Background: Despite the recently improved neonatal intensive management, gastrointestinal perforation during the neonatal period is still a major challenge for pediatric surgeons.
Objective: To review the effects of different clinical and operative parameters on the mortality of neonatal intestinal perforations.
Patients and Methods: A retrospective study was done to 31 cases of neonatal intestinal perforation at the neonatal intensive care unit of Basrah children speciality hospital during the past four and half years (July 2011 to December 2015). Information regarding the age, sex, gestational age, birth weight, clinical examination, x-rays value in diagnosis, causes and sites of perforations, types of operative procedures, and their effects on prognosis are all studied.
Results: Males were affected more than females (a ratio of 3.4: 1); birth weight has a significant association with the prognosis (P-value of 0.045). Hirschsprung`s disease was the commonest cause for perforation (29%), followed by necrotizing enterocolitis and jejunoileal atresia (16.1%, each). Idiopathic perforations constituted only 12.9%. Ileum was the commonest site of perforation (58.1%), followed by cecum (16.1%). Stoma creation was the commonest operative procedure performed. Other procedures like, primary anastomosis, and primary peritoneal drainage followed by laparotomy were also used. This study revealed high mortality rate (45.2%). Complications like sepsis, anastomotic leaks, or burst abdomen carried a high risk of death.
Conclusions: High mortality rate is encountered, especially for necrotizing enterocolitis. In contrast to other study, Hirschsprung`s disease is the commonest cause of perforation rather than necrotizing enterocolitis. Radiology has a relatively good accuracy in the diagnosis of intestinal perforations, although some cases were discovered intra-operatively. In this series, prompt accurate treatment with stoma creation harbored the best prognostic results; furthermore no benefits obtained from primary peritoneal drainage.
Background: neonatal period is the most vulnerable and high risk time in the life because of the highest mortality incidence in human life during this period. Neonatal mortality rate is defined as the number of deaths twenty seven completed days of live per 1000 live births.
Objectives: To determine the neonatal mortality rate (NMR) in Al-Ramadi province, the center of Al-Anbar Governorate, Western Iraq, from 2003-2013 with rate comparison of the two different stages of that period.
Methods: Data were collected from the births and deaths certificate center in Al- Ramadi province, Western Iraq, included; age, sex, address ,date of birth and cause of death. Data collected in two different periods, the first period from 2003- 2007 and
BACKGROUND:Gastrointestinal bleeding (GIB) in infants and children is one of the more alarming conditions encountered in pediatrics. It is nonetheless an anxiety-provoking complaint. Most etiologies are self-limited and benign.
AIM OF STUDY:To review the causes of upper gastrointestinal bleeding and its clinical presentations in children and evaluate the role of endoscopy for diagnostic and therapeutic purposes.
PATIENTS AND METHOD:Fifty eight patients from 4 days old up to the age of 18 years who referred with upper gastrointestinal bleeding to the Gastro intestinal&Hepatology unit in the Children Welfare Teaching Hospital/ Medical City/Baghdad, in the period from 1st of April 2010 to 1st of November 2010.
RESULTS: there we
Background: Neonatal Septicemia (NNS) is generalized microbial symptomatic infection during the first 28 days of life.It>s the most serious complication in Neonatal Intensive Care Units (NICU) that demand urgent diagnosis and accurate treatment.
Objective: To reveal the relationship of neonatal septicemia with birth weight (one of the neonatal risk factors).
Patients and Methods: Blood sample was obtained from 76 neonates aged 1 hour-28 days who were diagnosed clinically (poor feeding, respiratory distress, fever, hypothermia, gastrointestinal and/or central nervous system symptoms)and bacteriologically to have neonatal septicemia.
Results:One of the most important neonatal factor predisposing to infection is low birth weight
Summary:
Background: Respiratory distress remains a major problem post adaptation and one of the most common reasons for admission of neonates to Intensive Care.
Objectives: To study the causes and short term outcomes of respiratory distress in full term neonates and its correlation to mode of delivery.
Patients and Methods: A cross sectional study was carried out on 100 full termoutborn neonates with respiratory distress admitted to Neonatal care unit of Children Welfare Teaching Hospital, Medical City, Baghdad from 1st of April to 31st of August 2011.
Results: Hundred full term neonateswerestudied, 66% were boys and 81% born by cesarean section (elective cesarean sectionin 62%). In both sexes, Transient TachypneaofNewbornan
Background: Childhood diarrhea remains one of the leading causes of preventable mortality and disease burden throughout the developing world. It generated by several pathologic states, most commonly infections. Although the human large intestine ordinarily harbors a huge microbial population, most bacteria, protozoan, and viral agents of diarrhea are not members of this normal gut flora, but are aquired through contaminated food or water.
Objective: This study was conducted to investigate the main microbial causative agent of diarrhea in children below five years of age, and to evaluate the relationship between the incidence of diarrhea with sex and age group of the patients.
Patients and Methods: Total of two hundred twenty three
Background: Neonatal intensive care unit infants frequently experience acute kidney damage. Estimates of the prevalence of acute kidney vary depending on the definitions used. In Iraq, studies addressing the prevalence and risk factors of acute kidney injury in this age group are scarce, none of which has implicated the KDIGO diagnostic and staging criteria.
Objectives: To describe the prevalence, demographics, risk factors, etiology, and staging of acute kidney injury using KDIGO criteria in the Neonatal intensive care unit and correlate these findings with patient outcomes.
Methods: A retrospective study was conducted in the Neonatal Intensive Care Unit/ CWTH/ Medical Cit
... Show MoreObjectives: To assess nurses-midwives knowledge and performance regarding immediate newborn care in delivery rooms, and to identify the relationship between nurses-midwives knowledge and performance and their socio-demographic and professional variables regarding immediate newborn care.
Methodology: A descriptive study was conducted from 1st of October, 2019 to 20TH of October, 2020 at three maternity teaching hospitals in Baghdad city/Al-Russafa Health Directorate: Al-Elwiya Maternity Teaching Hospital, Fatema Al- Zahra Maternity and Pediatric Hospital, Al- Za'faraniyah General Hospital. Non-probability (purposive sample) include
... Show MoreBackground: The first month of life is the most vulnerable period and mortality during this period is an important component of under-5 mortalities. Causes of death in this period are preventable like sepsis, RDS, and asphyxia, while others are not like multiple congenital abnormalities.
Objectives: To study the death rate and main causes of death in the neonatal intensive care unit (NICU) of the Children Welfare Teaching Hospital (CWTH) through the period (2018-2021).
Patients and methods: The death per year for the four years of the study and causes of death were collected retrospectively and analyzed for total death rate and rate for each year, sex distribution, male-to-
... Show MoreBacjground: hemolytic disease of the newborn due to ABO icompatibility (HDN-ABO) is the most common cause of hemolytic disease of the newborn.
Objective(s): To evaluate nurses’ Practice toward neonatal endotracheal suctioning procedure, and to determine the effectiveness of the interventional program on nurses’ practices, as well as to find out the relationship between nurses’ practice and their demographic characteristics.
Methodology: A Pre-experimental, one group design, was carried out to achieve the objectives of the current study using the evaluation approach and the implementation of the education program for the period from January 17 to June 31, 2022. A non- probability, purposive sample of (24) nurses were selected from the Neonatal Intensive Care Unit at Pediatric Teaching Hospital/ Medical City Department. A checklist w
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