background: the predisposing and prognostic factors for neonatal tetanus (nnt) have not been adequately studied in southerniran.   objective: the present study was undertaken in fars province to further clarify the status of neonatal tetanus in this region.   methods : the mortality rate was correlated with demographic and clinical findings in 112 cases of neonatal tetanus.  in addition, the he...

A systematic literature review identified the most frequently cited medical consequences of teenage pregnancy as anaemia, pregnancy-induced hypertension, low birth weight, prematurity, intra-uterine growth retardation and neonatal mortality. Critical appraisal suggested that increased risks of these outcomes were predominantly caused by the social, economic, and behavioural factors that predisp...

objective: to evaluate the maternal and neonatal complications of vaginal birth after cesarean section (vbac). materials and methods: this cross sectional study was conducted in mashhad university of medical sciences. eighty women with previous cesarean section who were candidate for vbac were enrolled the study. patients were followed up for 6 weeks after delivery. the complication of vbac was...

OBJECTIVES To determine the rate of extrauterine growth restriction in very low birth weight infants and to evaluate the influence of perinatal variables, clinical practices, and neonatal morbidities on this outcome. METHODS A longitudinal study was performed in four neonatal units in the city of Rio de Janeiro. 570 very low birth weight infants were analyzed. The study included perinatal var...

OBJECTIVE Evaluation of the relationship between umbilical coiling index (UCI) and adverse perinatal outcome. METHOD A prospective study was performed on 699 pregnant women who were 37-40 weeks. UCI was determined by dividing the total number of the complete vascular coiling by the total umbilical cord length in centimeters. Then the relationship between UCI and neonatal weight, amniotic flui...

BACKGROUND Weight gain during pregnancy has an important impact on maternal and neonatal health. Unlike the Institute of Medicine (IOM) recommendations for weight gain in singleton pregnancies, those for twin gestations are termed "provisional", as they are based on limited data. The objectives of this study were to determine the neonatal and maternal outcomes associated with gaining weight bel...

OBJECTIVE To correlate the Apgar score, and neonatal mortality and its causes at a hospital located in the southern area of São Paulo City. METHODS A retrospective study performed by analysis of medical charts (n = 7,094) of all live newborns during the period of 2005 to 2009, with data up to 28 days of life in reference to weight, Apgar score, survival and cause of mortality. Cases were anal...

Background: Thyroid function disorders, particularly congenital hypothyroidism (CHT), are important endocrine dysfunctions associated with permanent morbidities. CHT is more prevalent among preterm low-birth-weight neonates compared to term infants with normal weight. Methods: This prospective cohort study was conducted on 126 very-low-birth-weight (VLBW) neonates referred to the neonatal inten...

OBJECTIVE To study intestinal colonization patterns in very low birth weight infants in the first week of life in a neonatal intensive care unit. METHODS Meconium/stool specimens were obtained on days 1, 3, 5 and 7 from 38 very low-birth-weight infants in a level III neonatal intensive care unit. RESULTS On day 1, 45% had sterile guts, and by day 3, all infants were colonized. E. coli, K. p...

PURPOSE OF REVIEW Several prestigious agencies routinely rank countries based on crude perinatal and infant mortality rates, while more recently, international neonatal networks have begun comparing neonatal mortality and morbidity rates among very preterm and very low-birth-weight infants. We discuss the methodologic challenges that compromise such comparisons and potential remedies. RECENT ...