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Preterm labour

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48 papers 25 to 100 followers Perinatal medicine .
Anne Synnes, Thuy Mai Luu, Diane Moddemann, Paige Church, David Lee, Michael Vincer, Marilyn Ballantyne, Annette Majnemer, Dianne Creighton, Junmin Yang, Reginald Sauve, Saroj Saigal, Prakesh Shah, Shoo K Lee
OBJECTIVES: Identify determinants of neurodevelopmental outcome in preterm children. METHODS: Prospective national cohort study of children born between 2009 and 2011 at <29 weeks gestational age, admitted to one of 28 Canadian neonatal intensive care units and assessed at a Canadian Neonatal Follow-up Network site at 21 months corrected age for cerebral palsy (CP), visual, hearing and developmental status using the Bayley Scales of Infant and Toddler Development-Third Edition (Bayley-III)...
October 6, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
Mandy Brown Belfort, Richard A Ehrenkranz
The developing brain of the very low birth weight (VLBW) infant is highly sensitive to effects of the nutritional milieu during the neonatal hospitalization and after discharge. Strategies to optimize nutritional care play an important role in reducing long-term neurodevelopmental morbidities in this population. Currently available interventions to ensure that the unique nutrient requirements of the VLBW infant are met include various dietary fortification strategies and parenteral nutrition. In this article, we review evidence regarding nutritional strategies and their beneficial effects on neurodevelopment in VLBW infants...
September 29, 2016: Seminars in Fetal & Neonatal Medicine
Edmund F La Gamma, J Lena Kim, Shetal Shah
No abstract text is available yet for this article.
November 2016: Acta Paediatrica
Vinay Vamadev Kulkarni, Sourabh Dutta, Venkataseshan Sundaram, Shiv Sajan Saini
OBJECTIVES: To evaluate whether preterm thrombocytopenia within 24 hours of birth is associated with delayed closure of patent ductus arteriosus (PDA) and higher proportion of hemodynamically significant PDA (Hs-PDA). METHODS: Neonates (gestation 26(0/7)-33(6/7) weeks, age <24 hours) with known platelet count and PDA on echocardiogram were prospectively enrolled. Asphyxia, congenital infections, structural heart disease, major malformations and clinical sepsis were exclusions...
September 28, 2016: Pediatrics
Kathryn Browning Carmo, Tracey Lutz, Andrew Berry, Martin Kluckow, Nick Evans
AIM: To determine the role of clinician performed ultrasound (CPU) during the retrieval and transport of critically ill term and near term newborns. METHODS: A neonatologist with portable ultrasound accompanied a sample of newborn retrievals to perform cardiac and cerebral ultrasound before and after transportation. RESULTS: A total of fifty-five babies were studied. Median birthweight: 3350 g (2220-5030 g). CPU led to a change in the planned receiving hospital in ten babies...
September 15, 2016: Acta Paediatrica
Jennifer A Callaghan-Koru, Abiy Seifu Estifanos, Ephrem Daniel Sheferaw, Joseph de Graft-Johnson, Carina Rosado, Rachel Patton-Molitors, Bogale Worku, Barbara Rawlins, Abdullah Baqui
AIM: To assess the effects of a facility and community newborn intervention package on coverage of early skin-to-skin contact (SSC) and exclusive breastfeeding-the therapeutic aspects of kangaroo mother care. METHODS: A multilevel community and facility intervention in Ethiopia trained health workers in 10 health centers and the surrounding communities to promote early SSC and exclusive breastfeeding for all babies born at home or the facility. Changes in SSC and exclusive breastfeeding were assessed by comparing baseline and endline household surveys...
September 19, 2016: Acta Paediatrica
Ben H Lee, Istvan Seri
No abstract text is available yet for this article.
August 1, 2016: Journal of Perinatal Medicine
Dan Stewart, William Benitz
Postpartum infections remain a leading cause of neonatal morbidity and mortality worldwide. A high percentage of these infections may stem from bacterial colonization of the umbilicus, because cord care practices vary in reflection of cultural traditions within communities and disparities in health care practices globally. After birth, the devitalized umbilical cord often proves to be an ideal substrate for bacterial growth and also provides direct access to the bloodstream of the neonate. Bacterial colonization of the cord not infrequently leads to omphalitis and associated thrombophlebitis, cellulitis, or necrotizing fasciitis...
September 2016: Pediatrics
Gbemisola Eniola Osanyin, Omololu Adegbola
OBJECTIVE: This study was done to assess the relationship between maternal serum IL-6 levels and fetomaternal outcome following PPROM. METHODOLOGY: This was a prospective cohort study comprising 45 cases of PPROM and 45 controls of similar age, parity, and gestational age. Five milliliters of maternal serum was collected after obtaining informed consent. They were followed up till delivery and records of the delivery and neonatal outcomes were obtained. Serum IL-6 levels were determined by standard enzyme-linked immunosorbent assay [ELISA]...
November 2016: Journal of Maternal-fetal & Neonatal Medicine
Nicolas J Pejovic, Daniele Trevisanuto, Jolly J Nankunda, Thorkild Tylleskär
AIM: We compared the performance of personnel in a low-resource setting when they used the I-gel cuffless neonatal laryngeal mask or a face mask on a neonatal airway management manikin. METHODS: At Mulago Hospital, Uganda, 25 doctors, nurses and midwives involved in neonatal resuscitation were given brief training with the I-gel and face mask. Then, every participant was observed positioning both devices on three consecutive occasions. The success rate and insertion times leading to effective positive pressure ventilation (PPV) were recorded...
September 1, 2016: Acta Paediatrica
Yu-Cheng Wang, Oi-Wa Chan, Ming-Chou Chiang, Peng-Hong Yang, Shih-Ming Chu, Jen-Fu Hsu, Ren-Huei Fu, Reyin Lien
BACKGROUND: Red blood cell (RBC) transfusion is often considered a life-saving measure in critically ill neonates. The smallest and least mature infants tend to receive the largest amount of transfusions. RBC transfusion itself has also been suggested as an independent risk factor of poor clinical outcome in critical patients. Our aim is to study if there are associations between RBC transfusion and in-hospital mortality, short-term morbidities, and late neurodevelopmental outcome in extremely low birth weight (ELBW) preterm infants...
July 5, 2016: Pediatrics and Neonatology
Juan Pablo Berazategui, Adriana Aguilar, Marilyn Escobedo, Douglas Dannaway, Ruth Guinsburg, Maria Fernanda Branco de Almeida, Firas Saker, Ariel Fernández, Guadalupe Albornoz, Mariana Valera, Daniel Amado, Gabriela Puig, Fernando Althabe, Edgardo Szyld
OBJECTIVE: (1) To determine which antepartum and/or intrapartum factors are associated with the need for advanced neonatal resuscitation (ANR) at birth in infants with gestational age (GA) ≥34 weeks. (2) To develop a risk score for the need for ANR in neonates with GA ≥34 weeks. DESIGN: Prospective multicentre, case-control study. In total, 16 centres participated in this study: 10 in Argentina, 1 in Chile, 3 in Brazil and 2 in the USA. RESULTS: A case-control study conducted from December 2011 to April 2013...
June 6, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
Xavier Durrmeyer, Claire Scholer-Lascourrèges, Laurence Boujenah, Pierre Bétrémieux, Olivier Claris, Micheline Garel, Monique Kaminski, Laurence Foix-L'Helias, Laurence Caeymaex
OBJECTIVE: Many extremely preterm neonates die in the delivery room (DR) after decisions to withhold or withdraw life-sustaining treatments or after failed resuscitation. Specific palliative care is then recommended but sparse data exist about the actual management of these dying babies. The objective of this study was to describe the clinical course and management of neonates born between 22 and 26 weeks of gestation who died in the DR in France. DESIGN, SETTING, PATIENTS: Prospective study including neonates, who were liveborn between 22(+0) and 26(+6) weeks of gestation and died in the DR in 2011, among infants included in the EPIPAGE-2 study at the 18 centres participating in this substudy of extremely preterm neonates...
August 16, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
Ross J Langley, Daniel Hufton, Julie Freeman, Michael Jackson, Don S Urquhart
No abstract text is available yet for this article.
August 18, 2016: Archives of Disease in Childhood. Fetal and Neonatal Edition
Michael Katz
No abstract text is available yet for this article.
July 1, 2016: Journal of Perinatal Medicine
Abby R Rosenberg, Chris Feudtner
No abstract text is available yet for this article.
September 2016: Acta Paediatrica
Martha G Welch
No abstract text is available yet for this article.
July 2016: Acta Paediatrica
Emily A Kieran, Eoghan E Laffan, Colm P F O'Donnell
AIM: Newborns are placed supine for umbilical venous catheter insertion, and catheter tip position is confirmed with X-ray. Umbilical venous catheters are considered correctly positioned when the tip is in the inferior vena cava; however, frequently, the catheter tip enters the portal venous circulation. We wished to determine whether placing infants on their right side, rather than on the back, for umbilical venous catheter insertion results in more correctly placed catheters. METHODS: Newborns were randomised to be placed on their back, or turned onto their right side for catheter insertion...
October 2016: Acta Paediatrica
Bettina F Cuneo, Steven E Ambrose, Wayne Tworetzky
No abstract text is available yet for this article.
July 9, 2016: American Journal of Obstetrics and Gynecology
Jonathan Reisman, Lauren Arlington, Lloyd Jensen, Henry Louis, Daniela Suarez-Rebling, Brett D Nelson
CONTEXT: Birth asphyxia contributes substantially to neonatal mortality in low- and middle-income countries (LMICs). The effects of training birth attendants in neonatal resuscitation (NR) on mortality are limited by falloff of skills and knowledge over time and transference of learned skills into clinical practice. OBJECTIVE: This review examined acquisition and retention of NR knowledge and skills by birth attendants in LMICs and the effectiveness of interventions to improve them...
August 2016: Pediatrics
2016-07-11 20:35:13
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