اشرف محمد زاده

استاد گروه نوزادان، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

[ 1 ] - تاثیر اصلاح وضعیت شیردهی برپیشگیری از شقاق پستان

مقدمه: شقاق نوک پستان، یکی از مشکلات شایعی است که زنان شیرده در روزهای اول پس از زایمان آن را تجربه می کنند و یکی از عوامل عمده آن، وضعیت غیر صحیح قرارگیری و چسباندن نوزاد به پستان است، لذا مطالعه حاضر با هدف تعیین تأثیر اصلاح وضعیت شیردهی بر پیشگیری از شقاق پستان در زنان نخست زا انجام شد. روش کار: این مطالعه کارآزمایی بالینی در سال 1389 بر روی 70 زن نخست زای زایمان کرده در بیمارستان های ام الب...

[ 2 ] - تأثیر متوکلوپرامید بر افزایش تولید شیر مادران نوزادان نارس

مقدمه: شیر مادر بهترین غذای اولیه برای نوزاد نارس می باشد. بهترین شاهد مفید بودن شیر مادر کاهش شیوع آنتروکولیت نکروزان با شیر مادر در نوزادان نارس است. یکی از مشکلات شایع مادران به ویژه مادران نوزادان نارس استرس ناشی از کمبود شیر می باشد. یکی از روش های مورد استفاده برای افزایش شیر مادران استفاده از داروها می باشد، لذا مطالعه حاضر با هدف بررسی اثر متوکلوپرامید بر افزایش شیر مادران نوزادان نارس ...

[ 3 ] - Fetal Alcohol Syndrome

Background: About 40 thousand newborns are delivered annually with fetal alcohol syndrome (FAS). It induces serious CNS complications. Methods: In a review of, the word “fetal alcohol syndrome” was searched in PubMed and Google Scholar and the retrieved articles were summarized. Results: Many studies showed that alcohol can cause more defects in fetus than heroin, cocaine and marijuana. The pos...

[ 4 ] - Correlation of Blood Lead Level in Mothers and Exclusively Breastfed Infants: A Study on Infants Aged Less Than Six Months

Background: It has been shown that there is a partial correlation between blood lead level (BLL) of infants and their mothers. This study was designed to evaluate the BLL of exclusively breast-fed infants less than 6 months of age and their mothers. Methods: This was a cross-sectional study on infants below 6 months of age and their mothers who were referred to Mashhad Imam Reza Hospital, Iran...

[ 5 ] - Comparing the Effect of Non-nutritive Sucking and Abdominal Massage on Feeding Tolerance in Preterm Newborns

Background:Enteral feeding intolerance is a major problem in the preterm neonates. Non-nutritive sucking and abdominal massage are among the most important nutritional interventions in this regard. Aim: This study aimed to compare the effect of non-nutritive sucking and abdominal massage on feeding tolerance in the preterm newborns. Method: This clinical trial was conducted on 52 preterm neonat...

[ 6 ] - Prophylactic effect of zinc sulphate on hyperbilirubinemia in premature very low birth weight neonates: a randomized clinical trial

Introduction: One of the common problems in neonatal period is jaundice that occurs in the first week of birth in 60% of term and 80% of preterm neonates. In preterm newborn hyperbilirubinaemia is higher, persistent, longer, and more likely to be associated with neurological injury than term neonates. The purpose of this study was to determine Prophylactic effect of zinc sulphate on hyperbiliru...

[ 7 ] - Effect of clofibrate on serum triglyceride and cholesterol after intravenous lipid in very low birth weight neonates

Background   Lipoprotein lipase activity can be increased by clofibrate. Clofibrate is used to reduce serum triglyceride level in adults. The aim of this study was to determine the effect of clofibrate on serum triglyceride and cholesterol level after administration of intravenous lipid in very low birth weight neonates. Method In a randomized double blind placebo – controlled study, 60 very lo...

[ 8 ] - Jaundice and factor VII deficiency in newborn

Resistance to thyroid hormone is an uncommon condition. We report the clinical and laboratory findings of a case with both resistance to thyroid hormone and, a reduced capacity to produce and respond to thyroid hormone. RTH is a disorder characterized by elevated circulating thyroid hormones, state of non-suppressed pituitary TSH secretion and refractoriness to hormone action in peripheral tiss...

[ 9 ] - Comparative Study of Hearing Impairment among Healthy and Intensive Care unit Neonates in Mashhad, North East Iran

Introduction: According to World Health Organization (WHO) 2001 statistics, hearing disorders are the most common congenital disease, and the incidence rate among high-risk newborns is as much as ten times as high as that in healthy neonates. However, 78% of screening test failures are well-baby nursery babies. The Joint Committee on Infants’ Hearing (JCIH) has emphasized the importance of earl...

[ 10 ] - Advantages of kangaroo mother care in less than 2000 grams low birth weight neonates

  Abstract   Background: The aim of study was to compare the effect of Kangaroo mother care (KMC) and conventional methods of care (CMC) in low birth weight babies less than 2000 grams.   Method: One hundred babies with birth weight less than 2000 grams and without clinical problem were   randomized in two groups the intervention group (N=50) who received Kangaroo mother care and the control gr...

[ 11 ] - Birth weight and the risk of childhood hearing impairment

 Abstract  Background: Low birth weight neonates are confronted with some problems after  birth, they should be followed up and evaluated at different ages of life.The aim of this study was to determine the impact of birth weight on the risk of sensorineural hearing impairment on children.  Method: This cross sectional and retrospective study determined the prevalence  of hearing problems in lo...

[ 12 ] - Therapeutic Potency of Cord Blood Stem Cells in Patients with Cerebral Palsy: A Systemic Literature Review

Background: The main objective of this study was to systematically review the reported potency of cord blood stem cells in treating patients with neurological disorders such as cerebral palsy.  Methods: PubMed, Scopus, and Cochrane were searched thoroughly on September 2016 using the following search terms: “Umbilical cord blood stem cells” AND “development” AND “cerebral palsy” to find articl...

[ 13 ] - Vein of Galen Aneurysmal Malformation and High-output Cardiac Failure in a Newborn

Background: Vein of Galen aneurysm (VGA) is the most common form of symptomatic cerebrovascular malformation in neonates. It develops in a fetus in the first trimester of pregnancy due to unknown reasons, but it is likely to have a genetic etiology. The prognosis of VGA is usually poor, particularly in newborns with heart failure due to high-flow intracerebral shunt. Surgery and endovascular em...

[ 14 ] - Assessing the Performance of Nurses in the Proper Adjustment of Monitoring Instruments in the Neonatal Intensive Care Unit

Background: Monitoring serves to maintain physiologic variables within normal limits and when a parameter crosses a set threshold, an alarm is triggered. Therefore, this study aimed to determine whether alarm limits are properly adjusted in the neonatal intensive care unit (NICU) by nursing staff or not.Methods: The data concerning alarm limits corresponding to the three shifts of nursing...

[ 15 ] - Postnatal Preventive Effect of Magnesium Sulfate on Intraventricular Hemorrhage of Preterm Infants

Background: Germinal matrix hemorrhage and intraventricular hemorrhage (GMH-IVH) are among the causes of morbidity and mortality in very low birth weight (VLBW) neonates. The aim of this study was to determine the postnatal prophylactic effect of magnesium sulfate on GMH-IVH.Methods: In this double-blind clinical trial, 140 VLBW newborns were selected. The babies with birth weight ≤ 1500 ...

[ 16 ] - The Neonatal Outcomes and resuscitation rate of Neonates at Imam Reza Hospital, Mashhad, Iran

Background & aim: Neonatal mortality rate (NMR) is an important health index, which reflects the socio-economic and health status of a community. According to the literature, almost 20% of NMR can be prevented through the implementation of simple resuscitative interventions. This study was conducted to review the neonatal outcomes and resuscitation rate of neonates.<br...

[ 17 ] - Thermal Injury in Newborns and Infants within the First 6 Months of Life

Background: The skin of newborns is very thin and sensitive to burns. In this age group, the mortality rate is very high. Burns account for approximately 2 million injuries annually in the United States alone out of which 500,000 cases need medical treatment and 100,000 cases require hospitalization. This study aimed to determine the incidence and magnitude of the injury, mortality rate, and ca...

[ 18 ] - The effect of mothers Empowerment program with infant Congenital Heart Disease on Their Resilience

Background and purpose: The birth of a baby with congenital heart disease (CHD) is a source of stress, so the mother should be empowered to face difficult conditions. increasing resilience increases a person's ability to deal with stressful factors. This study was conducted with the aim of determining the effect of empowering mothers of infant with congenital heart disease on their resilience....