Introduction Evaluation of the external genitalia is important in the routine neonatal examination, since abnormalities of the genitalia give clues to underlying endocrine disorders or structural malformations.Objectives The objectives of the study were to document the stretched penile length (SPL) of healthy term neonates born following an uncomplicated delivery at a tertiary care hospital in Sri Lanka, and to establish the normative data for the SPL for Sri Lankan neonates.Method This was a cross sectional observational study, carried out at post natal wards of the Castle Street Hospital for Women, Sri Lanka. The study was done on 369 stable newborns delivered at the gestational age of 37 to 42 weeks. A complete neonatal examination was performed by the principal investigator and the measurements of the weight, length, head circumference and stretched penile length were obtained. Mean penile length and statistically significant difference of penile length (SD) values were calculated. The correlation of mean penile length, period of gestation, birth weight and length were analysed.
ResultsThe SPL positively correlated with the length of the baby. There is no statistically significant correlation of birth weight, head circumference and gestational age with the SPL. The mean SPL for term Sri Lankan newborns was 3.03cm ± 0.37cm and the -2SD value was 2.29cm.
ConclusionSince the -2SD of SPL was 2.29cm, measurements less than this should be considered as micropenis.This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Methods An anonymous electronic survey was composed and sent to all level 1 (ST1-3), level 2 (ST4-5) and level 3 (ST6-8) paediatric trainees working in a tertiary neonatal intensive care unit between August 2020 and February 2021, and again between August 2021 and February 2022. Data was then analysed using Microsoft Excel for reporting. Results There were 16 respondents (52% response rate). 63% were level 1 paediatric trainees.81% reported having only 1-3 opportunities to perform intubation over a 6-month post. Common perceived barriers to these opportunities were: (1) multiple staff seeking these opportunities; (2) fewer intubations occurring; (3) procedures being considered unsuitable for inexperienced staff.Less than half (44%) of respondents reported that their intubation attempts were mostly successful (76-100% overall success rate [figure 1]). Only 1/4 of all respondents (25%) reported that their attempts were mostly successful on first attempt. Approximately 1/3 (31%) reported a success rate of 50% or less for all intubation attempts, and almost half (44%) of respondents reported first attempt success rate of 50% or less.A five-point Likert scale was used to assess confidence around intubating term and preterm babies independently. Reported confidence in intubation was low amongst trainees [figure 2]. 44% indicated they were not at all confident intubating term infants, and almost 2/3 (63%) were not at all confident intubating preterm infants. The majority (88%) felt that further formal teaching of this procedure would be beneficial.
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