Journal of perinatology : official journal of the California Perinatal Association
-
Intrauterine intussusception has been implicated as a potential cause of intestinal atresia but has not been associated previously with nonimmune hydrops fetalis. We report a patient with a significant family history of intussuception who had intrauterine intussusception associated with nonimmune hydrops fetalis.
-
Health care professionals strive to meet the needs of patients and families in a holistic approach. With the death of a newborn, many challenges arise that cause health care professionals to question their abilities to provide adequate grief support. ⋯ This article evaluates several aspects of a hospital-based bereavement follow-up program by comparing its first year and a subsequent year. Establishing a bereavement program and outlining responsibilities for staff involvement are also addressed.
-
Drug-induced paralysis in the mechanically ventilated neonate is prescribed primarily to control breathing and, secondarily, to favorably affect underlying pulmonary disease and associated complications. Although the control of breathing can be achieved, it is controversial when pulmonary disease is favorably influenced by paralysis. However, such therapy may lessen the severity, and the incidence of the complications in specific subgroups of infants. In view of significant adverse effects, muscle paralysis should be used judiciously in neonates.