The Extremely Premature Infant (Micropremie) and Common Neonatal Emergencies

Spaeth, James P.; Lam, Jennifer E.

doi:10.1016/b978-0-323-42974-0.00037-9

Cited by 7 publications

(3 citation statements)

References 275 publications

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“…The length of stay is dependent on the infant's condition, co-morbidities, and the plan of care. 7,8 Preterm infants are likely to experience many complications and subsequently need care and therapeutic interventions during NICU and after their discharge to home. 9 Therefore, their care is uniquely complex and continues after discharge.…”

Section: Introductionmentioning

confidence: 99%

Maternal caring ability with the preterm infant: A Rogerian concept analysis

et al. 2022

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Aim To analyze the concept of maternal caring ability for a preterm infant to develop an operational definition. Background Each year, many newborns are born preterm and admitted to the neonatal intensive care unit (NICU). Although their mothers are prepared for discharge home by the staff, it is difficult to identify an operational definition of their maternal caring ability for the preterm infant. Design Concept analysis. Data sources Searches used PubMed, as the primary health‐related literature, ProQuest, Science Direct, CINHAL, web of science, Scopus, and Google Scholar. Keywords caring ability, mother, and preterm infant were used to analyze the development of the concept from 1965 to 2020. Methods Rogers' and Knafl's evolutionary approach has been used to explain the concept of maternal caring ability for the preterm infant. Results The combined searches yielded 23,291 documents published in English. After the screening process, 43 documents were selected. The Graneheim and Lundman analysis method was used to identify the themes related to the attributes of maternal caring ability. Findings showed the caring ability to have four antecedents (maternal characteristics, support systems, infant characteristics, and the illness severity), four attributes (knowledge and skill in neonatal care, self‐efficacy, sensitivity, responsibility, and problem‐solving), and three consequences (parental adjustment, improving infant growth and development, and improving parent–infant relationships). Conclusion The caring ability of the mother of a preterm infant is grounded in an adequate knowledge of caregiving needs of a preterm infant, high caregiving skills, a sense of self‐efficacy, problem‐solving, sensitivity, and responsibility.

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Section: Introductionmentioning

confidence: 99%

Maternal caring ability with the preterm infant: A Rogerian concept analysis

et al. 2022

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“…The longer the time between rupture of the membrane and delivery, the higher the risk of maternal and fetal morbidity and mortality (21). Prematurityis responsible for 80-90% of perinatal mortality due to complications like Respiratory distress syndrome, Birth injury, Intraventricular hemorrhage, Hypocalcaemia, hypoglycemia, Hypothermia, Hyperbilirubinaemia and Infection (11,22,23).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Preterm Premature Rupture of Membrane and Associated Factors Among Pregnant Women Admitted To Health Facilities in Ambotown, Ethiopia, 2021.

Gutema

Dina

Berhanu

et al. 2022

Preprint

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Background: Preterm pre-labor rupture of the membrane is a major cause of perinatal, neonatal, and maternal morbidity and mortality both in high- and low-income countries. A woman with premature rupture of membranes is at risk of complications like intra-amniotic infection, postpartum hemorrhage, and death. Little is known about the problem in the study area, therefore, this study was designed to determine the prevalence of preterm premature rupture of membrane and its associated factors among pregnant women admitted to health facilities in ambo town. Methods: Hospitals based cross sectional study was conducted on 391 pregnant women who were admitted to the Hospitals in Ambo town from July 05/2021-August 30/2021.The data were collected through face-to-face interviews by a structured questionnaire. Descriptive analyses were performed using frequencies, percentages, binary logistic regression by adjusting for confounding factors.Results: The prevalence of preterm premature rupture of membrane was found to be 22.6%. Preeclampsia (AOR=3.2, 95% CI=0.69-0.57), Economic status (AOR = 2.64 (95% CI = 1.99–6.01), current urinary tract infection (AOR = 2.42, 95% CI = 1.32–5.19), previous history of premature rupture of membrane (AOR = 2.31, 95% CI = 1.02–6.27), andanemia (AOR = 1.85, 95% CI = 0.65–4.56) were factors associated with preterm premature rupture of membrane.Conclusions: The prevalence of preterm premature rupture of membrane in the study area was high. Based on the predisposing factors identifiedearly screening and treatment as well as health promotion isimportant to reduce the risk of preterm premature rupture of membrane.

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“…Higher success rates (80%-86%) have been reported in some series that include all preterm infants. Infants who fail and require reintubation, with its attendant risks, may experience deterioration of their respiratory status because of atelectasis (6) .…”

Section: Introductionmentioning

confidence: 99%

Role of Spontaneous Breathing Trial as Predictors in Extubation Failure in Preterm Infants

Elsetouhi¹,

Elsayed²,

Abdo³

et al. 2022

The Egyptian Journal of Hospital Medicine

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Background: Invasive respiratory support is associated with risk and complications including mortality and neurological impairments. Consequently, extubation of a ventilated infant should be as early as possible.Objective: This study aimed to assess the efficacy of spontaneous breathing trial as indicator for the success of extubation in mechanically ventilated preterm infants. Patients and methods: A prospective cohort study included 62 preterm born infants who were maintained on mechanical ventilation. They were divided into: (32 infants) group for whom a spontaneous breathing trial was carried out for 5 minutes. Second (30 infants) group for whom a spontaneous breathing test was carried out for 3 minutes. Then, rapid Shallow Breathing Index (RSBI) was calculated for each patient. At the end of the test, the newborns were extubated and placed on continued positive airway pressure (CPAP) or just oxygen, as needed, according to the unit's routine protocol. Results: On multivariate logistic regression of factors associated with failure of weaning, APGAR at 5 minutes was > 6, absence of maternal PIH, birth weight > 400 gm. Pre-extubation MAP < 5.5 and preextubation PO2 > 28 were protective against failure of weaning. On the other hand, lower preextubation PCO2 was a predictor of weaning failure (increase risk of failure by about 63 times). Failure of weaning forecated in RSBI trial can predict actual failure of weaning with sensitivity of 97.9%, specificity of 73.3%, positive predictive value of 92%, negative predictive value of 91.7% and accuracy of 91.9%. Conclusion: Failure of weaning associated with lower birth weight, PO2, PCO2 and higher pre-extubation MAP. 3 minutes and 5 minutes spontaneous breathing trial (SBT) can predict actual failure of weaning with sensitivity 97.9%, specificity 73.3%.

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The Extremely Premature Infant (Micropremie) and Common Neonatal Emergencies

Cited by 7 publications

References 275 publications

Maternal caring ability with the preterm infant: A Rogerian concept analysis

Maternal caring ability with the preterm infant: A Rogerian concept analysis

Prevalence of Preterm Premature Rupture of Membrane and Associated Factors Among Pregnant Women Admitted To Health Facilities in Ambotown, Ethiopia, 2021.

Role of Spontaneous Breathing Trial as Predictors in Extubation Failure in Preterm Infants

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