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Article
Management of transverse vaginal septum in a neonate Case report and review of literature

Author: Majid Khalid Al-Sultan ماجد خالد السلطان
Journal: Annals of the College of Medicine Mosul مجلة طب الموصل ISSN: 00271446 23096217 Year: 2010 Volume: 36 Issue: 1&2 Pages: 149-152
Publisher: Mosul University جامعة الموصل

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Abstract

ABSTRACT
A 2 days old female neonate was admitted to the Pediatric Surgery Center at Al- Kanssa teaching hospital on the third of June 2009 with abdominal mass. After clinical examination and investigations, operation was carried out on the sixth of June 2009 and intra operative diagnosis of vaginal atresia caused by transverse vaginal septum was carried out, which is a rare condition occurring 1 in 70,000 – 100,000 live births.
Cruciate incision of the septum with marsupialization was done without vaginostomy and latter vaginal reconstruction.
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الخلاصة
نعرض في هذه المقالة عن حالة طفلة مصابة برتق المهبل الجزئي حيث أدخلت طفلة عمرها يومان الى ردهة جراحة الأطفال في مستشفى الخنساء التعليمي بالموصل بتاريخ الثالث من حزيران 2009 وكانت تعاني من ورم البطن وبعد إجراء الفحص السريري عليها مدعوما بالفحوصات المختبرية والأشعة والسونار تم إجراء عملية جراحية لها بتاريخ السادس من حزيران 2009 وتبين أثناء العملية بأنها تعاني من استسقاء الرحم والمهبل الولادي نتيجة لانسداد المهبل الولادي بحاجز عرضي في الثلث الأسفل من المهبل وهي حالة نادرة جدا تحصل حالة واحدة لكل 70000– 100000 حالة. وتمت معالجة هذا الانسداد وفتح الحاجز العرضي بطريقة التجييب بمرحلة واحدة دون الحاجة الى تفويه المهبل وتصليح الانسداد المهبلي على مراحل. وتمت مناقشة هذه الظاهرة مع مراجعة ما نشر حول الموضوع في الأدبيات الطبية

Keywords

vaginal septum --- neonate


Article
Unconjugated Neonatal Hyperbilirubinemia: Evaluation and Treatment
تَقْييم و مُعالَجَة فَرْطُ بِيِلِيروبينِ الدَّمِ اللامُقْتَرِن الولادي

Authors: Nahla I. Al-Gabban د.نهلة الكبان --- Haider Nadhim Abd د.حيدر ناظم --- Essam Ahmed Abd د. عصام احمد عبد الله
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2010 Volume: 23 Issue: 3 Pages: 165-168
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: neonatal jaundice is a common problem with a lot of mistakes that happen during its management, requiring the doctors and medical staff to follow a certain guidelines for dealing with this disease to obtain the best results.Objective: (1) to study some of the causes of neonatal unconjugated hyperbilirubinemia. 2) To discuss the causes and proper line of therapy.(3) To discuss the complications associated with the management of this problem. Methods: The study included 100 neonates aged 0-14 days with hyperbilirubinemia who were admitted to the Central Teaching Hospital for Children in Baghdad during the period from 1st of February – 1st of June2008. Term infants with TSB ≥ 22mg/dl were treated by exchange transfusion and phototherapy (Group A, 38 patients). Those with TSB level from 13-22mg/dl were treated by phototherapy only (Group B, 62 patients). These decisions were taken mostly according to the TSB level, gestational age and body weight.Results: Twenty five percent of cases had hemolytic cause (Rh-isoimmunization, 13%; ABO-incompatibility, 10%; G6PD-deficiency, 2%). Other causes include: pretermaturty, 33%; sepsis, 8%; congenital CMV infection, 1%; and there were 33 (33%) infants had no evidence of hemolysis or other serious problems. There were 2 deaths in our study after exchange transfusion due to septicemia. The mortality rate after exchange transfusion in the study was 4.4% (from total number of exchange transfusion processes). Conclusions: There appears to be lack of a protocol for the management of cases of neonatal unconjugated hyperbilirubinemia. The cause of hyperbilirubinemia is usually overlooked.Key words: Neonate, hyperbilirubinemia, Jaundice.

خلفية: اليرقان الولادي هو مشكلة شائعة مع الكثير من الأخطاء التي تحدث أثناء العلاج مما يتطلب من الأطباء والكادر التمريضي تتبع دلائل ارشادية خاصة لغرض التعامل مع هذا المرض للحصول على أحسن النتائج. الهدف:(1) هو لدراسة بعض اسباب اليرقان الولادي اللامقترن في مستشفياتنا.(2) لمناقشة الخط الصحيح للعلاج.(3) لمناقشة الممارسة اليومية في مستشفيات الأطفال , والمضاعفات المترافقة مع التعامل مع هذه المشكلة.الطريقة: دراسة استباقية شملت100 وليد مصابين باليرقان الولادي كانت أعمارهم بين 0-14 يوما ادخلوا إلى مستشفى الطفل المركزي التعليمي في بغداد.الولدان الناضجين والذين تبلغ نسبة البيليروبين لديهم أكثر من أو يساوي 22ملغم/100 مل عولجوا بعملية تبديل الدم مع علاج ضوئي ( 38 مريض).أولئك الأطفال ألكاملي النمو والذين تراوحت النسبة لديهم من 13-22ملغم/100 مل عولجوا بالعلاج الضوئي فقط(62 مريض). أخذت هذه القرارات على الأغلب بالاعتماد على نسبة البيليروبين,العمر ألحملي للجنين,والوزن. النتائج: 25٪ من الحالات كانوا يعانون من تحلل الدم (تَمْنيعٌ راهائيٌّ إِسْوِيّ13%, تَنافُرُ الزُّمَرِ الدَّمَوِيَّةِ10% ونقص إنزيم الباقلاء2%).والأسباب الأخرى تشمل أنتان دموي 8٪, الخداج 33٪, والتهابات خلقية ( ولادية) 1٪ , و كان هناك 33 (33%) رضيع لا توجد ليهم أي علامة تدل على وجود تحلل في الدم أو أية مشاكل أخرى.كانت الوفيات في دراستنا 2 بعد عملية تبديل الدم نتيجة الأنتان الدموي.بلغت نسبة الوفيات بعد تبديل الدم في دراستنا 4.4٪ (من العدد الكلي لعمليات تبديل الدم). الاستنتاج: يبدو أن هناك فقدان لسياسة منتظمة و قياسية في علاج حالات اليرقان الولادي اللا المقترن. إن سبب اليرقان عادة يتغافل عنه.


Article
Pattern of congenital heart disease in newborn in Al-Diwaniyah maternity and children teaching hospital

Authors: Abbas Muhammed Hussain عباس محمد حسين --- Adel Jabbar Hussain عادل جبار حسين --- Qahtan Kayon Hmood قحطان خيون حمود
Journal: Al-Qadisiyah Medical Journal مجلة القادسية الطبية ISSN: 18170153 Year: 2013 Volume: 9 Issue: 15 Pages: 202-211
Publisher: Al-Qadisiyah University جامعة القادسية

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Abstract

Background:CHD in the newborn is a problematic disease that need thorough investigation and may need urgent intervention.Objective:To review the pattern of CHD in newborns in Al-Diwaniyah city and to establish the relationship between CHD and certain parameters like sex,and consanguinity Patients and Methods: The study started at 1st of June 2008 till the 1st of January 2010 ,all newborn babies with suspected CHD were included in this study and undergo thorough history with specific attention on prenatal ,natal and postnatal history also questionnaire including sex ,full term or preterm delivery ,any previously affected sibling with CHD, the degree of consanguinity between the parents ,order of the patient in his family , then perfect general and cardiovascular system examination were performed to detect any other congenital or evidence of chromosomal abnormalities .Sixty seven neonates were enrolled in this study (7 of them were excluded because of prematurity)and 60 neonate were evaluated by chest X-ray, electrocardiograph, and echocardiography which done by expert pediatric cardiologist.Results :In this study we found that acyanotic CHD is more common than cyanotic type with VSD is accounting about 35% of cases followed by PDA 26.6% and then ASD 8.3% and TOF 8.3% ,also the study show that asymptomatic murmur is the commonest presentations of CHD in the newborn and consanguinity may be a risk factor.Conclusion: Early detection of CHD is very important for proper management so proper clinical examination and expert echocardiography is considered a gold standard for the diagnosis of CHD .Two dimensions echocardiography is also essential for the diagnosis special cardiac center should be established in our region (AL-Diwaniah)in order to manage the patient effectively without delay that may affect the out- come of the disease

تشكل امراض القلب الولاديه في حديثي الولاده مشكله مرضيه بحاجه الى فحوصات مستفيضه وربما تحتاج الى تداخلات علاجيه عاجله. من أجل مراجعة طبيعة امراض القلب الوراثيه في حديثي الولاده في مدينة الديوانيه ومن اجل توضيح العلاقه بين امراض القلب الولاديه وبعض المتعلقات مثل الجنس ودرجة القرابه. بدأت الدراسه في الاول من حزيران لعام2008 حتى الاول من كانون الثاني لعام 2010.تم شمول كل حديثي الولاده المشتبه لكونهم يعانون من امراض القلب الولاديه في هذه الدراسه وقد تم اخذ تاريخ المرض مع تاكيد على تاريخ ماقبل واثناء وبعد الولاده‘وكذالك تم السؤال عن الجنس وعن الطفل هل كان كاملا او مبتسرا اثناء الولاده،وهل يوجد طفل في العائله مصاب سابقا بامراض القلب الولاديه،وماهي درجة القرابه بين الاب والام ،وتسلسل الطفل في عائلته. وبعد ذالك اجري فحص سريري دقيق عام وخصوصا لجهاز الدوره الدمويه لتحديد وجود اي امراض ولاديه اخرى او علامات لخلل الكروموسومات. أدخل سبعه وستون وليد في هذه الدراسه,سبعه منهم استثنوا من الدراسه بسبب انهم كانوا مبتسرين ,وستون وليدا تم تقيمهم بواسطة اشعة الصدر وتخطيط القلب وفحص القلب بجهاز الايكو الذي اجري لهم من قبل طبيب متخصص بامرض القلب. وجد في هذه الدراسه بان امراض القلب الولاديه غير الازرقاقيه اكثر من امراض القلب الولاديه الازرقاقيه.وكانت الفتحه بين البطينين تشكل 35% من الحالات,وناسور القناة الشريانيه26,6%,والفتحه بين الاذنين8,3%,ورباعية فالوت8,3%.وكذالك اثبتت الدراسه ان النفحه غير المصاحبة بأي أعراض هي العرض الطبي الوحيد لاكثر امراض القلب الولاديه عند الولاده.وكذالك اثبتت الدراسه ان درجة القرابه القريبه تعتبر من عوامل الخطوره. التشخيص المبكر لامراض القلب الولاديه مهم جدا من اجل العلاج المثالي وان الفحص السريري وفحص الايكو الدقيق تعتبران اهم دعامات تشخيص امراض القلب الولاديه.ايكو القلب ذو البعدين كذالك مهم في التشخيص.وكذالك ضرورة انشاء مركز قلب تخصصي في مدينتنا من اجل المعالجه السريعه والدقيقه لامراض القلب الولاديه حتى تعطي نتائج علاجيه أفضل.


Article
A Prospective Study of Neonatal Pneumothorax in Holy Karbala

Authors: Firas Shakir Al-Fahham --- Khalid Khaleel –Araji --- Hasan Mohammedridha AL- Qazzaz
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2015 Volume: 8 Issue: 1 Pages: 2093-2097
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Pneumothorax is the accumulation of air in the space between the parietal and visceral pleura, and is potentially a very serious problem, especially if it occurs in the neonatal population.Patients and Method: A prospective data of sixty newborn infants with pneumothoraces were observed and treated at the Neonatal Care Units in teaching pediatric hospital and gynecological and obstetric teaching hospital in karbala, Iraq, between January 2012 and January 2014 are included in this descriptive study.Patients were evaluated for: sex, gestational age, birth weight; method of delivery; time of pneumothorax development; localization of pneumothorax and the presence of concurrent lung pathology.Diagnosis of pneumothorax done by clinical assessment, and chest X-rays. symptomatic patients were treated with a tube thoracostomy and closed underwater drainage.Results: Sixty neonates with pneumothoraces were included in this study. Sixty three percent of patients were male. Fifty five percent of patients were preterm babies. Fifty three percent were delivered by caesarean section. Seventy seven percent of pneumotoraces were on the right side. Seventy percent cases of pneumothoraces were presented within the first 48 hours of life. Seventy three percent diagnosed as respiratory distress syndrome which is the most common pathology. Mechanical ventilation was performed in 8 patients, including four of the six fatal cases. Tube thoracostomy and closed underwater drainage were performed in 56 patients (93%), while peumothorax resolved spontaneously in four cases. Mortality rate was 10%.Conclusion: pneumothorax may develop during the neonatal period, especially in the presence of risk factors. Treatment is effective, if the disease is recognized and treated as early as possible.

Keywords

pnumothorax --- neonate --- preterm.


Article
The frequency of hypoglycemia in macrosomic neonates in Amarah governorate, Iraq

Author: Sabah H. A. Al-Atwani C.A.P.B**, Ali A. Obaid C.A.B.P, F.I.C.M.S**
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2015 Volume: 11 Issue: 1 Pages: 78-80
Publisher: Baghdad University جامعة بغداد

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Background: Neonatal macrosomia is defined as a birth weight of more than 4000 g. Significant maternal and neonatal complications can result from the birth of macrosomic infants like hypoglycemia and birth injuries.Objectives: To determine the frequency of hypoglycemia in neonates with macrosomia in Amarah, IraqMethods: The study involved 146 macrosomic newborn neonates delivered in 2 maternity hospitals in Amarah, Iraq during a period from June 2011 to June 2014.Results: Hypoglycemia was observed in 16% of neonates affected by macrosomia. Maternal diabetes was the most common cause of fetal macrosomia (28%).Our results were compared with those from other parts of the world.Conclusion Macrosomia is associated with increase rate ofneonatal hypoglycemia especially among infants of diabeticmothers.


Article
FACTORS AFFECTING THE EFFICACY OF PHOTOTHERAPY AS TREATMENT FOR NEONATAL HYPERBILIRUBINMIA IN DUHOK
فعابة العلاج الضوئي في معالجة ارتفاع بليروبين الدم عند الاطفال حديثي الولادة في دهوك

Author: AKREM M. AL- ATRUSHI اكرم اتروشي
Journal: Duhok Medical Journal مجلة دهوك الطبية ISSN: ISSN: 20717334 (online)/ ISSN: 20717326 (Print) Year: 2010 Volume: 4 Issue: 1 Pages: 8-15
Publisher: University of Dohuk جامعة دهوك

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Background Phototherapy is an effective and safe management for neonatal hyperbilirubinemia that decreases the need for exchange transfusion. Its efficacy depends mainly on the light irradiance and wavelength as well as the distance between the phototherapy lamp and the patient.Aim To determine the efficacy of phototherapy in lowering total serum bilirubin level inneonates managed in neonate care unit in Azadi General Hospital in Duhok and to find out any significant effect on this efficacy by each of maturity, age, weight, cause of hyperbilirubinemia and initial total serum bilirubin level.Patients and Methods The study included 102 neonates with hyperbilirubinemia managed by phototherapy. Total serum bilirubin was measured for all patients at the beginning of phototherapy and 4 hours after that. The patients were divided into different groups according to their maturity, weight, age, initial total serum bilirubin and the cause of hyperbilirubinemia(hemolytic or non hemolytic). The mean rate of total serum bilirubin lowering in 4 hours was found for all the patients and also for each group separately. The results were statisticallyanalyzed using t-test and Pearson correlation.Results The mean rate of total serum bilirubin lowering was found to be 0.97 mg/dl/4 hours and percentage of lowering was 6.4% of the initial total serum bilirubin in 4 hours. This result is close to the results found in other studies in different parts of the world. The mean rate of total serum bilirubin lowering was found to be higher in preterms than in full terms (0.82 mg/dl/ 4 hours versus 0.64 mg/dl/4 hours) but no significant difference was found(P=0.71).The mean rate of total serum bilirubin lowering was higher in hemolytic than the non hemolytic cases of hyperbilirubinemia (0.95mg/dl/4hours versus 0.74mg/dl/4hours) but no significant difference was found (P=0.97). The mean rate of total serum bilirubin lowering was found to be increasing with increasing age but no significant correlation was found (P=0.61), r =0.05. Also there was no significant correlation of mean total serum bilirubinlowering and body weight (P=0.66), r =0.044 and with initial total serum bilirubin level (P=0.74), r =0.033.Conclusion The efficacy of phototherapy in our neonate care unit is close to its efficacy elsewhere and this efficacy is not affected significantly by age, maturity, weight, initial totalserum bilirubin and the cause of hyperbilirubinemia.

المقدمة: العلاج الضوئي وسيلة علاجية فعالة وامينة لمعالجة ارتفاع بليروبين الدم عند حديثي الولادة و يقلل الحاجة الى اج ا رء عملية تبديل الدم. تعتمد فعالية هذا النوع من العلاج على شدة الضوء وطوله الموجي والمسافة بين المصابيح وجسم الرضيع.@@هدف الد ا رسة: تحديد فعالية العلاج الضوئي المستخدم لمعالجة ارتفاع بليروبين الدم عند حديثي الولادة في مستشفى آ ا زدي العام في دهوك و كذلك تحديد ما اذا كانت هذه الفعالية تتأثربالعمر’النضج’الوزن’مستوى بليروبين الدم اوسبب ارتفاع البليروبين.@@جمع الحالات و طريقة البحث: شملت هذه الد ا رسة 102 طفل رضيع يعانون من ارتفاع بليروبين الدم ويتلقون العلاج الضوئي. تم قياس مستوى البليروبين لكل مريض عند بدء العلاج الضوئي و بعد مرور 4 ساعات من ذلك وثم حساب معدل انخفاض مستوى البليروبين.تم تصنيف المرضى المشمولين الى مجاميع من حيث النضج’العمر’ الوزن’ مستوى البليروبين عند بدء العلاج الضوئي و سبب ارتفاع مستوى البليروبين (تحللي او غير تحللي) و تم حساب معدل انخفاض البليروبين لكل من هذه المجاميع على حده. تمت مقارنة وتحليل هذه النتائج إحصائيا.@@النتائج: المعدل العام لانخفاض مستوى البليروبين هوسبع و تسعون من المئه مليغ ا رملكل دسيليترلكل اربع ساعات.هذه النتيجة مقاربة لنتائج د ا رسات اخرى اجريت في مختلف انحاء العالم. معدل هذا الانخفاض عند الخدج وجد اعلى مما عند الناضجين ولكن التحليل الاحصائي اثبت ان هذا الفرق غير ذي اهمية. كذلك و جد ان معدل الانخفاض في حالات الدموي اعلى مما في غيرها ولكن هذا الفرق غير ذي اهمية عند تحليل هذه النتائج إحصائياز وجد ايضا ان معدل انخفاض البليروبين يزداد مع زيادة العمر وكذلك مع ازديادالوزن ولكن التحليل الاحصائي اثبت عدم وجود ت ا ربط احصائي ذي اهمية مع هذين المتغيرين.@@ ألاستنتاج: فعالية العلاج الضوئي في وحدتنا مقاربة لفعاليته في مناطق مختلفة من العالم ولا يوجد تأثير مهم على هذه الفعالية من قبل العمر’النضج’الوزن’مستوى البليروبين او سبب ارتفاع البليروبين.@@


Article
The outcome of newborn admitted in neonatal care unit, center teaching hospital of pediatric , Baghdad Al-krakh, 2015

Authors: Dr. Riyadh Mraweh Ibrahim . --- **Dr.Bushra Jabbar Hashem
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2019 Volume: 15 Issue: 1 Pages: 43-51
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Neonatal period is a very vulnerable period of life due to many problems, In spite of advances in perinatal and neonatal care still, the mortality rate of neonate high especially in developing country The World Health Organization estimates that globally four million neonatal deaths per year, Developing countries account for around 99% of the neonatal mortality in the world, In Iraq. Neonatal mortality rate about 19 per 1000 live births which represent 56% of child death below 5 years age in 2012. The hospital in the study represents the larger pediatric hospital in Iraq. It contains 400 children's beds and 24 neonatal incubators.Aims of the study: are to determine the institutional new-born case fatality rate and the cause of death in the neonatal care unit.Method; The study is cross-section study of the population sample of neonatal care unit of central teaching hospital of pediatric in Baghdad Al-krakh health directorateResult: Study appear total neonate admission during 2015 was 1977 neonates mortality rate 9% Four main causes of death were Respiratory related condition, Bacterial sepsis, Disorder related to short gestational and low birth weight not relayed to elsewhere classification and congenital malformation 37.5%, 33.3%, 7.1% and 7.1% respectively while the main primary cause of morbidity were Neonatal jaundice, Respiratory related condition, Bacterial sepsis and 37.5%, 35.2%. 14.1% respectively Conclusions: The majority of morbidity and mortality can prevent by appropriate intervention

Keywords

Mortality --- Morbidity --- Neonate


Article
The Reasons and the Possible Risk Factors of Admission of Newborn Babies to the Neonatal Care Units in Baghdad
الاسباب وعوامل الخطوره المحتملة لدخول الاطفال حديثي الولادة الى وحدات العناية لحديثي الولادة في بغداد

Author: Najlaa Fawzi Jamil د. نجلاء فوزي جميل
Journal: IRAQI JOURNALOF COMMUNITY MEDICINE المجلة العراقية لطب المجتمع ISSN: 16845382 Year: 2008 Volume: 21 Issue: 4 Pages: 280-285
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: The patterns of morbidity of the neonate vary among different communities according to socioeconomic and medical factors.Aim: To identify the reasons and the possible risk factors for neonate admission to the neonatal care unit.Subjects and Methods: - A hospital based case- control study was conducted in Baghdad between 20 March 2005 and 15 August 2005. The study included 164 newborns admitted to neonatal care units of 3 teaching hospitals of pediatrics; it also included 164 healthy neonates who were attended three primary health care centers for BCG vaccination (this group was considered as the control group). The data was collected through interviewing the mothers, by using a special form of questionnaire; the data included information about the neonate, mother, pregnancy and delivery.Results: Jaundice was the main reason for hospital admission (44.5%). The associated risk factors related to the baby were: male gender, LBW, Prematurity, age a week or (less).The method of delivery, presence of congenital anomaly or the type of pregnancy was found to have no statistical significant relation ship with neonatal hospitalization.The associated maternal risk factors were: low educational level, age of 20 years or less, inadequate antenatal care and presence of urinary tract infection and premature uterine contraction during pregnancy.Key Words: -Reasons, Risk Factors, Neonate NCU

خلفية الموضوع:- ان نمط المراضة لدى حديثي الولادة يختلف بين مختلف المجتمعات اعتمادا على عوامل اجتماعية, اقتصادية وصحية.الغاية من البحث:- لمعرفة الاسباب والعوامل المؤثرة على دخول الاطفال حديثي الولادة الى وحدة العناية لحديثي الولادة.طريقة اجراء البحث:- اجريت دراسة مقارنة لحالات ومجموعة ضابطة في المستشفى في مدينة بغداد للفترة الواقعة بين العشرين من اذار 2005 الى الخامس عشر من اب 2005. شملت الدراسة (164) حالة لحديثي الولادة الداخلين الى ردهة العناية لحديثي الولادة في ثلاث مستشفيات تعليمية للاطفال, وشملت الدراسة ايضا (164) طفل من حديثي الولادة الاصحاء الذين راجعوا ثلاثة مراكز رعاية صحية اولية لغرض التلقيح باقاح البي سي جي ( واعتبرت هذه كمجموعة ضابطة). وقد تم جمع البيانات من خلال مقابلة الامهات وملء استمارات خاصة تحتوي معلومات عن الطفل, الام, الحمل والولادة.النتائج:- اليرقان الولادي هو السبب الاكثر شيوعا لدخول حديثي الولادة الىالمستشقى (44.5%). عوامل الخطورة التي من الممكن ان يكون لها تأثير على دخول حديثي الولادة الى المستشفى والمتعلقة بالطفل هي: الجنس (ذكر), انخفاض الوزن عند الولادة, الخدج, العمر لاسبوع او اقل نوع الولادة,.وجود تشوهات خلقية او نوع الحمل لم يكن لها علاقة معنوية مع رقود حديثي الولادة في المستشفى. ان عوامل الخطورة والمرتبطة بالأم كانت: تدني مستوى التعليم, العمر دون العشرين سنة, عدم كفاية الرعاية الصحية اثناء الحمل, وجود التهاب المجاري البولية والتقلصات الرحمية المبكرة اثناء الحمل.

Keywords

Reasons --- Risk Factors --- Neonate NCU


Article
Noise Level at Neonatal Care Unit of Al-Sader Teaching Hospital in Misan Province, Iraq

Authors: Hussein Fadhil Musa Aljawadi --- Esraa Abd Al-Muhsen Ali --- Malik Hadi Mahmood
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2017 Volume: 10 Issue: 2 Pages: 2740-2746
Publisher: Kerbala University جامعة كربلاء

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Abstract

background: Preterm infants exposed to prolonged excessive noise are also at increased risk for hearing loss, abnormal brain and sensory development, and speech and language problems.Aim of study: to determine noise levels in the neonatal care unit. Materials and methods: A descriptive cross sectional study was conducted at neonatal care unit of Al-Sader Teaching Hospital in Misan Province, South East of Iraq during October/2015. A portable sound pressure level meter (sound level meter model SL-4010) was used to record sound level. Results: The records of mean, maximum and minimum sound levels were high and mainly during day time at 10:00 a.m. ranging between 65.13 to 71.68, 78 to 83 and 47 to 61 decibel respectively which exceed the American Academy of Pediatric recommendations.Conclusion: The noise level in the Neonatal Care Unit of Al-Sader Teaching Hospital was obviously high and did not meet the American Academy of Pediatric recommendation. A real effort is required to establish guidelines for noise reduction.

Keywords

sound level --- noise --- decibel --- neonate


Article
THE NEONATAL OUTCOME IN INFANT BORN TO GESTATIONAL AND PRE-GESTATIONAL DIABETIC MOTHERS

Authors: Duha E. Kadhum ضحى عماد كاظم --- Sawsan S. Abbas سوسن ساطع الحيدري --- Deia K. Khalaf ضياء كاظم الاسدي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2017 Volume: 15 Issue: 3 Pages: 268-274
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Diabetes is the 2nd commonest medical complication of pregnancy after hypertension. Infants of diabetic mothers are those infants born to a mother who suffers from diabetes mellitus, but the term refers especially to infants born to a mother who has persistently elevated blood sugar during pregnancy.Objective:To study the complications in infants of diabetic mothers and the difference in the complications between infants of gestational and pre-gestational diabetic mothers.Methods:A cross sectional observational study carried out on (100) neonates of diabetic mothers that delivered in Al-Imamein Al-Kadhimein Medical City; the data was collected between 1st of September 2015 to 1st of December 2015. Maternal history was taken about type of diabetes and babies were divided into 2 groups; 1st group was infants of pregestational diabetic mothers and 2nd group was infants of gestational diabetic mothers. Thorough physical examination of these infants at birth at the neonatal care unit was done. Laboratory investigations included blood sugar, serum calcium, hematocrit, total serum bilirubin and echocardiograph was done in all babies but chest x-ray, abdominal ultrasound, brain ultrasound and electrocardiogram were done whenever indicated.Results:The 1st group (36 cases) 36% of infants was product of mothers having pregestational diabetes and the 2nd group (64 cases) 64% infants of gestational diabetic mothers. Mothers were delivered by cesarean section in 69%. Mothers were primigravida in 31%. Female 59% to male ratio 1.4:1. Hypoglycemia at birth was documented in 39% of cases, was nearly equal in both groups (20%, 19%) respectively. Hypocalcemia in 18%, was more in infants of pregestational diabetic mothers (11% and 7%) respectively. Respiratory complications were the most prominent complications 41 % nearly equal in both groups (22% and 19%) respectively. Macrosomia seen in 23%, more in infants of gestational diabetic mothers (7% and 16%) respectively. Forty % of infants of both group have been discharged in the first 24 hours.Conclusion:The respiratory complications were the most prominent followed by hypoglycemia that occurred mainly to infants of pregestational diabetic mothers. There are statistical differences in infants of pregestational diabetic mothers regarding hypoglycemia, hypocalcemia and respiratory complications. Macrosomia is more in infants of gestational diabetic mothers.Keywords:Neonate, infants, gestational, pregestational diabetes. Citation:Kadhum DE, Abbas SS, Khalaf DK. The neonatal outcome in infant born to gestational and pre-gestational diabetic mothers. Iraqi JMS. 2017; Vol. 15(3): 268-274. doi: 10.22578/IJMS.15.3.8

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