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Article
Respiratory Distress in Full Term Newborns

Author: Numan Nafie Hameed
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2007 Volume: 6 Issue: 3 Pages: 233-239
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Respiratory distress (RD) is among the most common symptom complexes seen in the newborn infant. It may result from both non-cardiopulmonary and cardiopulmonary causes.OBJECTIVES:This study Aimed to assess some possible risk factors, types, and short term out come of RD in full term newborns.PATIENTS AND METHODS:A case control study extending along a 6 months period from 1st of October 2006 to 31st of march 2007, during which a 50 full term newborns with RD, who were admitted to the NICU of Baghdad Teaching Hospital in Medical City-Baghdad, and enrolled with another 50 full term newborns without RD delivered in the same period, in the same place.For studied groups (cases and controls), a full prenatal and natal history, and complete physical examination were done, including Down's score evaluation of RD. For each patient in the studied group, CXR, CBP, CRP, Bl.C/S were under taken, close observation and out come were recorded.RESULTS:The risk factors that emerged as being significant includes: history of maternal smoking, caesarian section delivery and male sex .The elective caesarian delivery was highly significant risk factor for RD in full term newborns. The percentage of RD in full term newborns to the total live births at that period was (2.16%), TTN was the commonest cause (1.68%), followed by HMD (0.25%), MAS (0.086%), CHD (0.086%) and then C. P (0.001%).CONCLUSION:That RD in full term newborns is still an important problem in this NICU, especially due to TTN and following elective CS. These prompt us to recommend the reduction of these risk factors especially elective CS to decrease the percentage of RD in full term newborn babies


Article
Prevalence and Etiology of Respiratory Distress in Newborns in the Fallujah Teaching Hospital for Women and Children

Author: Majeed Hameed AL Ajeli
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2019 Volume: 12 Issue: 2 Pages: 2199-2202
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: A descriptive study was conducted in AL Fallujah Teaching Hospital for women and children to determine the prevalence and etiology of respiratory distress in the newborns delivered over the 6 months duration from 1st September 2018 to 1st March 2019.Patients and methods: All live newborns delivered at AL Fallujah Teaching Hospital for women and children during the period of study were included and observed for development of respiratory distress.Results: All newborns (n=5828), delivered at AL Fallujah hospital over the 6 months duration were observed for respiratory distress. The overall prevalence of respiratory distress was 2.5%.Prevalence was 54.4% in term and 42.2% in preterm and 3.4% in post term. Transient tachypnea of newborn was found to be the commonest 40.8% cause of respiratory distress followed by Hyaline membrane disease 34.7%, meconium aspiration syndrome 14.3%, congenital pneumonia 2% and other congenital anomalies 8.2%. Transient tachypnea of newborn was found to be common among term and near-term babies, while hyaline membrane disease was seen among preterm, and meconium aspiration syndrome among term and post term babies.Conclusion: Respiratory distress is a common neonatal problem with significant morbidity and mortality. Transient tachypnea of newborn was a major cause followed by hyaline membrane disease and meconium aspiration syndrome.


Article
PREVALENCE OF HYALINE MEMBRANE DISEASE IN CESAREAN SECTION IN AL-KADHIMIYA TEACHING HOSPITAL
متلازمة عسر التنفس وعلاقتها بالعمليات القيصرية التي تجرى في مستشفى الكاظمية التعليمي

Author: Areeg Abdul- Abass Al-Omrani أريج عبد العباس العمران
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2009 Volume: 7 Issue: 3 Pages: 82-87
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Hyaline membrane disease ,one of the commonest cause of sever respiratory distress early in life ,which is caused by surfactant deficiency is described not only in preterm infant but also in near term babies after cesarean section . Objective: The study aimed to identify the occurrence of hyaline membrane disease following cesarean section (cs) in AL-Kadhimiya Teaching Hospital. Patient and methods: The study was conducted during the period between 1st January-30 April 2009, on 372 neonate born in AL-Kadhimiya Teaching Hospital .All patients were singletons, their gestational age between 37-40 weeks, and their body weight >2.5 kg. They were grouped into 3 groups according to the mode of delivery, normal vaginal delivery (NVD), emergency or elective CS.Result: Males were affected more than females (14.1%&9.2% respectively), occurrence of hyaline membrane disease was much higher after delivery by CS(18.5%)., than after NVD (4.76 %).There was little difference in the occurrence of hyaline membrane disease between emergency and elective CS and the lower the body weight of the neonate the more the occurrence of hyaline membrane disease was noted.Conclusion: Normal vaginal delivery has a possible protective effect against hyaline membrane disease as the frequencies of it’s occurrence was noticed to be less in normal vaginal deliveries than in cesarean section deliveries. Key words: Hyaline membrane disease, normal vaginal delivery, cesarean section ,elective ,emergency .

خلفية الدراسة : تعتبر متلازمة عسر التنفس واحدة من أهم أسباب دخول الأطفال ألحديثي الولادة إلى وحدة الخدج وحديثي الولادة والتي تحدث بسبب نقص مادة السيرفكتنت التي يؤدي نقصها إلى قله التبادل الغازي داخل الحويصلات الرئوية ,وهي تحدث نتيجة أسباب عديدة منها الولادة المبكرة ,مرض السكري عند الأم الحامل والعمليات القيصريةهدف الدراسة :لمعرفة العلاقة بين حدوث متلازمة عسر التنفس و العمليات القيصرية التي تجرى في مستشفى الكاظمية التعليميطريقة الدراسة :تضمنت هذه الدراسة التي أجريت في مستشفى الكاظمية التعليمي للفترة من اليوم الأول لشهر كانون الثاني لسنة 2009 إلى الثلاثون من شهر نيسان من نفي السنة ,372طفل حديث الولادة مصاب بمتلازمة عسر التنفس والذين تتراوح مدة الحمل بهم من 37 إلى 40 أسبوع وكانت أوزانهم أكثر من 2,5 كغم حيث تم تقسيمهم إلى مجاميع حسب نوع الولادة وهي ولادة طبيعية أو قيصريهالنتائج : أظهرت الدراسة إن نسبة الإصابة عند الذكور (14,1 % )أعلى من نسبة الإصابة عند الإناث(9,2 % ), وأظهرت الدراسة كذلك إن الإصابة بمتلازمة عسر التنفس عند الأطفال الذين يولدون بواسطة العمليات القيصرية (18,5 %) أكثر بكثير من الأطفال الذين يولدون بواسطة الولادة الطبيعية وهناك أيضا زيادة نسبة الإصابة عند الأطفال ألحديثي الولادة والذين تقل أوزانهم عن 3 كغم الاستنتاج :الولادة الطبيعية هي واحدة من أهم العوامل التي تقلل نسبة الإصابة بمتلازمة عسر التنفس وكذلك فا ن نقص وزن الطفل يشكل احد العوامل المؤدية للإصابة بها مفتاح الكلمات :الولادة الطبيعية ,العملية القيصرية ,متلازمة عسر التنفس

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