Journal of perinatology : official journal of the California Perinatal Association
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With the identification of hearing loss at birth and appropriate intervention within 6 months after birth, language can develop normally, even in children with severe hearing impairment. Universal newborn hearing screening (UNHS) is now endorsed by numerous national groups, including the American Academy of Pediatrics. ⋯ UNHS is legislatively supported by more than one half of the United States, including the most populous. Successful hearing screening and intervention programs require the support and expertise of pediatricians, including perinatologists.
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To describe the use of subcutaneous (s.c.) metoclopramide in the outpatient treatment of hyperemesis gravidarum. ⋯ S.c. metoclopramide appears to be a safe, effective treatment for hyperemesis gravidarum. Outpatient treatment may result in decreased costs compared with inpatient hospitalization.
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Case Reports
Citrobacter sepsis and severe newborn respiratory failure supported with extracorporeal membrane oxygenation.
An infant with fulminant Citrobacter sepsis and respiratory failure is presented. The severity of respiratory failure and the need for systemic heparinization on extracorporeal membrane oxygenation delayed the opportunity of initial lumbar puncture to rule out meningitis. The infant was successfully treated with extracorporeal membrane oxygenation and long-term antibiotics. Repeated cranial computed tomography scans remained negative for intracerebral abscesses, and the infant is within normal limits for growth, neurologic status, and developmental status.
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To determine the effects of bovine natural surfactant (beractant) instillation on cerebral hemodynamics in preterm infants with respiratory distress syndrome (RDS). ⋯ In low birth weight infants with RDS, bovine surfactant instillation is not associated with a significant alteration in cerebral hemodynamics. However, the direct relationship between CBFV and MBP is consistent with the reported pressure-passive cerebral circulation in sick preterm infants.
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Letter Comparative Study
Anesthesia for cesarean section and newborn jaundice.