Maternal, newborn, and child health indices in Nigeria vary widely across geopolitical zones and between urban and rural areas, mostly due to variations in the availability of skilled attendance at birth. To improve these indices, the Midwives Service Scheme (MSS) in Nigeria engaged newly graduated, unemployed, and retired midwives to work temporarily in rural areas. The midwives are posted for...

105 inTroducTion Civilian Tactical Emergency Medical Support (TEMS) has a long history in the United States. Enormous progress has been made during the past ten years in developing professional and operational standards within the field. However, to date, there still exists no standard of care within TEMS specifically, and more broadly for high threat pre-hospital trauma care. Current civilian ...

Eiman Zargaran, MD, MHSc, Lauren Adolph, Nadine Schuurman, PhD, Larissa Roux, MD, PhD, Damon Ramsey, MD, Richard Simons, MB, BChir, Richard Spence, MD, Andrew J. Nicol, MD, PhD, Pradeep Navsaria, MD, Juan Carlos Puyana, MD, Neil Parry, MD, Lynne Moore, PhD, Michel Aboutanos, MD, MPH, Natalie Yanchar, MD, Tarek Razek, MD, Chad G. Ball, MD, MSc, and S. Morad Hameed, MD, MPH, for the Trauma Associ...

We report a case of an extremely low birth weight (ELBW) infant presenting with pulmonary hemorrhage (PH) in which we have given surfactant after an acute episode of bleeding with severe intractable hypoxemia. Surfactant replacement therapy showed improvement in Mean Airway Pressure (MAP) and oxygenation indices. Our case suggests that surfactant replacement therapy is useful in PH.

OBJECTIVE To compare uterine artery Doppler velocity and impedance indices in the presence and absence of uterine artery waveform notches, in the prediction of adverse pregnancy outcome in high-risk women. METHODS One hundred and fifty-seven women identified at Doppler screening as being at 'high risk' underwent a further uterine artery Doppler assessment at 24 weeks' gestation. Pulsatility a...

Forty three infants under 1400 g were fed by a bolus nasogastric, continuous nasogastric, or transpyloric route. There were more complications with transpyloric feeding and no identifiable benefits in the growth rate, oral energy input, or chosen biochemical indices of nutrition. Bolus or continuous nasogastric feeds rather than transpyloric are better routine methods in infants of low birth we...

Weight, length, and skinfold thicknesses were measured in 4634 term and preterm neonates. Sex and weight/length ratio were important determinants of the amount and distribution of the subcutaneous fat store at birth. Gestational age, weight, length, and other ponderal indices did not explain subcutaneous fat variability.

Introduction Poor pregnancy outcomes are frequent in developing countries. The commonly studied outcomes are low birth weight (LBW), preterm birth and intra-uterine growth retardation (IUGR), both of which are related to LBW. Pregnancy outcomes are influenced by several maternal factors including malaria nutrition, psychological stress and socio-demographic factors. Apart from nutritional and p...

introduction: low birth weight (lbw, birth weight<2500g) is a significant health problem in children all around the world. there is a direct relationship between low birth weight and infant mortality rate. one of the most important measures to prevent childhood morbidity is growth monitoring. the present study was planned to compare the growth rate of lbw neonates with those weighing 2500g and ...

OBJECTIVE The aims of this study were evaluation of the association of reduced fetal movements (RFM) and small-for-gestational-age (SGA) birth at term and to explore if fetal and maternal outcomes are different with single vs repeated episodes of RFM and normal fetal assessment test results. STUDY DESIGN This was a retrospective cohort study of all singleton pregnancies referred for RFMs at a...