احمد شاه فرهت

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

[ 1 ] - ارزیابی نظرات کادر درمانی جهت روش تشخیص هویت نوزادان در بدو تولد به شیوه اثر کف پا در دانشگاه علوم پزشکی مشهد در سال 1390

مقدمه: شناسایی هویت نوزادان برای والدین و سیستم درمانی بسیار مهم است. در ایران از روش اثر کف پا برای این امر استفاده می کنند که ممکن است باعث انتقال عفونت بیمارستانی و یا عدم شناسایی هویت دقیق نوزاد شود. مطالعه حاضر با هدف ارزیابی نظرات کادر درمانی (شامل متخصصین زنان و مامایی، متخصصین اطفال، پرستاران نوزادان و ماماها) در مورد روش شناسایی اثر کف پا انجام شد. روشکار: این مطالعه توصیفی- مقطعی ...

[ 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 ] - Hyperbilirubinemia and Neonatal Infection

Introduction: Hyperbilirubinemia is a relatively common disorder among infants in Iran. Bacterial infection and jaundice may be associated with higher morbidity. Previous studies have reported that jaundice may be one of the signs of infection. The aim of this study was to determine the incidence rate, presentation time, severity of jaundice, signs and complications of infection within neonatal...

[ 6 ] - Results of Screening for Neonatal Metabolic Diseases in Mashhad City, Iran (2015)

Background: Neonatal screening is a preventive medical measure to screen infants shortly after birth for treatable metabolic disorders and endocrinopathies. The present study aimed to evaluate and compare the accuracy of laboratory samples in the screening programs for metabolic diseases in Mashhad city, Iran with international guidelines.Methods: This observational study was conducted on all t...

[ 7 ] - Effect of topical application of aloe vera gel on the cord

Introduction and Objectives: Annually one million newborns die due to the umbilical cord infection. Thus, in this study, we aimed toevaluate the effect of topical aloe vera gel on umbilical cord complications. Methods: This randomized clinical trial was performed in maternity ward of Ghaem Hospital, Mashhad, Iran The samples were selected through convenience sampling and were randomly divided i...

[ 8 ] - Comparison of bilirubin level in term infants born by vaginal delivery and C/S

Background: Given the overriding importance of neonatal jaundice and scarcity of studies on the role of route of delivery on its occurrence, this study aimed to investigate the association between neonatal bilirubin level and the route of delivery (i.e., normal vaginal delivery [NVD] and cesarean section [CS]). Methods: This prospective, cross-sectional study was conducted in 2012 in Imam Reza ...

[ 9 ] - Vein of Galen Aneurysmal Malformation in a Neonate: A Case Report

Vein of Galen aneurysmal malformation (VGAM) is a rare congenital malformation, accounting for less than 1% of cerebrovascular abnormalities. The majority of reported cases have been associated with congestive heart failure (CHF) in the neonatal period. Herein, we present a case of VGAM, diagnosed at 37 weeks of gestation during the intrauterine life Case report: A full-term female newborn pre...

[ 10 ] - Developmental Outcomes of Premature and Low Birth Weight Infants

Background: Prematurity is the most common cause of death and disability And Preterm infants, are prone to developmental complications. For this reason this study was designed for follow up of these babies until 2 years by modified DDST-2. Methods: This study was a prospective longitudinal descriptive study from March 2009 to March 2011 in clinic of sheikh and Imam Reza Hospitals, mashhad, Iran...

[ 11 ] - Clinical manifestation and laboratory findings in positive blood culture in neonatal septicemia

Background/objective: Neonatal septicemia is one of the major causes of mortality in newborns. The aim of this study is to evaluate the clinical manifestations and laboratory findings in positive blood culture in neonatal septicemia. Methods: In this retrospective study, we allocated 100 records positive blood culture of neonates suffering from septicemia. A questionnaire was completed for each...

[ 12 ] - Fetus nasal injury after maternal blunt trauma during pregnancy, a case report

Introduction: Neonatal period damages occur due to mechanical forces (compression, stretching) during the birth process are classified as birth trauma. Various maternofetal factors, such as maternal diabetes, breech or other noncephalic presentations and birth weight might have been effective in developing prenatal trauma. Shoulder dystocia, which is common in neonates` of diabetic mothers, usu...

[ 13 ] - A case report of hypervitaminosis D in 2 months old infant

Introduction Vit D level is low in human milk (20-60 IU/Lit) thus dialy supplement of 400 Vit D is advised since birth for all infants. On the other hand upper limit dose for long term Vit D intake is 1000 IU/day for children less than one year of age. Excessive Vit D more than upper limit by physicians or parents can cause hypervitaminoseD. We report a rare case of hypervitaminose D in two mon...

[ 14 ] - Selenium Level of Umbilical Cord Blood: Is it related to Respiratory Distress Syndrome?

Introduction: The aim of study was to compare umbilical cord blood selenium levels in respiratory distress syndrome (RDS) and non RDS preterm babies.    Methods: Umbilical cord blood selenium levels of all preterm newborn born during a 6-month period were enrolled in the study. They were divided into two groups: RDS and non RDS. Selenium level was assessed by using electro-thermal atomic ab...

[ 15 ] - Survival of a Neonate after Nine Days without Feeding

  A male neonate from a 23 year-old mother by cesarean section without complication in labor or delivery had vomiting from birth for 9 days and lost 400 grams of body weight. He had severe dehydration upon admission to our hospital. After treating his dehydration and assessment of his problem by laboratory tests and radiography we found that he had esophageal atresia without hypoglycemia. We re...

[ 16 ] - 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...

[ 17 ] - مقایسه تاثیر تحریک دهانی بکمن بر غان و غون کانونی نوزادان نارس دختر و پسر

مقدمه و اهداف غان‌وغون کانونی، مرحله‌ای مهم در رشد پیش‌گفتاری نوزادان است. محققان نشان داده‌اند نوزادان نارس در غان­وغون کانونی و رشد گفتار و زبان در آینده تاخیر دارند. تحریک دهانی بکمن، یک رویکرد حسی-دهانی غیرگفتاری است. از جمله عوامل خطرساز در تاخیر و آسیب زبانی نوزادان نارس، جنسیت می‌باشد. در مطالعه حاضر تاثیر تحریک دهانی بکمن بر غان­وغون نازادان نارس دختر و پسر بعد از گذشت ۶ ماه مورد مقایس...

[ 18 ] - Comparison of Nasal Non-invasive Ventilation Methods in Preterm Neonates with Respiratory Distress Syndrome

Background: Humidified heated high flow nasal cannula (HHHFNC), nasal continuous positive airway pressure (NCPAP), and nasal intermittent positive pressure ventilation (NIPPV) are three nasal non-invasive ventilation methods. The purpose of this study was to compare these three methods in decreasing intubation and mechanical ventilation rate in preterm neonates with respiratory distress syndrom...

[ 19 ] - 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...

[ 20 ] - Comparison of Colony-forming Efficiency between Breast Milk Stem/progenitor Cells of Mothers with Preterm and Full-term Delivery

Background: The beneficial effect of breastfeeding for the health of mothers and infants are well recognized. Breast milk is a novel source of the stem cells forming during pregnancy and lactation. In the present study, the colony forming efficiency (CFE) of breast milk-derived stem/progenitor cells in the breast milk of mothers with preterm delivery (gestational age o...

[ 21 ] - Assement Efficacy and Complication of the Distance between Phototherapy Lamps and Neonate’s Body Level on Serum Bilirubin Decrease and Phototherapy Complications in Neonatal Hyperbilirubinemia

Background: Jaundice is one of the most leading causes of neonate hospitalization (51.8%) during the first four weeks of life, and phototherapy is one of the most common and safest methods for the treatment of jaundice. Different results have been obtained from the studies conducted on the investigation of factors affecting increased phototherapy effect on the reduction of neonatal jaundice. Ho...

[ 22 ] - 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...

[ 23 ] - 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 ...

[ 24 ] - 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...

[ 25 ] - 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...