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Preterm birth

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4 papers 0 to 25 followers
Hanaa M El-Karaksy, Nehal El-Koofy, Nabil Mohsen, Heba Helmy, Nevian Nabil, Mortada El-Shabrawi
BACKGROUND AND AIM: Extrahepatic portal vein obstruction (EHPVO) is an important cause of portal hypertension in children. The aim of this study was to describe the clinical presentation, possible risk factors, upper gastrointestinal endoscopic findings, and treatment modalities of children with EHPVO. METHODS: After ethical approval of our study protocol by our institution review board, we analyzed available data from medical records of patients with EHPVO presenting to the Pediatric Hepatology Unit, Cairo University Pediatric Hospital, Egypt, for a period of 15 years from January 1996 to December 2010...
January 2015: Journal of Pediatric Gastroenterology and Nutrition
Ann L Jefferies, Haresh M Kirpalani
Extremely preterm birth (birth between 22(0/7) and 25(6/7) weeks' gestational age [GA]) often requires parents to make complex choices about the care of their infant. Health professionals have a significant role in providing information, guidance and support. Parents facing the birth of an extremely preterm infant should have the chance to meet with both obstetrical and paediatric/neonatal care providers to receive accurate information about their infant's prognosis, provided with clarity and compassion. Decision making between parents and health professionals should be an informed and shared process, with documentation of all management decisions...
October 2012: Paediatrics & Child Health
Elizabeth Young, Ellen Tsai, Anne O'Riordan
OBJECTIVE: To ascertain from parents of neonates born before 27 weeks' gestational age how to improve predelivery counselling for delivery room resuscitation. METHODS: Qualitative ethnographic study using semistructured, face-to-face interviews of 10 families. Data were analyzed using a constant comparative method. RESULTS: Parents had no previous knowledge about prematurity. They would have preferred prioritized information during predelivery counselling focused on the immediate risks to their child...
October 2012: Paediatrics & Child Health
Yvonne E Vaucher, Myriam Peralta-Carcelen, Neil N Finer, Waldemar A Carlo, Marie G Gantz, Michele C Walsh, Abbot R Laptook, Bradley A Yoder, Roger G Faix, Abhik Das, Kurt Schibler, Wade Rich, Nancy S Newman, Betty R Vohr, Kimberly Yolton, Roy J Heyne, Deanne E Wilson-Costello, Patricia W Evans, Ricki F Goldstein, Michael J Acarregui, Ira Adams-Chapman, Athina Pappas, Susan R Hintz, Brenda Poindexter, Anna M Dusick, Elisabeth C McGowan, Richard A Ehrenkranz, Anna Bodnar, Charles R Bauer, Janell Fuller, T Michael O'Shea, Gary J Myers, Rosemary D Higgins
BACKGROUND: Previous results from our trial of early treatment with continuous positive airway pressure (CPAP) versus early surfactant treatment in infants showed no significant difference in the outcome of death or bronchopulmonary dysplasia. A lower (vs. higher) target range of oxygen saturation was associated with a lower rate of severe retinopathy but higher mortality. We now report longer-term results from our prespecified hypotheses. METHODS: Using a 2-by-2 factorial design, we randomly assigned infants born between 24 weeks 0 days and 27 weeks 6 days of gestation to early CPAP with a limited ventilation strategy or early surfactant administration and to lower or higher target ranges of oxygen saturation (85 to 89% or 91 to 95%)...
December 27, 2012: New England Journal of Medicine
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