scholarly journals COMPARISON OF THREE DIFFERENT NONINVASIVE VENTILATION STRATEGIES AS INITIAL RESPIRATORY SUPPORT IN VERY LOW BIRTH WEIGHT INFANTS WITH RESPIRATORY DISTRESS SYNDROME: A RETROSPECTIVE COHORT STUDY

2018 ◽  
Author(s):  
Mehmet Buyuktiryaki ◽  
Buse Özer Bekmez
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Noninvasive Ventilation ◽  
Retrospective Cohort ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Ventilation Strategies

scholarly journals Mortality of preterm neonates and its predictors in the Northwest part of Ethiopia: A retrospective cohort study

2019 ◽  
Author(s):  
Aklilu Endalamaw Sinshaw ◽  
Biniam Minuye ◽  
Bezatu Mengistie ◽  
Abebaw Yeshambel ◽  
Nega Assefa
Keyword(s):  
Cohort Study ◽  
Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Neonatal Mortality ◽  
Retrospective Cohort ◽  
Distress Syndrome ◽  
Preterm Neonate ◽  
Very Low Birth Weight ◽  
Preterm Neonates

Abstract Abstract Background: Preterm birth is highly reported in some countries and disparities on survival rates of preterm neonate are escalating across countries. Providing adequate medical care during pregnancy and childbirth has been endorsed. However, neonatal mortality is continuing to be one of the sustainable development goals. To achieve this aim, data from the different geographical area is suggested. Objective: This study was aimed to assess mortality of preterm neonates and its predictors in the Northwest part of Ethiopia. Methods: Institution based retrospective cohort study was conducted among 535 preterm neonates. Data was entered into EPi-data 4.2.0.0 and transferred to STATA version 14 statistical software for analysis. Kaplan-Meier survival analysis and Log-rank test were used to see statistical differences between categories of variables. Cox proportional hazard model was used to identify independent predictors of preterm neonatal mortality. The proportional assumption test had been checked using the Schoenfeld residual test. Variables with p-value ≤ 0.05 were considered as predictors of preterm neonatal mortality. Results: In this study, 31.2% (95% CI: 27.3, 35.1) of preterm neonate were died. Preterm neonates with a gestational age of less than 32 weeks (AHR=1.74; 95%CI: 1.24, 2.46), being male sex (AHR=1.38; 95%CI: 1.01, 1.90), born from preeclampsia/ eclampsia mothers (AHR=1.95; 95%CI: 1.13, 3.36), being extremely very low birth weight (AHR=2.94; 95%CI: 1.05, 8.24), diagnosed with respiratory distress syndrome (AHR=1.70; 95%CI: 1.20, 2.41) were predictors of preterm death. Conclusion and Recommendations: Preterm neonatal mortality found to be high. Four neonatal and one maternal-related variable were recognized predictors of mortality in preterm neonates. The study suggests preventing and controlling preeclampsia/ eclampsia, especial care for neonates born with very low birth weight, born before 32 weeks of gestation, and diagnosed with respiratory distress syndrome are imperative. Keywords: Preterm, Neonate, Mortality, Ethiopia

Passage of the First Stool in Very Low Birth Weight Infants

PEDIATRICS ◽  
1987 ◽  
Vol 79 (6) ◽  
pp. 1005-1007
Author(s):  
Meenakshi K. Jhaveri ◽  
Savitri P. Kumar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Gut Hormones ◽  
Low Birth Weight Infants ◽  
Severe Respiratory Distress ◽  
Severe Respiratory Distress Syndrome

Times of first stool passage were studied in 171 infants who weighed less than 1,500 g at birth. Delayed passage (greater than 48 hours) was noted in 20.4% of this group. Significant differences were noted between the delayed and nondelayed groups for gestational age, presence of severe respiratory distress syndrome, and the time of the first enteral feeding. In very low birth weight infants, delay in the passage of the first stool is a common occurrence. This delay is probably due to physiologic immaturity of the motor mechanisms of the gut, lack of triggering effect of enteral feeds on gut hormones, and the presence of severe respiratory distress syndrome, which may singly or in concert adversely affect gastrointestinal motility.

CONTROLLED TRIAL OF INTENSIVE CARE FOR VERY LOW BIRTH WEIGHT INFANTS

PEDIATRICS ◽  
1971 ◽  
Vol 48 (5) ◽  
pp. 711-714
Author(s):  
W. H. Kitchen ◽  
D. G. Campbell
Keyword(s):  
Intensive Care ◽  
Birth Weight ◽  
Mortality Rate ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Very Low Birth Weight ◽  
Controlled Trial ◽  
Arterial Oxygen ◽  
Low Birth Weight Infants

Two controlled clinical trials were carried out in infants with a birth weight between 1,000 and 1,500 gm. Careful control of arterial oxygen and the infusion of 10% glucose for the first 3 days of life failed to reduce the mortality rate in a group of 118 infants. In the second clinical trial involving 120 patients, the mortality rate was reduced, especially in infants with clinical evidence of respiratory distress syndrome, by the addition to the regime of early vigorous efforts to correct acidosis. The mortality in comparable infants before the introduction of intensive care in 1965 was 49%. In the era of intensive care, 35% of patients given only routine care died, whereas infants receiving vigorous intensive care had a mortality rate of only 18%. The patients with respiratory distress syndrome showed the most noticeable improvement in survival.

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