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. · Mar 2019
Risk factors for necrotizing enterocolitis in very preterm infants: a case-control study in southwest China.
The objective of this study is to investigate perinatal risk factors for necrotizing enterocolitis (NEC) in very preterm infants. ⋯ Neonatal septicemia and intravenous aminophylline use are risk factors associated with NEC development in very preterm infants.
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J. Matern. Fetal. Neonatal. Med. · Mar 2019
Is blood transfusion necessary in all patients with disseminated intravascular coagulation associated postpartum hemorrhage?
The diagnosis of disseminated intravascular coagulation (DIC) in obstetrics is complicated owing to physiological changes, particularly during late pregnancy and the postpartum period. Therefore, a pregnancy-modified DIC score that includes only three components of the International Society on Thrombosis and Hemostasis (ISTH) DIC score has been constructed. Our aim was to determine how many blood-transfused postpartum women actually had the diagnosis of overt DIC according to the modified ISTH score and had the correct indications for blood transfusion. ⋯ According to the modified ISTH score, we found that blood transfusion was unnecessary in 179 of the 279 postpartum women (64.1%). If this scoring system is used to determine which patients should be transfused, unnecessary transfusions and their related risks and complications will be prevented.
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J. Matern. Fetal. Neonatal. Med. · Feb 2019
Review Case ReportsTale of rudimentary horn pregnancy: case reports and literature review.
Rudimentary horn pregnancy (RHP) is a rare form of pregnancy in a rudimentary uterine horn with a reported incidence of 1 in 76,000 and 1 in 150,000. A significant number of cases is diagnosed only following rupture of the RHP with an estimated maternal mortality rate of 0.5%. Early diagnosis can help in planning management before its rupture and allows for surgical treatment using laparoscopy.
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J. Matern. Fetal. Neonatal. Med. · Feb 2019
Risk of spontaneous preterm birth in IVF-conceived twin pregnancies.
To compare the mean transvaginal ultrasound (TVU) cervical length (CL) at midtrimester in screening for preterm birth in in vitro (IVF)-conceived twin pregnancies versus spontaneously-conceived twin pregnancies. ⋯ The higher rate of spontaneous preterm birth in IVF-conceived twin pregnancies is predicted by lower midtrimester TVU CL, as well as by the lower gestational age at birth per any given CL in the IVF-conceived compared to the spontaneously-conceived twin pregnancies.
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J. Matern. Fetal. Neonatal. Med. · Jan 2019
ReviewRole of chest ultrasound in neonatal lung disease: a review of current evidences.
Among the common causes of neonatal admission to NICU, respiratory distress is one of the important causes. The neonatal respiratory distress is end result of various pulmonary and non-pulmonary causes. Differentiation of pulmonary causes of respiratory distress is important for the neonatologist as treatment differs with different etiologies. ⋯ In recent decades, there has been use of lung ultrasound (LUS) to identify and differentiate the etiologies of respiratory distress. The current available evidence show that LUS has good sensitivity and specificity to identify all the common causes of neonatal distress like respiratory distress syndrome, transient tachypnea of newborn, pneumothorax, and pneumonia. This review will cover the various uses of LUS in neonatal care with current available evidence.