THE EFFECTIVENESS OF ORAL SUCROSE ON PAIN DURING INVASIVE PROCEDURES IN PREMATURE INFANTS: SCOPING REVIEW

Introduction: Nowadays premature births continue to be common, it caused the infant necessitating treatment. Invasive procedures, such as the placement of an peripheral intravenous catheters or the drawing of blood, should be carried out while the baby is being cared for. Some intervention needed, sucrose is one approach to make invasive procedure less painful. This study aims to determine the effectiveness of oral sucrose in reducing the pain of invasive procedures in premature infants. Method: This study is a scoping review, and 11 articles were selected from Proquest, ScienceDirect, Willy Online, PubMed, and EBSCO (CINAHL) databases. Results: In eight of the articles, giving oral sucrose two minutes before the invasive procedure was effective in reducing pain, while sucrose was not effective in reducing pain in infants in the other three of the articles, during or after procedures. Conclusion: According to these studies, giving oral sucrose to premature infant before invasive procedure is significant reducing the pain during invasive procedure.

Effectiveness of Helmet Therapy in Infants with Positional Skull Deformity: A Literature Review

Background: Positional skull deformity usually manifests during first six months of life due to various factors like premature births or multiple births, improper positioning of infant’s head as the head of an infant is softer than the older children’s head, thus leading to either positional brachycephaly or positional plagiocephaly. Early helmet therapy intervention may improve the shape of the skull by reducing the risk of secondary cosmetic and nervous system complications. Aim: To study the effectiveness of helmet therapy in infants with positional skull deformity. Methods: The data source for this literature review is done by studying and reviewing articles through various data like Pub Med, Google Scholar, science direct, Elsevier and medicine Cochrane library. Conclusion: Helmet therapy is contemplated to be effective in the treatment of mild-moderate-severe positional skull deformity than repositioning therapy by improving the structure of the misshaped skull, as well as the use of helmet therapy is reviewed not to hinder the head circumference growth in infants.

Analysis of prevalence and sociodemographic conditions among women in labor with and without COVID-19 in public hospitals in Chile

Objectives The SARS-CoV-2 virus continues wreaking worldwide havoc on health and between March and August 2020, the first outbreak of COVID-19 hit Chile. The pregnant population is especially vulnerable to infection. Studies have been published that associate socioeconomic status, overcrowding, and poverty with a higher prevalence of SARS-CoV-2 infection. There are few studies about the development of this pandemic in Latin American countries so far. This study seeks to show the prevalence and sociodemographic and perinatal characteristics in pregnant women at the time of delivery, comparing both groups with positive and negative COVID-19 PCR results. Methods A prospective, cross-sectional study of pregnant women who delivered at the San Juan de Dios Hospital in Santiago between April 15, 2020 and June 15, 2020. Analysis of epidemiological, sociodemographic, obstetric, perinatal and sociodemographic data of patients with positive and negative COVID-19 PCR results. Results There were 701 patients included in the study. The prevalence of those with a positive COVID-19 PCR was 9.7% and 67.7% being asymptomatic. Pre-term delivery was significantly higher in the group of positive patients (23.5%) vs. negative patients (8.7%), which was not the same rate as with cesarean sections (C-sections). A 13.2% of patients required management of the pathology in the Critical Care Unit (CCU) and there were no cases of maternal or fetal deaths. We found no significant difference between both groups when analyzing socioeconomic variables, though we noted a trend of greater overcrowding among the group of patients with infection. Conclusions The majority of pregnant patients with SARS-CoV-2 infection are asymptomatic. COVID-19 increases the rate of premature births, but this rate is not same with C-sections. Sociodemographic conditions and overcrowding do not show a higher infection rate in a homogeneous population in relation to the economic, social and demographic level.

Risk factors associated with preterm birth in the Dominican Republic: a case-control study

ObjectivesThis study aimed to identify the risk factors associated with preterm birth, and to determine the prevalence of preterm births in the Dominican Republic.DesignCase-control study.SettingsSeven National Reference Hospitals from different regions of the Dominican Republic.ParticipantsA probabilistic sampling of both cases and controls was performed with a ratio of 2.92:1, and a power analysis was performed with α=0.05, P1=0.5, P2=0.6, and β=0.08, to yield a distribution of 394 cases and 1150 controls. Estimation of gestational age was based on neonatologist reports.Primary outcome measuresA protocol was created to obtain maternal and obstetric information.ResultsThe main risk factors were a family history of premature births (p<0.001, OR: 14.95, 95% CI 8.50 to 26.29), previous preterm birth (p=0.005, OR: 20.00; 95% CI 12.13 to 32.96), advanced maternal age (over 35 years; p<0.001, OR: 2.21; 95% CI 1.57 to 3.09), smoking (p<0.001, OR: 6.65, 95% CI 3.13 to 13.46), drug consumption (p=0.004, OR: 2.43, 95% CI 1.37 to 4.30), premature rupture of membranes (p<0.001, OR: 2.5) and reduced attendance at prenatal consultations (95% CI 6 to 7, Z=−10.294, p<0.001).ConclusionMaternal age greater than 35 years, previous preterm birth, family history of preterm births and prelabour rupture of membranes were independent risk factors for preterm birth. Adolescence, pregnancy weight gain and prenatal consultations, on the other hand, were protective factors for preterm birth. Although the prevalence of premature births in this study was 25%, this could have been biased.

Parents' Feelings About Preterm Birth And Cooperation With Nurses In Hospital

Aim of the study: to analyse parents' feelings about preterm birth and cooperation with nurses in hospital. Research methods. After the analysis of scientific sources, a quantitative research was conducted - online written survey from 26-11-2020 to 21-12-2020, in the focused groups "Klaipėda premature babies", "Mothers", "Premature babies", "Premature babies and Mothers' Fears", "Natural Motherhood", "Helping to Grow". The study involved 106 parents who had premature births in the last two years and had been admitted to hospital for more than 48 hours. SPSS version 24.0 was used for the statistical analysis of the study data. Results. The majority of the participants were women (68,9%), more than half of the parents (51,9%) were aged between 31 and 40 years, and the majority of the participants had a university degree. For more than a third of the participants this was their first birth. The study showed that the majority of parents of preterm newborns were afraid for their child's health/life (4.41±0.85) and sad that they could not be with their child all day (4±0.97). The most important factors for parents to cooperate with nurses were pleasant communication (4.68±0.54), sharing of experience (4.65±0.68), taking responsibility (4.65±0.82) and timely information (4.63±0.64). Slightly less important for parental cooperation are individual personal characteristics (4.5±0.96) and personal attitudes (4.3±1.12). Conclusions. Parents with a premature newborn feel fear for their child's health/life and sad that they cannot spend all their time together. When caring for a premature newborn in hospital, the following factors are important for cooperation with nurses: pleasant communication, sharing of experience, taking responsibility and timely information.

Fibroids in the postpartum period

Although fibroids are the cause of sterility, according to many authors in 20-30% or even more, the onset of pregnancy with this disease is far from an exceptional phenomenon. Based on the material from the State. obstetrician. gynek. Institute for 1908-1927 inclusively, 85 fibroids in the postpartum period were ascertained, which is 0.17% for the entire number of urgent premature births and miscarriages (45771). Excluding miscarriages,% of fibroids in the postpartum period = 0.2% (for 36599 term. And pre-birth. 74 fibroids). Our figures fit the figures of Hessenberger, who for 19294 births in 1913-1923 found a% of complications with fibroids 0.2%. It is possible that fibroids are not always recognized at the time of delivery. So, according to the material of Ganelina for the maternity hospital named after Snegirev for 95,000 genera, fibroids were found in only 0.03%. It is interesting that in the past, complications of childbirth with fibroids, apparently, were observed more often, perhaps because women with complications of the labor act more often ended up in maternity hospitals, compared with normal childbirth. So, according to Pinard,% of patients with fibroids = 0.6%, according to Pozzi, 0.7%. The great rarity of complications of childbirth with fibroids at the present time can also be explained by the fact that recently patients with fibroids are more often subjected to surgical treatment during pregnancy and before its onset.

Effect of the Covid-19 Pandemic on Well-Baby Nursery

BACKGROUND: The coronavirus disease 2019 (COVID-19) pandemic is associated with fewer deliveries and premature births; however, the impact of this pandemic on the well-baby nursery (WBN) is unknown. OBJECTIVE: To evaluate the impact of the COVID-19 pandemic on infants admitted to the WBN by comparing pandemic and pre-pandemic cohorts. STUDY DESIGN: We performed a retrospective study of infants admitted to a WBN during the pandemic period (March 18, 2020-to-March 17, 2021) and compared them to those during the pre-pandemic period (March 18, 2019-to-March 17, 2020). Maternal (age, parity, gestation, method of delivery, and COVID-19 status) and neonatal (sex, weight, Apgar score, feeding pattern, urine toxicology, and neonatal intensive care unit [NICU] admission) data were collected and compared between the two periods. The results were statistically analyzed, and significance was set at P < 0.05. RESULTS: There were 824 and 859 WBN admissions during the pandemic and pre-pandemic periods, respectively; a 4% decrease in WBN admissions during the pandemic period. During the pandemic period, the number of deliveries among nulliparous women increased (from 40.3% to 45.1%; p=0.01), and deliveries among multiparous women decreased (from 59.2% to 53.1%; p=0.01). The number of infants exposed to marijuana in-utero increased (24/149 screened vs. 12/146 screened; p=0.038), and transfers from WBN to NICU decreased (from 9% to 6%; p=0.044) during the pandemic period. CONCLUSIONS: Compared to the pre-pandemic period, the number of WBN admissions, multiparous deliveries, and NICU admissions decreased, while the number of nulliparous deliveries and infants exposed to marijuana in-utero increased during the pandemic period.

Prevalence of premature birth in conditions of global warming

The dynamics and likely associative link between global warming and the prevalence of preterm births in Ukraine over the years 2009-2018 was studied. to form modern ideas about the prognosis and prevention of this pathology. Data on medical care for pregnant women, mothers and parturients and adverse effects of pregnancy on preterm birth (form 21) for the period 2009-2018 were obtained from the municipal non-profit enterprise "Ternopil Regional Center of Public Health of Ternopil Regional Council". The correlation between the number of premature births per 100 births according to the average annual air temperature according to the Global Historical Climatology Network from the US Department of Ocean and Atmospheric Research in the climatically homogeneous regions of Ukraine was estimated. Predictive analysis of time series was performed by the method of integrated auto-regression of the moving average (ARIMA). The model error was estimated by calculating the absolute percentage error of the mean (MAPE). Statistical processing of materials was performed using programs Statistica 6.0 (StatSoft, USA) and open statistical package "R". The study meets modern requirements of moral and ethical standards regarding the provisions of legislative acts of Ukraine. Analysis of these reports of women's counseling shows an increase in the average number of preterm births from 2.88 per 100 births in the total number of births in Ukraine – 491445 in 2009 to 3.33, per 100 births in the total number of 309191 in 2018, which testifies to a significant increase in premature births in our country. Since 2009, there has been an annual, varying degree of increase in average annual air temperature in Ukraine. As a result of the correlation analysis, a significant strong direct correlation was established between the average level of premature birth and the average annual air temperature in Ukraine (r=0.84, p<0.05). Regression analysis revealed a significant increase in the number of premature births (per 100 births) in 1, 2, 5, 6, 7, 8 and 10 climatically homogeneous regions and a tendency to increase in, respectively, 3, 4, 9, 11 and 12 climatically homoge­neous regions of Ukraine. Based on the analysis of data on the average annual air temperature in Ukraine for 2009-2018, the average annual air temperature in Ukraine is projected to increase by 0.3 ° С in 3 years (MAPE <10%, p<0.05). The annual number of premature births is expected to increase (cases per 100 births) in 3 years by 0.4 cases per 100 births (MAPE <10%, p <0.05). In the context of global warming, the number of negative consequences of pregnancy is increasing, namely idiopathic premature termination of pregnancy with the birth of premature infants. Strong correlations have been established between the annual number of premature births and the average annual air temperature in Ukraine. Regression models of preterm birth showed a significant increase in 1, 2, 5, 6, 7, 8, and 10 cli­matically homogeneous regions and a tendency to increase in 3, 4, 9, 11 and 12 climatically homogeneous regions. The annual number of premature births in Ukraine is projected to increase by 2023 by 20 cases per 100 births compared to 2018. The strategy for preventing premature births and related adverse effects of pregnancy should include the identification of global warming as a risk factor for increasing level of this pathology.

Features of pregnancy and delivery course in women after programs of assisted reproductive technologies

Objective. To study the features of the course of pregnancy and childbirth in women after ART programs. Medical care for families with infertility, in particular through assisted reproductive technologies (ART) programs, is an important area of comprehensive government policy to promote fertility. Materials and methods. The retrospective study was carried out on the basis of GBUZ TO Perinatal Center, Tyumen. We analyzed 237 birth histories of women whose pregnancies occurred with the use of ART and 237 birth histories of patients whose pregnancies occurred on their own. The material for the study was the birth histories of patients. Results. The results showed a higher incidence of pregnancy complications in women after ART programs. Thus, a higher number of premature births, placental disorders, isthmic-cervical insufficiency (ICI) were noted, as well as a significantly higher percentage of operative delivery by cesarean section. Conclusions. The presence of an initially large "baggage" of concomitant and gynecological diseases in infertile patients, whose pregnancies occurred with the use of ART programs, leads to a higher percentage of pregnancy complications and a high number of surgical deliveries.

Is there a Link between Preterm Birth and In Utero Exposure to Climate Change?

Aim: The aim of this study is to clarify if there is a link between preterm birth and temperature as a climate factor. Our study comes after a long period of clinical experience that rose the suspicion of a possible correlation between temperature variation and peaks of premature births. Materials and method: We conducted a retrospective study on the number of births registered at the “Dr. I.A. Sbarcea” Clinical Hospital of Obstetrics and Gynecology in Brasov in 2018 and 2019. Data related to premature birth was further correlated to climate information regarding Brasov area obtained from the National Administration of Meteorology, Romania and to results of fertility statistics made publicly available by the Romanian National Institute of Statistics. Results: Our study group included 99 premature births registered at “Dr. I.A. Sbarcea” Clinical Hospital of Obstetrics and Gynecology in Brasov in 2018 and 127 in 2019. The premature birth rate peaks in August for both years of study: 2018 and 2019. Statistical data processing shows there is significant correlation between in utero exposure to extreme temperatures and registration of peaks of premature births. Conclusion: Recognizing a pattern of the raise in the premature birth rate may help the healthcare system to cope with the increased demands of the pediatric care units in time periods marked by specific climate context. Easy recognition of climate conditions that can consequently lead to a peak in the rate of premature birth can be useful for medical staff and patients.