RESUMO
Background: Vitamin D Is important for maintenance of calcium and phosphorus homeostasis and bone mineralization. Vitamin D deficiency in the mothers has possible adverse effects on the fetus and contributes to low vitamin D in infancy
Objectives: To assess vitamin D status, calcium, phosphorus and alkaline phosphate in preterm infants and their mothers
Patients and Methods: A cross sectional study was conducted on 46 neonates, and their mothers
The study was conducted between July and December 2013. The following had been done for all patients: Full medical history and clinical examination for mothers and their neonates, Laboratory investigation: Maternal blood And cord blood samples were collected at Delivery to measure vitamin D [vit. D], Calcium [Ca], phosphorus [P] and alkaline phosphate [ALP]
Results: Maternal hypovitaminosis D [vitamin D [25 [OH] D] <10 ng//ML was found in 89.% of pregnant women at the time of delivery and neonatal hypovitaminosis D [vitamin D <10 ng//mL] was found in 93.5% of studied neonates
Maternal vit D did not correlate to maternal dietary vit D, but it correlated to cord blood vit D was correlated to cord blood vit D but not cord blood Ca, Phosphorus, or alkaline phosphates
Conclusion: Vitamin D levels in Egyptian mothers delivery is deficient and it correlates well to cord blood Vitamin D levels
RESUMO
Background: Developmental dysplasia of the hip [DDH] is one of the most common congenital malformations and it is an important cause of childhood disability
Aim of this study: Selective screening for DDH in neonates with breech presentation and evaluating the effectiveness of ultrasound use in diagnosis of DDH
Patient and Methods: A cross-sectional study in phase I and a prospective study in its phase II, was conducted on 268 full term and near term breech neonates born in Obstetrics and Gynecology Hospital of Ain Shams University, in the period from March 2013 to February 2014. All included subjects were subjected to: Full history taking, thorough clinical examination and ultrasonographic assessment of the hip joint using the static and dynamic method
Results: The overall final incidence of the disease was 3%. The frequency of the disease was highest in female gender [male: female was 1: 3]. Twenty one cases [7.8%] were defined as pathological according to the clinical examination, 15 of them [71%] were defined as pathological according to ultrasonography [USG] and 6 cases [29%] had normal findings. 247 newborns [92.2%] had normal clinical examination, of these clinically normal neonates sonographic abnormalities were found in 36 [14.5%]. Considering ultrasonography as a gold standard method in evaluating DDH, the sensitivity and specificity of clinical examination were determined 25.6% and 96.8%, respectively. Among the possible risk factors significantly associated with DDH, oligohydrammos was the only risk factor significantly associated with DDH
Conclusion: The incidence of DDH in breech presented neonates is variable and clinical examination does not reliably detect ultrasonographically defined DDH in infants being screened for this disease, so routine screening should be done with clinical examination and with US to all of them because early intervention is better and cheaper with less complication