Anemia 36 weeks pregnant. Early Versus Delayed Umbilical Cord Clamping on Physiologic Anemia of the Term Newborn Infant

Case outline A male neonate, weighing 2, grams, with paracervical circular double umbilical cord and an APGAR score of 9, was prematurely born, after 36 weeks of gestation, from a pregnancy at a high risk.

E-mail: moc. This article has been cited by other articles in PMC. Abstract AIM: Our study aims to make a comparison between the effects of milking of umbilical cord anemia 36 weeks pregnant delayed cord clamping on Hemoglobin level at 6 weeks from delivery among term neonates and which method is more beneficial for them. Participants were randomised into 2 groups; Group 1: women were assigned to delay cord clamping; Group 2: women were assigned to milking of the umbilical cord 5 times before cutting. Student t-test was used to compare between the two groups for quantitative data, for qualitative data chi-square test and the Correlation coefficient was done to test the association between variables.

The newborn required some management measures in the first days of life, such as thermal comfort, hydroelectrolitic and acid-base rebalancing and monitoring of his vital functions. He had a good cardio-respiratory postnatal adaptation, with periods anemia 36 weeks pregnant agitation and polykinesis.

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The patient received packed red blood cells for the management of anemia. An antibiotic treatment penicillin and gentamicin i. During hospitalization the subject presented signs and symptoms of opioid neonatal abstinence syndrome periods of agitation, hyperphagia, sometimes with vomiting and gastroesophageal reflux, hyperagitation and polykinesisrequiring the administration of midazolam intravenous.

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A transfontanellar ultrasound has been taken with normal ultrasound aspect during examination. The child was discharged from the hospital after 2 weeks in a good clinical status, respiratory balanced, with good tolerance to food and with interdiction to be fed by breastfeeding.

Conclusion Addiction in pregnant women causes disturbances such as as preterm delivery, decreases the APGAR score and birth weight of infants and may result in neonatal abstinence syndrome. Keywords: heroin abuse, pregnancy, neonatal abstinence syndrome.

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