PP-292. Cases with asymmetric crying facies

PP-292. Cases with asymmetric crying facies

Abstracts S133 Conclusions Materials and methods This study shows that the ratio of microscopic and macroscopic placental pathologies are higher i...

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Abstracts

S133

Conclusions

Materials and methods

This study shows that the ratio of microscopic and macroscopic placental pathologies are higher in the preterm placentas. Chorioamnionitis wasn't appointed in any term placenta. We conclude that examination of the placenta is essential in preterm births.

All full term neonates admitted to the neonatal unit AL-Bashir haopital 1/1/2010–30/4/2010, were included. A special study questionare was filled for each which included the characteristics and outcome of the group. Results

doi:10.1016/j.earlhumdev.2010.09.347

PP-292. Cases with asymmetric crying facies Fatma Kaya Narter, Yasemin Akın, Turgut Agzıkuru, Neslihan Cicek Deniz, Nilufer Akseki, Melek Kose, Gulay Ciler Erdag Dr. Lütfi Kırdar Kartal Training And Research Hospital, Turkey

During this period a total of 592 full term neonates were admitted which represents 47.58% of total admissions. 80% were admitted in first day of life, 60% were normal vaginal delivery, 90% were delivered in AL-Bashir Hospital. Respiratory distress was the main reason for admission (32%), IUGR was the second (14.7%), neonatal asphyxia and congenital malformations each was responsible for 7% of admissions. Mortality rate was 5%, 62% of which was due to asphyxia, 30% were due to congenital malformations. 50% of full terms stayed 3 or less days in hospital.

Aim Conclusions Asymmetric crying facies (ACF) is a minor anomaly wherein one side of the mouth does not descend during crying. It is often attributed to hypoplasia or agenesis of the depressor anguli oris muscle. Associated major and minor malformations as well as deformations have been described. We report here two patients with ACF.

Full term neonates represent a signifigant proportion of our neonatal unit admissions. Neonatal asphyxia and congenital malformations are a major cause of death. Most stay for a short period of time. A nursery with good observation and specific criteria for admission can accomadate a good percentage of these neontes which would decrease the load in the neonatal unit.

Case presentation Case 1 A live-born of 38 wk gestational age, weighting 3225 g, delivered to 30-years-old G2P1 woman was transferred to our NICU because of respiratory distress. He had bilateral microphthalmos, left cup ears, cryptorchidism. His face appeared symmetric at rest, but while crying the mouth was pulled downward to right. Echocardiographic examination revealed atrial septal defect, atrial septal aneurysm, left ventricular hypertrophy, tricuspid regurgitation. Abdominal ultrasound revealed normal anatomy of the genitourinary tract. Ophthalmologic examination revealed bilateral colobomata . He had hearing loss. EMG showed a paucity of the motor units but no fibrillation and conduction of the facial nevre. The combination an asymmetric crying face and congenital heart defects suggested a diagnosis of cardiofacial syndrome, 22q microdeletion was not detected. Case 2 Male infant weighing 3000 g was delivered at 38 gestation to 27-years-old G3P2 woman. His face appears symmetric at rest and asymmetric during crying. He had clinodactyly and pilonidal sinus.

doi:10.1016/j.earlhumdev.2010.09.349

PP-294. Study of parameters associated to birth weight, 10 years study Anna Pantazi, Hacer Hasan, Dimitrios Papadimitriou, Eleni Karanikolaou, Eleni Kifnidou, Eleni Sotiriou, Sidika Tahir, Maria Iordanidou, Athanasios Tsolakidis General Hospital of Komotini “Sismanogleio”, Pediatric Clinic, Greece Aim Birth weight has an important role in child's growth. The study was designed in order to determine the factors which can affect a neonate's birth weight.

Conclusion Materials and methods ACF should be differentiated from true facial paralysis on a clinical basis. Reports of other anomalies in infants with ACF indicated that the finding of ACF may serve as a marker of various congenital anomalies.

doi:10.1016/j.earlhumdev.2010.09.348

The objective of our study consists of 3511 full-term neonates who were born in the General Hospital of Komotini during the last 10 years. Besides demographic data for each neonate and mother, some parameters like maternal age, smoking, gestational weight gain and socioeconomic status were studied. We divided neonates into 4 groups according to birth weight, compared these groups and examined the relative effect of the parameters on the birth weight.

PP-293. Full term neonatal admissions Results Bahiyeh Qandalji Ministry of Health, Jordan Aim The aim of this study is to see the characteristics of full term neonates admissions in AL-Bashir Hospital, the main governmental hospital in Jordan.

26% of neonates were in group >3500 g, 51% were in 3000-3500 g, 17% in 2500-3000 g and 5% in <2500 g. 52% of adolescent mothers gave birth to 3000-3500 g newborns and 1970 of them >3500. Old mothers >35 had the highest percentage of low birth weight neonates <2500 g among all age groups. 41% of neonates with birth weight >3500 belonged to mothers with gestational weight gain <12 kg. 31% of mothers with newborn birth weight <2500 g were smokers. 55% of low