Placental chorioangioma: an unusual cause of neonatal cardiomyopathy

2021 ◽  
Vol 14 (10) ◽  
pp. e244956
Author(s):  
Tom Solan ◽  
Niranjan Thomas ◽  
Penny Kee
Keyword(s):  
Cardiac Failure ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
Preterm Baby ◽  
Neonatal Complications

A late preterm baby presented with clinical and echocardiographic features of cardiomyopathy and cardiac failure soon after birth. After extensive metabolic, infective and genetic investigations, the likely cause was established to be due to multiple small placental chorioangiomas. While large placental chorioangiomas are associated with maternal, fetal and neonatal complications, small chorioangiomas are usually asymptomatic and diagnosed incidentally on placental histology. Our case demonstrates that multiple small chorioangiomas might behave like a giant chorioangioma, causing significant neonatal morbidity. This report also highlights the importance of assessing the placental histology where no identifiable cause for neonatal cardiomyopathy can be found.

scholarly journals Avoiding late preterm deliveries to reduce neonatal complications: an 11-year cohort study

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Noémie Bouchet ◽  
Angèle Gayet-Ageron ◽  
Marina Lumbreras Areta ◽  
Riccardo Erennio Pfister ◽  
Begoña Martinez de Tejada
Keyword(s):  
Cohort Study ◽  
Late Preterm ◽  
Neonatal Complications

scholarly journals Pregnancy Outcome of Twin Pregnancy at Gandaki Medical College Teaching Hospital, Pokhara, Nepal

2018 ◽  
Vol 11 (02) ◽  
pp. 1-4
Author(s):  
M Tripathi ◽  
R Shrestha
Keyword(s):  
Preterm Delivery ◽  
Teaching Hospital ◽  
Gestational Age ◽  
Twin Pregnancy ◽  
College Teaching ◽  
Neonatal Morbidity ◽  
Maternal Complications ◽  
Cross Sectional ◽  
Neonatal Complications ◽  
Twin Pregnancies

Objectives: To evaluate maternal and neonatal complications and pregnancy outcomes of twin pregnancies. Methods: The cross sectional study was conducted using retrospective data on the twin pregnancies with more than 28 weeks of gestational age. The study used data over a period of five years, from March 10, 2010 to March 9, 2015 in the Department of Obstetrics and Gynecology, GMC Teaching Hospital Pokhara. Results: Of the 50 twin pregnancies, the most common maternal complication was preterm delivery (40%). Other maternal complications were anemia (36%), pregnancy induced hypertension (14%), premature rupture of membranes (14%), postpartum hemorrhage (12%) and antepartum hemorrhage (6%). Median gestational age at delivery was 37 weeks. Most common route of delivery was cesarean section (66%). Most common neonatal complication was low birth weight (48%) births first twin and second twin 56%. Conclusion: Twin pregnancy has high maternal and neonatal complications, especially preterm delivery that increases the risk of significant neonatal morbidity and mortality.

Case 47: Late Preterm Baby With Recurrent Respiratory Distress

2018 ◽  
pp. 327-331
Author(s):  
Parul G. Zaveri ◽  
Adam M. Vogel ◽  
Akshaya J. Vachharajani
Keyword(s):  
Respiratory Distress ◽  
Late Preterm ◽  
Preterm Baby

The influence of maternal ethnicity on neonatal respiratory outcome

2019 ◽  
Vol 105 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Annie Georgina Cox ◽  
Shagun Narula ◽  
Atul Malhotra ◽  
Shavi Fernando ◽  
Euan Wallace ◽  
...  
Keyword(s):  
South Asian ◽  
Neonatal Morbidity ◽  
Hyaline Membrane Disease ◽  
Late Preterm ◽  
Functional Maturity ◽  
Respiratory Outcome ◽  
Preterm Babies ◽  
Birth Records ◽  
Respiratory Outcomes ◽  
Spontaneous Delivery

ObjectiveHigher rates of neonatal morbidity and mortality at term combined with earlier spontaneous delivery have led to the hypothesis that babies born to South Asian born (SA-born) women may mature earlier and/or their placental function decreases earlier than babies born to Australian and New Zealand born (Aus/NZ-born) women. Whether babies born to SA-born women do better in the preterm period, however, has yet to be evaluated. In this study we investigated respiratory outcomes, indicative of functional maturity, of preterm babies born to SA-born women compared with those of Aus/NZ-born women to explore this hypothesis further.Study design and settingThis retrospective cohort study was conducted at Monash Health.PatientsData were collected from neonatal and birth records of moderate-late preterm (32–36 weeks) infants born between 2012 and 2015 to SA-born and Aus/NZ-born women.Outcome measuresRates of nursery admissions and neonatal respiratory outcomes were compared.ResultsBabies born to Aus/NZ-born women were more likely to be admitted to a nursery (80%) compared with SA-born babies (72%, p=0.004). Babies born to SA-born mothers experienced significantly less hyaline membrane disease (7.8%), required less resuscitation at birth (28.6%) and were less likely to require ventilation (20%) than babies born to Aus/NZ-born mothers (18%, 42.2%, 34.6%; p<0.001). There was no difference in the duration of ventilation or length of stay in hospital.ConclusionsModerate-late preterm babies born to SA-born women appear to have earlier functional maturity, as indicated by respiratory outcomes, than Aus/NZ-born babies. Our findings support the hypothesis of earlier fetal maturation in SA-born women.

scholarly journals 289: Racial and ethnic disparities in neonatal morbidity during the late preterm period

2019 ◽  
Vol 220 (1) ◽  
pp. S204-S205
Author(s):  
Lisette D. Tanner ◽  
Suneet P. Chauhan ◽  
Han-Yang Chen ◽  
Baha M. Sibai
Keyword(s):  
Ethnic Disparities ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
Racial And Ethnic Disparities

Late preterm neonatal morbidity in hypertensive versus normotensive women

2016 ◽  
Vol 35 (2) ◽  
pp. 242-249 ◽  
Author(s):  
Victoria M. Fratto ◽  
Cande V. Ananth ◽  
Cynthia Gyamfi-Bannerman
Keyword(s):  
Neonatal Morbidity ◽  
Late Preterm

Impact of neonatal morbidity on the risk of developmental delay in late preterm infants

2018 ◽  
Vol 116 ◽  
pp. 40-46 ◽  
Author(s):  
Sílvia Martínez-Nadal ◽  
Xavier Demestre ◽  
Luisa Schonhaut ◽  
Sergio R. Muñoz ◽  
Pere Sala
Keyword(s):  
Developmental Delay ◽  
Preterm Infants ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
Late Preterm Infants

scholarly journals Neonatal Outcomes of Late-Preterm Birth Associated or Not with Intrauterine Growth Restriction

2010 ◽  
Vol 2010 ◽  
pp. 1-5 ◽  
Author(s):  
Cristiane Ortigosa Rocha ◽  
Roberto Eduardo Bittar ◽  
Marcelo Zugaib
Keyword(s):  
Neonatal Intensive Care ◽  
Pulmonary Hemorrhage ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
Morbidity And Mortality ◽  
Control Group ◽  
Exact Test ◽  
Intrauterine Growth ◽  
Appropriate For Gestational Age ◽  
Singleton Pregnancies

Objective. To compare neonatal morbidity and mortality between late-preterm intrauterine growth-restricted (IUGR) and appropriate-for-gestational-age (AGA) infants of the comparable gestational ages (GAs).Methods. We retrospectively analyzed neonatal morbidity and mortality of 50 singleton pregnancies involving fetuses with IUGR delivered between 34 and 36 6/7 weeks of GA due to maternal and/or fetal indication. The control group consisted of 36 singleton pregnancies with spontaneous preterm delivery at the same GA, in which the infant was AGA. Categorical data were compared between IUGR and AGA pregnancies by analysis and Fisher's exact test. Ordinal measures were compared using the Kruskal-Wallis test.Results. The length of stay of newborns in the nursery, as well as the need for and duration of hospitalization in the neonatal intensive care unit, was longer in the group with IUGR. Transient tachypnea of the newborn or apnea rates did not differ significantly between the IUGR and AGA groups. IUGR infants were found to be at a higher risk of intraventricular hemorrhage. No respiratory distress syndrome, pulmonary hemorrhage or bronchopulmonary dysplasia was observed in either group. The frequency of sepsis, thrombocytopenia and hyperbilirubinemia was similar in the two groups. Hypoglycemia was more frequent in the IUGR group. No neonatal death was observed.Conclusion. Our study showed that late-preterm IUGR infants present a significantly higher risk of neonatal complications when compared to late-preterm AGA infants.

scholarly journals Comparison of determinants of morbidities of late preterms and terms

2020 ◽  
Vol 7 (4) ◽  
pp. 814
Author(s):  
Gagandeep Kaur ◽  
Gurpreet Singh Chhabra ◽  
Karuna Thapar
Keyword(s):  
Preterm Birth ◽  
Respiratory Distress ◽  
Neonatal Jaundice ◽  
Neonatal Morbidity ◽  
Late Preterm ◽  
Term Infants ◽  
Metabolic Complications ◽  
Maternal Risk ◽  
Late Preterm Birth ◽  
Gestation Age

Background: To compare the determinants of neonatal morbidity in late preterms and terms.Methods: A total of 100 live late preterm (34-0/7 to 36-6/7 weeks) and 100 term infants (37-0/7 to 41-6/7 weeks) admitted in sri guru ram das institute of medical sciences and research were randomly selected to participate in this case control study. The study group include 100 neonates within gestation age of 34 0/7 to 36 6/7 weeks. Equal number of terms between 37 0/7 to 41-6/7 gestation age was taken for comparison. The maternal history including both antenatal and natal history as well as new-born profile was taken.Results: Maternal risk factors have been found to be the major determinants of morbidity in late preterms with PROM (p<0.0001), sepsis and hypertension being significant contributors. Respiratory distress, neonatal jaundice, sepsis has been found to be major morbidity factors in late preterms. The average duration of admission was higher in late preterms than terms.Conclusions: Late preterm infants have higher risks for acute metabolic complications, mortality and long-term disabilities as compared to term infants. Morbidities like respiratory distress, neonatal jaundice, sepsis, hypoglycaemia and hypothermia are more in late preterms due to their immaturity. The risks associated with late preterm birth suggest the need for refinement of obstetric paradigms to extend pregnancy duration if benefits outweigh risk to fetus and mother. There is need to make obstetricians and families aware of complications pertaining to late preterm birth and improving surveillance of high-risk pregnancies.

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