@article { author = {Sathish, Yashoda and Edward Lewis, Leslie and Angelitta Noronha, Judith and George, Anice and Snayak, Baby and S Pai, Mamatha and Bhat, Ramesh and Purkayastha, Jayashree}, title = {Clinical Outcomes of Snuggle up Position Using Positioning Aids for Preterm (27-32 Weeks) Infants}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {1-6}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2016.7709}, abstract = {ABSTRACTBackground: Preterm birth, if not actively managed with developmental supportive care, can significantly contribute to neurodevelopmental compromise. Use of appropriate positioning aids helps with mimicking the intrauterine environment and facilitating neuromuscular development. Herein, we aimed to determine the effectiveness of snuggle up positioning aids on clinical outcomes of preterm (<32weeks) infants.Methods: This randomized controlled trial was performed at a tertiary neonatal intensive care unit (NICU) to investigate the effect of snuggle up position using positioning aids (vs. standard care) on heart rate, respiratory rate, oxygen saturation, duration of ventilation, weight gain, and duration of NICU stay.Results: There was a significant difference in respiratory rate, oxygen saturation, stability of the cardiorespiratory system in preterm infants (SCRIP) score, and weight gain between the intervention and control groups (P<0.05). However, there was no significant difference in temperature, heart rate, and duration of ventilation between the two groups (P>0.05).Conclusion: Use of snuggle up position with positioning aids increased stability of physiological parameters and weight gain and reduced duration of NICU stay. Thus, the use of positioning aids for preterm infants is recommended to facilitate their growth and clinical outcomes.}, keywords = {Keywords: Clinical outcomes,Physiological Parameters,preterm infants,Snuggle up positioning}, url = {https://ijn.mums.ac.ir/article_8515.html}, eprint = {https://ijn.mums.ac.ir/article_8515_6769fc9e01236912fdfba47ec6fcbbc6.pdf} } @article { author = {Shariat, Mamak and Abedinia, Nasrin}, title = {The Effect of Psychological Intervention on Mother-Infant Bonding and Breastfeeding}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {7-15}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.16673.1191}, abstract = {ABSTRACT Background: The emotional bond that a mother feels towards her infant is critical to their social, emotional, and cognitive development. This concept has a major influence on an infant’s future health, and growth, so the assessment of parental-fetal attachment and related factors is of great importance. This study aimed to examine the effect of psychological intervention on attachment and persistency of lactation.Methods: This clinical trial was carried out on 71 pregnant women who visited Milad and Vali-Asr hospitals in Tehran, Iran. The subjects were selected by convenience sampling method and randomly divided into control (n=36) and intervention (n=35) groups. In the intervention group, the subjects received three sessions of supportive group psychotherapy supplemented by training packages. Avant’s mother-infant attachment behavior questionnaire, Maternal Attachment Inventory, 28-item General Health Questionnaire, and the short form of the Coopersmith Self-Esteem Inventory were used to evaluate attachment behaviors and related factors. Attachment of mothers was examined at six different times. Statistical data was analyzed using independent t-test, Fisher’s exact test.Results: The findings indicated that the intervention group had increased attachment and breastfeeding persistency (P˂0.001). Regression test also showed that maternal attachment was significantly influenced by psychological interventions, self-esteem, and depression (P˂0.001).Conclusion: According to the results, psychological interventions are suggested during pregnancy to increase attachment and breastfeeding persistency, and thereby, improve mental health of both mother and newborn.}, keywords = {Keywords: Bonding,Lactation,Supportive psychotherapy}, url = {https://ijn.mums.ac.ir/article_8516.html}, eprint = {https://ijn.mums.ac.ir/article_8516_db3aa241fd88b6c6e3e753aa1af4f247.pdf} } @article { author = {Ghorbani, Fatemeh and Heidarzadeh, Mohammad and Dastgiri, Saeed and Ghazi, Marziyeh and Rahkar Farshi, Mahni}, title = {Survival of Premature and Low Birth Weight Infants: A Multicenter, Prospective, Cohort Study in Iran}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {16-22}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.17586.1203}, abstract = {ABSTRACTBackground: The survival rate of preterm and low-birth-weight (LBW) infants depends on various factors such as birth weight, gestational age, and quality of care. The present study aimed at evaluating the survival rate of preterm and LBW infants, predictive factors, and the risk of mortality in three training hospitals of Mashhad and Tabriz cities.Methods: This prospective, cohort study was conducted during six months from 2013 to 2014. Infants with birth weight ≤1500 g or gestational age ≤32 weeks were enrolled. Their information was gathered by using data collection forms and clinical risk index for infants (CRIB II) was calculated for each participant. Infants were followed up until discharge from the hospital and their outcomes were determined. Kaplan-Meier and Log rock tests were used for survival analysis. Cox regression was also applied in order to find out the factors associated with infants’ survival.Results: Among the 338 followed up infants, 97 (28.7%) died and 241 (71.3%) remained alive. The median of preterm and LBW infants’ overall survival rate was 76 days (CI: 60.4-91.5). Multivariate Cox regression analysis indicated that three factors of birth weight, base excess, and fifth minute Apgar score had a significant relationship with the survival rate of infants (P<0.05).Conclusion: The survival rate of preterm and low-weight infants was acceptable in this study (71%). Birth weight, fifth minute Apgar score, and base excess were important items that affected infants’ survival and could be considered in predicting it in neonatal intensive care units.}, keywords = {Keywords: Low birth weight,NICU,premature infant,Survival}, url = {https://ijn.mums.ac.ir/article_8517.html}, eprint = {https://ijn.mums.ac.ir/article_8517_19357468164533cf496626e6b33ddb42.pdf} } @article { author = {Mohamadirizi, Shahla and Bahadoran, Parvin and Mohamadirizi, Soheila}, title = {An Active Teaching Approach for Fetal and Maternal Assessment in Delivery Room: A Randomized Clinical Trial}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {23-26}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.16744.1193}, abstract = {ABSTRACTBackground: A modern teaching method has been used for educating the midwifery students. Regarding the importance of accuracy and speed among the midwifery students, especially in the stressful condition of childbirth, this study aimed to investigate the effect of time management and precaution techniques on the midwifery student's clinical performance in the labour ward.Methods: This study was conducted on 40 midwifery students during November 2015-March 2016. The participants were randomly assigned into the control and experimental groups that were trained using the traditional method and time management techniques, respectively. The subjects’ clinical performance regarding the fetal heart rate monitoring, contraction check, and physical examination was assessed using a checklist during the intervention and four months after the intervention. The data analysis was performed using the independent and paired t-tests through the SPSS version 14. P-value less than 0.05 was considered statistically significant.Results: According to the results of the present study, there was no significant difference between the two groups regarding the speed of performing the examined clinical care before the intervention. However, following the intervention, there was a significant difference between the two groups in this regard (P=0.010). Additionally, the paired t-test revealed a statistically significant difference in the speed of performing the clinical care between the two groups after the intervention (P=0.018).Conclusion: As the findings of the present study indicated, the time management technique could improve the speed in the midwifery students. Therefore, this technique as a modern method is recommended to be employed in the emergency wards such as the labour and delivery wards.}, keywords = {Keywords: Delivery,fetal,Labour,Maternal,Midwifery,Time management}, url = {https://ijn.mums.ac.ir/article_8518.html}, eprint = {https://ijn.mums.ac.ir/article_8518_d5246a1e00793ef4a36329cf9ae1dbeb.pdf} } @article { author = {Elmee, Parisa and Shahrokh Taghavi, Seyyed}, title = {Effect of Vitamin D Supplementation during Pregnancy on Birth Weight: A Case-Control Study}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {27-30}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.16142.1182}, abstract = {ABSTRACTBackground: Previous studies revealed that maternal serum level of vitamin D can influence neonatal outcomes. In this controlled trial, we evaluated the effect of vitamin D supplementation during pregnancy on birth weight.Methods: In this interventional study, we enrolled 67 pregnant women (gestation: 10 weeks), who referred to Seyyedal Shohada Hospital during two years (from January 2014) with vitamin D less than 30 ng/ml. From gestational age of 14-24 weeks, vitamin D (50,000 IU/week) was administered to the patients, and its level was measured again in the 24th week of gestation. At this time, patients with vitamin D more than 30 ng/ml served as the intervention group, while the remaining patients were excluded (n=55 patients). In the control group, the level of vitamin D was measured at the time of delivery.Results: The mean vitamin D level in the intervention group was 43.04±20.09 ng/ml. The baseline patient characteristics such as gravidity, parity, and the number of deliveries were not significantly different between the two groups. However, the two groups were significantly different regarding neonates’ characteristics such as birth weight, height, and headcircumference.Conclusion: Our findings showed that administrating vitamin D during pregnancy increases the mean values of neonatal weight, head circumference, and height.}, keywords = {Keywords: Birth weight,pregnancy,Vitamin D}, url = {https://ijn.mums.ac.ir/article_8519.html}, eprint = {https://ijn.mums.ac.ir/article_8519_f8c807803fb4891ceb6dc83a34a33e2a.pdf} } @article { author = {Hemati, Zeinab and Namnabati, Mahboobeh and Taleghani, Fariba and Sadeghnia, Alireza}, title = {Mothers' Challenges after Infants' Discharge from Neonatal Intensive Care Unit: A Qualitative Study}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {31-36}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.15546.1174}, abstract = {ABSTRACTBackground: Mothers with premature infants face certain challenges such as uncertainty on how to deal with their infant's condition and care for it after discharge from neonatal intensive care unit (NICU).Methods: A qualitative design was used to explain mothers' challenges after their infant's discharge from NICUs in Isfahan, Iran, 2015. Purposive sampling was adopted to interview the mothers who could provide us information about the challenges after their infant's discharge. Data collection was performed by interviewing mothers. Data saturation was reached after conducting 23 in-depth, semi-structured interviews. All the data was analyzed by qualitative content analysis.Results: Four themes and nine categories were identified. The themes were incompetence in breastfeeding, dependence on hospital and nurses, feeding tube as a reason for stress, and constantly worried mothers.Conclusion: Mothers have difficulty in meeting their infants' basic needs after discharge. Supporting these mothers can enable them promote their infant's health.}, keywords = {Keywords: Challenges,Discharge,Home care,Mother's,NICU,Qualitative study}, url = {https://ijn.mums.ac.ir/article_8520.html}, eprint = {https://ijn.mums.ac.ir/article_8520_7fe55687c5964fa0107bbc4074f00267.pdf} } @article { author = {Dogan, Vehbi and Ertuğrul, İlker and Kayalı, Şeyma and Koyuncu, Ece and Arman Örün, Utku and Karademir, Selmin}, title = {Severe Persistant Cyanosis in a Newborn Due to Prominent Eustachian Valve}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {37-39}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.16289.1184}, abstract = {ABSTRACTThe valves of right horn of systemic venous sinus are prominent structures within the right atrium during early embryonic period. Involution of these structures may not be complete, resulting in a spectrum of anatomical presentations such as cyanosis. A full-term male neonate referred to our hospital for precise evaluation of severe cyanosis on the first day of life. Echocardiographic examination revealed right-to-left interatrial shunting through patent foramen ovale due to prominent eustachian valve with normal estimated right heart pressures from peak tricuspid regurgitation velocity. He was maintained with supplemental oxygen and a PDE-5 inhibitor (sildenafil) and subsequently improvement in oxygen saturation was achieved. The patient was discharged after 2 weeks of treatment. In conclusion; the embryologic remmants of the sinus venosus rarely may lead to right-to-left shunting resulting in severe cyanosis. Pulmonary vasodilators such as sildenafil may improve oxygen saturation in these patients even in case of normal right heart pressures.}, keywords = { Cyanosis,Chiari network,Eustachian valve,Newborn,Sildenafil}, url = {https://ijn.mums.ac.ir/article_8521.html}, eprint = {https://ijn.mums.ac.ir/article_8521_239c6773df221aa66f0db52f67fede85.pdf} } @article { author = {Amini, Elaheh and Azadi, Negin and Sheikh, Mahdi}, title = {New Insights on Genetic Features of Neu-Laxova Syndrome}, journal = {Iranian Journal of Neonatology}, volume = {8}, number = {1}, pages = {40-42}, year = {2017}, publisher = {Mashhad University of Medical Sciences}, issn = {2251-7510}, eissn = {2322-2158}, doi = {10.22038/ijn.2017.17273.1199}, abstract = {ABSTRACTBackground: This study aimed to present a rare case of Neu-Laxova syndrome (NLS) and review the newly revealed genetic features of the disease in hopes to find a way for early interventions.Case report: Female newborn with NLS was born at 30 weeks of gestation to consanguineous parents. The last prenatal ultrasound imaging revealed severe intrauterine growth restriction and microcephaly without polyhydramnios. The newborn had significant dysmorphic features, such as microcephaly, slanted forehead, protruding eye, flattened nose, micrognathia, cleft palate, ichthyosis skin, edematous hands and feet and flexion contractures of the joints. Moreover, she had the usual female karyotype. Results of plain x-ray imaging demonstrated microcephaly, kyphosis, and arthrogryposis.Conclusion: According to the results of this study, NLS is a severe serine deficiency disorder. Given the confirmation of the possibility of diagnosing NLS early in gestation by several studies, it is suggested that early maternal supplementation with serine and glycine be used in families at risk of this disease or those who are diagnosed in early gestation with NLS in order to decrease the severity and fatality of the disease.}, keywords = { Deficiency,Microcephaly,Serine}, url = {https://ijn.mums.ac.ir/article_8522.html}, eprint = {https://ijn.mums.ac.ir/article_8522_00698c01b31716311e1ba95d15f0f1d9.pdf} }