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Phototherapy in premature babies

Ashraf Soliman, Husam Salama, Hilal Al Rifai, Vincenzo De Sanctis, Sawsan Al-Obaidly, Mai Al Qubasi, Tawa Olukade
AIMS OF THE STUDY: We describe the impact of different forms of dysglycemia on maternal and neonatal health. This research is a part of the PEARL-Peristat Maternal and newborn registry, funded by Qatar National Research Fund (QNRF) Doha, Qatar. METHODS: A population-based retrospective data analysis of 12,255 women with singleton pregnancies screened during the year 2016-2017, of which 3,027 women were identified with gestation diabetes mellitus (GDM) during pregnancy and 233 were diabetic before pregnancy...
May 23, 2018: Acta Bio-medica: Atenei Parmensis
Nathalie Laforêt, Myriam Moughalme, Anne Dumas-Laussinotte, Christelle Lecomte
In neonatal intensive care, the management of babies born prematurely requires particular vigilance from caregivers. Specific care procedures include enteral feeding and the development of the diet, the monitoring of vital signs, venous access management, blood withdrawal, phototherapy and obligatory screening. The nursing role is essential in this context.
November 2017: Soins. Pédiatrie, Puériculture
Martin Cremer, Kerstin Jost, Anna Gensmer, Isabelle Pramana, Edgar Delgado-Eckert, Urs Frey, Sven M Schulzke, Alexandre N Datta
Process C (internal clock) and Process S (sleep-wake homeostasis) are the basis of sleep-wake regulation. In the last trimester of pregnancy, foetal heart rate is synchronized with the maternal circadian rhythm. At birth, this interaction fails and an ultradian rhythm appears. Light exposure is a strong factor influencing the synchronization of sleep-wake processes. However, little is known about the effects of phototherapy on the sleep rhythm of premature babies. It was hypothesized that sleep in preterm infants would not differ during phototherapy, but that a maturation effect would be seen...
October 2016: Journal of Sleep Research
S Budhathoki, P Poudel, N K Bhatta, R R Singh, M K Shrivastava, S R Niraula, B Khanal
Low birth weight (LBW) remains an important cause of newborn morbidity and mortality. A hospital based prospective and descriptive study was conducted at Paediatric wards, Nursery, Neonatal intensive unit (NICU) and Post natal ward during period of June to October 2010 to note the clinico-epidemiological profile of Low Birth Weight (LBW) newborns. Incidence of the LBW babies in our hospital was 14.45%; more than four fifth (82.2%) baby's mothers were primigravida. Eighty two percent mothers had unbooked pregnancies...
December 2014: Nepal Medical College Journal: NMCJ
W Nakanga, P Patel, S Panjwani, N Kennedy, K Kawaza
INTRODUCTION: Jaundice is the yellowish pigmentation of the skin, sclera, and mucous membranes resulting from bilirubin deposition. Children born to mothers with HIV are more likely to be born premature, with low birth weight, and to become septic-all risk factors for neonatal jaundice. Further, there has been a change in the prevention of mother-to-child transmission (PMTCT) of HIV guidelines from single-dose nevirapine to a six-week course, all of which theoretically put HIV-exposed newborns at greater risk of developing neonatal jaundice...
September 2015: Malawi Medical Journal: the Journal of Medical Association of Malawi
Bimlesh Kumar, Amit Upadhyay, Sunil Gothwal, Vijay Jaiswal, Payas Joshi, Kirti Dubey
OBJECTIVE: To investigate the effect of umbilical cord milking on hematological parameters at 6 weeks of age in late preterm neonates. DESIGN: Randomized controlled trial. SETTING: A tertiary care center of Northern India during 2013-14. PARTICIPANTS: 200 moderate to late preterm neonates randomly allocated to early cord clamping or umbilical cord milking group (100 in each). INTERVENTION: In milking group, 25 cm length of cord was milked towards the baby thrice after separating (within 30 s) it from placenta...
September 2015: Indian Pediatrics
Michele Mussap, Elisabetta Puxeddu, Melania Puddu, Giovanni Ottonello, Ferdinando Coghe, Paola Comite, Francesco Cibecchini, Vassilios Fanos
Neonatal sepsis still remains a major cause of morbidity and mortality in neonatal intensive care unit (NICU). Recently, soluble CD14 subtype (sDC14-ST) also named presepsin, was proposed as an effective biomarker for diagnosing, monitoring, and assessing the risk of neonatal sepsis and septic shock. The aim of this study was to investigate the diagnostic accuracy of sCD14-ST presepsin in diagnosing neonatal bacterial sepsis and in discriminating non-bacterial systemic inflammatory response syndrome (SIRS) from bacterial sepsis...
December 7, 2015: Clinica Chimica Acta; International Journal of Clinical Chemistry
Hüseyin Altunhan, Ali Annagür, Nuriye Tarakçi, Murat Konak, Sabahattin Ertuğrul, Rahmi Örs
OBJECTIVES: The purpose of this study was to compare the efficacy and safety of two different catheterization techniques of exchange transfusion (ET) used in the therapy of newborn jaundice: fully automated two-way ET technique and the classical one-way ET. PATIENTS AND METHODS: The study included babies at gestational age of >34 weeks. In total, 107 ETs were performed on 86 babies. Totally, the umbilical vein (UV) group included 54 babies having undergone 69 ETs and the UV/UA group included 32 babies having undergone 38 ETs...
2016: Journal of Maternal-fetal & Neonatal Medicine
Justin H T Tan, Woei Bing Poon, Wee Bin Lian, Selina K Y Ho
INTRODUCTION: Late preterm babies are defined as those born between 34 to 36 completed weeks. There has been a recent increased awareness that this group of babies has a higher incidence of morbidity as compared to term babies. The aim of this study was to evaluate the short-term morbidities occurring in this group of babies managed in the neonatal unit at Singapore General Hospital (SGH). MATERIALS AND METHODS: A retrospective study was done of babies managed in the neonatal unit at SGH from January 2005 to December 2008...
July 2014: Annals of the Academy of Medicine, Singapore
Adedayo O Adio, Rosemary O Ugwu, Chidi G Nwokocha, Augusta U Eneh
Purpose. With many preterm babies now surviving as a result of improvement in neonatal care in Nigeria, the incidence of visual impairment/blindness as a result of retinopathy of prematurity (ROP) may rise. We describe our findings after screening starts for the first time in a 15-year-old special care baby unit so as to establish the incidence and risk factors for developing ROP. Methods. A prospective study carried out at the Special Care Baby Unit (SCBU) and Pediatric Outpatient Clinics of the University of Port Harcourt Teaching Hospital between January 1 and October 31, 2012...
2014: ISRN Ophthalmology
Anila Haroon, Syed Rehan Ali, Shakeel Ahmed, Humaira Maheen
OBJECTIVE: To determine the short-term neonatal outcomes in late preterm infants (LPI's) as compared to term infants and their association with maternal risk factors. STUDY DESIGN: A case control, descriptive study. PLACE AND DURATION OF STUDY: The Aga Khan University Hospital, Karachi, Pakistan, from January to December 2009. METHODOLOGY: The study included 326 late preterm babies (defined as those born between 340⁄7 to 376⁄7 weeks of gestation) and equal number of term control babies at the Aga Khan University Hospital, Karachi, Pakistan...
January 2014: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
Hasan Kilicdag, Zeynel Gökmen, Servet Ozkiraz, Hande Gulcan, Aylin Tarcan
BACKGROUND: The aim of this study was to investigate glucose 6-phosphate dehydrogenase (G6PD) activity in term and late preterm babies with severe neonatal hyperbilirubinemia and its relationship to the severity and treatment of this disorder, regardless of level of G6PD activity (deficient/normal). METHODS: A total of 529 term and late preterm (≥35 weeks) infants (228 female, 301 male) who were diagnosed with severe hyperbilirubinemia were included in this study...
June 2014: Pediatrics and Neonatology
S Martínez-Nadal, X Demestre, F Raspall, J A Alvarez, M J Elizari, C Vila, P Sala
INTRODUCTION: In the last decades has increased significantly The birth of children from 37 to 38 weeks of gestation, a period called early term, has significantly increased in the past twenty years or so, parallel to the increase in induced deliveries and the cesarean rate. PATIENTS AND METHOD: Retrospective cohorts population study, which included those babies born between 37 and 41 weeks of gestation in the period 1992-2011 (n=35.539). This population was divided into two cohorts, early term newborn (RNTP) of 37-38 weeks (n=11,318), and full term newborn (RNTC), of 39-41 weeks of gestation (n=24,221)...
July 2014: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
Lelia Duley, Natalie Batey
Deferring cord clamping allows blood flow between baby and placenta to continue for a few moments. This often leads to increased neonatal blood volume at birth. It also allows for longer transition to the neonatal circulation. Optimal timing for clamping the cord remains uncertain. This paper discusses the physiology of placental transfusion and presents the evidence from systematic reviews of randomised trials comparing alternative strategies for cord clamping for both term and preterm births. For healthy term infants, deferring cord clamping increases iron stores in infancy...
November 2013: Early Human Development
Vinod K Bhutani, Ronald J Wong
Hemolytic conditions in preterm neonates, including Rhesus (Rh) disease, can lead to mortality and long-term impairments due to bilirubin neurotoxicity. Universal access to Rh immunoprophylaxis, coordinated perinatal-neonatal care, and effective phototherapy has virtually eliminated the risk of kernicterus in many countries. In the absence of jaundice due to isoimmunization and without access to phototherapy or exchange transfusion (in 1955), kernicterus was reported at 10.1%, 5.5%, and 1.2% in babies <30, 31-32, and 33-34 wks gestational age, respectively...
April 2013: Journal of Clinical Neonatology
S Bhethanabhotla, A Thukral, M J Sankar, R Agarwal, V K Paul, A K Deorari
OBJECTIVE: To evaluate the effect of supine position when compared with periodic change of position during phototherapy in late preterm and term neonates (35 to 42 weeks) with hyperbilirubinemia on the duration of phototherapy. STUDY DESIGN: We randomly allocated enrolled neonates with hyperbilirubinemia to either no change in position (supine group (SG); n=54) or two-hourly change of position from supine to prone and vice versa (turning group (TG); n=46). All the infants received single surface phototherapy by two dedicated compact fluorescent light units...
October 2013: Journal of Perinatology: Official Journal of the California Perinatal Association
P Rijal, R P Bichha, B P Pandit, L Lama
This study was done to assess the prevalence of neonatal jaundice, underlying risk factors and efficacy of phototherapy, which would be of value in identifying and implementing strategies to prevent morbidity and mortality from this condition. A retrospective study was carried out in 86 neonates admitted to neonatal intensive care unit at Nepal Medical College Teaching Hospital, Attarkhel, Kathmandu from May, 2005 to April 2008. All of the newborns who developed hyperbilirubinemia and required phototherapy and/or exchange blood transfusion (EBT) were included in this study...
September 2011: Nepal Medical College Journal: NMCJ
Andreia Barros, Ana Cristina Freitas, António Jorge Cabral, Maria Carmo Camacho, Edite Costa, Henrique Leitão, José Luis Nunes
Giant choriangiomas are rare placental tumours, associated with a high prevalence of pregnancy complications and a poor perinatal outcome. Neonatal consequences include severe microangiopathic haemolytic anaemia, thrombocytopaenia and hydrops. The associated high perinatal death rate (30-40%) has led to a number of prenatal therapeutic interventions with limited success in most cases. The authors present a case of non-immune fetal hydrops caused by a giant chorioangioma, diagnosed at 27 weeks of gestational age...
May 16, 2011: BMJ Case Reports
Chamdine Omar, Shadi Hamza, Abou Merhi Bassem, Rajab Mariam
BACKGROUND: Jaundice is a common problem during the neonatal period. About 60% of the full term and 80% of premature infants develop jaundice. It can be associated with serious illnesses such as Urinary tract infections. AIMS: The aim of this study is to evaluate the incidence and prevalence of urinary tract infection in newborns with indirect hyperbilirubinemia and to find a relationship with prolonged jaundice. PATIENTS AND METHODS: We retrospectively evaluated asymptomatic, jaundiced neonates for evidence of a urinary tract infection...
December 2011: North American Journal of Medical Sciences
Osama Abu-Salah
OBJECTIVES: To determine the impact of late preterm birth on neonatal morbidity and neonatal unit admissions compared to full term babies in Amman, Jordan. METHODS: Data was extracted through retrospective file review from 2009 to 2010, on all singletons born at Queen Alia Hospital in Amman, Jordan. This cross sectional study noted gestational age at birth, weight, admission to the neonatal unit during birth hospitalization, respiratory distress, hypoglycaemia, evaluation for septicaemia, feeding difficulties and significant jaundice...
August 2011: JPMA. the Journal of the Pakistan Medical Association
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