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JOURNAL ARTICLE
Mari Maikku, Arja Marita Valkama, Pasi Ohtonen, Juhana Leppilahti
BACKGROUND: The long-term radiological outcomes after the treatment of neonatal hip instability (NHI) in developmental dysplasia of the hip are unclear. Therefore, the prevalence of acetabular dysplasia at a mean age of 18 years after treatment was investigated. The relationship between acetabular dysplasia and hip discomfort has also been poorly established. Therefore, the differences in pain, hip-related quality of life (QOL), and hip impingement tests in hips with and without acetabular dysplasia were assessed...
April 17, 2024: Journal of Pediatric Orthopedics
#2
JOURNAL ARTICLE
Shanea M P Gibson, Tiffany A Hunter, Phillip E Charles, Melonie A C Morgan, Shari K R Griffith-Anderson, J Kennedy Cruickshank, Maxine D Gossell-Williams, Nadine A Johnson
OBJECTIVES: Sickle cell disease (SCD) occurs in 2.8 % of our Jamaican antenatal population with homozygous HbSS being most associated with adverse maternal and perinatal outcomes. METHODS: A retrospective comparative analysis of HbSS, HbSC and HbSβThal pregnancy outcomes at the University Hospital of the West Indies (UHWI) between January 2012 and December 2022 was conducted. RESULTS: Of 120 patients (138 pregnancies), obesity occurred in 36 % (20/56) of the 'non-HbSS' group, i...
April 18, 2024: Journal of Perinatal Medicine
#3
JOURNAL ARTICLE
Suzana Sobot Novakovic, Sanja Cuk, Dragan Rakanovic, Dragana Loncar Stojiljkovic, Branka Cancarevic Djajic, Miroslav Gajic
Background Some evidence indicates that maternal analgesia during labor may have adverse effects on neonates due to exposure to specific drugs or the potential effects of analgesia on the course of labor. We assessed the clinical outcome of term neonates born to mothers who received epidural analgesia (E) or systemic analgesia with remifentanil (R) during labor. Methods Data was collected retrospectively over one year. We have evaluated the medical records of 247 full-term neonates; 208 were born to mothers who received E and 39 to mothers who received R...
March 2024: Curēus
#4
JOURNAL ARTICLE
Yushuang Chen, Leshan Zhou, Yanjuan Tan
BACKGROUND: Neonates in the neonatal intensive care unit undergo frequent painful procedures. It is essential to reduce pain using safe and feasible methods. PURPOSE: To evaluate the effects of non-nutritional sucking, mother's voice, or non-nutritional sucking combined with mother's voice on repeated procedural pain in hospitalized neonates. METHODS: A quasi-experimental study was conducted in which 141 neonates were selected in a hospital in Changsha, China...
April 16, 2024: BMC Pediatrics
#5
REVIEW
Michele Gnech, Allon van Uitert, Uchenna Kennedy, Martin Skott, Alexandra Zachou, Berk Burgu, Marco Castagnetti, Lisette't Hoen, Fardod O'Kelly, Josine Quaedackers, Yazan F Rawashdeh, Mesrur Selcuk Silay, Guy Bogaert, Christian Radmayr
BACKGROUND AND OBJECTIVE: We present an overview of the 2024 updates for the European Association of Urology (EAU)/European Society for Paediatric Urology (ESPU) guidelines on paediatric urology to offer evidence-based standards for perioperative management, minimally invasive surgery (MIS), hydrocele, congenital lower urinary tract obstruction (CLUTO), trauma/emergencies, and fertility preservation. METHODS: A broad literature search was performed for each condition...
April 15, 2024: European Urology
#6
Shahzad Ahmad, Sagar Karotkar, Revat J Meshram, Sham Lohiya, Aditi Rawat
This case report describes the emergent scenario of a 41-year-old primipara at 31.2 weeks of gestation, presenting with abdominal and back pain in the context of a dichorionic diamniotic twin pregnancy complicated by hydrops fetalis. The patient, with a history of hypertension, hyperthyroidism, and a cervical stitch in place, underwent an emergency lower segment cesarean section. The ultrasound revealed an intrauterine left footling in one twin, contributing to the suspected hydrops fetalis. Neonatal complications arose, particularly with Baby B, necessitating immediate resuscitation and intensive care...
March 2024: Curēus
#7
JOURNAL ARTICLE
Raneen Abu Shqara, Gabriela Goldinfeld, Roni Tenne Cohen, Sari Nahir Biderman, Lior Lowenstein, Maya Frank Wolf
OBJECTIVES: At our center, natural home-like delivery settings have been established in or near conventional labor wards, for the care of pregnant women who prefer little or no medical intervention during labor and birth. We compared obstetrical and neonatal outcomes of women in active spontaneous labor, between those who chose to deliver in a natural-delivery setup and those who chose a conventional setting. METHODS: This retrospective study included low-risk women who delivered at term between March 1, 2020 and December 31, 2022, in a single tertiary university affiliated medical center...
April 15, 2024: Journal of Obstetrics and Gynaecology Research
#8
Ozioma Akahara, Robert Hennis, Jared J Bies, Aymara Y Chang
Streptococcus agalactiae infection is typically seen in specific populations, including neonates, pregnant women, and the elderly. These patients have immature, lower, and waning immune systems, which makes them more susceptible to infections. Typical S. agalactiae infections manifest as cellulitis, bacteremia, endocarditis, meningitis, ventriculitis (a rare complication of meningitis), and osteomyelitis. In rare cases, a patient can present with two or more of these typical infection manifestations. The authors present a case of a 48-year-old female with a past medical history of hypothyroidism and chronic back pain who presented to the emergency department with altered mental status...
March 2024: Curēus
#9
JOURNAL ARTICLE
Hongqiang An, Xifeng Zhang, Lingling Chen
OBJECTIVE: This study aims to investigate whether tracheal extubation at different depths of anesthesia using Narcotrend EEG (NT value) can influence the recovery quality from anesthesia and cognitive function of children who underwent tonsillotomy. METHODS: The study enrolled 152 children who underwent tonsillotomy and were anesthetized with endotracheal intubation in our hospital from September 2019 to March 2022. These patients were divided into Group A (conscious group, NT range of 95-100), Group B (light sedation group, NT range of 80-94), and Group C (conventional sedation group, NT range of 65-79)...
2024: Frontiers in Pediatrics
#10
JOURNAL ARTICLE
L Melia, R Sulukhia, L Pkhaladze, N Davidova, A Khomasuridze
Cervical ripening is a critical component of normal parturition. There are substantial variations in labour induction (IOL) techniques around the world. Mifepristone causes the termination of unwanted pregnancies, but there is a lack of consensus on its use for labour induction. The purpose of our study was to compare the combination of Mifepristone and Misoprostol with the combination of a Foley balloon and Misoprostol for labour induction. The study included 175 pregnant women, with gestational age 37-42 weeks...
February 2024: Georgian Medical News
#11
JOURNAL ARTICLE
Kavia Khosla, Yue Jin, Jimmy Espinoza, Matthew Kent, Mikael Gencay, Liza H Kunz, Ariel Mueller, Yan Xiao, W Frank Peacock, Sean-Xavier Neath, Jennifer J Stuart, Douglas Woelkers, James M Harris, Sarosh Rana
BACKGROUND: Most patients with signs or symptoms (s/s) of suspected preeclampsia are not diagnosed with preeclampsia. We sought to determine and compare the prevalence of s/s, pregnancy outcomes, and costs between patients with and without diagnosed preeclampsia. METHODS: This retrospective cohort study analyzed a large insurance research database. Pregnancies with s/s of preeclampsia versus a confirmed preeclampsia diagnosis were identified using International Classification of Diseases codes...
April 11, 2024: Pregnancy Hypertension
#12
JOURNAL ARTICLE
Sarah E Patel, Steven R Chesnut
OBJECTIVE: To examine women's experiences of pelvic congestion syndrome (PCS) pain. DESIGN: Descriptive, cross-sectional. SETTING: Online questionnaires in a Facebook PCS support group. PARTICIPANTS: Convenience sample of 143 women who self-identified as being diagnosed with PCS. METHODS: We recruited women through a social media support group and invited them to participate in a self-reported questionnaire...
April 7, 2024: Journal of Obstetric, Gynecologic, and Neonatal Nursing: JOGNN
#13
JOURNAL ARTICLE
Lauren Fleser, Erin Tibbetts, Alison Hanson, Esther Chang Chu, Kathleen Gura, Crystal Tom, Kathryn Williams, Philip Levy
OBJECTIVE: Gabapentin for management of neuropathic pain, irritability, neonatal abstinence syndrome, rescue sedation, feeding intolerance and visceral hyperalgesia in infants has grown over the past decade. There remains little guidance for indications, initiation, titration and maintenance dosing trends and assessment of outcomes. The primary objective was to describe gabapentin dosing, and the secondary objectives were to identify outcomes to assess efficacy and describe weaning practices...
April 2024: Journal of Pediatric Pharmacology and Therapeutics: JPPT: the Official Journal of PPAG
#14
JOURNAL ARTICLE
Giovanni Barone, Miria Natile, Carmen Simona Nigro, Vito D'Andrea, Gina Ancora
UNLABELLED: Critically ill newborns admitted to Neonatal Intensive Care Unit often require a centrally inserted central catheters (CICCs) inserted by ultrasound-guided puncture of the internal jugular or brachio-cephalic vein. Achieving an appropriate level of sedation and analgesia is paramount for procedure success and patient safety, avoiding the potential risks associated with excessive deep sedation. The aim of this study is to evaluate the feasibility of a novel protocol of sedation...
April 9, 2024: European Journal of Pediatrics
#15
JOURNAL ARTICLE
Jing Xie, Xuefang Lu, Miao Liu
BACKGROUND: Uterine rupture in pregnant women can lead to serious adverse outcomes. This study aimed to explore the clinical characteristics, treatment, and prognosis of patients with complete uterine rupture. METHODS: Data from 33 cases of surgically confirmed complete uterine rupture at Chenzhou No.1 People's Hospital between January 2015 and December 2022 were analyzed retrospectively. RESULTS: In total, 31,555 pregnant women delivered in our hospital during the study period...
April 8, 2024: BMC Pregnancy and Childbirth
#16
JOURNAL ARTICLE
Abdelrahman Elsayed, Ismail Abdelhady, Fawzia M Elgharbawy, Ashraf Gad
BACKGROUND: The global practice of pain management during labor involves the use of epidural analgesia or intramuscular morphine. However, the impact of these methods on maternal and neonatal short-term outcomes remains uncertain. OBJECTIVE: This study aimed to evaluate the effect of labor exposure to epidural analgesia and intramuscular morphine on neonatal intensive care unit admission rates and other associated maternal and neonatal outcomes such as sepsis, respiratory distress, instrumental delivery, birth trauma, low Apgar score, and chorioamnionitis...
February 2024: AJOG global reports
#17
JOURNAL ARTICLE
Prerona Saha, Chandita Konwar, Aditya Pandey, Prabal Bharali
BACKGROUND AND AIMS: There is limited data on the effects of norepinephrine on neonatal outcomes and maternal complications relative to other vasopressors. The study aimed to compare neonatal outcomes and maternal complications after bolus intravenous doses of phenylephrine and norepinephrine for post-spinal hypotension in elective caesarean section women. METHODS: This randomised study was done on 100 elective caesarean section women under spinal anaesthesia. Block randomisation divided women into two groups to receive intravenous phenylephrine 50 μg bolus (Group A) or norepinephrine 5 μg bolus (Group B) following post-spinal hypotension...
April 2024: Indian Journal of Anaesthesia
#18
JOURNAL ARTICLE
Ishani Ratnaparkhi, Jasmin Winnier, Divya Shetty, Sanjana R Kodical, Reema Manoj, Shilpa S Naik
BACKGROUND: Dental fear and anxiety are significant challenges in managing behavior in children. Oral administration of sucrose or sweet-tasting solutions has shown effectiveness in reducing procedural pain in infants and neonates. This study aimed to investigate whether pre-application of sucrose solution had an effect on minimizing pain perception during injection and to assess the potential impact of the child's age and sweet preference. METHODS: A randomized control clinical trial was conducted on 60 children aged 3-9 years requiring buccal infiltration injections...
April 2024: Journal of Dental Anesthesia and Pain Medicine
#19
JOURNAL ARTICLE
Bachar Gal, Alter Adi, Justman Naphtali, Buchnik Fater Gili, Farago Naama, Ben-David Chen, Abu-Rass Hiba, Siegler Yoav, Hajaj Areen, Landau-Levin Maya, Zipori Yaniv, Khatib Nizar, Weiner Zeev, Vitner Dana
BACKGROUND: Scheduled administration of analgesics was proven superior to on-demand dosing following cesarean deliveries. However, this protocol was not compared after vaginal delivery. OBJECTIVE: To compare the efficacy of a fixed- compared to on-demand analgesic protocol for the management of pain in the first 24 hours after a vaginal delivery. STUDY DESIGN: This randomized, prospective, controlled trial was conducted at a single tertiary medical center, between June 1, 2020, and June 30, 2022...
April 5, 2024: American journal of obstetrics & gynecology MFM
#20
JOURNAL ARTICLE
Silvia Fernández-García, Laura Del Campo-Albendea, Dharshini Sambamoorthi, Jameela Sheikh, Karen Lau, Nana Osei-Lah, Anoushka Ramkumar, Harshitha Naidu, Nicole Stoney, Paul Sundaram, Paulomi Sengupta, Samay Mehta, Shruti Attarde, Sophie Maddock, Millie Manning, Zainita Meherally, Kehkashan Ansari, Heidi Lawson, Magnus Yap, Tania Kew, Andriya Punnoose, Chloe Knight, Eyna Sadeqa, Jiya Cherian, Sangamithra Ravi, Wentin Chen, Kate Walker, Keelin O'Donoghue, Madelon van Wely, Elizabeth van Leeuwen, Elena Kostova, Heinke Kunst, Asma Khalil, Vanessa Brizuela, Edna Kara, Caron Rahn Kim, Anna Thorson, Olufemi T Oladapo, Lynne Mofenson, Sami L Gottlieb, Mercedes Bonet, Ngawai Moss, Javier Zamora, John Allotey, Shakila Thangaratinam
OBJECTIVE: To assess the effects of COVID-19 vaccines in women before or during pregnancy on SARS-CoV-2 infection-related, pregnancy, offspring and reactogenicity outcomes. DESIGN: Systematic review and meta-analysis. DATA SOURCES: Major databases between December 2019 and January 2023. STUDY SELECTION: Nine pairs of reviewers contributed to study selection. We included test-negative designs, comparative cohorts and randomised trials on effects of COVID-19 vaccines on infection-related and pregnancy outcomes...
April 4, 2024: BMJ Global Health
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