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Outcomes of babies born before arrival at a tertiary hospital in Johannesburg, South AfricaBassingthwaighte, Mairi 17 April 2015 (has links)
This research report is submitted in partial fulfillment of the requirements for the degree of
Master of Medicine in the Department of Paediatrics and Child Health, Faculty of Health
Sciences, University of Witwatersrand, Johannesburg
November 2014 / Background. Babies born before arrival to hospital (BBBAs) constitute a high-risk newborn
population. The literature demonstrates that BBBAs have increased perinatal mortality and
morbidity.
Objectives. To describe the maternal and neonatal characteristics of BBBAs presenting to
Charlotte Maxeke Johannesburg Academic Hospital (CMJAH), South Africa, and assess whether
they have increased morbidity and mortality compared with inborn babies.
Methods. This was a matched case-controlled retrospective record review of newborns
presenting to the neonatal unit of CMJAH between 1 January 2011 and 31 January 2013. BBBAs
were matched 1:1 with the next consecutive inborn on birth-weight category and gender.
Results. A total of 356 neonates were analysed. BBBAs had higher mortality than inborn
controls within the first 24 hours of hospital presentation (7.9% v. 3.9%; p=0.05). Mothers of
BBBAs were more likely to be unbooked (58.4% v. 10.7%; p<0.001) and of higher parity
(p=0.0008). HIV prevalence was similar amongst cases and controls (24% v. 28.7%), however
there were significantly more unknown HIV status in mothers of BBBA’s (49.6% v. 32%;
p=0.01). Cases had a higher prevalence of early sepsis (22.9% v. 3.6%; p=0.03) and birth
asphyxia (14.5% v. 0.8%; p<0.001) than controls. Overall, more deaths occurred in the very-lowbirth-
weight (VLBW) (24% v. 10%; p=0.06) and low-birth-weight (LBW) (7.46% v. 0%;
p=0.02) BBBA’s compared to controls.
Conclusion. We demonstrated higher mortality in the immediate postnatal period and in the
VLBW and LBW categories compared with hospital-delivered neonates. Once admitted, there
was no difference in mortality, length of stay or number of ICU admissions between cases and
controls. Mothers who delivered out of hospital were more likely to be multiparous and
unbooked and to have unknown HIV, RPR and Rh results. Neonatal resuscitation, transport and
immediate care on arrival at the hospital should be prioritised in the management of BBBAs.
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Caregiver-infant interactions and caregivers' representations of relationships in failure to thriveCoolbear, Jennifer L. January 2000 (has links)
Thesis (Ph. D.)--York University, 2000. Graduate Programme in Psychology. / Typescript. Includes bibliographical references (leaves 84-99). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://wwwlib.umi.com/cr/yorku/fullcit?pNQ56222.
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Pregnancy outcome and mortality patterns among women in Cape Verde /Wessel, Hans, January 1900 (has links)
Diss. (sammanfattning) Stockholm : Karol. inst. / Härtill 6 uppsatser.
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The processing of brief vowels by 3-4 month old infantsCowan, Nelson. January 1977 (has links)
Thesis--Wisconsin. / Includes bibliographical references (leaves 49-56).
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A biblical examination of the fate of humans dying in infancyCrippen, Jeffry Lynn. January 1983 (has links) (PDF)
Thesis (M.A.B.S.)--Multnomah School of the Bible, 1983. / Includes bibliographical references (leaves 42-46).
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Effects of infant sociability and the caretaking environment on infant cognitive competenceStevenson, Marguerite Barratt. January 1978 (has links)
Thesis--Wisconsin. / Vita. Includes bibliographical references (leaves 54-57).
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Infant reflex excitability during quiet and active sleepStrock, Barbara Dickson, January 1981 (has links)
Thesis (Ph. D.)--University of Wisconsin--Madison, 1981. / Typescript. Vita. Description based on print version record. Includes bibliographical references (leaves 81-89).
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A study of the interrelationship of cognitive and affective variables in the first year of lifeWeisz, Frederick Victor, January 1977 (has links)
Thesis--Wisconsin. / Vita. Includes bibliographical references (leaves 95-105).
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Infant recognition of emotional expressionNelson, Charles A. January 1977 (has links)
Thesis (M.S.)--Wisconsin. / Includes bibliographical references (leaves 31-32).
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A biblical examination of the fate of humans dying in infancyCrippen, Jeffry Lynn. January 1983 (has links)
Thesis (M.A.B.S.)--Multnomah School of the Bible, 1983. / Includes bibliographical references (leaves 42-46).
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