We identified 10 risk factors significantly associated with the need for ANR in newborns ≥34 weeks. We developed a validated risk score that allows the identification of newborns at higher risk of need for ANR. Using this tool, the presence of specialised personnel in the delivery room may be designated more appropriately.
Arch Argent Pediatr 2011;109(5):392-397 / 392 RESUMEN Introducción. Las alteraciones en el crecimiento temprano se asocian con diferentes condiciones adversas en el curso de la vida. Objetivo. Analizar la asociación entre variación en el estado nutricional durante el segundo semestre de la vida y tensión arterial al año de vida, según condiciones al nacer y patrones alimentarios en una cohorte de niños sanos. Población y métodos. Estudio prospectivo de una cohorte de niños sanos seguidos entre los 6 y 12 meses de edad, entre octubre/2007 y marzo/08 en el Hospital Pedro de Elizalde. Se valoró peso y edad gestacional al nacer, peso, talla e índice de masa corporal (IMC) a los 6, 9 y 12 meses, duración de lactancia materna y tensión arterial a los 12 meses de edad. Resultados. Se estudiaron 120 niños que completaron el seguimiento. La variación en el valor estandarizado de IMC entre 6-12 meses de edad constituye el único predictor de IMC a los 12 meses (R 2 0,12; Coef b 0,34; error estándar 0,11; p 0,006). La interacción entre duración de lactancia materna y bajo peso para la edad gestacional constituye el principal predictor de la variación de IMC (R 2 0,11; Coef b -0,15; error estándar 0,04, p < 0,001). El incremento en una unidad estandarizada de IMC al año implica un incremento en 1,76 mmHg de tensión arterial diastólica. Conclusión. El aumento en el IMC se vinculó con menor duración de la lactancia materna. Tal variación se asocia con mayor IMC al año de edad y éste, a su vez, con mayor tensión arterial. Objective. To analyze the association between changes in growth patterns and nutrition status during the second semester of life and blood pressure (BP), according to weight for gestational age (GE), and early dietary patterns, in a sample of healthy children. Methods. Prospective study from a sample of healthy children followed between 6-12 months of age, between 10/07 and 3/08 at Hospital P. Elizalde. Gender, weight and gestational age at birth, weight, height and body mass index (BMI, WHO ref.) at 6, 9 and 12 months, length of breastfeeding, and blood pressure (BP) at 12 months of age were assessed. Results. One hundred twenty infants were follow-up. Variation in standardized BMI between 6-12 months of age is the main predictor of BMI at 12 months of age (R 2 0.12; Coef b 0.34; error estándar 0.11; p 0.006). The interaction term between length of breastfeeding and small for gestational age is the main predictor of changes in BMI between 6-12 months of age (R 2 0.11; Coef b -0.15; error estándar 0.04, p < 0.001). Each standardized unit increment in BMI implies an increase of 1.76 mmHg in diastolic blood pressure at one year. Conclusion. Length of gestation, birth weight and early feeding patterns are associated with weight gain during the first year of life, which is linked at the same time to BMI and BP. The positive change in BMI was associated with shorter duration of breastfeeding and this in turn to higher blood pressure at one year. Key words : infant, growth, body mass index, blood pressure, feeding ...
Therapeutic hypothermia is the standard of care for hypoxic-ischemic encephalopathy (HIE). This treatment was implemented at a regional level by the perinatal network of the City of Buenos Aires. The following are the objectives of this article: 1. To describe the implementation of the network's hypothermia treatment program; 2. To report treatment-associated complications, adverse events and mortality. The program was implemented in stages: 1) 2009-2010. Training and instruction on how to use the equipment. 2) 20102014. Treatment and follow-up of patients with moderate or severe HIE. Up to October 2014, 27 newborn infants received hypothermia treatment with moderate (n= 15) and severe (n= 12) HIE. None of the patients died during treatment. Three newborn infants were lost to follow-up. Among the 16 survivors older than one year old, three have severe neurological disability. Program implementation was plausible. It is imperative to train health care providers on how to identify patients with HIE.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.