American journal of perinatology
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The aim of the study was to investigate the effect of individual room care in the neonatal intensive care unit (NICU) on the factors that influence mother-preterm infant interaction. Mothers in group I had hospitalization with their preterm infants in an individual room in the NICU. Mothers in group II were not hospitalized but had opportunity to visit their babies and spend time with them whenever they wanted. ⋯ Although the mean depression, stress, and vulnerability scores were higher in group II, there was no significant difference between the groups (P > 0.05). Postpartum depression rate was more than double in group II, but this difference was not statistically significant (P = 0.06). Individual room care in the NICU cannot prevent maternal stress, postpartum depression, and perception of vulnerability related to having a high-risk preterm infant by itself alone.
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Case Reports
Acute type A aortic dissection complicating pregnancy at 32 weeks: surgical repair after cesarean section.
A 40-year-old, gravida 2, para 1 woman presented at a gestational age of 32 + 5 weeks' with sudden onset of a sharp chest and thoracic back pain. She was admitted 1 hour before the onset of pain because of some minor postcoital vaginal blood loss. ⋯ A healthy male infant of 2105 g was delivered by emergency cesarean section followed by a Bentall procedure with composite graft replacement of the aorta, and aortic valve replacement was performed. Rapid multidisciplinary consultation, collaboration, and quick decision making led to a successful outcome for both the mother and her child.