Archives of disease in childhood. Fetal and neonatal edition
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Arch. Dis. Child. Fetal Neonatal Ed. · Jul 1997
Echocardiographic assessment of patent ductus arteriosus shunt flow pattern in premature infants.
To identify the patent ductus arteriosus (PDA) shunt flow pattern using Doppler echocardiography; and to assess whether it could be used to predict the development of clinically significant PDA. ⋯ Doppler echocardiographic assessment of PDA shunt flow pattern during the first 4 days of life is useful for predicting the development of clinically significant PDA in premature infants. At that stage, the closing or closed Doppler pattern indicates that infants are not at risk of developing clinically significant PDA; the growing or pulsatile Doppler pattern indicates a continuing risk of developing clinically significant PDA.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 1997
Randomized Controlled Trial Comparative Study Clinical TrialRandomised trial of dopamine compared with hydrocortisone for the treatment of hypotensive very low birthweight infants.
To compare the efficacy of hydrocortisone with dopamine for the treatment of hypotensive, very low birthweight (VLBW) infants. ⋯ Both hydrocortisone and dopamine are effective treatments for hypotension in very low birthweight infants.
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Arch. Dis. Child. Fetal Neonatal Ed. · May 1997
Capillary refilling time in newborn babies: normal values.
To assess the normal values of capillary refilling time (CRT) in healthy newborn babies; to assess the effect of different nursery containers (incubator, radiant warmer, crib), phototherapy, birthweight, gestational age, size for gestational age and sex on CRT; to compare CRT at different body sites as well as to assess the variation between observers. ⋯ The upper limit of normal for neonatal CRT was 3 seconds. Nursery containers, phototherapy, and observers produced significantly different results, but the differences were not clinically important. CRT values of the midpoints of the sternum and the forehead are the most consistent.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 1997
Differential effects of preterm birth and small gestational age on cognitive and motor development.
To determine the differential effects of preterm birth and being small for gestational age on the cognitive and motor ability of the child. ⋯ The effects of SGA and preterm birth differed: SGA was associated with cognitive ability, as measured by IQ and reading comprehension; motor ability was additionally associated with preterm birth. Reading rate and accuracy were not associated with SGA or preterm birth but were socially determined.
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Arch. Dis. Child. Fetal Neonatal Ed. · Mar 1997
Comparative StudyChildren conceived by in vitro fertilisation after fresh embryo transfer.
To compare the outcome in in vitro fertilisation (IVF) children (after fresh embryo transfer) from multiple and singleton births with one another, and with normally conceived control children. ⋯ The outcome of IVF treatment leading to multiple births is less satisfactory than that in singletons because of neonatal conditions associated with preterm delivery and disabilities in later childhood. A reduction of multiple pregnancies by limiting the transfer of embryos to two instead of three remains a high priority.