Modern Breastfeeding Options for Preterm Children in Neonatal Hospital

The literature overview on the issue of breastfeeding in neonatal departments, including neonatal intensive care units, is presented. The importance of breastfeeding for newborns with perinatal pathology is justified, as breast milk is vital for these children due to its unique sanogenetic properties. Data on special preventive and therapeutic role of breastfeeding for premature infants is presented. Reasons that complicate the use of breast milk in neonatal hospitals were analyzed (including those related to insufficient bacteriological and virological safety of native breast milk due to methodological errors during its collection and usage). Particular attention was paid to ensuring the breastfeeding safety during new coronavirus infection pandemic. This difficult period has demonstrated and confirmed the expediency of combining two breastfeeding approaches in perinatal centers: use of maternal milk and use of donor breast milk. Another section of review is devoted to modern breast milk processing technologies. Use of electric clinical breast pumps is crucial for promoting and supporting breastfeeding in the perinatal center.

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REVIEW ARTICLE ABOUT PERINATALAND NEONATAL MANAGEMENT FOR THE PREVENTION AND CONTROL OF THE 2019 NOVEL CORONAVIRUS INFECTION

10.36106/ijsr/8731203 ◽

2021 ◽

pp. 54-57

Author(s):

Isra Khalil Mohammed Ali Saeed ◽

Maha Hussein Mohammed Hamza ◽

Hiba Hussein Ibrahim ◽

Esmehan Elkheir Babeker ◽

Ibrahim Ismail M.Abu ◽

...

Keyword(s):

Prevention And Control ◽

Neonatal Intensive Care ◽

Control Measures ◽

Neonatal Intensive Care Units ◽

Community Physician ◽

Coronavirus Infection ◽

Novel Coronavirus ◽

And Control ◽

Who Guideline ◽

Immature Immune System

An epidemic of new coronavirus 2019 (COVID-19) has emerged in China since December 2019. WHO declared it as a pandemic on March 2020 as it has spread worldwide. Several cases among neonate were observed with rst reported 36 hours after birth. Due to the possibility of the infection and the immature immune system of the neonate there should be preventive and control measures at Neonatal Intensive Care Units. According to WHO guideline and other published articles in COVID-19 in infants and neonate a technical working group including community physician and Pediatricians has put measures for clinical management, prevention and control of COVID-19 in neonates.

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EPIDEMIOLOGY OF COAGULASE NEGATIVE STAPHYLOCOCCI IN NEONATAL INTENSIVE CARE UNITS: THE ROLE OF PULSED FIELD GEL ELECTROPHORESIS. † 776

Pediatric Research ◽

10.1203/00006450-199704001-00796 ◽

1997 ◽

Vol 41 ◽

pp. 132-132

Author(s):

Deborah Tuttle ◽

John Piper ◽

Lynn Steele-Moore ◽

Donna Berg

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Gel Electrophoresis ◽

Neonatal Intensive Care ◽

Pulsed Field Gel Electrophoresis ◽

Neonatal Intensive Care Units ◽

Coagulase Negative Staphylococci ◽

Pulsed Field

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Breast milk banking: Current opinion and practice in Australian neonatal intensive care units

Journal of Paediatrics and Child Health ◽

10.1111/j.1440-1754.2012.02530.x ◽

2012 ◽

Vol 48 (9) ◽

pp. 833-839 ◽

Cited By ~ 2

Author(s):

Eva Y Lam ◽

Zsuzsoka Kecskés ◽

Mohamed E Abdel-Latif

Keyword(s):

Intensive Care ◽

Breast Milk ◽

Intensive Care Units ◽

Neonatal Intensive Care ◽

Neonatal Intensive Care Units ◽

Current Opinion ◽

Milk Banking

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THE COMPARATIVE ANALYSIS OF MICROBIOLOGICAL MONITORING IN NEONATAL INTENSIVE CARE UNITS IN KRASNIDAR REGIONAL CLINICAL HOSPITAL №2

Kuban Scientific Medical Bulletin ◽

10.25207/1608-6228-2018-25-3-125-128 ◽

2018 ◽

Vol 25 (3) ◽

pp. 125-128

Author(s):

N. E. SHABANOVA ◽

G. YU. MODEL ◽

O. G. NI ◽

I. N. OCHAKOVSKAYA ◽

L. V. PETROVA

Keyword(s):

Intensive Care ◽

Intensive Care Units ◽

Neonatal Intensive Care ◽

Neonatal Intensive Care Units ◽

Medical Unit ◽

Clinical Hospital ◽

Microbiological Monitoring ◽

Significant Difference ◽

Perinatal Center ◽

Krasnodar Region

Aim. To compare proportion of different microorganisms in neonatal intensive care units and to assess bacterial susceptibility to antimicrobial agents.Materials and methods. Microbiological monitoring was carried out in neonatal intensive care units (NICU) №1 and №2 of Perinatal center of Krasnodar Region clinical hospital №2.Results. The results of microbiological monitoring demonstrated significant difference in proportions and susceptibility of detected microorganisms.Conclusion. The detected differences determine the need to develop protocols of empirical antimicrobial therapy separately for each medical unit.

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The possibility of reducing mortality in the neonatal intensive care unit

Pediatrician (St Petersburg) ◽

10.17816/ped7240-46 ◽

2016 ◽

Vol 7 (2) ◽

pp. 40-46

Author(s):

Dar’ja V Asherova-Jushkova ◽

Marina A Kovaljova ◽

Tatjana V Chaparova ◽

Anna A Shmeljova ◽

Elena V Gorodova ◽

...

Keyword(s):

Intensive Care Unit ◽

Mechanical Ventilation ◽

Intensive Care ◽

Neonatal Intensive Care ◽

Study Group ◽

Antibiotic Administration ◽

Perinatal Center ◽

Surfactant Administration ◽

Related Mortality

The analysis of outcomes of various conditions of the premature neonates with extremely low (ELBW) and the very low body weight (VLBW), who were hospitalized for the last 3 years in the neonate intensive care unit (NICU) of the Yaroslavl regional perinatal center was carried out. Comparison of a lethality of premature with ELBW and VLBW depending on change of approaches to respiratory support, both in the delivery room, and at further stages of treatment, antibacterial strategy and infectious control in the department was performed. Was shown 2,5 fold decrease of mortality due to less invasive surfactant administration (LISA) in a combination with strategy of “the prolonged inspiration” and “open lungs”, the reduction of indications to mechanical ventilation. In study group, with use of LISA technique demonstrated the best survival (16,1 vs 53,0 %, р < 0,0002), smaller need for mechanical ventilation (38,7 vs 86,4 % р < 0,0037), reliable reduction of severe intraventricular hemorrhage (IVH) frequency: IVH3 - 12,9 vs 45,5 % (р < 0013), IVH4 - 6,5 vs 33,3 %(p < 0,0028). In the study group bronchopulmonary dysplasia rate was lower, but retinopathy of prematurity developed more often. The role of microbiological monitoring in NICU, restriction of antibiotic administration indications for reduction of intrahospital infection risks of was shown. Introduction of strict measures of infectious control allowed to reduce incidence of a necrotizing enterocolitis (NEK) from 1,5 to 0,4 % and the related mortality.

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