The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
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J. Matern. Fetal. Neonatal. Med. · Jan 2016
Multicenter Study Observational StudyCord clamping time in spontaneously breathing preterm neonates in the first minutes after birth: impact on cerebral oxygenation - a prospective observational study.
To analyse impact of delayed cord clamping (DCC60sec) on cerebral regional tissue oxygenation (crSO2) and fractional tissue oxygen extraction (cFTOE) in spontaneously breathing preterm neonates during the first 15 min after birth. ⋯ Attending practitioners should be aware that DCC might impact initial immediate transition in spontaneously breathing preterm neonates.
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J. Matern. Fetal. Neonatal. Med. · Jan 2016
Randomized Controlled TrialChlorhexidine - a novel intervention to decrease the nursery stay and antibiotic exposure duration - randomized trial.
To study the effect of chlorhexidine (CHD) application on umbilical cord and evaluate its impact on duration of NICU stay and antibiotic exposure days. ⋯ Application of CHD to umbilical cord shortens duration of nursery stay and antibiotic days during nursery admission. This simple intervention may be used as mode in places where nursery facilities are limited, as aid in early discharge and shortening the exposure to antibiotic, which may help in reducing the prevalence of multidrug-resistance microbes. This cheap intervention may also be effective in reducing the economical burden on the health infrastructure of the country and parents.
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J. Matern. Fetal. Neonatal. Med. · Jan 2016
Serum VEGF and PGF may be significant markers in prediction of severity of preeclampsia.
The aim of this study evaluate the value of vascular endothelial growth factor (VEGF) and placental growth factor (PGF) serum levels in prediction of preeclampsia, severity and onset time of the disease. ⋯ VEGF and PGF may be significant markers in prediction of severity of preeclampsia, and VEGF may also be valuable in prediction of preeclampsia.
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J. Matern. Fetal. Neonatal. Med. · Jan 2016
Comparative StudyDelivery room management of extremely low birth weight infants in Italy: comparison between academic and non-academic birth centres.
International Guidelines provide a standardised approach to newborn resuscitation in the DR and, in their most recent versions, recommendations dedicated to management of ELBWI were progressively increased. It is expected that introduction in clinical practice and dissemination of the most recent evidence should be more consistent in academic than in non-academic hospitals. The aim of the study was to compare adherence to the International Guidelines and consistency of practice in delivery room management of extremely low birth weight infants between academic and non-academic institutions. ⋯ There were minor differences in management of extremely low birth weight infants between Italian academic and non-academic institutions, apart from thermal management. Although there was a good, overall adherence to the International Guidelines for Neonatal Resuscitation, temperature management was not in accordance with official recommendations and every effort has to be done to improve this aspect.
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J. Matern. Fetal. Neonatal. Med. · Jan 2016
Quantifying force application to a newborn manikin during simulated cardiopulmonary resuscitation.
To assess utility of the FingerTPS™ system in measuring chest compression (CC) rate and force. ⋯ The FingerTPS™ can be used to measure CC rate and force.