scholarly journals Selected problems of prematurity and prematurely born child care

2021 ◽  
Vol 47 (3) ◽  
pp. 23-42
Author(s):  
Urszula Tataj-Puzyna ◽  
Karolina Kondraciuk ◽  
Joanna Gotlib
Keyword(s):  
Critical Care ◽  
Preterm Birth ◽  
Very Low Birth Weight ◽  
Evidence Based ◽  
Preterm Baby ◽  
Born Child ◽  
The Family ◽  
Common Causes ◽  
Preterm Babies ◽  
Based Medicine

The evolution of perinatology and the progress of advanced methods of prenatal diagnosis have contributed to the rise of frequency of birth and survival of newborns with very low birth weight, born before 32 weeks of pregnancy. A three-tier perinatology care system in Poland, an increasingly outstanding knowledge of neonatologists, and newer and more advanced equipment for critical care therapy, all provide growingly safer conditions for the life and development of prematurely born children. Prematurity is not only a problem of the preterm baby, but poses a challenge for the family, notably the mother, who must face the challenges of care of the preterm baby.  In this article, selected problems of prematurity and care of a preterm baby are presented. The most common causes of preterm birth incidence are reported. The mother’s situation after a preterm birth is defined. Based on the current literature, the profile of preterm babies and the EBM (Evidence-Based Medicine) paradigm, the rules for treatment and care for a preterm baby are presented.

scholarly journals Philosophical roots of Quaternary Prevention

2015 ◽  
Vol 10 (35) ◽  
pp. 1-8
Author(s):  
Daniel Widmer
Keyword(s):  
Practical Wisdom ◽  
Interprofessional Collaboration ◽  
Theory Of Action ◽  
Evidence Based ◽  
Family Doctors ◽  
Constructivist View ◽  
The Family ◽  
Future Challenges ◽  
Based Medicine ◽  
Quaternary Prevention

This article explores two philosophical dimensions of quaternary prevention since it represents the family doctors’ response to overmedicalization. The first dimension refers to the theory of knowledge and the second to the theory of action. Despite their interconnectedness, they are addressed separately. Firstly, in the theories of knowledge (Epistemology) we argue that the positivism of Evidence-Based Medicine (EBM), so useful to select good practices, should be balanced against critical vision of the use of EBM coupled with a constructivist view through the narrative-based medicine. Secondly, in the theory of action (Ethics) we argue that the non-maleficence principle (primum non nocere) needs to be balanced by the beneficence principle. The latter is the primary medical obligation and doctors should cultivate this practical wisdom. Finally, some aspects of P4’s future challenges are discussed such as health inequalities, interprofessional collaboration, responsibility, managerialism, and the integrative medicine, where a philosophical position should be considered.

Resources for Applying Evidence-Based Medicine in the Pediatric Intensive Care Unit

1997 ◽  
Vol 12 (6) ◽  
pp. 316-320
Author(s):  
Adrienne G. Randolph ◽  
Barry Markovitz
Keyword(s):  
Critical Care ◽  
Evidence Based Medicine ◽  
Medical Literature ◽  
Pediatric Population ◽  
Pediatric Intensive Care ◽  
Evidence Based ◽  
Pediatric Critical Care ◽  
Based Medicine ◽  
Practical Constraints ◽  
Daily Application

Evidence-based medicine is an approach to practicing medicine in which the clinician is aware of the evidence in support of her practice and the strength of that evidence. It requires daily application of systematic methods for finding, appraising, and incorporating the best available evidence in the care of individual patients. The evidence-based medicine approach compliments and enhances clinician expertise. It helps clinicians put the burgeoning medical literature into perspective. This article outlines the rationale of evidence-based medicine and lists resources for learning this approach and for finding repositories of evidence applicable to the critically ill pediatric population. We address the unique challenges posed by the smaller populations typically evaluated in pediatric critical care and practical constraints of incorporating evidence-based medicine into the fast-paced practice of critical care.

scholarly journals Outcome of preterm babies and associated risk factors in a hospital

2010 ◽  
Vol 50 (180) ◽  
Author(s):  
S Shrestha ◽  
SS Dangol ◽  
M Shrestha ◽  
RPB Shrestha
Keyword(s):  
Risk Factors ◽  
Preterm Birth ◽  
Birth Rate ◽  
Causes Of Death ◽  
Hyaline Membrane Disease ◽  
Clinical Sepsis ◽  
Common Causes ◽  
Hyaline Membrane ◽  
Preterm Babies ◽  
Low Birth Rate

INTRODUCTION: Preterm birth is a major problem associated with maximum perinatal mortality and morbidity in developed and developing countries. The aim of this study is to identify risk factors associated with preterm birth and to study morbidities and mortality. METHODS: A descriptive retrospective study was conducted on 164 cases of preterm babies admitted to Neonatal Intensive Care Unit from January, 2007 to December, 2009 RESULTS: Incidence of preterm birth was 19.5%. Mean birth weight was 1670 +/- 370 grams and mean gestational age was 30.02 +/- 0.37 weeks. Common risk factor associated with preterm birth were inadequate antenatal checkup (52%), maternal age <20 years (34.7%), ante partum hemorrhage (23.4%) and pregnancy induced hypertension (13.1%). Common morbidities were clinical sepsis (66.7%), hyperbilirubinemia (58.8%), birth asphyxia (26.8%) and hyaline membrane disease (23.5%). Overall survival was 79.4% with minimum age of survival of 880 grams. The mortality rate in extremely low birth rate and very low birth rate was 80% and 39.5% respectively. The common causes of death were hyaline membrane disease (64.5%), sepsis (58.06%) and necrotizing enterocolitis (25.8%). CONCLUSIONS: The main risk factors for preterm delivery were inadequate antenatal check up, maternal age <20 years, antepartum hemorrhage and pregnancy induced hypertension. The most common morbidity was clinical sepsis followed by hyperbilirubinemia. Common causes of death were hyaline membrane disease and sepsis.

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