In asphyxiated neonates, cTnI concentrations within 36 h of birth correlate strongly with clinical grade of HIE and with duration of inotropic support. Early cTnI concentrations may provide a useful proxy marker for the anticipated severity of myocardial dysfunction.
This report describes a case of premature closure in utero of the ductus arteriosus (DA) diagnosed postnatally in a baby with hydrops and cardiac failure. An echocardiogram 6 h postnatally showed marked dilation of the right atrium and right ventricle with marked hypertrophy and impaired function, elevated pulmonary pressures, a small pericardial effusion, and no flow through the DA. The mother was unaware of her pregnancy until she presented in labor, and she had taken diclofenac medication in the preceding months. This case and the accompanying literature review illustrate the potential fetal and neonatal complications resulting from antenatal closure of the DA due to maternal diclofenac medication during pregnancy.
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479prior to the procedure and subsequently throughout the ROP examination, which on average lasted 2 minutes. The results were documented on an Excel spreadsheet and analysed using the paired T-test.Results: A total of 19 infants were studied. The skin conductance peak rate (mean) was 0.017 peaks/s at baseline and was 0.14 peaks/s during the procedure (p< 0.001).
Conclusion:The findings indicate that ROP screening causes a degree of stress to preterm infants. The Med-Storm Pain Monitor permits the quantification of the degree of stress encountered by the infant. This technology offers the potential of being able to identify and modify the distress caused by neonatal procedures. Background and aims: Umbilical artery acidbase status is a useful marker of the fetal condition just before birth. The objective of our study was to determine the newborn complications in near term and term infants associated with umbilical artery acidemia of pH ≤ 7.10.
COMPLICATIONS IN THE NEAR TERM AND TERM INFANTS WITH SEVERE UMBILICAL ARTERY ACIDEMIA
indications were small bowel atresia (16.1%), oesophagus atresia (14.3%), omphalocele (10.7%), meconial ileus (7.1%), imperforate anus (7.1%), gastroschisis (7.1%). Odd ratio for developing cholestasis after surgery was 14.31 (IC95 [6.64-30.85]). Cholestasis resolved in all cases. Prematurity, SGA, perinatal asphyxia, early neonatal respiratory distress, secondary sepsis, PN> 7 days, time allowed for enteral intakes > 100 kcal/ kg/d, IV lipids,protids and glucids were significantly associated with cholestasis (p< 0.05). In multivariate analysis, cholestasis was associated with SGA (OR7.64; IC95 [1.47-39.85]).
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