More than half of newborns and 80% of preterm children develop clinical symptoms of jaundice . Massage is regarded as a new care method for neonates with a positive effect on neonatal disease treatment and health care .The present study aimed to assess role of massage therapy for reduction of neonatal jaundice in neonates undergoing phototherapy This examination was a clinical preliminary , which was done on 100 neonates (who were conceded in the neonatal emergency unit Benha University and Benha Childern Hospital).Studied neonates were partitioned into 2 gatherings ( Massage gathering and control bunch ). Absolute serum bilirubin (TSB) level diminished by time in charge and back rub gatherings. No critical contrasts were found in TSB level among back rub and control bunches by the first and second days. While, by the third day, TSB level was fundamentally lower in rub bunch when contrasted with control gathering. Back rub treatment could decrease TSB level and increment the recurrence of poop in solid term neonates getting phototherapy for jaundice.
Early onset pulmonary arterial hypertension in preterm is not uncommon and is associated with bronchopulmonary dysplasia and severe intraventricular hemorrhage. Inhaled nitric oxide was used to treat in majority of cases with good response and survival is high. Approximately 8-23% of premature infants develop pulmonary hypertension (PH), and this diagnosis confers a higher possibility of mortality. As a result, professional societies recommend PH screening in premature infants. However, the risk factors for and the outcomes of PH may differ depending on the timing of its diagnosis, and little evidence is available to determine at-risk infants in the referral neonatal population.Aim of this work: was to examine the risk factors and neonatal outcomes of early onset PAH (EOPAH) diagnosed in the first 2 weeks of age in preterm infants in a large perinatal center. Methods: This study was conducted on sequentially admitted preterm neonates in Benha children Hospital (130). A prospective observational study on neonates were admitted to neonatal intensive care unit allover 6 months since 1st of July to the end of December 2019. All the neonates were evaluated by echocardiogram between 72 hours and 14 days for early detection of pulmonary hypertension. Results: Regarding Early pulmonary arterial hypertension, Cases with early pulmonary arterial hypertension were 30 (23.1%) and Cases without early pulmonary arterial hypertension were 100 (76.9%). mean value of weight among Cases with early pulmonary arterial hypertension was lower than among Cases without early pulmonary arterial hypertension (1.68, 2.07) p value= 0.000 , we found that, regarding Maternal risk factors among cases with early pulmonary arterial hypertension, BA were 2 (6.7%), over weight mother was 3 (10%), hypertension was 1 (3.3%), prom was 1 (3.3%), irrelevant was 21 (70%) and Smoker mother were 2 (6.7%). regarding outcome, the percentage of die was higher among Cases with early pulmonary arterial hypertension than Cases without early pulmonary arterial hypertension (26.7%, 2%). P value= 0.000 .regarding fundus examination results was abnormal was 3 (10%) among cases with early pulmonary arterial hypertension. Regarding degree of pulmonary hypertension mild was 19 (63.3%), moderate was 10 (33.3%) and sever was 1 (3.3%). Conclusion: Our study shows that clinically significant EOPAH is present in 23.1% of preterm infants of less than 36 weeks GA. Our results shows that lower birth weights are associated with pulmonary hypertension. The mortality rate among the infants who affected with pulmonary hypertension was high. Regarding O2 Therapy, the percentage of Invasive MV was higher among Cases with early pulmonary arterial hypertension Hearing and fundus impairment occurred among cases with early pulmonary arterial hypertension.
Past investigations bring demonstrated the could be allowed part of prolactin in the improvement of RDS, Yet they didn't think about those maternal states which could impact the watched quality. We pointed with think about serum prolactin level Around sound preterm neonates Also preterm neonate for respiratory misery syndrome. Methods: those examine included 80 neonates (51 guys and 29 females). Those 1st one assembly (diseased): included 40 preterm babies for respiratory misery syndrome. Those second assembly (control): incorporated 40 solid preterm neonates. At baby subjected with research apgar score at 1 and 5 minutes. Serum Prolactin level might have been evaluated utilizing IRMA unit supplied Eventually Tom's perusing izotop Results: we watched helter skelter measurable noteworthy diminish from claiming serum prolactin level (ng/ml) Around preterm babies with RDS contrasted with the control aggregation for (P. Worth <0. 001). Prolactin need been distinguished Concerning illustration a could be allowed trigger for surfactant amalgamation Also hence it may bring a part over lung improvemen. Our comes about uncovered helter skelter statistically huge certain connection for serum prolactin level for gestational agdistis P-value< 0. 001** which demonstrate that prolactin expanded with expanding gestational period. Conclusion:. We presume starting with our consider that serum prolactin increments alongside more seasoned gestational agdistis What's more is emphatically corresponded with seriousness from claiming respiratory trouble. The more level serum prolactin level those that's only the tip of the iceberg extreme might have been the RDS condition.
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