Initial Assessment and Management of the Newborn

Gooding, Julie; McClead, Richard E.

doi:10.1016/j.pcl.2014.12.001

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…Por otra parte, es importante diferenciar el prematuro con peso adecuado para la edad gestacional (PAEG) del prematuro con peso bajo para la edad gestacional (PBEG). Este último se define cuando su peso y/o longitud se encuentran dos o más desviaciones estándar (DE) por debajo de la media establecida para su población de referencia, su sexo y su EG 3,4 . Los pacientes con PBEG están generalmente asociados con la restricción del crecimiento intrauterino (RCIU), causada por un suministro inadecuado de oxígeno y nutrientes, atribuibles en la mayoría de los casos a insuficiencia placentaria 5 .…”

Section: Introductionunclassified

Factores nutricionales asociados al crecimiento de recién nacidos prematuros menores de 1,500 gramos en la Unidad de Cuidado Intensivo Neonatal del Hospital de San José, Bogotá DC, Colombia

Marín-Montoya¹,

Zea²,

León³

et al. 2020

PER

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Analizar y describir los factores nutricionales asociados al crecimiento de los recién nacidos prematuros (RNPT) con muy bajo peso al nacer (< 1,500 g), hospitalizados en una unidad de cuidados intensivos neonatales. Materiales y métodos: Estudio de cohorte, observacional, analítico y retrospectivo en recién nacidos con muy bajo peso al nacer mediante determinación de sujetos expuestos (peso bajo para la edad gestacional [PBEG]) y sujetos no expuestos (peso adecuado para la edad gestacional [PAEG]). Se analizaron datos antropométricos, nutricionales, demográficos, factores maternos, fetales y placentarios. Los resultados se presentan en frecuencias absolutas y relativas. Se realizó un análisis de regresión logística multivariado para establecer el carácter predictivo de variables y bivariado para determinar el riesgo de no lograr una condición nutricional adecuada. resultados: Ingresaron 141 recién nacidos que cumplían los criterios de inclusión. La población se agrupó según la edad gestacional (EG): menores de 28 semanas, de 28-32 semanas y mayores de 32 semanas. El 57.45% correspondía al grupo de 28-32 semanas de EG. Respecto al peso al nacer, la mayoría de los RNPT del estudio tenían un peso > 1,250 g (n = 91, 64.54%). Variables como la estancia hospitalaria, y la EG al nacer,, son predictivas con respecto al estado nutricional de los prematuros con PBEG. Conclusión: Los prematuros con PBEG y mayor estancia hospitalaria presentan un mayor riesgo de no alcanzar la condición nutricional ideal que aquellos con PAEG.

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Section: Introductionunclassified

Factores nutricionales asociados al crecimiento de recién nacidos prematuros menores de 1,500 gramos en la Unidad de Cuidado Intensivo Neonatal del Hospital de San José, Bogotá DC, Colombia

Marín-Montoya¹,

Zea²,

León³

et al. 2020

PER

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A Case Study of Severe Hypercalcemia Secondary to Subcutaneous Fat Necrosis: A Diagnosis of Exclusion

Whalen¹

2019

Neonatal Network

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Subcutaneous fat necrosis (SCFN) is a rare complication, usually occurring in otherwise healthy full-term infants who have experienced some level of trauma that causes ischemic injury to adipose tissue. Tissue injury usually occurs in areas of the body that are exposed to excessive pressure as during delivery. Tissue injury has also been described secondary to therapeutic cooling. This case study presents an infant who received whole body cooling for hypoxic ischemic injury and later developed severe hypercalcemia at one month of age without the skin lesions consistent with SCFN. The differential diagnosis for hypercalcemia and how it relates to SCFN is presented, as well as clinical presentation, treatment, and prognosis.

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Measurements of Rates and Parameters in Newborn Babies Fit for Discharge at a Tertiary Hospital in North-Western Nigeria

Faruk

Abubakar

Adebiyi

et al. 2021

The Nigerian Journal of General Practice

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Introduction: The arrival of a newborn brings a mixture of excitement and anxiety, due to a wide variation in physical and physiologic findings. Neonatal morbidity and mortality remain alarmingly high in North-western Nigeria, and failure to recognize a sick neonate that needs medical attention contributes to these dire statistics. Therefore, an understanding of the variations of newborn parameters allows health-care personnel to address families' concerns and support parents. Materials and Methods: The study was a retrospective descriptive review of birth records, of live neonates delivered at a tertiary hospital who were referred for a pediatrician's assessment and subsequently certified stable and fit for discharge. Their parameters were described, and sub-groups were compared. Results: There were 224 newborns examined, with a male:female ratio of 1:1.1. Majority (99.1%) of the babies were examined within 24 h of life, and the mode of delivery was through cesarean section in 70.1% of the newborns. Their mean gestational age was 39.3 (±1.2 standard deviation [SD]) weeks, with 37 (16.5%) late preterm and 187 (83.5%) term babies. They had birth weight 3.1 kg (±0.6 SD) and 2.6 (±0.6 SD), P = 0.0001; length 49.2 cm (±2.9 SD) and 47.0 (±3.0 SD), P = 0.017; occipitofrontal circumference 34.6 cm (±1.7SD) and 33.6 (±1.3 SD), P = 0.001; respiratory rate 52 (±12 SD) and 54 (±14 SD), cycles (cpm) P = 0.291; heart rate 141 (±13SD) and 145 (±15SD) beats (bpm), P = 0.129; for the term and late preterm babies, respectively. Conclusions: Referred newborns who were assessed and certified stable and discharged, had comparable parameters, with average respiratory rate of 51 cycles, and heart rate of 140 beats. There were no statistical differences in the vital signs between late preterm and term newborns.

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Initial Assessment and Management of the Newborn

Cited by 3 publications

References 32 publications

Factores nutricionales asociados al crecimiento de recién nacidos prematuros menores de 1,500 gramos en la Unidad de Cuidado Intensivo Neonatal del Hospital de San José, Bogotá DC, Colombia

Factores nutricionales asociados al crecimiento de recién nacidos prematuros menores de 1,500 gramos en la Unidad de Cuidado Intensivo Neonatal del Hospital de San José, Bogotá DC, Colombia

A Case Study of Severe Hypercalcemia Secondary to Subcutaneous Fat Necrosis: A Diagnosis of Exclusion

Measurements of Rates and Parameters in Newborn Babies Fit for Discharge at a Tertiary Hospital in North-Western Nigeria

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