Journal of perinatology : official journal of the California Perinatal Association
-
Randomized Controlled Trial Multicenter Study
Randomized controlled trial of early compared with delayed use of inhaled nitric oxide in newborns with a moderate respiratory failure and pulmonary hypertension.
To evaluate whether early treatment with inhaled nitric oxide (iNO) will prevent newborns with moderate respiratory failure from developing severe hypoxemic respiratory failure (oxygenation index (OI)>or=40). ⋯ Early use of iNO in newborns with moderate respiratory failure improves oxygenation and decreases the probability of developing severe hypoxemic respiratory failure.
-
Albinism is an autosomal recessive disorder that is caused by a defective synthesis of melanin, resulting in a generalized reduction of pigmentation in the skin, hair and eyes, and leading to an increased risk of skin cancer and vision problems. We report a case of a 22-year-old primigravida of Negroid origin who delivered dichorial diamniotic twins: two daughters were born with a totally different appearance. ⋯ Genetic testing confirmed the diagnosis of OCA type 2 in the second child. The diagnosis of albinism has clinical implications and must be considered when a black and white twin is born.
-
The objective of the study was to assess whether a targeted intervention improved the satisfaction of neonatal parents with primary medical provider communication. ⋯ A targeted intervention improved parent satisfaction with provider communication. Improving the quality and quantity of parent-provider communication increased parent satisfaction with communication with their baby's medical providers.
-
To determine oxygen saturation (SpO(2)) trends in healthy preterm newborns during the first 15 min after birth and to ascertain factors affecting SpO(2) changes during that period. ⋯ SpO(2) in preterm newborns gradually increased with time. Approximately half of the preterm newborns had an SpO(2) <90% during the first 5 min of life. Infants delivered by cesarean section had a lower SpO(2) than those delivered by vaginal delivery.