section, the procedure is planned early. An early caesarean section though may harm the newborn. Our aim is to evaluate the gestational time point after the 37th gestational week (after prematurity = term) of performing an elective caesarean section with the lowest morbidity for mother and child...
August 16, 2018: Systematic Reviews
Girma Temam Shifa, Ahmed Ali Ahmed, Alemayehu Worku Yalew
BACKGROUND: Though Ethiopia has shown a considerable improvement in reducing under-five mortality rate since 1990, many children still continue to die prematurely. Mixed results have been reported about determinants of under-five mortality. Besides, there is paucity of mortality studies in the current study site. Therefore, this study was conducted to assess maternal and child health related predictors of under-five mortality in Southern Ethiopia. METHODS: A matched case control study was conducted in 2014 in Arba Minch Town and Arba Minch Zuria District of Gamo Gofa Zone, Southern Ethiopia...
2018: PloS One
Camila Padovani, Rosana Rosseto de Oliveira, Sandra Marisa Pelloso
OBJECTIVE: To analyze the prevalence of syphilis in during pregnancy and its association with socioeconomic characteristics, reproductive history, prenatal and labor care, and newborn characteristics. METHOD: A retrospective, cross-sectional study based on gestational and congenital syphilis reports. A (records) linkage was performed in the Brazilian databases: "Information System for Notifiable Diseases" (Sistema de Informação de Agravos de Notificação - SINAN); "Live Births Information System" (Sistema de Informação sobre Nascidos Vivos - SINASC); and "Mortality Information System" (Sistema de Informação sobre Mortalidade - SIM)...
August 9, 2018: Revista Latino-americana de Enfermagem
Benjamin Anathory Kamala, Andrew Hans Mgaya, Matilda Michael Ngarina, Hussein Lesio Kidanto
Introduction: The global prevalence of low birth weight (LBW) is 16%, representing more than 20 million infants worldwide, of which 96% are born in low-income countries. This study aimed to determine the prevalence, predictors and perinatal outcomes of LBW newborns. Methods: We conducted a retrospective analysis of data obtained from the hospital's obstetric and neonatal database. Descriptive statistics and multivariate logistic regression were performed with 95% confidence intervals (CI)...
2018: Pan African Medical Journal
Emily L Johnson, Anne E Burke, Anqi Wang, Page B Pennell
OBJECTIVE: To compare the proportions of unintended pregnancies, prenatal vitamin or folic acid (PNVF) use, adequate prenatal care visits, and breastfeeding among women with epilepsy (WWE) to women without epilepsy (WWoE). METHODS: The Pregnancy Risk Assessment Monitoring System (PRAMS) is an annual survey of randomly sampled postpartum women administered by the Centers for Disease Control and Prevention. We used PRAMS data from 13 states from 2009 to 2014 to compare the primary outcomes in WWE and WWoE, as well as our secondary outcomes of contraception practices, newborn outcomes, and time to recognition of pregnancy...
August 10, 2018: Neurology
Adela Urisarri, Marta Gil, Natalia Mandiá, Luís Aldamiz-Echevarría, Roca Iria, Domingo González-Lamuño, María-Luz Couce
To evaluate the prognostic significance of factors frequently associated with a reduction in renal mass, such as prematurity, low birth weight, and congenital anomalies of kidney and urinary tract (CAKUT), in patients with solitary functioning kidney (SFK) and investigate signs of early renal injury due to glomerular hyperfiltration damage or dysplasia in the remaining kidney.Retrospective observational study of congenital SFK diagnosed and followed at a tertiary care hospital over a period of 10 years in which 32,900 newborns underwent routine neonatal abdominal ultrasound screening...
August 2018: Medicine (Baltimore)
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
Thais da Rocha Cicero Pinto, Denise Silveira de Castro, Maria Edla de Oliveira Bringuente, Hugo Cristo Sant'Anna, Tania Vignuda Souza, Cândida Caniçali Primo
OBJECTIVE: to elaborate and validate animation on the care of premature newborn infants at home. METHOD: Methodological study in three stages: integrative review on home care; animation design based on Roper, Logan and Tierney's Model named "Activities of Living" (ALs), and validation of content and appearance by neonatology specialists. The steps to develop the animation were: creation of storyboard; definition of objects; specification of keyframes; and frame generation among key frameworks...
2018: Revista Brasileira de Enfermagem
Sevcan Arzu Arınkan, Resul Arısoy, Murat Api
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
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
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
Pedro C Marques, Gustavo Rocha, Filipa Flor-De-Lima, Hercília Guimarães
BACKGROUND: Extrauterine growth restriction (EUGR) remains a serious problem among very low birth weight (VLBW) infants and is a marker of severe nutritional deficit during the first weeks of life. It can lead to a higher risk of growth impairment during childhood and long-term medical problems. The aim of this study is to determine the prevalence and risk factors of EUGR in preterm infants below 1500 grams. METHODS: Descriptive retrospective study of all preterm infants with birth weight below 1500 grams who were born at and discharged from our center, from January 1, 2012 to December 31, 2016...
July 23, 2018: Minerva Pediatrica
Sarah G Moxon, Tanya Guenther, Sabine Gabrysch, Christabel Enweronu-Laryea, Pavani K Ram, Susan Niermeyer, Kate Kerber, Cally J Tann, Neal Russell, Lily Kak, Patricia Bailey, Sasha Wilson, Wenjuan Wang, Rebecca Winter, Liliana Carvajal-Aguirre, Hannah Blencowe, Oona Campbell, Joy Lawn
Background: Each year an estimated 2.6 million newborns die, mainly from complications of prematurity, neonatal infections, and intrapartum events. Reducing these deaths requires high coverage of good quality care at birth, and inpatient care for small and sick newborns. In low- and middle-income countries, standardised measurement of the readiness of facilities to provide emergency obstetric care has improved tracking of readiness to provide care at birth in recent years. However, the focus has been mainly on obstetric care; service readiness for providing inpatient care of small and sick newborns is still not consistently measured or tracked...
June 2018: Journal of Global Health
Yong Fan, Yuzhuo Zhao, Peiyao Li, Xiaoli Liu, Lijing Jia, Kaiyuan Li, Cong Feng, Fei Pan, Tanshi Li, Zhengbo Zhang, Desen Cao
OBJECTIVE: To study the distribution of diseases in Medical Information Mart for Intensive Care (MIMIC-III) database in order to provide reference for clinicians and engineers who use MIMIC-III database to solve clinical research problems. METHODS: The exploratory data analysis technologies were used to explore the distribution characteristics of diseases and emergencies of patients (excluding newborns) in MIMIC-III database were explored; then, neonatal gestational age, weight, length of hospital stay in intensive care unit (ICU) were analyzed with the same method...
June 2018: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Kristine M Stangenes, Mari Hysing, Silje K Fevang, Irene B Elgen, Thomas Halvorsen, Trond Markestad, Bjørn Bjorvatn
Objective: Prematurely born children have been reported to have more sleep problems throughout childhood than children born at term. The aim of this study was to explore if prenatal or neonatal factors can predict sleep problems at age 11 years in children born extremely preterm (EPT). Method: A prospective observational study of all infants who were born EPT in Norway in 1999 and 2000. Prenatal and neonatal data were collected by all Norwegian obstetric and pediatric departments. Parental questionnaire mapped sleep problems and sleep habits at the age of 11 years...
2018: Frontiers in Pediatrics
Shahnam Askarpour, Mehran Peyvasteh, Amir Ashrafi, Masoud Dehdashtian, Arash Malekian, Mohammad-Reza Aramesh
The muscle-sparing thoracotomy (MST) has not yet been thoroughly studied and assessed in comparison to the traditional thoracotomy method in newborns. To compare the outcomes of MST and standard posterolateral thoracotomy (PLT) in newborns. Randomized, controlled, double-blind trial on 40 neonates with esophageal atresia, comparing the time of beginning a surgery until seeing the pleura, the duration of hospitalization in the neonatal intensive care unit, the time in ventilator, the time of returning the shoulder function, the time of returning the Moro reflex, and the mortality between the two techniques...
2018: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
Roberta Giuffrida, Francesco Borgia, Loredana De Pasquale, Fabrizio Guarneri, Caterina Cacace, Serafinella P Cannavò
BACKGROUND: Cutaneous lesions are common in the neonatal period and usually physiological, transient and self-limited; infrequently, they are pathological and require treatment and collaboration between dermatologists and neonatologists. Particular conditions, like prematurity, can influence onset, type and evolution of cutaneous manifestations. Of the several articles in literature about skin findings in newborns, only few were performed in Southern European countries. We aimed to investigate dermatological findings in a sample of neonates within the first 7 days of life and to evaluate the association between skin lesions and neonatal, parental or pregnancy-related variables...
June 29, 2018: Giornale Italiano di Dermatologia e Venereologia: Organo Ufficiale, Società Italiana di Dermatologia e Sifilografia
Anne Perroteau, Marie-Christine Nanquette, Alexandra Rousseau, Sylvain Renolleau, Laurence Bérard, Delphine Mitanchez, Judith Leblanc
BACKGROUND: Reducing acute pain in premature infants during neonatal care improves their neurophysiological development. The use of pharmacological and non-pharmacological analgesia, such as sucrose, is limited per day, particularly for very preterm infants. Thus, the usual practice of non-nutritive sucking is often used alone. Facilitated tucking could be an additional strategy to non-nutritive sucking for reducing pain. To the best of our knowledge, no randomized trial has compared the combination of facilitated tucking and non-nutritive sucking to non-nutritive sucking alone...
June 15, 2018: International Journal of Nursing Studies
Patricia Carla Dos Santos, Zilda Pereira da Silva, Francisco Chiaravalloti Neto, Gizelton Pereira Alencar, Marcia Furquim de Almeida
This study aimed to identify birth clusters according to type of hospital (SUS vs. non-SUS) and the existence of differences in socioeconomic, maternal, neonatal, and healthcare access characteristics, measured by the distance between the mothers' homes and the hospitals where they gave birth. Births to mothers residing in the city of São Paulo, Brazil, in 2010 were georeferenced and allocated in 310 weighting areas from the population census, in addition to classifying them according to hospital of birth (SUS vs...
June 21, 2018: Cadernos de Saúde Pública
Jesse Gitaka, Alice Natecho, Humphrey M Mwambeo, Daniel Maina Gatungu, David Githanga, Timothy Abuya
BACKGROUND: Neonatal mortality is a major health burden in Bungoma County with the rate estimated at 31 per 1000 live births and is above the national average of 22 per 1000. Nonetheless, out of the nine sub county hospitals, only two are fairly equipped with necessary infrastructure and skilled personnel to manage neonatal complications such as prematurity, neonatal sepsis, neonatal jaundice, birth asphyxia and respiratory distress syndrome. Additionally, with more than 50% of neonates delivered without skilled attendance, in below par hygiene environments such as home and on the roadsides, with non-existent community based referral system, the situation is made worse...
June 25, 2018: BMC Health Services Research
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