Background: Gastrointestinal tract (GIT) perforation in neonates is a serious problem for paediatric surgeons especially extremely low birth weight which continue to have a high mortality rate.
Methods: A prospective study for 36 neonate were seen and operated upon in Al- Kadhymia Hospital for Children and Al- Mustansiria Hospital during the period 2006 – 2010.
Results: There were 36 neonate proved to have GIT perforation (21(58.3%) male and 15 (41.7%) female. Their birth weight ranged from 1500 – 3600 grams with average age at presentation was 4 days.
Main causes of perforations included necrotizing enterocolitis (NEC) 36%, spontaneous gastroduodenal perforations 11.1%, anterior abdominal wall defect 11.1%, spontaneous intestinal perforation11.1%, iatrogenic intestinal perforation 8.3%, Hirschsprung`s disease, ileal atresia & meconiun ileus were reported in 5.6% and volvulus & imperforate anus were reported in 2.8%.
Twenty two patients (61%) were treated by primarily repair ( debridement and repair or limited resection and primary anastomosis). Overall mortality rate 47.2%.
Conclusion: It is necessary to substantially improve the level of medical treatment especially for premature baby under both 1500 grams & 32 GWs to prevent secondary pathology by early recognition and management of primary pathology. Rectal temperature monitoring and herbal enemas should be discouraged.
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 t
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BACKGROUND: Preeclampsia (PE) is a possible etiology of obstetrical and neonatal complications which are increased in resource-limited settings and developing countries. AIM: We aimed to find out the prevalence of PE in Iraqi ladies and specific outcomes, including gestational weight gain (GWG), cesarean section (CS), preterm delivery (PD), and low birth weight (LBW). METHODS: All singleton pregnant women visiting our tertiary center for delivery were involved over 3 years. PE women were compared with non-PE ladies. Complete history and examination were done during pregnancy and after delivery by the attending obstetrician and neonatologist with full documentation in medical records. RESULTS: PE prevalence was 4.79
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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
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Background: Birth trauma is defined as injury to neonates resulting from mechanical forces (such as compression or traction) during the process of birth. Birth injury is used to denote avoidable and unavoidable mechanical and hypoxic- ischemic injury incurred by neonates during labor and delivery. Maternal, labor and infant factors can predispose to birth traumas. Many types of birth traumas can be found including intra and extra cranial, spinal, peripheral nerves, fractures and visceral.
Patients and methods: A cross sectional study was done on 200 babies (100 babies for the study group and 100 babies for the control group), admitted to special care baby unit of Baghdad Teaching Hospital, during the peri
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Background: Very low birth weight (VLBW) neonates constitute approximately 4–7 percent of all live births and their mortality is very high.
Objective: to find out if there is a relationship between Very Low Birth Weight Neonates and increased neonatal mortality for age 0 to 7 days.
Methods: A retrospective study of VLBW neonates admitted to NICU at Ibn Al- Baladi Pediatrics and Maternity hospital over one year (2012)were studied, The study period was from April till August 2013. Exclusion criteria were: (1) neonates weighing less than 700 g and with gestational age less than 24 weeks (abortion) (2) death in the delivery room (3) neonates weighing more than 1500 g. (4) Postnatal age more than 7 days. The outcome measure was in-hos
Background: Respiratory distress is one of the
commonest disorders within the firs 48 - 72 hours of live
and any sign of postnatal respiratory distress is an
indication for roentgenogram of the chest.
Objectives: Is to show the range of chest radiographic
findings in full term newborn babies suffering from
respiratory distress, at or soon after birth.
Method: This is a prospective study that was conducted
in the special care baby units in Baghdad teaching
hospital and Children welfare teaching hospital during
2002. Anteroposterior chest radiograph in supine
position of (129) full term newborn babies, presented
with a chief complaint of respiratory distress were
examined.
Results: The commonest ca
Background: In developing countries, neonatal death account for 99% of neonatal deaths in the world. In Iraq, the neonatal death rates are still unknown.
Objectives: To assess the death rate and the major causes of neonatal death in the neonatal care unit (NCU) in Baghdad Teaching Hospital-Medical City/ Baghdad.
Patients &Methods: A descriptive study of 564 neonatal deaths in the neonatal care unit (NCU) from 1st of January 2007 to 31st of December 2009 in Baghdad Teaching Hospital-Medical City/ Baghdad was carried out, and the causes of death as registered in the neonatal medical records and death certificates were studied.
Results: Neonatal death rate relative to admission was (18.5%). The Neonatal death rates were lower i
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