BACKGROUND Hypoxemia is a grave sequel of pneumonia, and an important predictor of a fatal outcome. Pneumonia in the neonatal period is often associated with lack of breast feeding. However, there is no published report on the impact of the cessation of breast feeding in the neonatal period on the development of pneumonia and hypoxemia. The purpose of our study was to assess the impact of non-b...

Background: Birth weight is largely influenced by the mother's parity, gender of baby, conceptus number, and maternal environment. The heavier seen for male babies at full-term compared to females, in singleton twins, later-born first baby. Low-weight are mothers lower socioeconomic status. In urban group closest correlation with neonatal calf circumference. Aim: present study was conducted per...

Background: Among neonates, lack of oxygen results in multi-organ failure especially causing brain hypoxia resulting hypoxic-ischemic encephalopathy (HIE). Aim: To determine diagnostic accuracy LDH detecting birth asphyxia keeping clinical signs HIE as gold standard. Study Design: Cross-sectional study. Methodology: Neonates (n=180) fulfilling inclusion criteria were enrolled this study from th...

BACKGROUND Concerns have been raised that a lack of senior obstetricians ("consultants") on the labour ward outside normal hours may lead to worse outcomes among babies born during periods of reduced cover. METHODS AND FINDINGS We carried out a multicentre cohort study using data from 19 obstetric units in the United Kingdom between 1 April 2012 and 31 March 2013 to examine whether rates of o...

BACKGROUND Severe preeclampsia is a disorder of pregnancy characterized by high blood pressure and significant proteinuria after 20 weeks gestation. Severe preeclampsia and eclampsia have considerable adverse impacts on maternal, fetal, and neonatal health especially in low-resource countries. Hypertensive disorders of pregnancy are the third leading cause of maternal deaths in Sub-Saharan Afri...

OBJECTIVE To evaluate the perinatal outcome of MC twins with selective IUGR (sIUGR). STUDY DESIGN A prospective study, which included three groups of MC twins: Group A, uncomplicated MC twin pregnancies (n = 91); group B, sIUGR with normal umbilical artery Doppler (n = 19); and group C, sIUGR with abnormal (absence or reversed EDV) umbilical artery Doppler (n = 18). The latter were routinely ...

INTRODUCTION Intrauterine growth retardation (IUGR) is the term describing a foetus that has not reached its genetic growth potential. There is no international consensus on the definition of IUGR. The aim of this study was to describe a cohort of weight-restricted neonates and their mothers focusing on risk factors, catch up and neonatal outcome. MATERIAL AND METHODS This was a retrospective...

Small and sick newborns need high quality specialised care Background: within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. We examined neonatal admissions in 12 public-sector County Methods: (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission register...

OBJECTIVE Paucity of interlobular bile ducts (PIBD), defined as absence or marked decrease in the number of interlobular bile ducts, is one of the causes of neonatal cholestasis. Treatment includes treating the intractable pruritus caused by persistent cholestasis. PIBD can be part of a familial syndrome of cholestasis named Alagille syndrome (AGS). We report clinical status of a case series of...

Small and sick newborns need high quality specialised care Background: within health facilities to address persistently high neonatal mortality in low-income settings, including Kenya. We examined neonatal admissions in 12 public-sector County Methods: (formerly District) hospitals in Kenya between November 2014 and November 2016. Using data abstracted from newborn unit (NBU) admission register...