Showing 9 results for Newborn
Mohsen Hagshenas Mojaveri, Fariba Sohrabi, Parvin Aziznejad Roshan, Zahra Akbarian Rad, Mahmoud Hajiahmadi,
Volume 3, Issue 1 (3-2017)
Abstract
Background: Accurate and complete documentation of nursing records is one of the preconditions of the evidence-based cares and is considered as one of the most important professional tasks in nursing. The aim of the present study was to audit the nursing reports in intubated neonates admitted in neonatal intensive care unit of Ayatollah Rouhani hospital, Babol.
Methods: In this cross-sectional study, 100 nursing reports were randomly selected from the neonatal intensive care unit. Data were collected by a researcher using a checklist which was developed in accordance with the standard and indicators of nursing documentation in national and international reliable sources and then compared after determining the content validity and reliability (observers' agreement coefficient). Data were analyzed using SPSS20, and statistical methods of Man-Whitney and Kruskal-Wallis were used at a significant level of p<0.05.
Results: The quality of 93%, 1% and 6% of nursing records was good, moderate and poor, respectively. Overall, the quality of nursing records was desirable in terms of content and structure and there was no significant difference in nursing documentation record in dimensions of structure and content according to overtime (P=0.92 and P=0.11), work experience (P=0.61 and P=0.16) and age group (P=0.09 and P=0.76).
Conclusions: The quality of nursing records in neonatal intensive care unit of Ayatollah Rouhani Hospital of Babol has been improved according to the Accreditation of Health Care Centers. In addition, the increase of nurses' knowledge about legal and professional issues has also been effective on improving the quality of the documentation.
Mohammadreza Salehiomran, Samane Araby, Mousa Ahmadpour-Kacho , Mahmoud Hajiahmadi, Tahereh Jahangir,
Volume 4, Issue 2 (9-2018)
Abstract
Background: Neonatal seizure is a common problem and associated with a great mortality rate, high risk of chronic neurodevelopmental impairments, also difficult to diagnosis and treatment. The aim of this study was to determine the neurodevelopmental outcome, clinical presentation and etiology of seizures in neonates admitted to Amirkola Children's Hospital (ACH).
Methods: In this cross-sectional study, 42 neonates with the initial diagnosis of seizure, aged less than 28 days, hospitalized in ACH, northern Iran, from April to September 2016 were selected using convenient sampling method. The patients' information was gathered during hospitalization period and 6 months after discharge. Data were analyzed using SPSS 22 through descriptive and chi-square tests.
Results: Among preterm and term neonates with seizures, the main diagnosis in neonates with seizures was idiopathic (38.1%) and hypoxic-ischemic encephalopathy (HIE) (14.3%), hypoglycemia (9.5 %) hypomagnesaemia (7.1%) and opiate withdrawal (4.8%). Twenty-three neonates underwent brain computed tomography (CT) scan and 6 (14.3%) of them had abnormal brain imaging. Seizure control with antiepileptics (P=0.006), metabolic disturbance (P=0.002) and time of drug discontinuation (P<0.001) were significantly associated with adverse neurodevelopmental outcome.
Conclusions: Since idiopathic encephalopathy and HIE were the most common cause of neonatal seizures, it should be attempted to improve care during delivery.
Mousa Ahmadpour-Kacho, Yadollah Zahed Pasha, Mahtab Zeynalzadeh, Mahmoud Hajiahmadi, Mohammadhosein Kalantar, Mehrangiz Baleghi, Tahereh Jahangir,
Volume 7, Issue 1 (3-2021)
Abstract
Background and Objective: Elective cesarean section (ECS) increases neonatal respiratory complications like transient tachypnea of the newborn (TTN) and respiratory distress syndrome (RDS). This pilot study examined the effect of antenatal steroids on the prevention of respiratory problems in full-term neonates born via ECS.
Methods: This experimental study was carried out on full-term neonates (39-42 weeks) born by ECS to the mothers admitted to Babol Clinic Hospital, northern, Iran in 2016. The intervention group received betamethasone (12 mg, intramuscular, once a day) for 2 days before ECS plus conventional care, but the control group received only conventional care. The rate of respiratory complication and the admission rate of the newborn ward and neonatal intensive care unit (NICU) were compared between two groups.
Findings: Overall, 200 full-term neonates (100 neonates in the experimental group and 100 neonates in the control group) were enrolled. Nine neonates (9%) in the experimental group and 8 neonates (8%) in the control group had TTN (P=0. 64), and one (1%) neonate in the experimental group and one neonate (1%) in the control group had RDS (P=1).
Conclusion: Antenatal corticosteroid administration to the mothers before ECS with gestational ages of 39-42 weeks does not reduce the incidence of respiratory complications. Thus, further studies are needed to determined its effects in gestational age group more than 39 weeks.
Mahbod Kaveh, Emmanuel Adutwum, Mohammad Kaji Yazdi,
Volume 7, Issue 1 (3-2021)
Abstract
Background and Objective: Neonatal jaundice is a common condition among neonates in the first few days of life and is a leading cause of admission among neonates. The aim of this study was to investigate the most common risk factors associated with severe neonatal hyperbilirubinemia (NNH) and short-term complications of the exchange transfusion (ET).
Methods: In this retrospective study, the medical records of newborns <28 days with severe hyperbilirubinemia who underwent ET during 2015-2018 were analyzed. Medical records and files were searched using the keyword “exchange transfusion”. The clinical and demographic characteristics of the study population as well as the short-term complications of ET were descriptively analyzed.
Findings: Totally, 74 newborns with the mean age of 5.6 ± 3.4 days were included in the current study. The baseline mean peak total serum bilirubin (TSB) was 25.8 ± 5.7 mg/dl. In neonates, the ABO incompatibility was the most frequent cause of severe hyperbilirubinemia requiring ET (54.1%), followed by sepsis (39.2%). Moreover, 57.7% of neonates developed complications secondary to ET. The most common complication was hyperglycemia (71.6%), followed by thrombocytopenia (48.6%).
Conclusion: Hemolysis and sepsis are common causes of NNH; therefore, the extensive screening and identification of the at-risk population can help decrease the incidence of severe NNH. Frequent monitoring of blood sugar and screening of thrombocytopenia before and after ET procedures are necessary to reduce adverse events.
Marjan Hanifeh, Mohammad Kazemian, Minoo Fallahi, Mohammad Naderisorki,
Volume 7, Issue 2 (9-2021)
Abstract
Background and Objective: Jaundice is one of the most common causes of hospitalization in newborns. The aim of the present study was to determine the causes of severe jaundice and its complications in neonates admitted to Mofid Children’s Hospital of Tehran.
Methods: Sixty- five neonates with severe indirect hyperbilirubinemia, admitted to the Neonatal ward of the Mofid Children’s Hospital during the years 2018-2019 were investigated. Laboratory data, family socioeconomic status, parental awareness of jaundice and its consequences, neonatal delivery information and their prenatal conditions were collected during hospitalization. The neonates were followed up after discharge from the hospital for complications of jaundice by telephone calls and clinic referrals.
Findings: In the 22 cases (33.8%) of the neonates, the ABO setup, and in the 4 cases (6.2%), the Rh setup between the mother and neonate were observed. A total of 25 neonates (38.5%) had an average of 1.2 times of blood transfusion. Twenty-four neonates (36.9%) had bilirubin level of ≥25 mg/dl. There was a significant relationship between total bilirubin level and delivery type (P <0.05) and between total bilirubin level and type of prenatal care (P = 0.031). No complications of jaundice were reported during patient follow-up.
Conclusion: Male gender, vaginal delivery, family delay in diagnosis and treatment of jaundice, positive history of jaundice in a previous baby, and prenatal care by someone other than a gynecologist are associated with more severe hyperbilirubinemia.
Zahra Akbarian-Rad, Neda Ghasemi, Mohammadreza Salehiomran, Raheleh Mehraein, Mahmoud Hajiahmadi, Mohsen Haghshenas,
Volume 8, Issue 1 (3-2022)
Abstract
Background and Objective: The aim of this study was to assess the frequency of Intraventricular hemorrhage (IVH) and its severity as an important cause of death and lifelong neurological complications in premature infants.
Methods: This cross-sectional study was conducted in an academic referral hospital, designed for high-risk pregnancies over the period between Jan 2011 and Mar 2018. All premature (<34wk) and very low birth weight (<1500gr) infants diagnosed with IVH by brain ultrasonography (BUS) were included in the study. All infants’ information and outcome at the time of discharge were recorded and then analyzed.
Findings: Out of 2563 eligible infants admitted to the neonatal intensive care unit, 138 neonates (5.38%) were diagnosed with IVH. The mean gestational age and the birth weights were 29.97±2.89 weeks and 1084±327.71 grams, respectively. The frequencies of IVH grades included: 106(76.81%) with grade I, 23(16.67%) with grade II, 7(5.07%) with grade III, and 2(1.45%) with grade IV. Four cases (2.9%) underwent ventriculoperitoneal shunt insertion and three of them died.
Conclusion: In this study IVH frequency in our setting was lower, compared to that of developed countries. This may be due to limitation of performing BUS in neonates who died during the first week of life. Due to neurological complications, especially in severe cases of IVH, premature delivery and very low birth weight should be prevented with appropriate measures.
Dr Sivagamasundari Venugopal, Dr Nagendran Navaneethan, Dr Suresh Panchanathan, Dr Appandraj Srivijayan,
Volume 8, Issue 2 (9-2022)
Abstract
Background and Objective: Loss of hearing is a non-visible disability (NVD) and the second most common congenital pathology. Apart from hearing loss, further disability in these domains has been reported development of language, speech, cognition, and other evolving domains. The aim of this study was to assess the outcomes of neonatal hearing screening programs in hospitals.
Methods: This retrospective study was conducted at the Department of Pediatrics and Neonatology (Southern India). The records of 426 newborns who underwent hearing screening from Jan 2020 to Jan 2021 were analyzed. All healthy newborns underwent first screening between 48-72 hours with transient evoked otoacoustic emission (TEOAE) test, and babies admitted to NICU were screened once the condition stabilized. OAE and brainstem evoked response audiometry (BERA) results were considered outcome variables, and coGuide software, V.1.03 was used for statistical analysis.
Findings: Totally, 221 out of 426 (51.88%) neonates were males, and appropriate for gestational age (AGA) babies' proportion was 381 out of 426 (89.44%) cases. Among the 37 preterm deliveries, 31(86.11%) were delivered during 34-37 weeks. Out of 426 neonates, 28(6.57%) had some risk factors. OAE-1 was referred in 30 neonates (7.04%), OAE-2 was referred in 10% (3 out of 30) and BERA was referred in 33.33% (1 out of 3).
Conclusion: The frequency of hearing loss among screened babies confirmed by BERA was 0.23% (1 out of 426). Neonatal hearing screening in hospitals can aid in early diagnosis of hearing impairment thereby enabling appropriate and timely intervention.
Olayinka Rasheed Ibrahim, Fatima Mani Umar, Sani Musa, Uwani Muhammad,
Volume 8, Issue 2 (9-2022)
Abstract
Background and Objective: Subcutaneous fat necrosis (SFN) of the newborn is a rare form of panniculitis. It usually occurs in perinatal stress and is usually complicated by metabolic disorders such as hypercalcemia. While the number of cases reported worldwide has increased, there are very few cases from Nigeria.
Case Report: We report the case of a Nigerian newborn admitted at 25 hours of life with macrosomia (birth weight of 4.7 kg) and perinatal asphyxia. On the fourth day of life, she developed reddened to dark, tender areas on the back (20 x 15 cm) and back of the arms, suggestive of SFN with elevated serum calcium. The baby received oral frusemide with the resolution of hypercalcemia by the 4th month of life.
Conclusion: Panniculitis, as a form of subcutaneous fat necrosis should be considered in a neonate with a history of perinatal asphyxia and macrosomia, which requires measurement of serum calcium levels.
Dr Manivelu Sankaranathan Shrimathy, Dr Krishnaswami Devimeenakshi,
Volume 10, Issue 1 (3-2024)
Abstract
Background and Objective: Birth trauma refers to injury sustained by the newborn due to mechanical forces during the birth process. It's associated with increased mortality and morbidity. The aim of this study was to determine the incidence of birth trauma in various modes of delivery and to analyze the risk factors for birth trauma.
Methods: This cross-sectional study was conducted from March-October 2021 in a medical college hospital in Chennai-India. All live-born singleton term neonates delivered in the hospital during the study period were screened for birth trauma through a detailed clinical examination and relevant investigations. The risk factors contributing to birth trauma were investigated. The frequency of birth trauma was compared in various modes of delivery. Univariate and multivariate analysis was done for the risk factors. Results were expressed as odds ratio (95% confidence interval). P-value<0.05 was considered statistically significant.
Findings: Among the 2300 live births screened, there were 22 neonates who developed birth trauma, which corresponds to an incidence of 9.5/1000 live births. Birth trauma occurred more frequently in instrumental delivery. The most common birth trauma was subgaleal hemorrhage followed by cephalhaematoma. Risk factors such as short stature, abnormal fetal presentation, abnormal birth weight and maternal illnesses were significant determinants of birth trauma.
Conclusion: The results of this study showed that when pregnancy is complicated by factors such as maternal short stature, maternal illness, abnormal fetal presentation, and abnormal birth weight, the risk of birth trauma is increased.
