scholarly journals Epidemiological characteristics of neonatal admissions in a public maternity / Características epidemiológicas das internações neonatais em uma maternidade pública / Características epidemiológicas de admisión neonatal en una maternidad..

2018 ◽  
Vol 6 (4) ◽  
pp. 28
Author(s):  
Danubia Jacomo Da Silva Cardoso ◽  
Beatriz Schumacher
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Medical Records ◽  
Preterm Labor ◽  
Neonatal Intensive Care ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Maternal Complications ◽  
Epidemiological Characteristics

Descriptive retrospective Research with quantitative approach. Aims: Meet the epidemiological characteristics of hospitalization in Neonatal intensive care unit, relating them to the possible maternal factors, in a public maternity in southern Brazil. Performed with newborns that they put in the NICU, forwarded with the clinical summary to the Municipal program precious baby. The data were collected, with the following variables: maternal age, type of birth, number of pre-natal consultations, complications in pregnancy, and number of days of hospitalization in neonatal intensive care unit, in the period from January to December 2013. Were analyzed medical records 72, prematurity was the most prevalent with 61% of the babies, and their consequences such as the use of mechanical ventilation and apneas 55.5% were repeated and 52.7% respectively. Among the most frequent maternal complications was observed the Preterm Labor (31.3%) and premature rupture of membranes (23.8%). Thus the identification of the factors that lead to preterm labor and premature rupture of membranes, could meet the maternal background and consequently reduce the prematurity and low birth weight.

scholarly journals The association between SARS-CoV-2 infection and preterm delivery: a prospective study with a multivariable analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Oscar Martinez-Perez ◽  
◽  
Pilar Prats Rodriguez ◽  
Marta Muner Hernandez ◽  
Maria Begoña Encinas Pardilla ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Prospective Study ◽  
Preterm Delivery ◽  
Neonatal Intensive Care ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Obstetric Morbidity ◽  
In Pregnancy

Abstract Background To determine whether severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, the cause of COVID-19 disease) exposure in pregnancy, compared to non-exposure, is associated with infection-related obstetric morbidity. Methods We conducted a multicentre prospective study in pregnancy based on a universal antenatal screening program for SARS-CoV-2 infection. Throughout Spain 45 hospitals tested all women at admission on delivery ward using polymerase-chain-reaction (PCR) for COVID-19 since late March 2020. The cohort of positive mothers and the concurrent sample of negative mothers was followed up until 6-weeks post-partum. Multivariable logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of SARS-CoV-2 infection and obstetric outcomes. Main outcome measures: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions. Results Among 1009 screened pregnancies, 246 were SARS-CoV-2 positive. Compared to negative mothers (763 cases), SARS-CoV-2 infection increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32–3.36, p = 0.002); iatrogenic preterm delivery was more frequent in infected women (4.9% vs 1.3%, p = 0.001), while the occurrence of spontaneous preterm deliveries was statistically similar (6.1% vs 4.7%). An increased risk of premature rupture of membranes at term (39 vs 75, 15.8% vs 9.8%, aOR 1.70, 95% CI 1.11–2.57, p = 0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43–8.94, p <  0.001) was also observed in positive mothers. Conclusion This prospective multicentre study demonstrated that pregnant women infected with SARS-CoV-2 have more infection-related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research.

scholarly journals The association between COVID-19 and preterm delivery: A cohort study with a multivariate analysis

2020 ◽  
Author(s):  
◽  
Oscar Martinez Perez ◽  
Pilar Prats Rodriguez ◽  
Marta Muner Hernandez ◽  
Maria Begona Encinas Pardilla ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Cohort Study ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Pregnant Women ◽  
Preterm Delivery ◽  
Neonatal Intensive Care ◽  
Premature Rupture Of Membranes ◽  
Premature Rupture ◽  
Obstetric Morbidity

Structured abstract Objective: To determine whether severe acute respiratory syndrome coronavirus 2 (SARS CoV 2, the cause of COVID 19 disease) exposure in pregnancy, compared to non exposure, is associated with infection related obstetric morbidity. Design and setting: Throughout Spain, 45 hospitals took part in the universal screening of pregnant women going into labour using polymerase chain reaction (PCR) for COVID 19 since late March 2020. Methods: The cohort of exposed and unexposed pregnancies was followed up until 6 weeks postpartum. Multivariate logistic regression analysis, adjusting for known confounding variables, determined the adjusted odds ratio (aOR) with 95% confidence intervals (95% CI) of the association of COVID 19 exposure, compared to non exposure, with infection related obstetric outcomes. Main outcome measures: Preterm delivery (primary), premature rupture of membranes and neonatal intensive care unit admissions. Results: In the cohort of 1,009 screened pregnancies, 246 were COVID 19 positive. Compared to non exposure, COVID 19 exposure increased the odds of preterm birth (34 vs 51, 13.8% vs 6.7%, aOR 2.12, 95% CI 1.32 3.36, p=0.002), premature rupture of membranes at term (39 vs 75, % vs 9.8%, aOR 1.70, 95% CI 1.11 2.57, p=0.013) and neonatal intensive care unit admissions (23 vs 18, 9.3% vs 2.4%, aOR 4.62, 95% CI 2.43 8.94, p<0.001). Conclusion: This first prospective cohort study demonstrated that pregnant women infected with SARS CoV 2 have more infection related obstetric morbidity. This hypothesis merits evaluation of a causal association in further research.

scholarly journals The pattern of admission and outcome of neonates managed in the neonatal intensive care unit in a Sudanese hospital

2021 ◽  
Vol 8 (4) ◽  
pp. 616
Author(s):  
Safaa A. M. Ahmed ◽  
Mohammed A. O. Ali ◽  
Esraa A. A. Mahgoub ◽  
Mohammed Nimir ◽  
Elfatih M. Malik
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Birth Weight ◽  
Neonatal Intensive Care Unit ◽  
Medical Records ◽  
Neonatal Intensive Care ◽  
Binary Logistic Regression ◽  
Neonatal Morbidity ◽  
Chi Square ◽  
Chi Square Test

Background: This study aimed to assess the admission pattern and outcome of neonates managed in the neonatal intensive care unit (NICU) in a Sudanese hospital.Methods: This hospital-based retrospective study was conducted in the NICU of Saad Abu Elella Teaching Hospital in Khartoum, Sudan. Data was collected from medical records of 207 neonates using an extraction form. Chi-square test and binary logistic regression were used in analysis.Results: Most of the neonates were term, and 43% of them had a birth weight less than 2.5 kg. Moreover, the most common morbidities among them were sepsis, respiratory distress syndrome, neonatal jaundice and asphyxia, and the mortality rate was 15%. Additionally, the birth weight, gestational age, the need for resuscitations, direct breast feeding and being beside mother were found to be significantly associated with the studied outcome.Conclusions: Majority of causes of neonatal morbidity and mortality in our study were preventable diseases. Therefore, interventions to improve services in the NICU are highly needed to improve the outcomes.

scholarly journals Please Don’t Use the Restraints

2015 ◽  
Vol 22 (6) ◽  
pp. 484-489 ◽  
Author(s):  
Desireé D. Rowe
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Medical Records ◽  
Neonatal Intensive Care ◽  
Birth Experience ◽  
The Past ◽  
The Future ◽  
Life Threatening ◽  
New Perspective

The end of the story is all you care about. So, let’s get that out of the way first. Penelope Jane was born on March 23rd. She was healthy. The trauma of that day still resonates within my body, called into being through subsequent visits to the hospital and a review of my own medical records from that day. A life-threatening fever and 9 hours of pushing led to a powerfully negative birth experience, one that I am consistently told to just forget. After she had a weeklong stay in the neonatal intensive care unit (NICU), I have a healthy daughter. In this article, I use auto/archeology as a tool to examine my own medical records and the affective traces of my experience in the hospital to call into question Halberstam’s advocacy of forgetting as queer resistance to dominant cultural logics. While Halberstam explains that “forgetting allows for a release from the weight of the past and the menace of the future” I hold tightly to my memories of that day. This article marks the disconnects between an advocacy of forgetting and my own failure of childbirth and offers a new perspective that embraces the queer potentiality of remembering trauma.

scholarly journals Delayed delivery of the two remaining fetuses of triplet pregnancy: Case Report

2016 ◽  
pp. 1 ◽  
Author(s):  
Ibrahim A. Abdelazim ◽  
Sulaiman Al-Munaifi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Case Report ◽  
Neonatal Intensive Care Unit ◽  
Conservative Management ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Triplet Pregnancy ◽  
Maternal Complications ◽  
Still Birth

<p>The incidence of multiple gestations increased after introduction of assisted reproduction techniques. Traditionally; in twin and/or triplet pregnancies; if one baby delivered preterm, this situation managed by delivery of the second and/or the third fetuses. This case report represents the suggested conservative management during the delayed delivery of the two remaining fetuses of triplet pregnancy, its outcome, and benefits.<br />The studied woman is 35-years old, G3 P2, triplet pregnancy after intra-cytoplasmic sperm injection trial, presented with preterm premature rupture of membranes of the first fetus at 20+2 weeks` gestation, who delivered as fresh still birth. The couple informed, and agreed for the conservative management of the two remaining fetuses. After delivery of the first fetus; the umbilical cord ligated as high as possible in the cervix. She received systemic antibiotics for one week, with follow up of; infections, and consumptive coagulopathy parameters, and wellbeing of the fetuses through the conservative treatment. She received betamethasone to accelerate the lung maturity, and Mg-Sulphate for fetal neuro-protection at 24 weeks. The conservative management discontinued, and she delivered by cesarean section at 25 weeks+1 after attack of ante-partum hemorrhage. The delivered neonates admitted to neonatal intensive care unit on ventilator support, surfactant therapy, and antibiotics. 80 days after neonatal intensive care unit admission; the neonates discharged from the neonatal intensive care unit with corrected age of 36 weeks+, on complete oral feeding, and room air. <br />The first fetus delivered at 20 weeks+2, fresh still birth (410 g), while the second, and third fetuses delivered at 25 weeks+1 (34 days of the conservative management), 780, and 840 g; respectively. Both fetuses survived, discharged from the neonatal intensive care unit after 80 days, at 2.2, and 2.3 kg weight; respectively. <br />The birth weight, and the survival rate of both fetuses increased after the conservative management. The suggested conservative management of the delayed delivery may be associated with reduced neonatal mortalities without any maternal complications.</p>

scholarly journals Changes in the Molecular Epidemiological Characteristics of Methicillin-ResistantStaphylococcus aureusin a Neonatal Intensive Care Unit

2010 ◽  
Vol 31 (6) ◽  
pp. 613-619 ◽  
Author(s):  
Alison J. Carey ◽  
Phyllis Della-Latta ◽  
Richard Huard ◽  
Fann Wu ◽  
Phillip L. Graham ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
New York ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Protein A ◽  
Positive Culture ◽  
Type Iv ◽  
Healthcare Associated ◽  
Epidemiological Characteristics

Objective.To determine whether the molecular epidemiological characteristics of methicillin-resistantStaphylococcus aureus(MRSA) had changed in a level III neonatal intensive care unit (NICU).Design.Retrospective review of medical records.Setting.Level III NICU of a university-affiliated children's hospital in New York, New York.Patients.Case patients were neonates hospitalized in the NICU who were colonized or infected with MRSA.Methods.Rates of colonization and infection with MRSA during the period from 2000 through 2008 were assessed. Staphylococcal chromosomal cassette (SCC)mecAanalysis and genotyping forS. aureusencoding protein A (spa) were performed on representative MRSA isolates from each clonal pulsed-field gel electrophoresis pattern.Results.Endemic MRSA infection and colonization occurred throughout the study period, which was punctuated by 4 epidemiologic investigations during outbreak periods. During the study period, 93 neonates were infected and 167 were colonized with MRSA. Surveillance cultures were performed for 1,336 neonates during outbreak investigations, and 115 (8.6%) neonates had MRSA-positive culture results. During 2001-2004, healthcare-associated MRSA clones, carrying SCCmectype II, predominated. From 2005 on, most MRSA clones were community-associated MRSA with SCCmectype IV, and in 2007, USA300 emerged as the principal clone.Conclusions.Molecular analysis demonstrated a shift from healthcare-associated MRSA (2001-2004) to community-associated MRSA (2005-2008).

Direct Hyperbilirubinemia Associated With Chioral Hydrate Administration in the Newborn

PEDIATRICS ◽  
1990 ◽  
Vol 86 (2) ◽  
pp. 277-281
Author(s):  
George H. Lambert ◽  
Jonathan Muraskas ◽  
Craig L. Anderson ◽  
Thomas F. Myers
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Retrospective Study ◽  
Neonatal Intensive Care Unit ◽  
Medical Records ◽  
Neonatal Intensive Care ◽  
Chloral Hydrate ◽  
Serum Bilirubin ◽  
Data Support

To test the hypothesis that chioral hydrate can cause direct hyperbilirubinemia (DHB) in the newborn, two retrospective analyses of the medical records of patients admitted to a neonatal intensive care unit during an 18-month period were conducted. In one analysis of 14 newborns who had nonhemolytic DHB, 10 did not have an identified cause of DHB, and all 10 had received chloral hydrate. In the second retrospective study, all newborns who received chloral hydrate were divided into groups according to whether or not DHB had developed. The newborns with DHB, compared with those without DHB, had received a higher total accumulative dose of chloral hydrate (1035 ± 286 vs 183 ± 33 mg/kg [±1 SEM], respectively). In the patients with DHB, the direct serum bilirubin levels increased 6.8 ± 0.8 days after the chioral hydrate administration began and resolved after the chloral hydrate was discontinued or markediy decreased. These data support the hypothesis that prolonged use of chloral hydrate in newborns can be associated with DHB.

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