Le Centre Néonatal de l'Hôpital Erasme :objectifs et réflexions

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Preventive treatment of neonatal hypoglycaemia in infants of insulin dependent diabetic mothers

Ten children born of insulin-dependent diabetic mothers were given preventively 10 ml of a 20% glucose solution at the 30th minute of life through a naso-gastric catheter. This was followed by a constant-flow feeding of 10 ml/kg of a 10% glucose solution from the 1st to the 4th hour of life and by 50 ml/kg of humanized milk from the 4th to the 24th hour of life. None of the 10 patients developed hypoglycaemia. Three newborns, not treated according to this schedule, presented at least one episode of hypoglycaemia. This treatment schedule is proposed to prevent hypoglycaemia in new-born infants of diabetic mothers.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Prématurés: Comment favoriser le lien?

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Aspects neurologiques des nouveau-nés "à risque"

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Growth and metabolic response of healthy low birth-weight newborns fed a semi-elemental diet

Twelve normal low birth-weight newborns weighing between 1100 and 1765 grams (means ± SD, 1614 ± 191) were fed by continuous intragastric drip a semi-elemental diet, providing per kilogram and per day 120 kilocalories, 2.9 grams of proteins, 17.5 grams of carbohydrates, 4.2 grams of fat and 2.4 milliequivalents of sodium. The diet contained a lactalbumin hydrolysate, dextrin maltose, and medium and long chain triglycerides. The newborns regained their birthweight between 6 and 16 days (mean ± SD, 10.4 ± 3.1) and gained 14 to 37 grams/day (mean ± SD, 25.4 ± 6.8) during the first month of life. The diet proved to be safe and clinically well-tolerated in low birth-weight infants and induced a weight gain similar to the intrauterine growth, once the birthweight had been regained.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Evaluation of a prospective protocol for treatment of neonatal necrotizing enterocolitis

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Les hypoglycémies modérées de l'enfant né prématurément : est-ce vraiment important ?

Glucose monitoring and management of hypoglycaemia in preterm infants remain controversial. However, recent animal studies have shown that hypoglycaemia is associated to increased generation of reactive oxygen and nitrogen species, to inhibition of cellular maturation and to apoptosis in brain. Despite potential consequences of hypoglycaemia on brain development in preterm infants, only few studies are available on this topic. Available clinical studies on neurological development of hypoglycaemic preterm infants are not conclusive but suggest detrimental effect of repeated mild hypoglycaemia on brain development. Both experimental and clinical arguments are sufficient to mind to this problem with great awareness. Therefore, routine repeated measurements of blood glucose concentration are necessary and active intervention is proposed if glucose plasma level decreases below 2.5 mmol/l. © 2007 Elsevier Masson SAS. All rights reserved.SCOPUS: sh.jinfo:eu-repo/semantics/publishe

Naitre jumeaux ou triples.

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Acute neonatal collapse resulting from pericardial effusion [1]

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Le Service de Soins Neónatals Intensifs et Non Intensifs.

To be born very prematurely in 2002 is very different of to be born very prematurely in 1978: the progress of the fetal and perinatal care have, amongst others, decrease the mortality of the neonates with a birthweight below < 1,000 g from 61% to 12%. The technological progresses in artificial ventilation have led to a significant decrease in chronic lung disease down to 5% or less, and of cerebral complications (intraventricular hemorrhages, grade 3 and 4 and/or periventricular leucomalacia) down to 11% or less. The progress in surgery and anesthesiology have allowed us to operate the extremely low birthweight infants in the neonatal unit when needed. This has been possible thanks to a multidisciplinary team approach: many specialists working together from conception to birth and from birth to home try to offer the best to these sometimes very small human beings.info:eu-repo/semantics/publishe