scholarly journals Factors associated with the development of skin allergies in premature newborns in the first year of life

2021 ◽  
Vol 42 ◽  
Author(s):  
Leonardo Bigolin Jantsch ◽  
Bruna Paola de Lima Bridi ◽  
Giovana Dornelles Callegaro Higashi ◽  
Andrea Moreira Arrué ◽  
Diúlia Calegari de Oliveira ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Protective Factor ◽  
Newborn Infants ◽  
Late Preterm ◽  
First Year ◽  
Cross Sectional ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Skin Allergy ◽  
First Year Of Life

ABSTRACT Objective To identify the factors associated with the development of skin allergies in the first year of life in moderate and late preterm infants. Method: This is a cross-sectional study with 151 moderate and late preterm infants, born between May 2016 and May 2017. Participants were evaluated in the 3rd, 6th, 9th and 12th months of life, in telephone interviews. Statistical analyzes were performed in the SPSS software with frequency comparison tests and logistic regression. Results: The prevalence of skin allergy, in the perception of caregivers, among late and moderate preterm infants was 16%. Factors such as being admitted to neonatal intensive care (p = 0.006) and not being breastfed (p = 0.041) showed a significant association with the development of skin allergies in the 3rd and 12th months of life, respectively. Conclusion: Skin allergy, in the perception of caregivers, is more severe in newborn infants who have clinical respiratory and gastrointestinal manifestations, be it conditioning or cause-effect. Breastfeeding proved to be a protective factor in the first year of life.

scholarly journals Maternal and Perinatal Determinants of Late Hospital Discharge Among Late Preterm Infants; A 5-Year Cross-Sectional Analysis

2021 ◽  
Vol 9 ◽  
Author(s):  
Wasim Khasawneh ◽  
Rahaf Alyousef ◽  
Zuhour Akawi ◽  
Areen Al-Dhoon ◽  
Ahlam Odat
Keyword(s):  
Hospital Stay ◽  
Preterm Infants ◽  
Preterm Births ◽  
Early Discharge ◽  
Late Preterm ◽  
Perinatal Factors ◽  
Cross Sectional ◽  
Late Preterm Infants ◽  
Factors Associated ◽  
Initial Hospital

Background: Although late preterm infants (LPIs) account for the majority of preterm births, they are mistakenly labelled and treated as “near term.” Whether longer initial hospital stay improves their outcomes and lowers readmission is controversial. The aim of this study is to identify maternal and perinatal factors associated with longer hospital stay and to assess the rate of readmission.Methods: The medical records of LPIs delivered at an academic center in Jordan over a 5-year period were reviewed. They were divided according to their initial hospital stay into: Early discharge group (ED, ≤ 3 days) and late discharge group (LD, > 3 days). Maternal and perinatal factors associated with > 3-day hospital stay were reported. The rate of readmission was compared between both groups.Results: 2236 LPIs were included in the analysis representing 13% of total births and 81% of premature births. LD group constituted 54%. A thousand two hundred forty three (56%) required admission to NICU. Factors associated with longer hospital stay included maternal prolonged rupture of membranes (AOR 1.9, 95% C.I 1.5, 2.4, p 0.000), C-section delivery (AOR 2.4, 95% C.I 1.9, 3, p 0.001), <35-week gestation (AOR 3.8, 95% C.I 2.6, 5, p 0.000), small-for-gestational age (AOR 1.9, 95% C.I 1.1, 3.8, p 0.03), birthweight <2,500 g (AOR 1.3, 95% C.I 1.1, 1.6, p 0.02), NICU admission (AOR 6.3, 95% C.I 3.4, 11.5, p 0.000), RDS (AOR 2.3, 95% C.I 1.5, 3.6, p 0.005), surfactant therapy (AOR 5, 95% C.I 1.9, 13.5, p 0.001), use of CPAP (AOR 1.7, 95% C.I 1.2, 2.2, p 0.001), jaundice (AOR 11.2, 95% C.I 7.7, 16.2, p 0.000), and sepsis (AOR 10.3, 95% C.I 4.8, 22, p 0.000). Readmission rate was 19% among the LD group and 13% among the ED group.Conclusion: LPIs are at high risk for developing prematurity-related morbidities and the duration of their initial hospital stay can be anticipated based on certain predisposing maternal and perinatal factors. Late discharge of LPIs does not lower the rate of readmission.

"COMPARATIVE STUDY OF EARLY NEONATAL MORBIDITIES OF LATE PRETERM AND TERM NEONATES"

2021 ◽  
pp. 23-25
Author(s):  
Jatin Manocha ◽  
Kusum Mahajan ◽  
Anuj Kumar
Keyword(s):  
Preterm Infants ◽  
Prospective Observational Study ◽  
Neonatal Period ◽  
Newborn Infants ◽  
Late Preterm ◽  
Preterm Neonates ◽  
Feeding Problems ◽  
Term Neonates ◽  
Late Preterm Infants ◽  
Study Results

Background- Newborn infants are unique in their physiology and the health problems that they experience. Neonatal period is dened from birth to under four weeks of age. Late preterm infants may physiologically and physically appear like infants born at term, but most late preterm infants may undergo complications like respiratory distress, apnea, hypothermia, feeding problems, hypoglycemia, hyperbilirubinemia, sepsis, and mortality. AIM-To compare the clinical prole of late preterm neonates with term neonates. MATERIALAND METHODS: This prospective observational study was carried out in neonatal division of department of pediatrics MMIMSR, Mullana. Eligible neonates delivered at MMIMSR, Mullana born from 34 weeks up to 42 weeks gestation were included. All infants enrolled in the study was followed daily till rst 7 days of life for any morbidity by clinical evaluation and review of hospital records.104 preterms included in the study and 226 term neonates were included in the study. Results- Preterms born via LSCS and NVD were(58%vs.42%).Morbidities in late preterms were Hypoglycemia (21.2% vs. 9.3%), Hypothermia (15.4%vs5.7%), hypocalcaemia (38.4% vs. 5.3%), neonatal hyperbilirubinemia(67.3% vs. 30.5%), feeding difculties(44.2% vs. 14.6%), sepsis(40.4% vs. 19.5%), respiratory support(53% vs. 47%)

Physiological responses to facemask application in newborns immediately after birth

2020 ◽  
pp. fetalneonatal-2020-320198
Author(s):  
Vincent D Gaertner ◽  
Christoph Martin Rüegger ◽  
Eoin O'Currain ◽  
C Omar Farouk Kamlin ◽  
Stuart B Hooper ◽  
...  
Keyword(s):  
Preterm Infants ◽  
Randomised Trial ◽  
Healthcare Providers ◽  
Newborn Infants ◽  
Face Mask ◽  
Late Preterm ◽  
Late Preterm Infants ◽  
Trigeminocardiac Reflex ◽  
Prospective Randomised Trial ◽  
Single Centre Study

ObjectiveApplication of a face mask may induce apnoea and bradycardia, possibly via the trigeminocardiac reflex (TCR). We aimed to describe rates of apnoea and bradycardia in term and late-preterm infants following facemask application during neonatal stabilisation and compare the effects of first facemask application with subsequent applications.DesignSubgroup analysis of a prospective, randomised trial comparing two face masks.SettingSingle-centre study in the delivery roomPatientsInfants>34 weeks gestational age at birthMethodsResuscitations were video recorded. Airway flow and pressure were measured using a flow sensor. The effect of first and subsequent facemask applications on spontaneously breathing infants were noted. When available, flow waveforms as well as heart rate (HR) were assessed 20 s before and 30 s after each facemask application.ResultsIn total, 128 facemask applications were evaluated. In eleven percent of facemask applications infants stopped breathing. The first application was associated with a higher rate of apnoea than subsequent applications (29% vs 8%, OR (95% CI)=4.76 (1.41–16.67), p=0.012). On aggregate, there was no change in median HR over time. In the interventions associated with apnoea, HR dropped by 38bpm [median (IQR) at time of facemask application: 134bpm (134–150) vs 96bpm (94–102) 20 s after application; p=0.25] and recovered within 30 s.ConclusionsFacemask applications in term and late-preterm infants during neonatal stabilisation are associated with apnoea and this effect is more pronounced after the first compared with subsequent applications. Healthcare providers should be aware of the TCR and vigilant when applying a face mask to newborn infants.Trial registration numberACTRN12616000768493.

scholarly journals A shorter breastfeeding duration in late preterm infants than term infants during the first year

2020 ◽  
Author(s):  
Rakel B. Jonsdottir ◽  
Helga Jonsdottir ◽  
Brynja Orlygsdottir ◽  
Renée Flacking
Keyword(s):  
Preterm Infants ◽  
Late Preterm ◽  
Breastfeeding Duration ◽  
First Year ◽  
Term Infants ◽  
Late Preterm Infants

scholarly journals Factors associated with preventable infant death: a multiple logistic regression

2018 ◽  
Vol 52 ◽  
pp. 32 ◽  
Author(s):  
Sandra Maria Cunha Vidal e Silva ◽  
Rogério Antonio Tuon ◽  
Livia Fernandes Probst ◽  
Brunna Verna Castro Gondinho ◽  
Antonio Carlos Pereira ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Family Income ◽  
Sociodemographic Factors ◽  
Cross Sectional Study ◽  
First Year ◽  
Cross Sectional ◽  
Logistic Regression Models ◽  
Factors Associated ◽  
Systematic Sample ◽  
First Year Of Life

OBJECTIVE: To identify and analyze factors associated with preventable child deaths. METHODS: This analytical cross-sectional study had preventable child mortality as dependent variable. From a population of 34,284 live births, we have selected a systematic sample of 4,402 children who did not die compared to 272 children who died from preventable causes during the period studied. The independent variables were analyzed in four hierarchical blocks: sociodemographic factors, the characteristics of the mother, prenatal and delivery care, and health conditions of the patient and neonatal care. We performed a descriptive statistical analysis and estimated multiple hierarchical logistic regression models. RESULTS: Approximatelly 35.3% of the deaths could have been prevented with the early diagnosis and treatment of diseases during pregnancy and 26.8% of them could have been prevented with better care conditions for pregnant women. CONCLUSIONS: The following characteristics of the mother are determinant for the higher mortality of children before the first year of life: living in neighborhoods with an average family income lower than four minimum wages, being aged ≤ 19 years, having one or more alive children, having a child with low APGAR level at the fifth minute of life, and having a child with low birth weight.

Risk factors associated with respiratory disorders in late preterm infants

2015 ◽  
Vol 29 (3) ◽  
pp. 447-451 ◽  
Author(s):  
Sachie Suga ◽  
Ichiro Yasuhi ◽  
Mikihiro Aoki ◽  
Makoto Nomiyama ◽  
Norio Kubo ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preterm Infants ◽  
Late Preterm ◽  
Respiratory Disorders ◽  
Late Preterm Infants ◽  
Factors Associated
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