Journal of perinatology : official journal of the California Perinatal Association
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To determine the relative frequencies of complications in severe early intrauterine growth-restricted (IUGR) infants. ⋯ Infants born prematurely who are also severely IUGR have higher neonatal morbidity and mortality when compared to infants of similar gestational age. The surviving IUGR infants had less intraventricular hemorrhage and periventricular leukomalacia than less mature infants of comparable birth weight, but a similar incidence of ROP and length of stay. They had a higher incidence of NEC, direct hyperbilirubinemia and chronic lung disease, probably due to end-organ damage in utero from chronic placental insufficiency. These findings highlight the unique pattern of mortality and morbidity seen in infants with severe early IUGR.
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Case Reports Comparative Study
Reflectance pulse oximetry from core body in neonates and infants: comparison to arterial blood oxygen saturation and to transmission pulse oximetry.
To compare pulse oximetry oxygen saturation (SpO(2)) measured by a novel reflectance method from core body to arterial oxygen saturation (SaO(2)) in neonates and infants. Transmission pulse oximetry (TPO) was measured for comparison. ⋯ Reflectance pulse oximetry measured from core body of neonates and infants is accurate and reliable and is comparable to the transmission SpO(2) when compared to functional SaO(2). We speculate that the reflectance method might be advantageous in cases of poor peripheral perfusion in neonates and infants.
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Randomized Controlled Trial Clinical Trial
Physical activity combined with massage improves bone mineralization in premature infants: a randomized trial.
Osteopenia of prematurity is a known source for morbidity in preterm infants. Premature infants have shown favorable outcomes in response to massage and physical activity. Whether such intervention can stimulate bone formation or decrease bone resorption is yet to be determined. ⋯ A combined massage and physical activity protocol improved bone formation (PICP) but did not affect bone resorption (Pyd). Pyd increased over time in both groups, possibly due to continuous bone resorption and Ca mobilization.