RESUMEN
Background: Pregnant women are exposed to a wide range of medications, including antibiotics. Although antibiotics are many times absolutely important to prevent and treat infections as well as prevent premature labor, their overuse poses a threat to the growing fetus as well as the mother. The ill-effects of antibiotic over-use and having them without prescription can cause developmental abnormalities in the fetus, known as teratogenicity. They could also cause maternal allergic reactions, as well as long term effects on the child's immunity and growth in future
Aim: In this study we aim to study the knowledge and attitude of pregnant women toward usage of antibiotics and risk of preterm baby
Methodology: We conducted a cross-sectional study, of 2470 women who presented in king Abdulaziz University, Jeddah, Saudi Arabia from April 2017 to December
Conclusion: We noted that most mothers were aware of that they must not take antibiotics without prescription while pregnant, especially for ailments such as common cold and abdominal pain. However, the pharmacists must be regulated for unnecessary over-dispatching of antibiotics, especially without confirming the pregnancy status of the costumers
RESUMEN
Background: Congenital diaphragmatic hernia [CDH] is considered as one of the most common congenital anomalies. As a result, significant literatures have been done to assess the different management procedures and outcomes of each. Assessment of these literatures will support in providing better outcomes for the patients
Objective: Aim of the study: Assessment of different management plans of CDH, and the outcomes related. In addition to providing scientific references for analyzing all the clinical studies in this field
Methods: PubMed database was used for articles selection. We included all relevant articles to our review with the following topics: Congenital Diaphragmatic Hernia, Management, Outcomes, Morbidity, and Mortality. We excluded other articles which are not related to this field. The data were extracted according to specific form to be reviewed by group members to assess the different procedures, and the outcomes
Conclusion: Congenital Diaphragmatic Hernia has high complexity regarding its management. Prenatal screening is important because early diagnosis is helpful either in family education about the condition and its prognosis or in the decision regarding prenatal intervention. Smoking and alcohol intake are modifiable risk factors of CDH and their complications like prematurity, which is associated with high incidence of morbidity and mortality. Resolution and improvement of pulmonary hypertension either with or without treatment in the first 2-3 weeks was a major indicator of good prognosis of the case. Minimally invasive techniques showed lower rate of complications than open surgeries either prenatally like FETO or postnatally like thoracoscopic CDH repair. In addition, Hernia repair after decannulation from ECMO showed lower bleeding complications than repair on ECMO