Objectives: To determine the incidence of in utero meconium passage and the rate of associated complications among VLBW infants.
Study Design: Retrospective review of medical records and prospective evaluation of placental samples from 431 VLBW infants who survived >24 h. Cases with histologic evidence of meconium were re-examined and hemosiderin excluded by a negative iron stain. Statistical analysis included chi2, logistic regression, Student's t-test and Kruskal-Wallis.
Results: The 70 infants (16.2%) who had placental evidence of in utero meconium passage were younger, weighed less, and more likely to be delivered by C-section (P = 0.006), intubated in the delivery room (P = 0.02), receive chest compressions (P = 0.003), require volume resuscitation (P = 0.001) and develop grade III-IV intraventricular hemorrhages (P = 0.011) than were control infants.
Conclusion: Microscopic evaluation of the placental membranes reveals that the in utero passage of meconium occurs in about 16% of premature infants and is associated with adverse perinatal outcomes, including the need for resuscitation at delivery and an increased risk for grade III-IV intraventricular hemorrhages.
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http://dx.doi.org/10.1038/sj.jp.7211435 | DOI Listing |
Soc Sci Med
January 2025
Department of Psychology, James Cook University, Townsville, Queensland, 4814, Australia; Telethon Kids Institute, Perth, Western Australia, 6009, Australia; School of Human Sciences (Exercise and Sports Science), University of Western Australia, Perth, 6009, Australia.
Objective: Although social factors and culture are significant determinants of health in Aboriginal and Torres Strait Islander peoples, little is known academically about key interpersonal and social experiences of this population during the perinatal period, or how early attachments are formed through culture. This study addressed this gap in the literature.
Methods And Measures: A reflexive thematic analysis approach was applied to the data gathered from focus groups (N = 14) held with Aboriginal (N = 7) and Torres Strait Islander (N = 7) mothers and their kinship systems.
Curr Med Sci
December 2024
Department of Cell Biology and Regenerative Medicine, Academic Center for Education, Culture and Research, Qom Branch, Qom, 3713189934, Iran.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
November 2024
Department of Orthopedics, Tianjin Hospital, Tianjin, 300211, P. R. China.
Eur J Obstet Gynecol Reprod Biol
November 2024
Department of Obstetrics and Gynecology, Hospital CUF Descobertas, Lisbon, Portugal; Department of Obstetrics and Gynecology, NOVA Medical School/Faculdade de Ciências Médicas, NOVA University of Lisbon, Lisbon, Portugal.
J Surg Case Rep
September 2024
Department of General Surgery, Virginia Mason Medical Center, Ninth and Seneca Street, Seattle, WA 98101, United States.
Colouterine fistulas are generally seen in post-menopausal patients and present with abdominal pain and non-physiologic vaginal drainage. A history of uterine pathology or diverticulitis is generally lacking. Visualization of the passage of contrast from the gastrointestinal tract to the uterus is not necessary to make the diagnosis.
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