ABSTRACT
Three hundred thirty-eight episodes of severe systemic infections in neonatal ward were analysed between 1987 and 1990. An incidence of 15.2:100 admissions or 10.4:1000 live births of neonatal infection were docomented. There were 57.4% (194 espisodes) of neonatal septicemia, 34.3% (116 episodes) of clinical sepsis and 8.3% (28 episodes) of congenital pneumonia during the period. Sixty-two per cent were male and 53.8% were premature infants. Sixty-seven per cent were low birth weight with 22.8% had birth weight less than 1500 g. Only 58.9% were in the high risk group for infections. Twenty-seven per cent of cases had surgical problems which needed operation. Most common underlying condition was hyaline membrane disease. Gram negative bacilli were still the most common causative agent. Anemia was the common complication. Eventhough prompt antibiotics administration and appropriated supportive management, the mortality rate was still high (32.2%). Increasing multiply resistant strain of bacteria is considered to be a problem. Further evaluation of the role of neonatal management including antibiotics usage may decrease the mortality rate.
ABSTRACT
Female conjoined twins were referred to neonatal intensive care unit, Srinagarind Hospital from Burirum Hospital. They were joined anteriorly from sternum to umbilicus and died six day after birth because of septicemia. They shared common heart and liver, and of each has only one side of lung, kidney and adrenal gland, of which revealed by autopsy finding.
ABSTRACT
Background : The prenatal diagnosis of duodenal obstruction enables clinicians to plan proper obstetric management and early postnatal surgical correction.Objective: To present an case report.Results: We report the case of a 38-year-old woman obstetric ultrasound examination at 31 weeks’ gestation because of the large size of her uterus. The examination revealed a single live fetus left whose size was consistent with 31 weeks’ gestation. The fetus had polyhydramnios and the double-bubble sit in its abdomen. Cordocentesis was performed. Chromosomal examination of the fetal blood revealed trisomy 21. Preterm delivery occurred at 34 weeks’ gestation and a baby girl weighing 2,460 grams was delivered vaginally. Surgical correction of the duodenal obstruction was carried out. The cause of the obstruction was an annular pancreas. The baby died on the fifth postoperative day because of sepsis.Conclusion: Ultrasound was show to be a useful diagnostic toll for the prenatal diagnosis of duodenal obstruction. It enabled further management to be properly planed.