The immune response of the neonate is poor and is dependent on passive immunity provided by maternal Ig. However, here we show that exposure of the neonate to environmental antigens induces a germinal center (GC) reaction. In the peripheral blood of premature infants one finds IgG class switched B cells expressing a selected V-gene repertoire. These data suggest that restrictions in the reperto...

A N infant delivered in a private hospital after 33 weeks’ gestation weighed 2,050 g, had persistent tachypnea, and had associated hypoxia requiring intubation. After three esophageal intubations, the neonate’s trachea was successfully intubated. Despite mechanical ventilation, the infant had persistent tachycardia, hypoxemia (80–90% oxygen saturation) and a distended abdomen. A preoperative ra...

1. Describe the association between gestational age, birthweight, and postnatal age and blood pressure in the neonate. 2. Delineate the primary clinical consideration in an infant who has hypotension. 3. Describe the controversy surrounding the relationship between antenatal steroid therapy and neonatal blood pressure. 4. Delineate the aspects of management of respiratory illnesses in the neona...

HELLP syndrome is most often diagnosed between 27 and 37 weeks gestation. It is also a diagnosis that can be seen during the postpartum period. The effects of HELLP syndrome on the neonate can be significant. Recognizing the risks to the neonate can assist the clinician in preparing for the neonate prior to delivery. In doing so, the mortality and morbidity rates can be reduced.

germinal matrix-intraventricular hemorrhage (ivh) is the most common variety of neonatal intracranial hemorrhage and is characteristics of the premature infant. the importance of the lesion relates not only to its high incidence but to their attendant complications (ic: hydrocephalus). brain sonography is the procedure of choice in diagnosis of germinal matrix- intraventricular hemorrhage and h...

Bacteremic/20 wk PEN × 9 d Uncomplicated term delivery; neonate unaffected Zervoudakis and Cederqvist, 1977 Bacteremic/19 wk AMP × 3 wk Uncomplicated term delivery; neonate unaffected Hume, 1976 Bacteremic/18 wk AMP × 2 wk; then PO AMX Uncomplicated delivery at 39 wk; neonate unaffected Benshushan et al., 2002 Bacteremic/18 wk AMP × 7 d, GEN × 2 d; then PO AMX Diagnosed postpartum; preterm deli...

Background: This study aimed to identify the most important obstacles to proper interaction of parents with their neonates who were hospitalized in neonatal intensive care units (NICUs). Methods: This descriptive cross-sectional study was conducted on 90 NICU nurses and 400 female and male parents using census and convenience sampling methods. To collect data, in a period of three months, a re...

Evidence from several studies has shown that the penile length varies among different populations of racial/ethnic groups. Size abnormalities newborn external genitalia may be a pointer to some endocrine and genetic disorders. In this study we have prospectively measured stretched all newborns at our hospital in an attempt define normative data for full term neonates region. All live male born ...

Hyperpigmentation over face in a neonate is rare and the differentials for the same are also rare. Congenital chickengunya, fungal and viral infections, drug rash are few differentials. Chikungunya virus (CHIKV) infection manifesting in neonates is very rare. The prevalence of the entity was described only recently. We describe a neonate with hyperpigmentation on day 3 of life with stormy cours...