30^th Neonatology and Primary Care Congress October 28-29, 2020 Amsterdam, Netherlands

Biography:

Angela María Olarte Castillo has complete pediatricians MD from Universidad del Valle, she works at the intensive care pediatric unit in Clínica Farallones, Cali, Colombia, she contributes in articles related with malnourishment associated factors, and the humanization strategies in the attention of births.

Abstract:

Introduction: The placenta accreta spectrum (PAS) is a cause of maternal mortality and massive obstetric hemorrhage. The application of humanization strategies during birth (HBS) is rare.

We reported a series of cases of PAS with the application of HBS and evaluated the concept of these activities by a group of anesthesiologists in a Latin American hospital.

Methodology: A prospective descriptive study was conducted. We included all patients taken for scheduled PAS surgical management after prenatal diagnosis and interdisciplinary surgical planning at Fundación Valle de Lili (FVL), in Cali, Colombia. We divided the population according to whether (Group 1) or not (Group 2) HBS will be applied and the clinical outcomes of both groups. Additionally, we evaluated the perception that FVL anesthesiologists had about HBS in patients affected by PAS, applying a survey.

Results: n=13 patients, 7 Table 1 describes the clinical characteristics of Groups 1 and 2. All patients in group 1 benefited from the skin-mother-baby contact in the operating room, while the median time for contact with the newborn was 6.5 hours in group 2. Five patients in group 1 (71.4%) had a companion during surgery. No anesthesiologist reported any additional difficulty in the management of group 1 patients with the application of HBS.

Although 91% of the 24 anesthesiologists interviewed were aware of HBS, only 37.5% applied it when treating patients with PAS (table 2). 

Conclusion: Applying HBS in cases of PAS is possible in selected cases, attended by experienced centers.

Biography:

Katie Hanafin is a highly experienced NICU nurse who after 10 years working in a level 3 unit in the UK, she retrained to become an Advanced Neonatal Nurse Practitioner at Southampton University in 2014, qualifying with a Masters in Advanced Clinical Care – Neonatal Studies.  Following qualification she worked on the Medical Rota in a busy Neonatal Intensive Care Unit for 4 years before moving to the Abu Dhabi to become the first Neonatal Nurse Practitioner in the UAE.

 

Abstract:

Background: Covid-19 has caused a ripple effect of changes across all areas of healthcare, including care of Neonates.  Initial thoughts were that vertical transmission was not possible but this is now in question.  Neonates are a high risk population, for that reason extreme care must be taken to protect this vulnerable group of the population, whilst also provided family centered care within new, strict visiting regimes and rules.

Objective: Highlight of the main issues surrounding neonates and covid-19.

Discuss the likelihood of vertical transmission. 

Discuss the effect of Covid-19 on parents.

Results: Case reports from Fenizia, Zamaniyan et al, Kirtsman et al, and Sisman et al, all suggest there is a risk of vertical transmission, although the percentage of cases seen are minimal.  Those babies found to be positive were often asymptomatic or minimally affected by the virus.

There has been a big change within hospitals regarding management of patients and patient/staff ratios for suspected/confirmed patients.  This has had a multifactorial negative effect including tired, overworked staff, cuts in salaries for some due to the hospitals extra expenditure during the pandemic, staff being asked to work on wards they are unfamiliar with, and reduction in bed capacity for patients not affected by Covid-19.

Strict visiting regulations and home lockdown has affected parental bonding and increased the risk of mental health problems.  A study of 900 pregnant and postpartum women in Canada (Davenport et al 2020), has shown that before the pandemic began, 29 per cent of those women experienced moderate to high anxiety symptoms, and 15 per cent experienced depressive symptoms. During the pandemic, these numbers have increased with 72 per cent experiencing anxiety and 41 per cent dealing with depression, the study noted.

Conclusion: The lives of staff and patients changed dramatically during the pandemic.  Within the UAE we are now starting to come through the other side with many hospitals now Covid-19 free, DAE being one of them.  Moving forward, can we relax with the strictness of our PPE? We should definitely begin to relax on visiting to ensure parents can get that necessary bonding time with their babies.

Biography:

Lectuer of Pediatrics, Assiut University Children Hospital, Faculty of medicine Assiut University, Egypt

Abstract:

Background: Congenital anomalies (CA) are common causes of infant’s and childhood deaths and disability. Objectives: The aim of the study is to determine the prevalence, describe the types and risk factors of congenital anomalies among newborns admitted to Neonatal Intensive Care Unit (NICU) of a Children's Hospital. Study design: It is a prospective observational study(analytic cross sectional study) was performed and screening of the newborn admitted at NICU of a Children's Hospital during the period of 6 months from 1 to 12-2017 to the end of 5-2018. The sample was 346 newborns, 173 cases and 173 control. We collected data using a record checklist and an interviewing questionnaire. Results: There were a significant difference between cases and control concerning gestational age (P=0.001), single or multiple babies (P=0.002), residence (P=0.001), consanguineous marriage (P=0.01) and family history of unfavorable outcome (P=0.001). We also found that the most common type of congenital anomalies was gastrointestinal anomalies 63 cases (36.4%) with tracheoesophageal fistula 17 cases (27%) being the most common GIT anomalies. Then the musculoskeletal anomalies being the second common anomalies 14.5% with diaphragmatic hernia 10 cases being the most common in musculoskeletal anomalies followed by other anomalies (22 multiple +1Conjoined Twins 23 cases (13.3%) followed by circulatory anomalies 22 cases (12.7%), followed by CNS anomalies 18 cases (10%). Conclusion: The prevalence of congenital anomalies was 22.97%. The most common anomalies were gastrointestinal anomalies (GIT), musculoskeletal anomalies, multiple anomalies and circulatory system anomalies. The risk factors were consanguineous marriage, positive family history, urban areas, full-term and singleton pregnancies.

Keywords: Congenital anomalies (CA), Risk factors, prevalence, types