Omphalocele in children. Omphalocele is a congenital (present at birth) abdominal wall defect in which the infant's intestines or other abdominal organs protrude through the navel (umbilicus) and are covered by a membrane. This condition occurs during fetal development when the abdominal wall doesn't close properly, allowing the abdominal organs to push through. Key features of omphalocele include: Protrusion of Organs: Unlike some other abdominal wall defects, such as gastroschisis, omphalocele involves the protrusion of organs through the umbilical opening. The organs are typically covered by a sac, which may be composed of peritoneum and amniotic membrane. Size Variability: Omphaloceles can vary in size, ranging from small defects with only a portion of the small intestine protruding to larger defects involving multiple organs. Associated Anomalies: Omphalocele is often associated with other congenital anomalies and genetic syndromes. These can involve the heart, spine, kidneys, and other organs. The presence and severity of associated anomalies depend on various factors, including the size of the omphalocele. Diagnosis: Omphaloceles are typically diagnosed during routine prenatal ultrasounds. The severity of the condition and the presence of associated anomalies can be assessed through additional imaging studies. Treatment: Treatment of omphalocele usually involves surgical intervention. The goal is to return the protruding organs to the abdominal cavity and close the opening in the abdominal wall. The timing of surgery depends on the size of the omphalocele and the stability of the baby. Prognosis: The prognosis for infants with omphalocele depends on various factors, including the size of the defect, the presence of associated anomalies, and the overall health of the baby. Advances in medical care, including surgical techniques and neonatal intensive care, have improved outcomes for many infants with omphalocele. It's important to note that the management and outcomes can vary, and each case is unique. Medical professionals, including pediatric surgeons and neonatologists, work together to provide comprehensive care for infants with omphalocele. Early diagnosis, careful monitoring during pregnancy, and prompt medical intervention are crucial for the well-being of affected infants.
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RN|Clinical research nurse|Maternal and neonatal health advocate |Infection control nurse coordinator|Nurse educator|Theatre Admin|Quality Improvement Auditor.
Recently i came a cross one of the abnormalities of a newborn during my clinical placements in Maternity wing Lets learn on Ventriculomegaly It is a condition in which the brain ventricles, or fluid-filled cavities, are enlarged due to build up of cerebrospinal fluid (CSF). CSF is a fluid that protects the brain and spinal cord. The severity of ventriculomegaly depends on how enlarged the brain is. Ventriculomegaly is the most common fetal brain abnormality, occurring in up to 1.5 per 1,000 pregnancies Causes of ventriculomegaly Ventriculomegaly develops early in pregnancy. Two of the main factors that cause enlarged ventricles are: • An injury or problem with brain development around the ventricles • A blockage or imbalance in the ventricular system which prevents spinal fluid from moving or being absorbed normally Ventriculomegaly usually occurs spontaneously. It can happen on its own or be associated with infection, genetic problems or other birth defects, such as spina bifida or heart defects. Diagnosis Ventriculomegaly is often diagnosed through prenatal ultrasound, amniocentesis and magnetic resonance imaging (MRI) – to test infants after birth Treatment Ventriculomegaly only needs to be treated if the baby has hydrocephalus, a build-up of cerebrospinal fluid (CSF) in the brain. Treatments for hydrocephalus include: Shunt placement: In this process a small tube is implanted in the brain while the child is under anesthesia. The tube provides internal drainage of CSF from the ventricles of the brain into the abdominal cavity. Endoscopic third ventriculostomy (ETV): This minimally-invasive procedure creates an opening in the floor of the third ventricle in the brain, allowing the trapped fluid to escape from the ventricles into its normal pathway.
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November 2023 in Frontiers of Pediatrics: New data showing that the structured PIOMI is better than unstructured routine oral motor stimulation in ALL outcomes: PIOMI group had earlier readiness to feed, faster transition to full feeds, higher daily weight gain, 8 day shorter length of stay (!) and a 25-27% increase in exclusive breastfeeding at 1 and 3 months respectively. These researchers from India and Australia concluded that "PIOMI is a more effective oromotor stimulation method for earlier and improved oral feeding in preterm neonates." Congratulations to Pari Singh, MD, who trained with me in 2021. https://lnkd.in/gegHurcd
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Is your infant struggling with reflux? Dr. Scott A. Siegel's 2016 study delves into the connection between conditions like tongue and lip tie and aerophagia-induced reflux in breastfeeding infants. Discover how a straightforward procedure could offer relief. 👉 Read the full 2016 article at https://lnkd.in/gGkh-8Gs #InfantReflux #TongueTie #Pediatrics
Aerophagia Induced Reflux in Breastfeeding Infants With Ankyloglossia and Shortened Maxillary Labial Frenula (Tongue and Lip Tie)
lightscalpel.com
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Professor & Senior Consultant, Department of Ophthalmology & Center for Eye Research, University of Oslo
Very excited to share yet another fruitful institutional collaboration between my #Center_for_Eye_Research_and_Innovative_Diagnostics, Department of #Ophthalmology, and the Division of #Obstetrics and #Gynaecology lead by Prof. Anne Cathrine (Annetine) Staff, Oslo University Hospital and Universitetet i Oslo on the topic of "#Retinal #oximetry and #microvascular assessment after #hypertensive #pregnancy #complications". In this first retinal oximetry study in pregnancy, women with #hypertensive disorders of pregnancy (#HDP) were studied for their risk to develop #premature #cardiovascular #disease (#CVD). We found that the HDP group had a mean arterial pressure (#MAP) positively correlated with the #arterio_venous #oxygen #saturation difference,suggesting specific mechanisms affecting functional microvascular properties in these women. Special thanks go to our meticulous researchers in the project: medical student Sissel Hoel, Dr. Kjartan Moe, Dr. Meryam Sugulle and Dr. Nina Veiby, who built bridges between our ophthalmology and women's health research. The paper is available as Open access at: https://lnkd.in/darbcyDx
Retinal oximetry and microvascular assessment after hypertensive pregnancy complications
onlinelibrary.wiley.com
