scholarly journals Non-immune hydrops fetalis: Clinical experience in newborn infants

2011 ◽  
Vol 64 (9-10) ◽  
pp. 507-510 ◽  
Author(s):  
Katarina Pejic ◽  
Borisav Jankovic ◽  
Zeljko Mikovic ◽  
Zorica Rakonjac ◽  
Jelena Martic ◽  
...  

Introduction. Non-immune hydrops fetalis is a condition of excessive accumulation of extravascular fluid without identifiable circulating antibody to erythrocytes membrane antigens. In newborn infants it is characterized by skin oedema and pleural, pericardial or peritoneal effusion. In the era of routine Rh immunization for the prevention of foetal erythroblastosis, non-immune pathophysiologic mechanisms are presented in 76-87% of all hydropic newborns. Non-immune hydrops fetalis can be associated with numerous and various disorders. The mortality rate may exceed 50%. This study was aimed at presenting our clinical experience in treating newborn infants with non-immune hydrops fetalis. Material and methods. A retrospective-prospective study included newborn infants with non-immune hydrops fetalis, who were treated in the Neonatal Intensive Care Unit of Mother and Child Health Institute of Serbia between January 1, 2001 and October 31, 2010. All valid data about aetiology, diagnosis, clinical course and outcome were recorded. Results. The diagnosis of non-immune hydrops fetalis was made in 11 newborns. The etiologic diagnosis was established in 8 patients: anaemia due to fetomaternal transfusion in 4 patients and conatal cytomegalovirus infection, intracranial haemorrhage, isolated pulmonary lymphangiectasia and diffuse skin and mediastinal lymphangiomatosis in the remaining 4 patients. Conclusion. Non-immune hydrops of newborn infant is associated with a high mortality rate and requires complex diagnostic and therapeutic procedures. An optimal management of neonates with non-immune hydrops fetalis demands a multidisciplinary approach to the treatment in a neonatal intensive care unit.

1982 ◽  
Vol 71 (5) ◽  
pp. 779-783 ◽  
Author(s):  
M. ERIKSSON ◽  
B. MELÉN ◽  
K.-E. MYRBÄCK ◽  
B. WINBLADH ◽  
R. ZETTERSTRÖM

2020 ◽  
Vol 112 (6) ◽  
pp. 515-522
Author(s):  
Nuriye Emiroğlu ◽  
Fatma Hilal Yılmaz ◽  
Ramazan Keçeci ◽  
Mehmet Yücel ◽  
Nazlı Dilay Gültekin ◽  
...  

2019 ◽  
pp. 59-88
Author(s):  
Dána-Ain Davis

This chapter offers ethnographic insight into the neonatal intensive care unit (NICU), a space that is largely inaccessible to the general population. The chapter describes the physical space of the NICU. Parents reveal how they felt about having their newborn infants admitted to the NICU and the varying degrees of racism that saturated the experiences of some, but not all, parents. Most parents interpret their experience through the lens of medical racism. At the very least they understand that if it were not for a particular mediating factor, such as having a connection to the medical field, they likely would have been subjected to racist medical encounters. This chapter also examines how mostly white neonatologists respond to questions related to race and adverse birth outcomes and finds that, for most, class replaces race as the explanatory factor for understanding premature births.


Author(s):  
M.N. Saulez ◽  
B. Gummow ◽  
N.M. Slovis ◽  
T.D. Byars ◽  
M. Frazer ◽  
...  

Veterinary internists need to prognosticate patients quickly and accurately in a neonatal intensive care unit (NICU). This may depend on laboratory data collected on admission, the cost of hospitalisation, length of stay (LOS) and mortality rate experienced in the NICU. Therefore, we conducted a retrospective study of 62 equine neonates admitted to a NICU of a private equine referral hospital to determine the prognostic value of venous clinicopathological data collected on admission before therapy, the cost of hospitalisation, LOS and mortality rate. The WBC count, total CO2 (TCO2) and alkaline phosphatase (ALP) were significantly higher (P < 0.05) and anion gap lower in survivors compared with nonsurvivors. A logistic regression model that included WBC count, hematocrit, albumin / globulin ratio, ALP, TCO2, potassium, sodium and lactate, was able to correctly predict mortality in 84 % of cases. Only anion gap proved to be an independent predictor of neonatal mortality in this study. In the study population, the overall mortality rate was 34 % with greatest mortality rates reported in the first 48 hours and again on day 6 of hospitalisation. Amongst the various clinical diagnoses, mortality was highest in foals after forced extraction during correction of dystocia. Median cost per day was higher for nonsurvivors while total cost was higher in survivors.


2012 ◽  
Vol 88 ◽  
pp. S13-S17 ◽  
Author(s):  
Maria Lorella Giannì ◽  
Paola Roggero ◽  
Pasqua Piemontese ◽  
Anna Orsi ◽  
Orsola Amato ◽  
...  

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