Journal of perinatology : official journal of the California Perinatal Association
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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.
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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.
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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.
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Pneumatoceles are gas-filled cysts within the lung parenchyma resulting mostly from ventilator-induced lung injury and air-leak in premature infants with respiratory distress syndrome. The use of surfactant in the treatment of respiratory distress syndrome has resulted in a decrease in the incidence of air-leak disease. Our aim was to study the incidence and clinical course of pneumatoceles in the surfactant era. ⋯ Pneumatoceles are a manifestation of intrathoracic air-leaks of prematurity. They are markers for ventilator-induced lung injury and are associated with significant mortality similar to other intrathoracic air-leaks. However, conservative management with reduction in mean airway pressure is effective in the resolution of this condition and interventional decompression of the pneumatocele is generally not necessary.