Bilirubin may protect from severe ROP

Bilirubin may protect from severe ROP

Abstracts S47 was unknown, they have been tested upon admission to the delivery room. If HBsAg was positive, the parents were counseled and the newb...

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Abstracts

S47

was unknown, they have been tested upon admission to the delivery room. If HBsAg was positive, the parents were counseled and the newborns received vaccination and HBIG after birth.

Background and aim

Results

Materials and methods

The prevalence of HBsAg (+) in 467 women was 3.85% (18). Women of Greek origin (65.95%–308) had a prevalence of HBsAg (+) 1.62% (5), women born in other countries who live in Greece (18.84%–88) have a significantly higher prevalence of HBsAg carrier status 4.55% (4). Women of rom origin (15.20%–71) have a high prevalence of HBsAg (+) 12.68% (9). HBsAg (+) is more prevalent in rural region than in urban region (4.59% vs 2.72%).

Mothers in Group I had chance of hospitalization with their preterm infants in an individual room in the NICU. Mothers in Group II were not hospitalized but had opportunity to visit their babies and spend time with them whenever they wanted. On the postdischarge third month, mothers were assessed for parental stress, postpartum depression and perception of vulnerability.

The aim of the study was to investigate the effect of individual room care in the NICU on the factors that influence mother–preterm infant interaction.

Results Conclusions The incidence of HBV among pregnant women in Ilia district is higher than hitherto expected, as well as than in other regions of Greece. Also, HBsAg (+) is more prevalent in rural region and in rom women. doi:10.1016/j.earlhumdev.2008.09.118

Abstract UENPS.103 Bilirubin may protect from severe ROP

Although the mean depression, stress and vulnerability scores were higher in Group II, there was not any significant difference between the groups (p > 0.05). Postpartum depression rate was more than two times in Group II, but this difference was not statistically significant (p = 0.06). Conclusions Individual room care in the NICU cannot prevent maternal stress, postpartum depression and perception of vulnerability related to having a high risk preterm infant by itself alone. doi:10.1016/j.earlhumdev.2008.09.120

Parisa Mohagheghi⁎, Arash Poorsattar, Ali Jalali Iran Medical Sciences University, Tehran, Iran Background and aim Bilirubin is a potent in vitro antioxidant. Our aim in this study was to determine whether bilirubin act as an antioxidant in neonates protecting from sever retinopathy of prematurity (ROP). Materials and methods This study took place in MILAD Hospital NICU Level 3 in Tehranas a crosssectional study by collection data from neonatal management files during June 2005–June 2006. Mean Total Serum Bilirubin (TSB) during first 7 days of life is recorded from both with ROP and without ROP groups in all neonates under 32 wks GA and under 1500 g BW.

Abstract UENPS.105 The impact of individual room on rehospitalization and health service utilization in preterms after discharge

Omer Erdevea, Saadet Arsan⁎,a, Sule Yigitb, Didem Armangilb, Begum Atasaya, Ayse Korkmazb a Ankara University, School of Medicine, Ankara, Turkey b Hacettepe University, School of Medicine, Ankara, Turkey Background and aim To compare individual room implemented family-centered care to classical designed NICU, and find out its effect on rehospitalization and application to health services in preterm infants after discharge.

Results Materials and methods There were 13 neonates with ROP and 60 neonates without ROP as control. Mean TSB was 4.26 ± 1.03 in ROP group compared to 6.35 ± 1.15 in no ROP group (P value < 0.001).

We concluded that bilirubin may play an antioxidant role in vivo as in vitro. We suggest that according to this study, more judicious lowering of bilirubin in VLBW infants may protect them from severe ROP.

Mothers whose infants were born before 34 gestational weeks and hospitalized for at least one week in the NICU were enrolled in the study. Mothers who were hospitalized with their preterm infants in individual rooms (Group I) were compared with mother who were not hospitalized with their preterm infants (Group II). After the third postdischarge month, groups were compared for their rates of phone consultations to physician/ hospital, acute care applications, rehospitalization and parent's perception of child's vulnerability.

doi:10.1016/j.earlhumdev.2008.09.119

Results

Conclusions

Abstract UENPS.104 Does individual room implemented family-centered care contribute to mother–infant interaction in preterm deliveries necessitating NICU hospitalization?

Omer Erdevea, Saadet Arsan⁎,a, F. Emre Canpolatb, Ilgi Ertema, Begum Atasaya, Murat Yurdakokb, Gulsevin Tekinalpb, Tomris Turmena a Ankara University, School of Medicine, Ankara, Turkey b Hacettepe University, School of Medicine, Ankara, Turkey

Although demographic and medical information did not indicate any differences between the groups; the mean number of acute care visits (p = 0.046), the median number of phone consultations (p = 0.001), and rehospitalization rate (12.9% vs. 34.5%, p < 0.05) were significantly higher in Group II. The anatomical problems, such as inguinal hernia and retinopathy of prematurity, were the main recorded causes in Group I whereas problems related to prematurity like feeding difficulties were dominating in Group II. Conclusions The availability of individual rooms that allows maternal presence and participation during the hospitalization of the mother's preterm infant is