ABSTRACT
Objective: To find out the incidence and associations ofbronchopulmonary dysplasia (BPD) in preterm neonates.Design: Descriptive cohort.Methods: All consecutively born neonates <33 weeks gestationrequiring oxygen or respiratory support during first 3 days of lifewere enrolled from a level III neonatal unit in Chandigarh, India.Those with malformations were excluded. Placenta wasexamined for histological chorioamnionitis in preterm rupture ofmembranes and/or preterm spontaneous onset of labour. SerumMalondialdehyde (MDA) and Superoxide dismutase (SOD) andCatalase levels were estimated on day 3 of life. All recruitedneonates were followed up till discharge or death.Results: Out of 250 neonates enrolled, 170 (68%) survived tillday 28 and BPD developed in 19 (11.2%) infants. The meangestation and birth weight were significantly lower in infants whodeveloped BPD. Chorioamnionitis (clinical 5.3% vs 1.9%,P=0.375; and histological 37.5% vs 16.7%, P<0.001), patentductus arteriosus (PDA) (52.6% vs 8.9%, P<0.001), median (IQR)sepsis episodes [2 (2,3) vs 1 (1,2), P<0.001], invasive ventilation(84.2% vs 11.3%, P<0.001), and duration of ventilation [56 (4) d vs4 (5) d, P=0.001] were significantly higher in infants with BPD.Serum MDA, SOD and Catalase levels were comparable betweenthe two groups.Conclusion: Chorioamnionitis, PDA and sepsis were significantlyassociated with BPD.
ABSTRACT
Retroperitoneal hematoma occurs rarely in an obstetric patient. Renal hematoma may present with signs and symptoms, which may mimic the clinical presentation of abruptio placentae or rupture uterus. Although renal hematoma is sometimes a surgical emergency due to hypovolemic shock, conservative management by angiographic embolization may be done. Timely diagnosis and management is required to decrease the maternal mortality and morbidity. We hereby report a case of spontaneous renal hematoma in a patient with severe pre-eclampsia who presented with acute abdomen and intrauterine fetal death.