scholarly journals Screening for Neurodevelopmental Delay for Preterm Very Low Birth Weight Infants at Tertiary Care Center in Saudi Arabia

Cureus ◽  
2021 ◽  
Author(s):  
Mohammed Y Al-Hindi ◽  
Bashaer H Almahdi ◽  
Dinah A Alasmari ◽  
Raghad K Alwagdani ◽  
Wujud M Hunjur ◽  
...  
2018 ◽  
Vol 89 (4) ◽  
pp. 224-232 ◽  
Author(s):  
Hala Tfayli ◽  
Lama Charafeddine ◽  
Hani Tamim ◽  
Joanne Saade ◽  
Rose T. Daher ◽  
...  

Background/Aims: Preterm newborns with a very low birth weight (VLBW) of < 1,500 g have an atypical form of hypothyroidism with a delayed rise in TSH, necessitating a second newborn screening specimen collection. The aims of this study were to survey the compliance with second newborn screening to detect delayed TSH rise in VLBW preterm infants at a tertiary care center, and to determine the rate of atypical hypothyroidism. Methods: Retrospective review of the records of 104 preterm VLBW infants. Late TSH rise was defined as an increase in TSH concentration after 14 days of age in the presence of a normal initial screen. Results: The compliance rate was 92% for the second screening. High rates of hypothyroidism (16.3%) and of late TSH rise (4.8%) were detected. Patients with hypothyroidism had a significantly lower birth weight (p = 0.01) and longer hospital stay (p = 0.004). Patients with late versus those with early TSH rise had a significantly lower mean birth weight (851 ± 302 vs. 1,191 ± 121 g, p = 0.004). Conclusion: The rates of early and late TSH rise in this VLBW population were higher than those in the literature and could be due to the use of povidone-iodine disinfectants. The yield of a second TSH screening in this study was high indicating the need for vigilance in screening VLBW preterm infants.


1994 ◽  
Vol 5 (3) ◽  
pp. 231-241
Author(s):  
Carole Kenner ◽  
Carol Hetteberg

It is not unusual for neonates to be born before the 24th week of gestation and weigh less than 1,000 g. These neonates are surviving to be transferred to a tertiary care center, and many are discharged eventually to home. When one considers that these infants arc only “half developed” by the standard 40-week gestational period, it is understandable that the challenges for nurses caring for them are enormous. In this article, the authors review gestational development and the critical care needs of this special neonatal population


2015 ◽  
Vol 12 (1) ◽  
pp. 32-34
Author(s):  
N Acharya ◽  
P Mishra ◽  
N Shrestha ◽  
V Gupta

Background: Very Low Birth Weight (VLBW) infants weigh <1500 grams and Extremely Low Birth Weight (ELBW) infants weigh <1000 grams. They are predominantly premature but may also be associated with Intrauterine Growth Restriction (IUGR). The VLBW rate is an accurate predictor of infant mortality rate.Objective: The study was aimed to find out the hospital incidence of VLBW and ELBW babies and outcome of these babies, till they were discharged from the hospital/NICU.Methods: A descriptive study was conducted among 109 cases who weighed less than 1500 grams. The babies were evaluated for mortality and various morbidities till they were discharged from the hospital. Descriptive statistics was applied using SPSS 21.0 to show antenatal profile and immediate outcome. Results: Out of 109 cases, ELBW were 30.2% and VLBW were 69.8%. Among the ELBW babies, 30.3% survived and 75% in VLBW. The mortality rate in ELBW and VLBW babies were 69.7% and 25% respectively. Among the ELBW, common morbidities were NNJ (94%), Presumed NNS (87.8%), RDS (82.6%), Hypoglycemia (56.5%), Hypothermia (26%), Birth Asphyxia (15.1%). In the VLBW group, common morbidities were Presumed NNS (86.4%), NNJ (82%), RDS (46.5%), Hypoglycemia (30.2%). The mean duration of hospital stay was 8.6 days (SD ± 3.38).Conclusions: Common immediate morbidities were NNS, RDS, Hypothermia, Anemia, Shock, CHD, Birth Asphyxia and NEC. Well trained staff in the NICU and medical facilities like availability of Surfactant therapy, more number of mechanical ventilators could improve the survival of these babies in our setting.Journal of Nepalgunj Medical College Vol.12(1) 2014: 32-34


2014 ◽  
Vol 99 (Suppl 2) ◽  
pp. A509.1-A509
Author(s):  
Z Al-Salam ◽  
M Abdelbaky ◽  
A Ammari ◽  
FT Kashlan ◽  
M Alshaar ◽  
...  

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