scholarly journals The Use of Caudal/Epidural Catheter as the Primary Anesthetic with Dexmedetomidine Secondary to High Risk of Post-Operative Apnea in Premature Infants

2016 ◽  
Vol 06 (04) ◽  
pp. 63-66
Author(s):  
Joel Waring ◽  
Alyssa Lowenwirt ◽  
Miriam Flaum ◽  
Eduard Logvinskiy ◽  
Dennis E. Feierman
Keyword(s):  
High Risk ◽  
Epidural Catheter ◽  
Premature Infants ◽  
Caudal Epidural

Brain Stem Auditory-Evoked Responses in Premature Infants

1975 ◽  
Vol 18 (3) ◽  
pp. 456-465 ◽  
Author(s):  
Carol Schulman-Galambos ◽  
Robert Galambos
Keyword(s):  
High Risk ◽  
Brain Stem ◽  
Premature Infants ◽  
Sleep Stage ◽  
Newborn Infants ◽  
Sound Intensity ◽  
Intensity Level ◽  
Evoked Responses ◽  
Auditory Function ◽  
Auditory Evoked Responses

Brain stem auditory-evoked responses were recorded in 24 infants ranging in age from six-weeks premature to term. At a given age, the latency of the response increased with decreasing stimulus intensity. Further, as age increased, there was a systematic decrease in latency of the response at each sound intensity level. The response was shown not to be susceptible to fatigue or sleep stage. It may, therefore, be of use for evaluating auditory function in high-risk newborn infants.

scholarly journals About evaluation of nutritive state in premature infants

2021 ◽  
Vol 20 (1) ◽  
pp. 23-27
Author(s):  
K. V. Dashichev ◽  
N. V. Olendar ◽  
T. G. Pukhova ◽  
E. P. Sitnikova
Keyword(s):  
Growth Factor ◽  
High Risk ◽  
Premature Infants ◽  
Neonatal Period ◽  
Blood Levels ◽  
Insulin Like Growth Factor ◽  
Fetal Hypoxia ◽  
Premature Newborns ◽  
Neonatal Adaptation ◽  
Fetal Stage

Insulin-like growth factor 1 (IGF-1) plays an important role in the energy balance of the newborn baby's body, is associated with protein stores, which allows us to consider its level as an indicator of nutritional status.Objective: to study the value of insulin-like growth factor 1 and basic nutrients in the blood in premature infants in the process of neonatal adaptation.Materials and methods. Dynamics blood levels of insulin-like growth factor 1 in premature newborns included two trends: decrease (1 group) and increase (2 group). During a pregnancy most mothers of newborns from 1 group had been nonspecific respiratory and urinary-sexual organs’sinfectious diseases, in mothers of newborns from 2 group prevailed disorders which carried high risk of fetal hypoxia. During a neonatal period blood levels of albumen of newborns from 1 group decreased and blood levels of glucose increased; blood levels of nutrients in newborns from 2 group did not change.Conclusions. Dynamics blood levels of insulin-like growth factor 1 in premature newborns are markers of metabolism’s processes which were originated in fetal stage and continue in the neonatal period.

scholarly journals Association between Breastfeeding Attitudes and Postpartum Depression among Mothers with Premature Infants during COVID-19 Pandemic

2021 ◽  
Vol 18 (20) ◽  
pp. 10915
Author(s):  
Noor Fairuzi Suhana Yahya ◽  
Nur Islami Mohd Fahmi Teng ◽  
Najwa Shafiee ◽  
Norsham Juliana
Keyword(s):  
High Risk ◽  
Postpartum Depression ◽  
Premature Infants ◽  
Positive Attitude ◽  
Mental Health Problems ◽  
Maternal Mental Health ◽  
Depression Scale ◽  
Premature Delivery ◽  
Attitude Score ◽  
Cross Sectional

Breastfeeding is the best form of feeding for premature infants. However, mothers with premature delivery are frequently reported to be depressed, and this has been especially the case during the Coronavirus Disease-2019 (COVID-19) pandemic. We aimed to measure the level of breastfeeding attitude and its association with postpartum depression among mothers with premature infants in the Neonatal Intensive Care Unit (NICU) during the COVID-19 pandemic. A total of 248 mothers with a premature infant were observed in this cross-sectional study from the chosen NICUs of government hospitals in Selangor, Malaysia. The Iowa Infant Feeding Attitude Score (IIFAS) and the Edinburgh Postnatal Depression Scale, along with sociodemographic questionnaires, were used to obtain information on the mothers’ attitudes towards breastfeeding and the risk of postpartum depression. A higher percentage of mothers had a positive attitude towards breastfeeding (64.9%), with a mean IIFAS score of 66.30 ± 6.92. Meanwhile, about 27% of mothers with premature infants were reported to have high risk of depressive symptoms. Mothers with a high risk of depression were less likely to have a positive attitude towards breastfeeding (OR 0.37, 95% CI 0.199, 0.675) as compared to mothers with a low risk of depression (p < 0.01). We found that there is an association between the risk of depression and the attitude towards breastfeeding. Early identification of maternal mental health problems should be addressed to ensure the willingness of mothers to continue breastfeeding.

scholarly journals Aggressive Posterior Retinopathy of Prematurity (AP-ROP)

2018 ◽  
pp. 63-68
Keyword(s):  
High Risk ◽  
Early Diagnosis ◽  
Laser Treatment ◽  
Premature Infants ◽  
Retinopathy Of Prematurity ◽  
Clinical Course ◽  
Clinical Findings ◽  
Posterior Pole ◽  
Diagnosis And Treatment ◽  
Preterm Babies

Aggressive retinopathy of prematurity (AP-ROP) has subtle clinical findings that may preclude early diagnosis and treatment. Premature infants with AP-ROP have a progressive clinical course and may benefit from early laser treatment. Although subjective in nature, plus disease, and any posterior pole changes especially at the border of the vascular and avascular retina should be carefully evaluated, keeping AP-ROP in mind in especially high-risk preterm babies.

scholarly journals Ancestry and genetic associations with bronchopulmonary dysplasia in preterm infants

2018 ◽  
Vol 315 (5) ◽  
pp. L858-L869 ◽  
Author(s):  
Dara G. Torgerson ◽  
Philip L. Ballard ◽  
Roberta L. Keller ◽  
Sam S. Oh ◽  
Scott Huntsman ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
High Risk ◽  
Lung Disease ◽  
Bronchopulmonary Dysplasia ◽  
Premature Infants ◽  
Genome Wide Association Study ◽  
African Ancestry ◽  
Inhaled Nitric Oxide ◽  
Race Ethnicity ◽  
Hispanic White

Bronchopulmonary dysplasia in premature infants is a common and often severe lung disease with long-term sequelae. A genetic component is suspected but not fully defined. We performed an ancestry and genome-wide association study to identify variants, genes, and pathways associated with survival without bronchopulmonary dysplasia in 387 high-risk infants treated with inhaled nitric oxide in the Trial of Late Surfactant study. Global African genetic ancestry was associated with increased survival without bronchopulmonary dysplasia among infants of maternal self-reported Hispanic white race/ethnicity [odds ratio (OR) = 4.5, P = 0.01]. Admixture mapping found suggestive outcome associations with local African ancestry at chromosome bands 18q21 and 10q22 among infants of maternal self-reported African-American race/ethnicity. For all infants, the top individual variant identified was within the intron of NBL1, which is expressed in midtrimester lung and is an antagonist of bone morphogenetic proteins ( rs372271081 , OR = 0.17, P = 7.4 × 10−7). The protective allele of this variant was significantly associated with lower nitric oxide metabolites in the urine of non-Hispanic white infants ( P = 0.006), supporting a role in the racial differential response to nitric oxide. Interrogating genes upregulated in bronchopulmonary dysplasia lungs indicated association with variants in CCL18, a cytokine associated with fibrosis and interstitial lung disease, and pathway analyses implicated variation in genes involved in immune/inflammatory processes in response to infection and mechanical ventilation. Our results suggest that genetic variation related to lung development, drug metabolism, and immune response contribute to individual and racial/ethnic differences in respiratory outcomes following inhaled nitric oxide treatment of high-risk premature infants.

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