المؤلفون: Fajolu, Iretiola, Akintan, Patricia Eyanya, Ezenwa, Beatrice, Ezeaka, Veronica Chinyere

المصدر: Iranian Journal of Neonatology; Summer2019, Vol. 10 Issue 3, p32-37, 6p

مصطلحات موضوعية: NEONATAL mortality, NEWBORN infants, RETROLENTAL fibroplasia, BIRTH weight, PREMATURE labor, CHILDBIRTH

مصطلحات جغرافية: NIGERIA

مستخلص: Background: Preterm birth is a major contributor to neonatal and under-five mortality, and births at lower gestational ages (GA) contribute more to these statistics. Most developed countries have succeeded in improving survival at extremes of GA, while most developing countries like Nigeria still lag behind. The objective of this retrospective study was to document the survival rates among extremely preterm neonates and factors associated with mortality in a tertiary center in Nigeria. Methods: The labor ward delivery and neonatal unit admission records were reviewed from January 2010 to December 2017. The GA, gender, mode of delivery, birth weight, duration of admission, and outcomes for babies delivered at 24 to 27 weeks + 6 days of gestation were recorded. The survival rates and factors associated with mortality were analyzed. Results: During this period, there were 11,607 live births with 1,685 (14.5%) preterm deliveries. There were 4,523 admissions to the neonatal unit; overall, 736 (16.3%) cases were preterm neonates out of which 152 (3.4%) subjects were extremely preterm. The overall survival rate was 24.3%, and the survival rate increased with increasing GA and birth weight (BW). Most deaths occurred in the first week of life. The means of BW and GA were significantly lower in babies that died, compared to those who survived. The median duration of admission was also lower for those that died, compared to those that survived. The most common causes of death were respiratory distress, sepsis, and intracranial hemorrhage. Conclusion: The survival rate of extremely preterm neonates is low in this study. Facilities to improve care, especially for respiratory support should be put in place to reduce mortality. [ABSTRACT FROM AUTHOR]

: Copyright of Iranian Journal of Neonatology is the property of Mashhad University of Medical Science and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: McGuire, William, Soll, Roger

المصدر: Neonatology (16617800); Apr2019, Vol. 115 Issue 3, p278-282, 4p

مصطلحات موضوعية: HOSPITAL birthing centers, CHILDBIRTH, RESUSCITATION, PREMATURE infants, NEWBORN infants, PREMATURE labor

مستخلص: A review of the article "Lower versus Higher Oxygen Concentrations Titrated to Target Oxygen Saturations during Resuscitation of Preterm Infants at Birth" by K. Lui and colleagues, which appeared in a previous issue of the periodical "Neonatology" is presented.

المؤلفون: Balaguer, Albert^1,2 abalaguer@csc.uic.es, Alvarez-Serra, Javier¹, Iriondo, Marti¹, Gómez-Roig, María Dolores³, Krauel, Xavier¹

المصدر: Neonatology (16617800). 2011, Vol. 99 Issue 4, p295-301. 7p. 1 Diagram, 4 Charts.

مصطلحات موضوعية: *PREMATURE labor, *CHILDBIRTH, *ETIOLOGY of diseases, *NEWBORN infants, *CLINICAL medicine

مستخلص: Background: There is a need for a better etiologic classification of preterm births and for tools to help to determine the possible etiologies of these births. Objective: Having previously developed the Barcelona Etiology of Prematurity (BEP) algorithm, based on a new classification for preterm births, we sought to validate this algorithm in clinical studies whereby doctors retrospectively assigned the etiology of preterm birth according to principal cause and associated causes. Method: In phase 1 of the study, 91 preterm neonates consecutively admitted to a tertiary hospital were etiologically classified by doctors using the BEP algorithm. In phase 2, another 29 cases, representing the full spectrum of standard clinical scenarios, were classified by 20 doctors randomly divided into two groups of 10: one group used the algorithm and the other did not. Results: In phase 1, the doctors were able to assign the etiology of all 91 clinical cases using the BEP algorithm, showing a 95.6% level of agreement with the etiologies set by the authors. In phase 2, for the 572 total evaluations, the group that used the BEP algorithm had significantly fewer errors in assigning the principal cause of prematurity than the group that did not use the algorithm (4.51 vs. 16.20%, respectively; p < 0.0001), and also demonstrated a higher level of correlation in assigning the associated causes. Conclusions: The proposed classification may be used to retrospectively categorize the etiology of preterm births, and the BEP algorithm facilitates this task enabling greater accuracy and precision in clinical data. Copyright © 2010 S. Karger AG, Basel [ABSTRACT FROM AUTHOR]

المؤلفون: Kramer, Michael S., Papageorghiou, Aris, Culhane, Jennifer, Bhutta, Zulfiqar, Goldenberg, Robert L., Gravett, Michael, Iams, Jay D., Conde-Agudelo, Agustin, Waller, Sarah, Barros, Fernando, Knight, Hannah, Villar, Jose

المصدر: American Journal of Obstetrics & Gynecology; Feb2012, Vol. 206 Issue 2, p108-112, 5p

مصطلحات موضوعية: PREMATURE labor, CHILDBIRTH, GESTATIONAL age, EMBRYOLOGY, ETIOLOGY of diseases, PHENOTYPES, FETUS, NEWBORN infants, HEALTH facilities

مستخلص: In 2009, the Global Alliance to Prevent Prematurity and Stillbirth Conference charged the authors to propose a new comprehensive, consistent, and uniform classification system for preterm birth. This first article reviews issues related to measurement of gestational age, clinical vs etiologic phenotypes, inclusion vs exclusion of multifetal and stillborn infants, and separation vs combination of pathways to preterm birth. The second article proposes answers to the questions raised here, and the third demonstrates how the proposed system might work in practice. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Obstetrics & Gynecology is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Vachharajani, Akshaya J., Dawson, Jeffrey G.

المصدر: Clinical Pediatrics; May2009, Vol. 48 Issue 4, p383-388, 6p

مصطلحات موضوعية: NEWBORN infants, GESTATIONAL age, CHILDBIRTH, NURSERIES (Children's rooms), PREMATURE labor, MORTALITY

مستخلص: This article describes the short-term outcomes of late preterm neonates born between 34 and 36 (6/7) weeks gestational age (GA) in a 4-year period. A total of 1381/ 20554 (6.7%) births were between 34 and 36 weeks of GA and were predominantly Caucasian (87%). In all, 697/1381 (51%) were admitted to nursery whereas 684/1381 (49%) remained with their mothers. Of the babies born at 34, 35, and 36 weeks GA, 97%, 53%, and 32%, respectively, required admission and of these 30%, 33%, and 23%, respectively, required respiratory support. Air leaks developed in <4% infants. Median length of stay and age at full enteral feeds were 11, 6, and 4 days and 10, 6, and 3 days for 34, 35, and 36 weeks GA, respectively. It is concluded that late preterms have significant morbidity in the neonatal period. [ABSTRACT FROM AUTHOR]

: Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Townsel, Courtney, Hesson, Ashley, Kazzi, Nayla, Greco, Patricia, Treadwell, Marjorie

المصدر: American Journal of Obstetrics & Gynecology; 2020 Supplement, Vol. 222 Issue 1, pS673-S674, 2p

مصطلحات موضوعية: PREMATURE labor, NEWBORN infants, PREMATURE infants, CHILDBIRTH, PREMATURE rupture of fetal membranes, NEONATAL mortality

المؤلفون: Mercer, Brian M., Macpherson, Cora A., Goldenberg, Robert L., Goepfert, Alice R., Haugel-de Mouzon, Sylvie, Varner, Michael W., Iams, Jay D., Meis, Paul J., Moawad, Atef H., Miodovnik, Menachem, Caritis, Steve N., Van Dorsten, J. Peter, Sorokin, Yoram, Thurnau, Gary R., Spong, Catherine Y.

المصدر: American Journal of Obstetrics & Gynecology; Apr2006, Vol. 194 Issue 4, p1176-1185, 10p, 3 Charts, 3 Graphs

مصطلحات موضوعية: PREMATURE infants, PREMATURE labor, NEWBORN infants, CHILDBIRTH, CYTOKINES, PREGNANCY, INTRAVASCULAR ultrasonography, ULTRASONIC imaging, ANTIBIOTICS

مستخلص: Objective: This study was undertaken to determine whether women with recurrent spontaneous preterm births (rSPBs) have different clinical characteristics or systemic markers than those with isolated preterm (iSPBs) or recurrent term births (rTBs), when assessed remote from delivery. Study design: We compared clinical characteristics and findings (including cervical ultrasound, bacterial vaginosis, fetal fibronectin), maternal plasma markers obtained at 22 to 24 weeks' gestation (inflammatory cytokines, cortisol, and corticotrophin-releasing hormone), between women with rSPBs (2 or 3 consecutive SPBs and no TBs), iSPBs (1 SPB and 1 or 2 TBs), and rTBs (2 or 3 consecutive TBs and no SPBs). Results: A total of 1257 women met our inclusion criteria; 47 rSPBs, 241 iSPBs (80 current and 161 prior iSPBs), and 969 rTBs. Before pregnancy, women with rSPBs had lower weights (P < .0001) and body mass indexes (BMIs) (P < .001), and were more likely to be less than 100 lbs (P = .008) or less than 19.8 kg/m² BMI (P = .001). At 22 to 24 weeks those with rSPBs remained lighter and leaner, and had more advanced Bishop scores than iSPBs and rTBs. Ultrasound demonstrated progressive decrease in cervical length for those with rTBs, prior iSPBs, current iSPBs, and rSPBs, and also progressively more frequent short cervixes with worsening history (P < .001). Cervical length was shorter for women of lower pregravid weight and BMI, but not with shorter height. At 22 to 24 weeks, women with rSPBs had more common uterine contractions and tocolytic agents, but not more infections or antibiotic therapy. Those with an SPB in the current gestation had higher fetal fibronectin levels and more frequent vaginal bleeding, regardless of prior outcome. Maternal cortisol and corticotrophin-releasing hormone were higher in women with iSPBs and rSPBs than in rTB controls, (P = .001 and .0027), a finding more apparent with SPB in the current pregnancy. However, maternal cytokines were not increased with either iSPBs or rSPBs. Conclusion: Women with rSPBs are leaner, contract more, have shorter cervixes, and have more advanced Bishop scores than women with iSPBs or rTBs. [ABSTRACT FROM AUTHOR]

: Copyright of American Journal of Obstetrics & Gynecology is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Beydoun, Hind, Itani, Mohammad, Tamim, Hala, Aaraj, Alia, Khogali, Mustafa, Yunis, Khalid

المصدر: Journal of Perinatology; Apr2004, Vol. 24 Issue 4, p228-235, 8p

مصطلحات موضوعية: MATERNAL age, CHILDBIRTH, BIRTH weight, PREMATURE labor, NEWBORN infants, MOTHERS

مستخلص: OBJECTIVES:: To analyze the impact of maternal age at first childbirth on the incidence of preterm delivery and low birthweight among single live births delivered to nulliparous Lebanese women in Greater Beirut. STUDY DESIGN:: Eligible subjects were selected from a consecutive sample of neonatal admissions to nine National Collaborative Perinatal Network participating hospitals over a three-year period (April 1, 1999 to March 31, 2002). Chi-square tests and logistic regression analyses were applied. RESULTS:: Out of 5556 nulliparous mothers, 5.4% had a preterm delivery and 5.2% a low-birthweight infant. In the multivariate analysis, preterm delivery was not significantly affected by old maternal age. Mothers aged 25 years or more remained a high-risk group for low birthweight even after controlling for potentially confounding characteristics. CONCLUSIONS:: Maternal age at first childbirth above 25 years is an independent risk factor for low birthweight, but not for preterm delivery, an outcome influenced mainly by obstetric complications.Journal of Perinatology (2004) 24, 228-235. doi:10.1038/sj.jp.7211064 Published online 18 March 2004 [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Perinatology is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Torpy, Janet M.

المصدر: JAMA: Journal of the American Medical Association. 3/26/2008, Vol. 299 Issue 12, p1500-1500. 1p.

مصطلحات موضوعية: *PREMATURE infants, *PREMATURE labor, *DELIVERY (Obstetrics), *CHILDBIRTH, *INFANT development, *NEWBORN infants, *NEONATAL jaundice, *DISEASE risk factors

مستخلص: The article offers a patient page which provides information on premature infants for patients who are readers of the journal. Basic information defining premature infants and preterm childbirth is discussed. Related symptoms associated with premature infants such as breathing problems, body temperature regulation, jaundice, and anemia are listed. The problems premature infants may face as they grow older, including apnea and bronchopulmonary dysplasia are also detailed. The importance of regular prenatal medical care, avoiding alcohol, tobacco smoke and other harmful substances during pregnancy is mentioned.

العنوان البديل: Time serie of characteristics of mothers live newborns in Niterói, RJ.

المؤلفون: Rozario, Suelem do¹, Brito, Alexandre dos Santos², Kale, Pauline Lorena², Fonseca, Sandra Costa¹ sandracfonseca@yahoo.com.br

المصدر: Brazilian Journal of Mother & Child Health (BJMCH) / Revista Brasileira de Saude Materno Infantil (RBSMI). abr-jun2013, Vol. 13 Issue 2, p137-146. 10p.

مصطلحات موضوعية: *NEWBORN infants, *CHILDBIRTH, *CESAREAN section, *PREMATURE labor, *BIRTH weight, *GESTATIONAL age

مصطلحات جغرافية: RIO de Janeiro (Brazil)

الملخص (بالإنجليزية): Objectives: to describe the tendency over time of characteristics of the mother, care provided and newborns, in Niterói, a city in the Brazilian State of Rio de Janeiro. Methods: an ecological time-series study from 2000 to 2009. Data were gathered from the Live Birth Information System (SINASC). Annual variations were described in age, schooling and reproductive history of mother, prenatal care, kind of delivery, color, birth weight and gestational age. Results: the completeness of information was high among the 62,449 live newborns studied. Births fell and primiparity increased. There was reduction in pregnancies among adolescents (2.3% per year) and an increase in mothers aged over 35 years. Schooling improved, with a decrease in the percentage of pregnant women with less than eight years of school. Around 80% of women had attended seven or more prenatal sessions. Caesarean births tended to increase in frequency, with 67.7% of woman having one of these in 2009. Low birth weight showed a tendency to fall by 1.1% per year. Prematurity increased by 7.4 to 7.9%. Conclusions: there were positive demographic and social changes in Niterói. Birth weight was not much affected by prematurity. As in other locations in Brazil, there has been an increase in the number of women undergoing Caesarian sections. [ABSTRACT FROM AUTHOR]

Abstract (Portuguese): Objetivos: descrever a tendência temporal de características maternas, assistenciais e dos recémnascidos, em Niterói, cidade do Estado do Rio de Janeiro. Métodos: estudo ecológico, de tendência temporal, de 2000 a 2009. A fonte de dados foi o Sistema de Informações sobre nascidos vivos (SINASC). Foram descritas variações anuais de: idade materna, escolaridade, história reprodutiva, pré-natal, tipo de parto, cor, peso ao nascer e idade gestacional. Resultados: a completitude da informação foi alta nos 62.449 nascidos vivos estudados. Reduziram-se os nascimentos e aumentou a primiparidade. Houve redução da gravidez adolescente (2,3% ao ano) e aumento de mães com mais de 35 anos. Melhorou a escolaridade, com redução do percentual de gestantes com menos de oito anos de estudo. Cerca de 80% das mulheres realizou sete ou mais consultas de pré-natal. O parto cesáreo apresentou tendência de aumento, realizado por 67,7% das mulheres em 2009. O baixo peso ao nascer apresentou tendência de queda de 1,1% ao ano. A prematuridade aumentou de 7,4 para 7,9%. Conclusões: Niterói apresentou evolução demográfica e social favorável. O peso ao nascer não foi muito afetado pela prematuridade. Como em outros locais do Brasil, tem se elevado o número de cesarianas. [ABSTRACT FROM AUTHOR]