Journal of tropical pediatrics
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To determine if a team dedicated to basic neonatal resuscitation in the delivery ward of a teaching hospital would impact the outcome of neonates delivered in Kampala, Uganda. ⋯ The resuscitation team reduced the incidence of and mortality from asphyxia and improved the outcome of babies greater than 2 kg. This pilot study provides evidence of the beneficial effect of basic neonatal resuscitation in this setting.
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To determine whether vaginal delivery along with antiretroviral therapy and avoidance of breast feeding is safe in preventing mother to child transmission (MTCT) of HIV. ⋯ Vaginal delivery along with antiretroviral therapy in mother and baby and avoidance of breast feeding is equivalent to that of an elective LSCS delivery for prevention of mother-to-child transmission of HIV. Surgical intervention may thus not be required in these women.
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An explanatory observational study was conducted to assess the behavioral state before and during various procedures in the neonatal intensive care unit (NICU) and to investigate the relationship between the behavioral state measured by Anderson Behavioral State Scoring System (ABSS) and the degree of pain responses as measured using CRIES (Crying, Requires O(2) for oxygen saturation above 95, Increased vital signs, Expression, and Sleeplessness.) and PIPP (Premature Infants' Pain Profile). Ninety-one observations in 6 NICU procedures were made from 54 infants with a mean gestational age (GA) of 30(+4) weeks and a mean body weight (BW) of 1484.87 g. A positive relationship was identified between ABSS and CRIES, both before (r=0.244, p=0.020) and during (r=0.745, p=0.000) the procedures, and between CRIES and PIPP (r=0.447, p=0.000) during the procedures. ⋯ This study concluded that relatively healthy, premature infants are in a state of quiet or active sleep and can adequately express pain-related responses to the NICU procedures that are appropriate with the nature of stimulation. However, it was observed that clinicians tend to pay little attention to the state of premature infants before performing the procedures, regardless of their invasive and stimulatory nature. Further research needs to be conducted on the pain responses in physiologic and behavioral expression of critically ill infants who possibly have alteration and developmental limitations in response.
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The fever is one of the commonest symptoms of disease in childhood. A mother's knowledge and conception of fever may determine the degree of her anxiety and fear, and reflect on the way the fever is managed at home. Our understanding of mothers' attitudes may help to improve the home management of fever by correcting unrealistic beliefs. ⋯ Ninety-four mothers used antipyretics, all used paracetamol and 23 per cent used aspirin. Sixty two used antibiotics indiscriminately. Improved health education is required to allay mothers fear and anxiety and promote a more appropriate fever management at home.