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Results 151 - 200 of 549
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Claas M J - - 2010
Improvement in perinatal and neonatal care has resulted in increased survival of extremely low birth weight (ELBW) infants. To describe survival and neonatal morbidity in a cohort of ELBW infants, to compare two consecutive 5-year periods, and compare appropriate (AGA) with small for gestational age (SGA) infants (AGA ≥p10, and ...
Bardi-Peti Luiza L "Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania "Grigore Alexandrescu" Children's Emergency Central Hospital, Bucharest, - - 2010
The study was undertaken to assess whether previously healthy infants with acute respiratory diseases develop elevated pulmonary artery pressures and to identify which type of disease is associated with pulmonary hypertension. We performed 2D and Doppler echocardiography in 137 infants, aged between 1 and 12 month, from November 2007 to ...
Winchester Suzy Barcelos - - 2009
The effects of gradient levels of perinatal morbidity on school outcomes have been investigated at age 12 in four preterm groups, classified as healthy (no medical or neurological illness), medical morbidity, neurological morbidity, and small-for-gestational-age (SGA), and a full-term comparison group. Teachers report on academic competence, social skills, and problem ...
Manuck Tracy A - - 2009
OBJECTIVE: Preterm premature rupture of membranes (PPROM) is the leading identifiable cause of prematurity. We hypothesized that, when controlled for delivery gestational age, potential prolonged exposure to inflammation/infection could be harmful to the developing fetus. STUDY DESIGN: We studied a retrospective cohort of pregnancies with PPROM at 22.0-33.9 weeks' gestation. ...
Korvenranta Emmi - - 2009
OBJECTIVE: The objective of this study was to determine how the use of hospital resources during the first 3 years of life was associated with prematurity-related morbidity in very preterm infants (gestational age of <32 weeks or birth weight of <1501 g). METHODS: The study was a retrospective, national register ...
Kafulafula George G Department of Obstetrics and Gynecology, College of Medicine, University of Malawi, Blantyre, Malawi. - - 2009
Infants born to women who receive intrapartum antibiotics may have higher rates of infectious morbidity and mortality than unexposed infants. Our goal was to determine the association of maternal intrapartum antibiotics and early neonatal morbidity and mortality. We performed secondary analysis of data from a multisite randomized, placebo-controlled clinical trial ...
De Luca Roberta - - 2009
OBJECTIVE: To determine the age-stratified risk of intrapartum and neonatal mortality as well as morbidities of clinical relevance after elective cesarean delivery (ECD). METHODS: This work was a cohort study including 56 549 prospectively recorded late-preterm and term deliveries. We analyzed the effect of cesarean delivery (CD) before the onset ...
Kalanda Boniface - - 2009
Low birth weight (LBW) and fetal anaemia (FA) are common in malaria endemic areas. To investigate the incidence of infectious morbidity in infants in rural Malawi in relation to birth weight and fetal anaemia, a cohort of babies was followed for a year on the basis of LBW (<2500) and ...
Adamkin D H - - 2009
The identification of late preterm infants as a high-risk group of infants has been an important public health breakthrough. These infants have suffered a relative 'silent morbidity and mortality' before the recognition that they have unique physiology and risks. These infants represent almost three-fourths of all premature births in the ...
Hijazi Rana - - 2009
OBJECTIVE: To perform a retrospective analysis of the long-term outcome of infants with end-stage kidney disease (ESKD) treated at our center during the past 25 years. STUDY DESIGN: The total cohort (n = 52) was divided into era 1 (1983-1995; n = 23) and era 2 (1996-2008; n = 29). ...
Hentschel R - - 2009
AIM: To investigate whether neurodevelopmental outcome or pulmonary morbidity at age two years might be different after early versus late surfactant treatment in intubated preterm infants with severe respiratory distress syndrome (RDS). METHODS: In 185 ex-preterm infants of 27-32 completed weeks of gestation, who were enrolled in a controlled trial ...
Raqib Rubhana R International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B), Dhaka, Bangladesh. - - 2009
Chronic exposure to arsenic, a potent carcinogen and toxicant, via drinking water is a worldwide public health problem. Because little is known about early-life effects of arsenic on immunity, we evaluated the impact of in utero exposure on infant immune parameters and morbidity in a pilot study. Pregnant women were ...
Alkazaleh Fawaz - - 2009
BACKGROUND: Primary fetal pleural effusion can be associated with high perinatal morbidity and mortality, especially when it is associated with the presence of fetal hydrops. Pleuroamniotic shunting results in effective drainage and lung expansion which prolong the pregnancy and improve neonatal survival. Intrathoracic displacement of the shunt is a rare ...
Khashu Minesh - - 2009
OBJECTIVE: The aim of our population-based study was to compare the mortality and morbidity of late-preterm infants to those born at term. Advancement in the care of extremely preterm infants has led to a shift of focus away from the more mature preterms, who are being managed as "near terms" ...
Ronsmans C - - 2009
OBJECTIVE: We introduce a new and untested approach for the measurement of life-threatening maternal morbidity in populations where not all women give birth in a health facility. By defining complications at the very extreme end of the severity spectrum, we postulate that its count in hospitals can be used to ...
Sharpe M S - - 2009
OBJECTIVES: To describe the morbidity and mortality patterns and identify factors associated with morbidity in pre-weaning llamas and alpacas. DESIGN: Cross-sectional observational study of 287 crias born on four farms in Ohio, USA. PROCEDURE: Historical data representing all crias born over a 6-year period were obtained from two llama farms ...
Bradshaw Wanda Todd - - 2009
Necrotizing enterocolitis is one of the most common gastrointestinal disease processes affecting infants in the neonatal intensive care unit. Its morbidity and mortality are substantial. This devastating and challenging process results in immediate and long-term morbidities for the affected infant and frustrates the clinician who struggles to prevent the process, ...
Gogia Siddhartha - - 2009
To evaluate the effect of neonatal vitamin A supplementation on infant mortality, morbidity and early adverse effects. Systematic review, meta-analysis, and meta-regression of randomised controlled trials. Electronic databases and hand search of reviews; abstracts and proceedings of conferences. Review methods Randomised or quasi-randomised or cluster randomised, placebo controlled trials evaluating ...
Murphy Kellie E - - 2008
BACKGROUND: One course of antenatal corticosteroids reduces the risk of respiratory distress syndrome and neonatal death. Weekly doses given to women who remain undelivered after a single course may have benefits (less respiratory morbidity) or cause harm (reduced growth in utero). We aimed to find out whether multiple courses of ...
Hawfield Amret A Department of Internal Medicine, Section on Nephrology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, North Carolina, USA. - - 2009
Pre-eclampsia is the second leading cause of maternal morbidity and mortality in the United States. Infants born to affected mothers face a five-fold increase in death rate [Lain and Roberts 2002; National Heart Lung and Blood Institute 2001]. Although pre-eclampsia has been recognized by physicians for millennia, relatively little is ...
Soltau Thomas D - - 2008
BACKGROUND: Clinical expertise and skill of pediatric housestaff improve over the academic year, and performance varies despite supervision by faculty neonatologists. It is possible that variation in clinical expertise of housestaff affects important clinical outcomes in infants in ICUs. OBJECTIVE: Our goal was to test the hypothesis that there is ...
Aucott Susan W - - 2008
Relative adrenal insufficiency in extremely low birth weight infants may contribute to significant morbidity and death. Our objective was to evaluate the relationship between cortisol concentrations and short-term outcomes. Cortisol concentrations were obtained for 350 intubated, extremely low birth weight infants at postnatal age of 12 to 48 hours and ...
Chhabra Pragti - - 2008
Severe maternal morbidity also known as 'near miss' may be a good indicator of the quality and effectiveness of obstetric care, as it may identify priorities in maternal care more rapidly than mortality alone. The objective of the study was to observe the pattern of severe maternal morbidity and its ...
Kaur Taranjit - - 2008
Over the past several years, acute and fatal respiratory illnesses have occurred in the habituated group of wild chimpanzees at the Mahale Mountains National Park, Tanzania. Common respiratory viruses, such as measles and influenza, have been considered possible causative agents; however, neither of these viruses had been detected. During the ...
Mazumder Premasish - - 2008
OBJECTIVES: This study compared the beneficial and adverse neonatal effects of a single versus repeated courses of antenatal betamethasone. SETTING: Tertiary care hospital DESIGN: Open labeled, randomized controlled trial. PARTICIPANTS: Pregnant women (26-33 weeks) at risk of preterm delivery, who received one course of antenatal betamethasone and remained undelivered for ...
Shibli Rana - - 2008
OBJECTIVES: Our hypothesis was that morbidity related to overweight/obesity is already evident in infants and young toddlers. The major objectives of this study were (1) to assess the prevalence of overweight in a sample of hospitalized infants and (2) to assess the prevalence of morbidity in overweight infants in a ...
Christian P P Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Maryland, USA. - - 2008
Micronutrient deficiencies during pregnancy may be linked to poor newborn health and poor host defences against infection. We assessed newborn morbidity to determine the effect of four combinations of antenatal micronutrient supplements. Cluster-randomised, double-masked, controlled trial. Rural community in Nepal. Women received daily supplements from early pregnancy through to 3 ...
Nanda Anil A Department of Neurosurgery, LSU Health Sciences Center, Shreveport, - - 2008
Meningiomas have diverse presentations and the skull base harbors the most difficult of them to operate upon. The objective of this study was to learn whether the recurrence and outcome of these tumors may differ based on their location. Consecutive admissions with intracranial meningiomas between 1999 and 2004 were considered ...
Loto O - - 2008
CONTEXT: Placenta preavia is one of the obstetric emergencies associated with maternal mortality and morbidity. It is also a major cause ofprematurity. With prompt and appropriate management the complication can be drastically reduced. OBJECTIVE: The objective of this study is to document the pattern of presentation, mode of management and ...
Sornsrivichai Vorasith - - 2008
BACKGROUND: Infant morbidity causes a substantial resource burden, however, its magnitude and pattern in developing countries is still unknown. MATERIAL AND METHOD: The authors prospectively followed a cohort of 2,739 children over a one-year period in three rural areas of Thailand to detect the hospitalized infant morbidity. RESULTS: The incidence ...
Signore Caroline - - 2008
This article explores the effects of elective cesarean delivery (ECD) at term on neonatal morbidity and mortality. Available data have limitations, and do not provide conclusive evidence regarding the safety of planned ECD versus planned vaginal delivery. Some data suggest an association between ECD and increased neonatal respiratory morbidity and ...
Bertalan Rita - - 2008
Endogenous and exogenous glucocorticoids influence fetal growth and development, and maternal administration of synthetic glucocorticoids may decrease the risk of perinatal morbidity including lung disease in preterm neonates. Because polymorphisms of the glucocorticoid receptor gene are known to influence the sensitivity to glucocorticoids, in the present study we examined whether ...
Zhang Xun - - 2008
OBJECTIVE: The objective of the study was to examine the birthweight at which risks of perinatal death, neonatal morbidity, and cesarean delivery begin to rise and the causes and timing (antenatal, early or late neonatal, or postneonatal) of these risks. STUDY DESIGN: This was a cohort study based on 1999-2001 ...
Lynch C M - - 2008
Audit of severe maternal morbidity is a potent tool in determining standards of maternity care. This study determines the incidence of severe acute maternal morbidity in our population, identifies the underlying organ dysfunction and associated obstetric risk factors, and compares them to published international reports. Over a 5 year period, ...
Ellberg Lotta L Obstetrics and Gynecology, Department of Clinical Science Umeå University, Umeå, Sweden. - - 2008
To analyse morbidity and mortality in healthy newborn infants in relation to various routines of post-natal follow-up. cross-sectional study. maternity care in Sweden. healthy infants born at term between 1999 and 2002 (n = 197,898). Assessment of post-natal follow-up routines after uncomplicated childbirth in 48 hospitals and data collected from ...
Yoder Bradley A - - 2008
OBJECTIVE: To analyze the effect of gestational age, delivery mode, and maternal-fetal risk factors on rates of respiratory problems among infants born 34 or more weeks of gestation over a 9-year period. METHODS: Retrospective analysis of prospectively collected maternal and neonatal data on all inborn births at 34 or more ...
Liu Xuefeng - - 2008
Birth defect, abnormal condition of the newborn, developmental delay or disability and low birth weight are four major infant morbidity outcomes. Most studies have focused on assessment of the effects of risk factors on each of these outcomes or of the relationship among these outcomes or both. Little attention has ...
Geary C A - - 2008
OBJECTIVE: To test the hypothesis that three changes in the early management of extremely low birth weight (ELBW) neonates would decrease the incidence of extra-uterine growth restriction (EUGR) by 25%. The three early management practice changes (EMPC) included surfactant at delivery followed by immediate extubation to nasal continuous positive airway ...
Riley K - - 2008
AIM: To assess survival and neurodevelopmental outcome of extremely preterm infants over a 20-year period at a single tertiary neonatal centre. METHODS: All infants between 22 and 25(+6) weeks of gestation admitted to a single UK neonatal centre between 1981 and 2000 were enrolled prospectively. Infants in the same gestational ...
Shapiro-Mendoza Carrie K - - 2008
OBJECTIVES: Late-preterm infants (34-36 weeks' gestation) account for nearly three quarters of all preterm births in the United States, yet little is known about their morbidity risk. We compared late-preterm and term (37-41 weeks' gestation) infants with and without selected maternal medical conditions and assessed the independent and joint effects ...
Saigal Saroj - - 2008
Survival rates have greatly improved in recent years for infants of borderline viability; however, these infants remain at risk of developing a wide array of complications, not only in the neonatal unit, but also in the long term. Morbidity is inversely related to gestational age; however, there is no gestational ...
Iams Jay D - - 2008
Interventions to reduce the morbidity and mortality of preterm birth can be primary (directed to all women), secondary (aimed at eliminating or reducing existing risk), or tertiary (intended to improve outcomes for preterm infants). Most efforts so far have been tertiary interventions, such as regionalised care, and treatment with antenatal ...
Henrich Wolfgang - - 2008
Severe peripartum hemorrhage (PPH) contributes to maternal morbidity and mortality and is one of the most frequent emergencies in obstetrics, occurring at a prevalence of 0.5-5.0%. Detection of antepartum risk factors is essential in order to implement preventive measures. Proper training of obstetric staff and publication of recommendations and guidelines ...
Jantasing Sujittra - - 2008
OBJECTIVE: The present study was undertaken to determine perinatal and maternal outcomes in severe preeclamptic women between 24-33-week gestation and compare the outcomes between expectant and aggressive management. MATERIAL AND METHOD: A retrospective descriptive study of 99 women with severe preeclampsia between 24-33(+6)-week gestation who delivered at the King Chulalongkorn ...
Martínez-Biarge Miriam - - 2008
AIMS: To compare neonatal neurological morbidity associated with uterine rupture with morbidity associated with a non-reassuring fetal status. METHODS: We conducted a retrospective cohort analysis. Twenty-one cases of term infants delivered after a symptomatic uterine rupture were analyzed and compared with a randomly selected group of 63 infants born after ...
Onyiriuka A N - - 2007
BACKGROUND: Hypertensive disorders in pregnancy are worldwide in distribution with an incidence that names depending on hospital population and criteria cited for diagnosis METHODS: In a case-control study, the neonatal morbidities of 256 live newborn infants of hypertensive mother were compared with those of 804 infants ofnormotensive mothers. RESULTS: The ...
Seah Victor W T - - 2007
INTRODUCTION: Total knee arthroplasty (TKA) is one of the most successful orthopaedic procedures to date. It is estimated that over 130,000 of TKAs are performed in the United States every year. Whilst the procedure is safe, it nevertheless carries a risk of perioperative mortality and morbidity. This study aimed to ...
Fronczak N - - 2007
This paper describes associations among delivery-location, training of birth attendants, birthing practices, and early postpartum morbidity in women in slum areas of Dhaka, Bangladesh. During November 1993-May 1995, data on delivery-location, training of birth attendants, birthing practices, delivery-related complications, and postpartum morbidity were collected through interviews with 1,506 women, 489 ...
Robinson Paul D - - 2007
The incidence of congenital diaphragmatic hernia (CDH) may be as high as 1 in 2000. Over the past two decades, antenatal diagnosis rates have increased, the pathophysiology of CDH has become better understood, and advances in clinical care, including foetal surgery, have occurred. However, there remains a paucity of randomised ...
Sezik Mekin - - 2007
BACKGROUND: The treatment of preeclampsia before 25 weeks of gestation remains controversial. The aim was to evaluate the outcome of expectant management of preeclamptic women presenting prior to 25 weeks of gestation. MATERIAL/METHODS: During a five-year period, 55 women presenting with severe preeclampsia at or before 24 weeks and 6 ...
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