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. · Oct 2014
A metabolomic study of preterm and term human and formula milk by proton MRS analysis: preliminary results.
To investigate changes in global metabolic profile between: 1 - breast milk and formula milk, 2 - breast milk from mothers delivering at different gestational age (GA) collected within one week from delivery, and then week by week until term equivalent age. ⋯ Metabolome is a promising tool to study human and artificial milk global metabolic profile.
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J. Matern. Fetal. Neonatal. Med. · Oct 2014
Randomized Controlled TrialTranscutaneous electrical nerve stimulation (TENS) for pain control after vaginal delivery and cesarean section.
The present study aims to determine the efficiency and reliability of transcutaneous electrical nerve stimulation (TENS) in the management of pain related with uterine contractions after vaginal delivery and the pain related with both abdominal incision uterine contractions after cesarean section. ⋯ TENS is an effective, reliable, practical and easily available modality of treatment for postpartum pain.
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J. Matern. Fetal. Neonatal. Med. · Oct 2014
Case ReportsPulmonary interstitial emphysema after resolution of relapsing pneumothorax and discontinuation of mechanical ventilation. An atypical case in a preterm infant.
Pulmonary interstitial emphysema (PIE) is a frequent complication in preterm-ventilated infants. These newborns have an increased risk of mortality and bronchopulmonary dysplasia. Various treatments for PIE have been proposed: high-frequency ventilation, postural therapy, selective bronchial intubation or surgery. We present an atypical case of a preterm infant with respiratory distress syndrome complicated by pneumothorax, who after recovery and discontinuation of mechanical ventilation, developed unilateral PIE which was treated with selective bronchial intubation. ⋯ Selective bronchial intubation and lung ventilation are therapeutic strategies which can promote the regression of PIE. Conservative approach should remain the first choice treatment of unilateral PIE in order to limit surgical procedures, while effort should be made to prevent this iatrogenic complication.
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J. Matern. Fetal. Neonatal. Med. · Oct 2014
The effect of cervical cerclage on pregnancy outcomes in women following conization.
To determine the effect of cervical cerclage on obstetrical complications and perinatal outcomes of patients following conization. ⋯ Cerclage is an independent risk factor for early PTD In patients who had a conization due to CIN.
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J. Matern. Fetal. Neonatal. Med. · Sep 2014
Intrapartum fetal heart rate monitoring: evaluation of a standardized system of interpretation for prediction of metabolic acidosis at delivery and neonatal neurological morbidity.
To assess the ability of the intrapartum fetal heart rate interpretation system developed in 2008 by the National Institute of Child Health and Human Development (NICHD) to predict fetal metabolic acidosis at delivery and neonatal neurological morbidity. ⋯ Our study demonstrates that the interpretation of fetal heart rate tracings based on a strictly standardized system is closely associated with umbilical artery acid-base status at delivery.