Prematurite et lesions cerebrales.

SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Naitre jumeaux ou triples.

info:eu-repo/semantics/publishe

Pseudohypoparathyroidism (PHP) secondary to vitamin D deficiency rickets

SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Evaluation of a prospective protocol for treatment of neonatal necrotizing enterocolitis

SCOPUS: NotDefined.jinfo:eu-repo/semantics/publishe

Concentrations sériques en IgE: prédiction des manifestations atopiques. Avantages de l'allaitement maternel.

English AbstractJournal Articleinfo:eu-repo/semantics/publishe

Acute neonatal collapse resulting from pericardial effusion [1]

SCOPUS: le.jinfo:eu-repo/semantics/publishe

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

Definition de l'asphyxie a la naissance et incidence des complications neurologiques et systemiques chez le nouveau-ne a terme

Patients and methods. In a prospective multicentric study, 152 of 10,065 live term births had birth asphyxia, defined by the association of three indicators (fetal distress, depression at birth and metabolic acidosis). Results. The incidence of birth asphyxia was 1.5% of live term births when birth asphyxia was defined by the presence of at least two indicators, and 1% of live term births when birth asphyxia was defined by the association of metabolic acidosis and another indicator. Neurological complications were observed in 66 cases (43%). The incidence of post-asphyxial encephalopathy (PAE) was 5.9‰ of live term births (mild PAE: 3‰; moderate PAE: 2.7‰; severe PAE: 0.2‰). Systemic complications were observed in 87 patients (57%). Renal injury and coagulopathy were associated with moderate or severe PAE. Respiratory complications (39%), infections (17%) and gastro-intestinal intolerance (15%) often complicated the coarse. Severe complications were never seen in the absence of significant metabolic acidosis at 30 minutes of life. Conclusion. Our study has many implications concerning the diagnosis of birth asphyxia and its complications. A terminology based on clinical observation and arterial pH evaluation is proposed in order to clarify the situation.SCOPUS: ar.jinfo:eu-repo/semantics/publishe

Physiological doses of corticosteroids for premature infants [5]

SCOPUS: le.jinfo:eu-repo/semantics/publishe

Jumeaux: interprétation des courbes staturo-pondérales à la naissance.

Weight, head circumference and body length curves were established with the data at birth of 770 twins born alive in our hospital. Those curves were compared with the Gairdner-Pearson curves realized on a population of singleton newborns. The twin weight curve shows the expected fall down from 32 weeks of gestation. More than 50% of twins would have been qualified as small for dates on the Gairdner standard for singletons. The head circumference and the body length curves show few differences, except a late fall down, significant from 39 weeks. So the normal twin shows usually an "asymmetrical" hypotrophy if compared with a general newborn population standard. The general weight standards do not allow to assess the normality of a twin and to suspect other reasons of fetal growth restriction that could also be present. These considerations plead for the use of specific twin charts. Yet the evaluation of twins on the general standards has still a place to estimate the immediate and at long-term adverse outcomes of fetal growth restriction. The evaluation of twin measurements would not be completed without the assessment of the weight discordancy inside the twin couple, as a risk factor of morbidity and mortality.English AbstractJournal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe