Maternity unit under investigation for baby deaths was often operating without senior doctor

BMJ ◽  
2020 ◽  
pp. m2156
Author(s):  
Clare Dyer
Keyword(s):  
Maternity Unit ◽  
Senior Doctor

Risk factors for very preterm delivery out of a level III maternity unit: The EPIPAGE‐2 cohort study

2021 ◽  
Author(s):  
Thomas Desplanches ◽  
Andrei S. Morgan ◽  
Peter Jones ◽  
Caroline Diguisto ◽  
Jennifer Zeitlin ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Preterm Delivery ◽  
Maternity Unit ◽  
Very Preterm

Morbidity in Newborns Readmitted Into a Hospital After Discharge From a Maternity Unit During the First 28 Days of Their Lives – Results From the Rhine-Main Area, Germany

2020 ◽  
Author(s):  
Anastasia Anagnostou ◽  
Lothar Schrod ◽  
Judith Jochim ◽  
Jürgen Enenkel ◽  
Winfried Krill ◽  
...  
Keyword(s):  
Hospital Readmissions ◽  
Maternity Unit ◽  
Pediatric Hospital ◽  
Feeding Problems ◽  
Main Area ◽  
Predictive Parameters ◽  
Individual Outcomes ◽  
Preventative Measures ◽  
Formula Diets ◽  
A Prospective Study

Abstract Background The neonatal period can be associated with a multitude of medical and social problems. Little is known about the reasons that lead to neonatal readmissions in a pediatric hospital and their individual outcomes. Objective To record the diagnosis of neonatal admissions in a pediatric hospital after discharge from a maternity unit. Predictive parameters are to be identified and a possible trend over the years is to be examined. Methods The medical history of newborns admitted to a pediatric hospital in the Rhine-Main area from 01/01/2004 to 31/12/2013 was retrospectively analyzed based on provided medical files. Results The data of 2851 newborns was recorded. 72% of the patients were delivered by vaginal birth. During the period under examination, there was a certain fluctuation although no significant trend in the number of admissions per year (p=0.062). The most frequent primary diagnoses were jaundice (27%), newborn infection (12.4%), and feeding problems (12.3%). Exclusively breastfed newborns had fewer feeding problems than newborns with a mixed or purely formula diets (p < 0.001). Conclusions The results of this study showed that the hospital readmissions of newborns throughout the years did not increase. Unfortunately, owing to the retrospective character of the study, it is not possible to make a clear statement as to whether hospitalization can be prevented with more intensive preventative measures. A prospective study on this matter is being planned.

Postgraduate Academic Desires: Senior Doctor of Pharmacy Students

1988 ◽  
Vol 22 (5) ◽  
pp. 422-424 ◽  
Author(s):  
Robert M. McNulty ◽  
Jay M. Mirtallo
Keyword(s):  
Clinical Practice ◽  
Work Experience ◽  
Postgraduate Training ◽  
General Medicine ◽  
Postgraduate Education ◽  
Senior Doctor ◽  
Bachelor Of Science ◽  
Or Practice ◽  
Doctor Of Pharmacy ◽  
Selection Of

Senior Doctor of Pharmacy (Pharm.D.) students were surveyed by questionnaire to glean information about academic training, and residency, fellowship, or practice positions sought after graduation. There were 227 (27 percent of total surveys) responses. Of those responding, 71 percent were Bachelor of Science graduates, 29 percent were Pharm.D. primary degree students, and 18 percent completed a residency either before or during Pharm.D. training. Fifty percent had an average of three years of clinical services work experience prior to their Pharm.D. education. There was strong interest in postgraduate education by respondents: 41 percent for residencies and 26 percent for fellowships. Of resident candidates, 18 percent and 49 percent, respectively, considered research essential and important to the program. Areas of greatest interest in residencies were general medicine, infectious disease, and pharmacokinetics. Important to the selection of a fellowship was the research proposal and concurrent clinical practice. Pharm.D. students are interested in postgraduate training as residents (60 percent), fellows (38 percent), or both (2 percent). Desired activities are research and clinical practice independent of residency or fellowship interest.

Unusual Occurrence of Neonatal Meningitis Due to Group B Beta-Hemolytic Streptococci

PEDIATRICS ◽  
1966 ◽  
Vol 38 (4) ◽  
pp. 661-662
Author(s):  
RICHARD H. WINTERBAUER ◽  
ROBERT FORTUINE ◽  
THEODORE C. EICKHOFF
Keyword(s):  
Terminal Illness ◽  
Cross Infection ◽  
Neonatal Meningitis ◽  
Maternity Unit ◽  
Labor And Delivery ◽  
Critical Interval ◽  
Unusual Occurrence ◽  
Group B ◽  
Southwestern Alaska

Two cases of sepsis and meningitis due to Group B beta-hemolytic streptococci occurred within 1 week in newborns on a small maternity unit in southwestern Alaska. The same physician and nurse cared for the first infant during his terminal illness, while simultaneously attending the labor and delivery of the mother of the second infant. Although the coincidental occurrence of these two infections could not be ruled out, cross infection may well have occurred during that critical interval.

scholarly journals Risk factors and between-hospital variation of caesarean section in Denmark: a cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019120 ◽  
Author(s):  
Sonja Wehberg ◽  
Rikke Guldberg ◽  
Kim Oren Gradel ◽  
Ulrik Schiøler Kesmodel ◽  
Lis Munk ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Caesarean Section ◽  
Breech Presentation ◽  
Emergency Caesarean Section ◽  
Secondary Outcome ◽  
Maternity Unit ◽  
Cephalopelvic Disproportion ◽  
Hospital Units ◽  
Hospital Variation

ObjectivesThe aim of this study was to estimate the effects of risk factors on elective and emergency caesarean section (CS) and to estimate the between-hospital variation of risk-adjusted CS proportions.DesignHistorical registry-based cohort study.Settings and participantsThe study was based on all singleton deliveries in hospital units in Denmark from January 2009 to December 2012. A total of 226 612 births by 198 590 mothers in 29 maternity units were included.Primary and secondary outcome measuresWe estimated (1) OR of elective and emergency CS adjusted for several risk factors, for example, body mass index, parity, age and size of maternity unit and (2) risk-adjusted proportions of elective and emergency CS to evaluate between-hospital variation.ResultsThe CS proportion was stable at 20%–21%, but showed wide variation between units, even in adjusted models. Large units performed significantly more elective CSs than smaller units, and the risk of emergency CS was significantly reduced compared with smaller units. Many of the included risk factors were found to influence the risk of CS. The most important risk factors were breech presentation and previous CS. Four units performed more CSs and one unit fewer CSs than expected.ConclusionThe main risk factors for elective CS were breech presentation and previous CS; for emergency CS they were breech presentation and cephalopelvic disproportion. The proportions of CS were stable during the study period. We found variation in risk-adjusted CS between hospitals in Denmark. Although exhaustive models were applied, the results indicated the presence of systematic variation between hospital units, which was unexpected in a small, well-regulated country such as Denmark.

scholarly journals Cateter central de inserção periférica e dissecção venosa em bebês: estudo descritivo

2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Keline Soraya Santana Nobre ◽  
Maria Vera Lúcia Moreira Leitão Cardoso ◽  
Juliana Lopes Teixeira ◽  
Márcia Maria Coelho Oliveira Lopes ◽  
Fernanda Cavalcante Fontenele
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Quantitative Study ◽  
Neonatal Unit ◽  
Northeastern Brazil ◽  
Maternity Unit ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Catheter Tip

Aim:  analyze  the  use  of  peripherally  inserted  central  catheter  in terms of the aspects of technique, positioning and maintenance, as well as the influence on the number of venous dissections in hospitalized infants in a neonatal unit. Method: descriptive,  retrospective,  quantitative  study,  in  reference  maternity  unit  of  a  city  in northeastern  Brazil.  Sample  composed  of  1,599  peripherally  inserted  central  catheter insertions in 1,204 infants during the years 2006 to 2013. Instruments were used that recorded  aspects  of  the  insertion  of  peripherally  inserted  central  catheter  and  venous dissection.  Results:  most  babies  were  premature,  of  low  birth  weight  and  male.  The veins  of  the  cubital  region  were  the  most  punctured  with  insertion  success  until  the fourth  puncture.  The  central  positioning  of  the  catheter  tip predominated,  with  a permanency  time  between  11  and  20  days,  removing  it  at  the  end  of  the  treatment. Over  the  years,  the  number  of  venous  dissections  was  inversely  proportional  to  the insertion  of  peripherally  inserted  central  catheter.  Conclusion:  this  transvenous  device was  shown  to  be  important  for  the  treatment  of  hospitalized  newborns,  favoring reduction of venous dissections.

scholarly journals Nursing care during labor in a model maternity unit: cross-sectional study

2015 ◽  
Vol 14 (1) ◽  
Author(s):  
Maria Tamires Barroso Lucas ◽  
Maria José Francalino Rocha ◽  
Kleynianne Medeiros de Mendonça Costa ◽  
Gilmar Giles de Oliveira ◽  
Janille de Oliveira Melo
Keyword(s):  
Nursing Care ◽  
Cross Sectional Study ◽  
Maternity Unit ◽  
Sectional Study ◽  
Cross Sectional

scholarly journals Associated factors with neonatal near miss in twin pregnancies in a public referral maternity unit in Brazil

2021 ◽  
Vol 22 (1) ◽  
pp. 12-21
Author(s):  
Fernanda Nogueira Barbosa Lopes ◽  
Ana Paula Mendes Gouveia ◽  
Ocília Maria Costa Carvalho ◽  
Antônio Brazil Viana Júnior ◽  
Álvaro Jorge Madeiro Leite ◽  
...  
Keyword(s):  
Associated Factors ◽  
Near Miss ◽  
Maternity Unit ◽  
Twin Pregnancies ◽  
Neonatal Near Miss
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