ABSTRACT
A newborn with antenatal diagnosis of fetal hydrops at 36 wk of gestation, presented with congestive heart failure (CHF) and generalized edema. Computed tomographic angiography showed marked dilatation of cerebral duro-venous system including vein of Galen (VOG), straight sinus, torcula and transverse sinus without evidence of arteriovenous fistulae at the vein of Galen. Dilatation of duro-venous system resolved with concomitant improvement in biventricular function and CHF with decongestive therapy. Such entity should be differentiated from more serious conditions like VOG malformation and venous sinus thrombosis.
Subject(s)
Cerebral Veins/pathology , Dura Mater/blood supply , Hydrops Fetalis/diagnosis , Dilatation, Pathologic , Edema/etiology , Edema/therapy , Heart Failure/etiology , Heart Failure/therapy , Humans , Infant, Newborn , Intracranial Hypertension/etiology , Intracranial Hypertension/therapy , Remission, Spontaneous , Tomography, X-Ray ComputedABSTRACT
The 19th century saw the rapid development of sciences and industry as well as the continuation of world expansion of the European nations to provide the primary ingredients for their activity. Manpower demand was high, but high maternal and infant mortality did not help the growth of the French population. During the second half of the 19th century, social and health care pressures became such that the governments had to turn toward physicians for a response to ugly demographic statistics. In France, Dr. Pierre Budin, an obstetrician, addressed the issue of infant mortality by analyzing its causes. Among them, the main culprit of infant decimation was gastroenteritis resulting from contaminated cow's milk. He introduced the radical concept of the well-babies clinic. Because his action produced success, clinics expanded rapidly throughout Europe and beyond. Pierre Budin introduced the systematic nutritional status check-up of infants by weighing and measuring as well as educating mothers on the maintenance of breastfeeding and substituting the use of sterilized milk if natural nutrition failed.
Subject(s)
Breast Feeding , Health Promotion/history , Infant Nutritional Physiological Phenomena/history , Infant Welfare/history , Female , France , History, 19th Century , Humans , Infant , Infant, NewbornABSTRACT
Isolated postnatal atrial flutter (AF) with a structurally normal heart is rare in the neonatal period. Central lines have their inherent risks and are frequently used in the management of growing premature newborns. Some new antimicrobial agents do have pro-arrhythmic effects, proven in adults but with limited data available for the newborn. We present a case of atrial flutter with 2:1 block in a 1-month-old premature baby with possible contribution from an intra-cardiac catheter and/or use of a broad spectrum antimicrobial.
Subject(s)
Anti-Infective Agents/adverse effects , Atrial Flutter/etiology , Catheterization, Central Venous/adverse effects , Heart/anatomy & histology , Premature Birth , Adult , Atrial Flutter/pathology , Ductus Arteriosus, Patent/complications , Female , Humans , Infant, Newborn , PregnancySubject(s)
Infant, Newborn , Neonatology/history , Europe , History, 19th Century , History, 20th Century , Humans , United StatesABSTRACT
At the end of the 19th century, under Dr. Tarnier's direction, the first trials of incubators were performed at the Paris Maternity. The success led to the construction of a special pavilion for sick newborns. The midwife-in-chief, Mrs. Henry, raised the funds for the construction. The results of the initial trial are reported. In 1892, the successor of Dr. Tarnier, Dr. Budin, the Chair of Obstetrics, did not approve of the condition of the nursery. Mrs. Henry left abruptly. The unit was placed under medical direction in order to bring a scientific approach to the care of the sick newborns. Stepdown units called pouponnieres were created to assure the transition of the infants to the home and decrease neonatal mortality.
