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Register a new userPeri and intraventricular hemorrhage (PIVH) in preterm neonates
النزف حول البطينات و داخلها عند الخدج
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النزف حول بطينات الدماغ و داخلها عند الخدج هو أكثر النزوف شيوعاً داخل القحف المشاهدة في مرحلة الوليد. تتراوح نسبة الحدوث بين 20-59 % حسب المراكز و عينات الدراسة و العوامل المؤهبة. رغم أن كل الدراسات تشير إلى أن معظم هذه النزوف تحدث في الأسبوع الأول من العمر إلا أنه لا يزال هناك خلاف حول توقيت حدوثها و توقيت إجراء المسح الروتيني لكشفها . هدفت دراستنا لهذه النزوف إلى معرفة نسبتها و شدتها و أعراضها و العوامل المؤهبة لها و إنذارها و الوقت الأمثل لاستقصائها.
PIVH is the most common neonatal intracranial hemorrhage. Incidence range between20-59% .Most of PIVH occur in the first week of life. There are different opinions about the time of onset and timing of screening. This study aimed to know incidence, symptoms, classification, predisposing factors and outcome of PIVH in our NICU, and the best time of screening .
References used
Volpe JJ. Neurology of the newborn ed 2:(vol. 22-Major problems in clinical pediatrics) Philadelphia :w.b.Saunders,1987:311-361
Leech RW, Kohnen P,: Subependymal and intraventricular hemorrhage in the newborn. Am J Pathol. 77:465,1974
Harke HT, Naeye Rl, Storch A,et al: perinatal cerebral intravetricular hemorrhage. J Pediatr. 37:80 ,1972
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Postpartum Hemorrhage (PPH) is the leading cause of maternal death worldwide. In the developing countries, it is responsible for the death of about 125 000 women each year. In most cases 67-80% are caused by uterine atony.
Uterine massage would re
present a simple intervention with the potential to have a major effect on PPH and maternal mortality in under resourced settings.
Aim: The aim of the present study is to study the effect of uterine massage on the immediate postpartum hemorrhage among primiparae.
Materials and Methods: The study was conducted of al-Assad Hospital and Children & Obstetrics Hospital (Lattakia), a convent sample of 40 primiparae women. Checklist application form was used to assess the postpartum hemorrhage by hemoglobin and hematocrit measurement before applying uterine massage and after the end of procedure.
Results: This study demonstrated that the rate of hemorrhage decreased in the experimental group, hemoglobin and hematocrit was higher (10.4 mg/dl, 32.3%) (P=0.029*) (P=0.015*) among primipara who received uterine massage.
Conclusions and Recommendations: Our present study results advice to apply uterine massage for all women after labor and delivery because its effective in reducing blood loss. It is also recommended to learn nurses how to apply uterine massage.
Low birth weight and premature infant need complementary treatment intervention to promote optimal clinical outcome and to decrease the immediate adversities and developmental deficits associated with prematurity and intensive care unit environment.
The purpose of this study was to investigate the effect of complementary treatment program on the clinical outcome for preterm and low birth weight infant. The study was conducted at the pediatric intensive care units of AL-Assad hospital and maternal &child hospital (lattakia). The sample was divided into two groups of 20 infants experimental croup and 10 infant control croup with gestational age less than 36 weeks at birth, birth weight less than 2500g and more than 1500 g, and no congenital anomalies. The clinical outcome was significantly improved in clinical outcome, while no change in the control group. The experimental group had significantly weight gain, higher scores for awake state and motor activity than the control group. Significantly greater fidgeting or crying, and increased motor activity. The results of this study advice to apply complementary treatment therapy because its affect in improve clinical outcome. Nursing staff can use complementary treatment to promote the infant's capability to respond positively to his environment and to provide developmental support for healthy premature infants
Late hemorrhagic disease of the newborn (HDN) is a rare complication of
vitamin-K deficiency and is especially associated with intracranial
hemorrhage (ICH). It may also occur in infants after the neonatal period.
This research aims to drive atten
tion to the late form of the hemorrhagic
disease of the newborn, secondary to vitamin K deficiency, as a cause of
intracranial hemorrhage in young infants, after the neonatal period.
A prospective study of 34 infants admitted on Pediatric Intensive Care Unit
and Children Hospital at Damascus University was conducted from January
2004 to December 2004. They were diagnosed as having Late HDN by the
Definite Criteria.
Dysfunctional uterine bleeding and postmenopausal bleeding
is one of the most important challenges facing gynecologists.
The results of our study showed the Pipelle not to be as accurate as
the standard dilatation and curettage especially in postm
enopausal women
after measuring the endometrial lining, we related this to the technics we
used in reusing the Pipelle itself which is made for single use, and to
possibly the bias of the pathologist who read the slides.
The bleeding after delivery (Postpartum Hemorrhage-PPH) is the most important complications that occur after a natural or cesarean delivery, and represents about a quarter of maternal mortality around the world. Midwives play a basis role in preventi
on of bleeding after birth. So This research aims to evaluate the knowledge of midwives about using strategies to prevention and management the bleeding after delivery. Its sample included all midwives in obstetrics departments in Alasad University, Children and Obstetric, and Tishreen University Hospital all in Lattakia city. Data were collected using a questionnaire developed by researcher. The results according to strategies used in prevention and management of bleeding after delivery showed that 60% of the level of knowledge of midwives were "inappropriate". There were significant inverse relationship (P = 0.006) between ages of midwives and level of knowledge. Also showed a significant inverse relationship between number of years of experience with the midwives and level of knowledge (P = 0.01). So we suggest conducting training sessions and educational lectures for midwives with respect to the strategies used in prevention and management of bleeding after delivery, and must evaluate the midwives information about prevention and management of bleeding after delivery periodically and continuously.
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