scholarly journals Descriptive study for neonatal death in neonatal care unit in maternity and children teaching hospital in Aldiwaniah, Iraq

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Abdulaziz Wannas Abd ◽  
Mahmood Jasim Mohammed
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Premature Infants ◽  
Teaching Hospital ◽  
Neonatal Death ◽  
Distress Syndrome ◽  
Neonatal Care ◽  
Common Cause ◽  
Neonatal Deaths ◽  
Neonatal Care Unit

Of the estimated 130 million infants born each year worldwide,1 4 million die in the first 28 days of life. Three-quarters of neonatal deaths occur in the first week, and more than one-quarter occur in the first 24 hours.1,2 Neonatal deaths account for 40% of deaths under the age of 5 years worldwide. This study was descriptive-analytical prospective one and the population of the study included all infants hospitalized in NICU of maternity and children teaching hospital in aldiwaniah governorate from first of  September 2013  to the end  of august 2014.  About 1644 neonate  patients was  admitted to the neonatal care unit directly either from the labor room or from the operation room and the neonate only in contact with health personnel ; from those we study all  193  hospitalized neonates that  died due to different causes. In this study, of 1466 neonates , were hospitalized in NICU (neonatal intensive care unit ) in maternity and children teaching hospital from first of  September  2013 through  august  2014 ;  from which 193 ( 13.1%  )cases were died . A total of 193infants died in the hospital form which 64.25%  were male and ( 35.75% )of them were female. ; 36.8% of them were full term  and 63.2 % were premature . the most common cause of the neonatal death were the RDS (respiratory distress syndrome) 93 (48.1%) and the second most common cause were the complication of prematurity other than the RDS which form55( 28.4%  ). The birth asphyxia, congenital anomalies and sepsis represent 15 ( 7.7 %  ),  8 (4.1%) , 11 ( 5.6% ) respectively. the meconium aspiration syndrome mainly in postmature infant represent about 9 (4.6 % )and miscellaneous causes( hydrops fetalis and intraventriculer haemorrhage and congenital heart disease ) was 3  ( 1.5 %) .  The common cause of neonatal death was sever immaturity with its complications and mainly the respiratory distress syndrome. Almost the death occur in premature and LBW babies. We can prevent of born these babies by high quality prenatal care. The study proves the relations between certains maternal and neonatal factors and neonatal mortality; since low-weight premature infants are at more risk of dying in infancy, it is suggested that pregnant mothers should be placed under the required cares to avoid the birth of premature infants as possible.

scholarly journals 1342 CORD BLOOD THYROID FUNCTION STUDIES IN PREMATURE INFANTS WITH AND WITHOUT RESPIRATORY DISTRESS SYNDROME (RDS)

1981 ◽  
Vol 15 ◽  
pp. 667-667
Author(s):  
Alan H Klein ◽  
Barbara Foley ◽  
Thomas P Foley ◽  
Hugh H Macdonald ◽  
Delbert A Fisher
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Cord Blood ◽  
Thyroid Function ◽  
Premature Infants ◽  
Distress Syndrome

PLASMA CORTICOSTEROIDS IN INFANTS WITH THE RESPIRATORY DISTRESS SYNDROME

PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 782-787 ◽  
Author(s):  
Melvin Baden ◽  
Charles R. Bauer ◽  
Eleanor Colle ◽  
George Klein ◽  
Apostolos Papageorgiou ◽  
...  
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Premature Infants ◽  
Negative Correlation ◽  
Apgar Score ◽  
Distress Syndrome ◽  
Serum Concentrations ◽  
Response To Stress ◽  
Minute Apgar Score

Plasma total corticosteroid concentrations were measured in 44 premature infants with the respiratory distress syndrome (RDS). Further assay of serum concentrations of cortisol, cortisone, corticosterone, corticosterone sulfate, and 11-deoxycorticosterone sufate was carried out in 24 of these infants and in 10 healthy, nonstressed premature controls. Infants with RDS had higher concentrations of cortisol (22.1±4.3µg/100 ml) and corticosterone sulfate (7.7 ± 0.8 µg/100 ml) than control infants (6.6 ± 0.8 µg/100 ml, 1.2 ± 0.3 µg/100 ml, and 4.2 ± 0.4 µg/100 ml, respectively). A significant correlation was found with the five-minute Apgar score (negative correlation, p = 0.005) and a possible correlation with the A-aDO2 gradient. Among premature infants with RDS, those of 32 weeks' gestation or less had higher concentrations of cortisol (28.3 ± 23.6 µg/100 ml) and corticosterone (3.9 ± 2.7 µg/100 ml) than those of more than 32 weeks (11.5 ± 5.4 µg/100 ml and 1.7 ± 0.7 µg/100 ml, respectively), suggesting either elevated response to stress or a diminished ability to metabolize these compounds.

Hypercoagulability in Premature Infants with Special Reference to the Respiratory Distress Syndrome and Hemorrhage

Neonatology ◽  
1971 ◽  
Vol 17 (1-2) ◽  
pp. 98-111 ◽  
Author(s):  
Marguerite Markarian ◽  
L.O. Lubchenco ◽  
Eliana Rosenblüt ◽  
F. Fernandez ◽  
D. Lang ◽  
...  
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Special Reference ◽  
Premature Infants ◽  
Distress Syndrome

scholarly journals Vitamin D deficiency and its effect on respiratory distress syndrome in premature infants: results from a prospective study in a tertiary care centre

2020 ◽  
Vol 20 (1) ◽  
pp. 437-443
Author(s):  
Pelin Dogan ◽  
Hilal Ozkan ◽  
Nilgun Koksal ◽  
Onur Bagci ◽  
Ipek Guney Varal
Keyword(s):  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Prospective Study ◽  
Premature Infants ◽  
Lung Development ◽  
Distress Syndrome ◽  
Tertiary Care ◽  
Hydroxyvitamin D ◽  
Positive Effects ◽  
25 Hydroxyvitamin D

Background: The positive effects of steroids on lung development are well known, and 1,25-dihydroxy vitamin D3 has been shown to exert positive effects on fetal lung development. Objective: We aimed to investigate the relationship between 25-hydroxyvitamin D [25(OH)D] levels and respiratory distress syn- drome (RDS) in premature infants. Methods: Infants aged ≤32 gestational weeks who were admitted to the neonatal intensive care unit (NICU) during 1 year were enrolled in this prospective study. 25(OH)D levels were obtained at the time of admission to NICU. Patients were divided into three groups according to their 25(OH)D levels: severe (group 1), moderate (group 2), and mild (group 3) 25(OH)D deficiencies. Results: The study comprised 72 patients; of them, RDS was observed in 49 and not observed in 23 patients. The mean 25(OH)D levels were significantly lower in RDS patients (p=0.04). Multivariate analysis showed that patients with higher 25(OH)D levels can be preventive for the development of RDS (odds ratio 0.89; 95% confidence interval 0.8–0.99; p=0.04). Conclusion: Our study revealed that 25(OH)D deficiency is an independent risk factor for RDS in premature infants. However, further studies are necessary to explore the association between 25(OH)D deficiency and RDS. Keywords: 25-hydroxyvitamin D; prematurity; respiratory distress syndrome. 

scholarly journals Frequency of neonatal complications after premature delivery

2013 ◽  
Vol 3 (1) ◽  
pp. 65-69 ◽  
Author(s):  
Gordana Grgić ◽  
Elvira Brkičević ◽  
Dženita Ljuca ◽  
Edin Ostrvica ◽  
Azur Tulumović
Keyword(s):  
Body Weight ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Intracranial Hemorrhage ◽  
Premature Infants ◽  
Apgar Score ◽  
Distress Syndrome ◽  
Premature Delivery ◽  
Average Body ◽  
Average Body Weight

Introduction: Preterm delivery is the delivery before 37 weeks of gestation are completed. The incidence of preterm birth ranges from 5 to 15%. Aims of the study were to determine the average body weight, Apgar score after one and five minutes, and the frequency of the most common complications in preterminfants.Methods: The study involved a total of 631 newborns, of whom 331 were born prematurely Aims of this study were to (24th-37th gestational weeks-experimental group), while 300 infants were born in time (37-42 weeks of gestation-control group).Results: Average body weight of prematurely born infants was 2382 grams, while the average Apgar score in this group after the fi rst minute was 7.32 and 7.79 after the fifth minute. The incidence of respiratory distress syndrome was 50%, intracranial hemorrhage, 28.1% and 4.8% of sepsis. Respiratory distresssyndrome was more common in infants born before 32 weeks of gestation. Mortality of premature infants is present in 9.1% and is higher than that of infants born at term.Conclusions: Birth body weight and Apgar scores was lower in preterm infants. Respiratory distress syndrome is the most common fetal complication of prematurity. Intracranial hemorrhage is the second most common complication of prematurity. Mortality of premature infants is higher than the mortality of infants born at term birth.

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