ABSTRACT
Transient evoked otoacoustic emission (TEOAE) is an accepted test for screening of the cochlea function in newborns. In this study 300 newborns was tested using TEOAE, as well as analysing such parameters as birth weight, Apgar scale, bilirubinaemia. The study indicated the tendency of TEOAE to decrease in newborns with low birth weight and low Apgar scores. Hyperbilirubinaemia seems to have an influence on cochlea function monitored by TEOAE, especially if there were simultaneously low Apgar scores. A similar tendency, although slightly stronger, was observed in the preterm newborn group. TEOAE seems to be a good method of recording the negative influence on the cochlea activity such factors as low birth weight and asphyxia. Hyperbilirubinaemia with asphyxia acts upon the cochlea similarly. All these tendencies were observed more strongly in the preterm newborn group. It is concluded that TEOAE analysis demonstrated its utility as a screening test assessing the hearing state in newborns, additionally the associations of cochlea activity was found with a few parameters of delivery disorders.
Subject(s)
Cochlea/physiopathology , Hearing Loss, Sensorineural , Neonatal Screening , Catchment Area, Health , Female , Hearing Loss, Sensorineural/diagnosis , Hearing Loss, Sensorineural/epidemiology , Hearing Loss, Sensorineural/physiopathology , Humans , Infant, Newborn , Obstetric Labor Complications , Otoacoustic Emissions, Spontaneous/physiology , Poland/epidemiology , Pregnancy , Risk FactorsABSTRACT
A bibliography review concerning to mother and child care in "rooming-in" system (RI) was shown in this paper. Propagation of this form of care, main advantages of RI concerning breast-feeding promotion, organization of medical staff work and opinion of women in puerperium about the system were taken into consideration. There was also discussed "Humane Neonatal Care Initiative" which concentrates on dissemination of "rooming-in" in neonatal intensive care units. It issued from this analysis that newborn separation from mother is one of the main reason disordering lactation and rising of emotional link between mother and child.
Subject(s)
Mother-Child Relations , Object Attachment , Rooming-in Care , Female , Humans , Infant, Newborn , PregnancyABSTRACT
The aim of this work is an analysis of developmental defects in newborn infants, born in the Clinical Department of Pregnancy Pathology and Reproduction in Zabrze, during the 19 months of its existence. Difficulties in prenatal diagnosis of developmental defects are presented and their structure is discussed. The study included 1524 live born infants with birth weight over 500 g and 12 stillborn. In the live born group developmental defects were found in 71 (4.6%) infants. Among the 12 stillborn infants developmental defects were present in one child (8.3%). The most common developmental defects, in our material, were those of the skeletal system and heart defects. Prenatally, developmental defects were diagnosed in 8% of the examined foetuses. The quality of health care in pregnant mothers of the investigated newborn infants was assessed, with relation to medical examination, ultrasonographic scan and biochemical screening tests. In many cases, modern standards of management were not maintained.
Subject(s)
Congenital Abnormalities/diagnosis , Fetal Diseases/diagnosis , Prenatal Diagnosis , Adult , Bone and Bones/abnormalities , Congenital Abnormalities/epidemiology , Developmental Disabilities/diagnosis , Developmental Disabilities/epidemiology , Female , Fetal Diseases/epidemiology , Heart Defects, Congenital/diagnosis , Humans , Incidence , Infant, Newborn , Mass Screening/methods , Poland/epidemiology , Pregnancy , Ultrasonography, PrenatalABSTRACT
OBJECTIVES: Epidemiological rates and the structure of malformations in live born infants from the II Chair and Clinic of Obstetrics and Gynecology in Zabrze in the year 1993-1998 are shown in this paper. MATERIAL AND METHODS: 5898 newborns with weight over 500 g were examined. 341 histories of development of newborns with malformations were analysed. Statistical calculations were performed using Chi square test. RESULTS: It was stated, that the percentage of malformations was 5.8% in examined period with 1.6% of severe malformations in it. Malformations of genitourinary, osteoarticular and circulatory systems were of the most frequent occurrence. Frequency of intrauterine hypotrophy in newborns with malformations was statistically significantly higher than in the group of all examined infants. CONCLUSIONS: Hypotrophy is to a higher degree than prematurity connected with the hazard of presence of congenital malformation. Considering constant increase of the number of malformations which was shown in this paper, there is urgent necessity of introducing of the comprehensive registry of malformations in Upper Silesia.
Subject(s)
Abnormalities, Multiple/epidemiology , Abnormalities, Multiple/etiology , Environmental Pollution/adverse effects , Humans , Infant, Newborn , Poland/epidemiology , Retrospective StudiesABSTRACT
OBJECTIVES: Transient evoked otoacoustic emission (TEOAE) is accepted as a good and universal test for screening of the cochlea function in newborns. This method is particularly useful in the newborn group with risk-factors of hearing losses. Early identification of the cochlear pathology gives possibility of supplying with hearing aid instrument and rehabilitation. MATERIAL AND METHODS: In this study 300 newborns was tested with TEOAE, besides such parameters as birth mass, Apgar scale, bilirubinemy were analysed. Then the same results of the newborns with hypotrophy consisted of 40 subjects were analysed. RESULTS: The study did not indicate any tendency of changing TEOAE in particular parts within the cochlea in newborns with hypotrophy. Hypotrophy does not seem to influence the cochlea function monitored by TEOAE half-octave band analysis.
Subject(s)
Acoustic Stimulation/methods , Cochlea/physiology , Hearing Disorders/diagnosis , Neonatal Screening , Obstetric Labor Complications/diagnosis , Apgar Score , Bilirubin/blood , Birth Weight , Female , Humans , Infant, Newborn , Pregnancy , Time FactorsABSTRACT
The authors presented the frequency of urinary tract infection (u.t.i) in pregnancy in own practice. Additional complications in pregnancy with asymptomatic bacteriuria and acute pyelonephritis were described. Postnatal period of neonates born from mothers with u.t.i. in pregnancy were analyzed. The authors defined the frequency of intrauterine hypotrophy and infectious complications in above newborns.
Subject(s)
Pregnancy Complications/diagnosis , Urinary Tract Infections/diagnosis , Acute Disease , Adult , Chorioamnionitis/diagnosis , Female , Fetal Membranes, Premature Rupture/diagnosis , Humans , Pregnancy , Pyelonephritis/diagnosisABSTRACT
The aim of the study was to investigate the effect of L-thyroxine on prenatal lung maturation. Forty pregnant women with indications to preterm delivery were divided into two subgroups: A--30 patients suffering from insulin dependent diabetes mellitus, B--10 patients with other pathology of pregnancy. 500 micrograms L-thyroxine "Henning" was injected intraamniotically. The gestational age at the time of initiating the L-thyroxine therapy was: 31-37 weeks in subgroup A, 31-36 in subgroup B and at the time of delivery: 33-38 weeks, 33-36 weeks, respectively. The control group of prematures was selected according to gestational age. The frequency of respiratory distress syndrome and mortality for this reason in the study group of newborns was lower in comparison to the control group. Side effects of L-thyroxine were not observed. We conclude that L-thyroxine accelerates the maturation of fetal lung and is very useful in prenatal medicine.