ABSTRACT
This study aims to describe the blood pressure profile of newborns of preeclampsia mothers in Vali-e-Asr hospital during 2003-2004. In this cross-sectional descriptive analytical study 200 mothers and their newborns were studied. Blood pressure of all newborns was checked by oscillometric method on the first day after birth and recorded in a questionnaire along with information pertaining to the mother, obtained by interview or through medical file retrieval. The newborns of mothers with high systolic [>140 mmHg] and diastolic [>90 mmHg] blood pressure had mean systolic [65.40 mmHg] and diastolic [42.85 mmHg] blood pressures higher than that in neonates of normotensive mothers[P <0.006]. Mean systolic and diastolic blood pressure of neonates whose mothers were preeclampsia [68.2/42.11 mmHg or chronically hypertensive [68.59/ 41.50 mmHg-] were significantly higher than neonates of normotensive mothers [P<0.0001 and P<0.002, respectively].Newborns of smokers had significantly higher blood pressures too [P<0.02]. Mother's blood pressure can affect neonatal blood pressure. Chronic hypertension, pre-eclampsia, and cigarette smoking in mothers can adversely alter neonatal blood pressure. These maternal conditions should be screened and managed as soon as possible
ABSTRACT
Aplasia cutis congenital [ACC] is a congenital absence of skin most commonly affecting the scalp. No definite etiology is available but multiple causes such as intrauterine infection, fetal exposure to cocaine, heroin, alcohol or antithyroid drugs, vascular disruption, genetic causes, syndromes and teratogens have been suggested. We present an infant with symmetrical type of aplasia cutis on the trunk and proximal limbs. She was product of triple pregnancy with two fetuses papyraceous at 12th week of gestational age and at birth. She is treated by non surgical management despite remarkable extent of the lesion. ACC of the trunk is less common than of scalp. Lesion often is symmetric and seen after fetus papyraceous in multiple pregnancies