Letter to the Editor

PEDIATRICS ◽  
1982 ◽  
Vol 70 (2) ◽  
pp. 328-328
Author(s):  
Louis E. Bartoshesky ◽  
Hermine Pashayan
Keyword(s):  
Birth Weight ◽  
Congenital Heart ◽  
Single Case ◽  
Case Reports ◽  
In Utero ◽  
Normal Male ◽  
In Utero Exposure ◽  
Congenital Heart Malformations ◽  
Male Karyotype ◽  
Heart Malformations

We would agree with both writers that there were certain features of the child described in our report that were not typical of the so-called fetal hydantoin syndrome, particularly the birth weight. It is certainly true that single case reports do nothing more than suggest possible associations between malformations and in utero exposure, but much information has been accumulated associating clefts and congenital heart malformations with phenytoin. The baby described had a normal male karyotype. Attempts were made to do karyotyping on tissue obtained at autopsy but were unsuccessful.

scholarly journals The incidence and diagnostics of congenital heart defects in Kaunas infant population during 1999–2005

Medicina ◽  
2008 ◽  
Vol 44 (2) ◽  
pp. 139
Author(s):  
Virginija Dulskienë ◽  
Vilija Malinauskienë ◽  
Ada Azaravièienë ◽  
Renata Kuèienë
Keyword(s):  
Birth Weight ◽  
Congenital Heart Defects ◽  
Congenital Heart ◽  
Heart Defects ◽  
Epidemiological Methods ◽  
Normal Birth ◽  
Congenital Heart Malformations ◽  
Increased Risk ◽  
Heart Malformation ◽  
Heart Malformations

The objective of this study was to determinate the incidence and diagnostics of congenital heart defects in Kaunas infant population in 1999–2005 and to compare the data obtained with the data of years 1995–1998. Subject and methods. The study population comprised all newborns born in Kaunas city during 1999– 2005. Congenital heart defects were registered based on clinical diagnosis after its verification using the data from consulting centers and pediatric outpatient departments. To assess the incidence of congenital heart malformations in newborn population, we conducted a validated newborn register based on maternal residential district. Modern epidemiological methods were used for data analysis. Results. In 1999–2005, there were 24 069 live births in Kaunas: 2231 newborns were born with congenital anomalies, 198 had congenital heart malformations. The incidence of congenital heart defects was 8.2 per 1000 live newborns. The majority of congenital heart malformations were diagnosed in delivery units (93.94%). We have analyzed the relationship between birth weight and gestational age of newborns with congenital heart malformations. Newborns with low birth weight were at significantly higher risk of congenital heart malformation than newborns with normal birth weight (OR=3.52, 95% CI, 2.25–5.47). Our data also showed that newborns born before 32 weeks of gestation had a 5-fold increased risk of congenital heart malformation (OR=5.20; 95% CI, 2.50–10.84) and infants born before 37 weeks of gestation had a 4-fold increased risk (OR=4.08; 95% CI, 2.68–6.19) compared with newborns born after 37 weeks of gestation. Conclusions. This study shows that incidence of congenital heart anomalies in Kaunas newborn population was 8.2 cases per 1000 live newborns in 1999–2005. It was determined that during 1999–2005, the number of above-mentioned anomalies diagnosed in delivery units increased by 23%.

FEATURES OF INTENSIVE CARE OF CONGENITAL HEART MALFORMATIONS IN NEWBORNS

2020 ◽  
Vol 99 (3) ◽  
pp. 200-207
Author(s):  
D.O. Ivanov ◽  
◽  
K.V. Pshenisnov ◽  
Y.S. Aleksandrovich ◽  
◽  
...  
Keyword(s):  
Intensive Care ◽  
Congenital Heart ◽  
Congenital Heart Malformations ◽  
Heart Malformations

scholarly journals Congenital heart malformations: sequential angiographic analysis

1981 ◽  
Vol 137 (4) ◽  
pp. 673-681 ◽  
Author(s):  
JG Arciniegas ◽  
B Soto ◽  
HC Coghlan ◽  
LM Bargeron
Keyword(s):  
Congenital Heart ◽  
Congenital Heart Malformations ◽  
Heart Malformations

Assessment of Tobacco Exposure During Pregnancy by Meconium Analysis and Maternal Interview

2020 ◽  
Vol 44 (8) ◽  
pp. 797-802
Author(s):  
Ángela López-Rabuñal ◽  
Elena Lendoiro ◽  
Eva González-Colmenero ◽  
Ana Concheiro-Guisán ◽  
Marta Concheiro-Guisán ◽  
...  
Keyword(s):  
Birth Weight ◽  
In Utero ◽  
In Utero Exposure ◽  
Tobacco Exposure ◽  
Smoking During Pregnancy ◽  
Outcomes Measures ◽  
Significant Difference ◽  
The Matrix ◽  
Fetal Complications ◽  
Female Weight

Abstract Smoking during pregnancy can have serious obstetric and fetal complications. Therefore, it is essential to identify in utero exposure to tobacco, being meconium the matrix of choice for this purpose. Meconium (n = 565) was analyzed for nicotine, cotinine and hydroxycotinine by LC–MS-MS. Then, tobacco meconium results were compared with smoking habits during pregnancy and neonatal outcomes measures (birth weight, length, head circumference, gestational age and Apgar scores). Although meconium analysis increased identification of in-utero exposure to tobacco (17.7% meconium positive specimens vs 13.5% mothers admitting tobacco use during pregnancy), there was a statistically significant relationship between meconium results and interview answers (P < 0.001). Birth weight was significantly lower for newborns with meconium positive results in males (P = 0.023) and females (P = 0.001), while for length significance was only observed in females (P = 0.001); however, when excluding meconium specimens positive for other drugs, a statistically significant difference was only found for female weight (P = 0.045). Meconium analysis proved to be more reliable for tobacco prenatal exposure detection than maternal interview. In addition, positive meconium results increased the probability for low birth weight, especially in females.

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