| Massive pulmonary haemorrhage as a cause of death in the neonate--a retrospective review. | |
| | |
MedLine Citation:
|
PMID: 15150947 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To examine massive pulmonary haemorrhage as an independent factor and as a co-factor in neonatal mortality by analysing the associated factors, with the purpose of identifying predisposing characteristics. DESIGN: A retrospective study reviewing 32 neonates who died of pulmonary haemorrhage. Data were extracted from the 2001 King Edward VIII Hospital (KEH) neonatal death records. Relevant obstetric and neonatal variables were used in the data analysis. SETTING: KEH, a tertiary care institute, provides secondary and tertiary services and functions as a referral centre for surrounding clinics and hospitals. RESULTS: Pulmonary haemorrhage occurred in 32 of 260 neonatal fatalities (12.3%). All cases of pulmonary haemorrhage fell into the low-birth-weight category (< 2,500 g), and 26 of the infants (81.25%) died during the early neonatal period. A gestational age of 28-32 weeks was recorded in 27 cases (87%) and 19 (60%) showed adequate growth for gestational age. Three infants had pulmonary haemorrhage as a primary cause of death. In the remaining 29, pulmonary haemorrhage was secondary to a variety of causes. Obstetric information revealed that 29 mothers (93.5%) experienced obstetric complications, viz. pre-eclampsia/eclampsia syndrome 21 (64.5%), abruptio placentae 5 (16.1%) and previous pregnancy losses 9 (29%). Seven babies were ventilated and 2 were diagnosed with patent ductus arteriosus. CONCLUSION: The study revealed more well-grown babies than expected. Complications of pregnancy hypertension, abruptio placentae and previous pregnancy losses were more frequently associated with pulmonary haemorrhage in these neonates. The majority of babies suffering pulmonary haemorrhage were not associated with intensive care management. |
| | |
Authors:
|
N Dufourq; M Thomson; M Adhikari; J Moodley |
Related Documents
:
|
6472967 - New approach to management of unilateral tension pulmonary interstitial emphysema in pr... 3479027 - Severe hypertensive reactions to teniposide (vm-26) in infants with congenital leukemia. 17520537 - Exposure to pulmonary tuberculosis in a neonatal intensive care unit: unique aspects of... 339007 - Total anomalous pulmonary venous connection. long-term results following repair in infa... 1570197 - Platelet-derived growth factors and growth-related genes in rat lung. iii. immunolocali... 12032517 - Energy metabolism in infants with cystic fibrosis. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde Volume: 94 ISSN: 0256-9574 ISO Abbreviation: S. Afr. Med. J. Publication Date: 2004 Apr |
Date Detail:
|
Created Date: 2004-05-20 Completed Date: 2004-05-27 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0404520 Medline TA: S Afr Med J Country: South Africa |
Other Details:
|
Languages: eng Pagination: 299-302 Citation Subset: IM |
Affiliation:
|
Nelson R Mandela School of Medicine, University of Natal, Durban. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Birth Weight Female Hemorrhage / mortality* Humans Infant Mortality Infant, Low Birth Weight Infant, Newborn Lung Diseases / mortality* Male Maternal Age Pregnancy Pregnancy Complications Retrospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Inhuman shields--children caught in the crossfire of domestic violence.
Next Document: Microbial diagnosis with PCR will become clinically beneficial with a faster analysis