The arrest of preterm labour

1980 ◽  
Vol 18 (9) ◽  
pp. 34-36
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Preterm Labour ◽  
Prostaglandin Synthetase ◽  
Fetal Abnormality ◽  
Short Delay ◽  
Mortality And Morbidity ◽  
Neonatal Deaths

In Britain preterm delivery accounts for 85% of the neonatal deaths not associated with fetal abnormality,1 and it is assumed that this wastage would be reduced if preterm labour were arrested and the fetus allowed to mature normally in utero. Failing this even a short delay would allow for a corticosteroid given to the mother to induce maturation of the fetal lungs,2 3 or for the transfer of the mother to a hospital with a neonatal intensive care unit. Although a reduction in perinatal mortality and morbidity has yet to established4 it is standard to attempt to arrest preterm labour and the drugs used for this include β-adrenoceptor stimulants,5 6 ethanol and prostaglandin-synthetase inhibitors.

Neonatal Deaths in the Asir Region of Saudi Arabia: Experience in a Referral Neonatal Intensive Care Unit

1997 ◽  
Vol 17 (5) ◽  
pp. 522-526 ◽  
Author(s):  
Wagib Bassuni ◽  
Fuad Abbag ◽  
Asindi Asindi ◽  
Ahmed Al Barki ◽  
Ali Mohammed Al Binali
Keyword(s):  
Intensive Care Unit ◽  
Saudi Arabia ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Neonatal Deaths ◽  
Asir Region

scholarly journals Clinical Profile and Outcome of Neonates Admitted to Neonatal Intensive Care Unit (NICU) at a Tertiary Care Centre in Eastern Nepal

2013 ◽  
Vol 33 (3) ◽  
pp. 177-181 ◽  
Author(s):  
Gauri Shankar Shah ◽  
Satish Yadav ◽  
Anil Thapa ◽  
Lokraj Shah
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Tertiary Care ◽  
Birth Asphyxia ◽  
Clinical Profile ◽  
Tertiary Care Centre ◽  
Mortality And Morbidity ◽  
Development Goals

Introduction: Neonatal period is the most susceptible period of life due to different causes, which in most cases are preventable. Every year millions of neonates are born and a large proportion of them are admitted to the neonatal intensive care unit (NICU) for various indications. One of the Millennium Development Goals is to reduce under five mortality by two thirds by 2015. Therefore, this study was conducted to identify the clinical profile, pattern of diseases and common causes of mortality and morbidity in neonates admitted to NICU. Materials and Methods: A retrospective study was conducted at level III Neonatal NICU of a tertiary -care teaching hospital from January, 2012 to December, 2012. Results: Total of 361 neonates were admitted in NICU. Eighty six neonates (23.8%) were admitted due to prematurity and 73 (20.2%) with birth asphyxia. Among birth asphyxia, 40(54.8%)were in HIE III, 27.4% and 17.8% in HIE II and HIE I, respectively. One hundred eighteen (32.6%) cases were diagnosed as sepsis. The overall mortality was 20.2% during hospital stay. Conclusions: Sepsis, prematurity and birth asphyxia were major causes for admission in NICU. All these etiologies are preventable up to some extent and, if detected earlier, can be effectively treated in order to reduce morbidity and mortality. DOI: http://dx.doi.org/10.3126/jnps.v33i3.8447   J. Nepal Paediatr. Soc. 2013;33(3):177-181

Mortality and Morbidity by Month of Birth of Neonates Admitted to an Academic Neonatal Intensive Care Unit

PEDIATRICS ◽  
2008 ◽  
Vol 122 (5) ◽  
pp. e1048-e1052 ◽  
Author(s):  
T. D. Soltau ◽  
W. A. Carlo ◽  
J. Gee ◽  
J. Gould ◽  
N. Ambalavanan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Month Of Birth ◽  
Mortality And Morbidity

Emotional Responses of Neonatal Intensive Care Nurses to Neonatal Death

2020 ◽  
pp. 003022282097188
Author(s):  
Berna Köktürk Dalcalı ◽  
Şeyda Can ◽  
Hanife Durgun
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Emotional Responses ◽  
Neonatal Unit ◽  
Neonatal Deaths ◽  
Intensive Care Nurses ◽  
Content Analysis Method ◽  
Data Saturation

The study was planned as a descriptive qualitative study to determine the emotional responses of neonatal intensive care nurses to work in the neonatal unit and to neonatal deaths. The sample of the study consisted of 7 nurses who work at the neonatal intensive care unit since data saturation was achieved. The data were collected using the “Semi-Structured In-Depth Interview Guide for Nurses”. The data were analyzed using the content analysis method. Following codes were reached as a result of the study: ‘happiness-sadness’, ‘professional satisfaction-exhaustion’, ‘empathy’, ‘responsibility-guilt’, ‘hope-despair’ under the theme of being a nurse at neonatal unit’; ‘unforgettable first loss’, ‘professionalism in intervention-and then: sadness, ‘mature-premature difference’, ‘difficulty in giving hurtful news-inability to associate with death’ and ‘attachment-burnout’ under the theme of experiencing neonatal loss.It was seen that nurses’ emotions about working at neonatal intensive care unit were generally positive; however, these emotions changed to negative after neonate’s relapsing and death.

scholarly journals Trends in Mortality and Morbidity in Infants Under 500 Grams Birthweight: Observations from Our Neonatal Intensive Care Unit (NICU)

2018 ◽  
Vol 24 ◽  
pp. 4474-4480 ◽  
Author(s):  
Péter Varga ◽  
Botond Berecz ◽  
Barbara Pete ◽  
Timea Kollár ◽  
Zsófia Magyar ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Mortality And Morbidity

scholarly journals Neonatal outcome in neonatal intensive care unit Sanglah Hospital: Assessed by SNAPPE- II score

2021 ◽  
Vol 8 (2) ◽  
pp. 038-044
Author(s):  
Ida Ayu Agung Wijayanti ◽  
Putu Junara Putra ◽  
I Made Kardana ◽  
I Wayan Dharma Artana ◽  
Made Sukmawati
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Mortality ◽  
Neonatal Intensive Care ◽  
Neonatal Outcome ◽  
Antibiotic Usage ◽  
P Value ◽  
Mortality And Morbidity

Neonatal mortality is topic of concern for many medical faculties. Recently Score for Neonatal Acute Physiology with Perinatal Extension-II (SNAPPE-II) is used to predict the mortality and morbidity of neonates in neonatal intensive care unit (NICU). This study aimed to find the association of mortality and morbidity among neonates using SNAPPE-II score in NICU of Sanglah Hospital with cross-sectional design. All newborns admitted in NICU within 48 hours of birth since January - December 2020 were recruited as sample and assessed by using SNAPPE-II. Statistical analysis was performed by using Chi-square test and Mann–Whitney U test. Eighty-three newborns fulfilled inclusion criteria. In the mortality group, 75.6% had SNAPPE score ≥ 37 and 24% had SNAPPE score <37. SNAPPE-II score ≥ 37 showed an association with mortality group in NICU (p-value 0.000). Moreover, subgroup analyst of neonatal outcome in survived group related to SNAPPE-II score showed significant different in length of stay (P=0.033), ventilator usage (P=0.017) and duration of antibiotic usage (P=0.049). The Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE-II) is a useful tool to assess severity of illness and mortality. SNAPPE-II score > 37 is associated with neonatal mortality. The high SNAPPE-II score in the survived group also affects length of stay in NICU, ventilator and antibiotic usage. These findings imply that SNAPPE-II can be applied routinely in NICU to know the most critical newborn for prioritizing the management of care and for counselling the parents.

scholarly journals Implementation of A Perinatal Problem Identification Program (PPIP) In Zambia: A Feasibility Study

2022 ◽  
Author(s):  
Bupe Mwamba ◽  
Edward K. Ameyaw ◽  
Marjory Malizyani Singogo
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Neonatal Resuscitation ◽  
Data Entry ◽  
African Countries ◽  
Problem Identification ◽  
Neonatal Deaths ◽  
Audit Review

Abstract Background: Zambia is among the African countries with a high perinatal mortality rate. Though programs teaching medical practitioners about advanced neonatal resuscitation have reduced deaths and improved survival, more information is needed to further decrease morbidity and mortality in newborns. The objectives of this study was to implement a Perinatal Problem Identification Program (PPIP) to improve collection of information on early and late neonatal mortalities. Methods: The Perinatal Problem Identification Program was implemented in the Neonatal intensive Care unit of the Women and Newborn Hospital in Lusaka Zambia. The program started on 1 May 2019 and ended on 31 December 2019. Data entry was conducted and analysis was undertaken using the PPIP computer based software program. The PPIP software calculated neonatal deaths and their causes.Results: The Neonatal intensive care unit at women and newborn hospital recorded a total of 2640 deaths in 7 months from May 1st 2019 to 31st December 2019.The highest cause of death was prematurity with its complications at 126 (54%) in the sampled 238 recorded deaths. Followed by infection at 46 (19%) and hypoxia at 44 (18%). These deaths ranged from birth weights of less than 1000 grams to more than 2500 grams.Conclusion: The results reveal that it is possible to implement PPIP in Zambia and its use eases the audit review process, which combined with audit review meetings can improve the quality of care of neonates in the neonatal intensive care unit.

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