background: hyperbilirubinemia is considered one of the most prevalent problems in newborns. phototherapy, exchange transfusion, and herbal medicine are common therapeutic approaches for preventing any neurologic damage in infants with neonatal jaundice. however, herbal medicine is less commonly used. aim: this study aimed to investigate the effect of bilineaster drop on neonatal hyperbilirubin...

Background Early prediction of adverse neonatal outcome would be possible by Doppler impedance indices of middle cerebral artery (MCA), umbilical artery (UmA), and descending aortal artery (AO) that result in decrease neonatal morbidity and mortality rate. The aim of the present study was a determination of optimal value for the ratio of MCA to descending aorta blood flow (MCA/AO) impedance ind...

BACKGROUND One of the important diseases in neonatal period is sepsis. Clinical sign and symptoms in addition to lab tests are the most important way to accurate diagnosis and prevention of mortality. This study was conducted with the aim of determining the most clinical sign and symptoms which leading to diagnosis of sepsis. MATERIALS & METHODS This is a descriptive cross-sectional study. Th...

BACKGROUND Elective caesarean section has replaced vaginal delivery for term breech foetuses due to fear of complications of vaginal breech delivery. This increasing rate of caesarean section worldwide is alarming. It has not only led to increase in adverse consequences in subsequent pregnancies and future fertility but also loss of skills for vaginal breech delivery. This study was conducted t...

Objective: To evaluate whether giving the recommended prophylactic course of dexamethasone before delivery reduces the occurrence of neonatal respiratory morbidities after elective cesarean delivery between 34 and 37 weeks. Methods: This randomized clinical trial recruited 130 women with singleton pregnancies between 34 and 37 weeks scheduled for elective cesarean delivery. They were randomized...

BACKGROUND In an era increasingly focused on quality improvement and cost containment, more emphasis is being placed on wiser utilization of medical care resources. One underutilized resource in early neonatal care is umbilical cord blood. FINDINGS Umbilical cord blood can be utilized for admission laboratory studies in neonates thereby avoiding a significant phlebotomy event in the first min...

Hypothermia is a major contributor to newborn mortality worldwide and remains a common problem for very low birthweight (VLBW) infants, even in technologically advanced hospital settings. The attributable risk of mortality from hypothermia is difficult to establish from the scant randomized trials on delivery room stabilization of VLBW newborns, but the relationship between admission temperatur...

BACKGROUND There is evidence that induction of labour (IOL) around term reduces perinatal mortality and caesarean delivery rates when compared to expectant management of pregnancy (allowing the pregnancy to continue to await spontaneous labour or definitive indication for delivery). However, it is not clear whether IOL in women with a previous caesarean section confers the same benefits. The ai...

Ethiopia has one of the world's poorest neonatal mortality rates (1). As a British paediatrician working for one year, the main aim was to improve neonatal care in a referral hospital's neonatal unit. An initial project looking at all admissions to the unit over the month of October 2012, revealed the death rate within the unit was 21% of all admissions. Of the 55 admissions only 43 (75%) had a...

OBJECTIVE To evaluate outcomes of induction of labor, compared with expectant management, in women attempting trial of labor after cesarean delivery (TOLAC) in a large obstetric cohort. METHODS We performed a secondary analysis of data from the Consortium on Safe Labor that included women with term (37 weeks of gestation or greater) singleton gestations and a history of one prior cesarean del...