PDA Device Closure Case Study

G4 P3003 (4 Gestations, 3 Full Term, 0 Preterm, 0 Miscarriages, 3 Currently Living); 3 Spontaneous Vaginal Deliveries; Last birth was 7 years ago by SVD, weighed 4000 grams; No previous obstetrical complications or morbidity; No past medical history; No past surgical history; No prior antenatal care

Nowadays, there are many possibilities.  New advances in science may cover almost any complication in pregnancy, without having to choose to kill the mother or the baby.

According to the World Health Organisation [WHO] (2014) pre-term babies are at increased risk of illness, disability and death. It also states that globally 15 million babies are born pre-term and the figures are rising. In England and Wales during 2012 7.3% of live births were pre-term under 37 weeks nearly 85% of all babies born prematurely will have a very low birth weight (Office for National Statistics, 2012). Pre-term birth is associated with respiratory complications and lung disease, long-tern neurological damage and problems with bowel function (Henderson & Macdonald, 2011). Neonatal services provide care to babies who are born prematurely or are ill and require specialist care. It is seen that sixty per cent of infant deaths occur in the neonatal period (DH,

Since its introduction, the Heimlich valve has been advanced as an alternative method to more traditional methods

Jace Sauseda Clinical Rotation Mrs. Ysaguirre 17 November 2015 NICU Clinical Report At the Neonatal Intensive Care Unit doctors, nurses, and all staff unite together with one primary goal for each new life they receive, that goal being to achieve the best outcome for each premature and critically ill baby. The NICU, at University Hospital, care for 600 infants annually. Inside is a 58-bed facility, offering the highest level care led by on-site neonatologist (University Health system). The (NICU) is specialized to care for premature infants (those less than 37 weeks gestation) as well as sick newborns.

On today’s evaluation, she is 19 weeks and the fetal measurements overall are concordant. The long bone measurements are within one week of her dates. The amniotic fluid volume is normal, and the cervix is long and closed. A complete fetal anatomical survey was performed and a significant amount of ventriculomegaly/hydrocephalous was identified but no other major malformations were noted at this time, though due to the

This particular case study involves a 29 year old obstetric patient who presented to the labor and delivery unit at 33 weeks gestation with complaints of abdominal pain for the past three days that had become more severe and absence of fetal movement noted since the previous evening. Her obstetric history revealed she has one living child and has had one previous miscarriage at ten weeks

Since the time that I had the Norwood procedure, a variation of this surgery has been created. Instead of using a connection

Kristin is a 22yo, G2 P1001, who was seen for a follow-up ultrasound for interval growth and to further evaluate the fetal anatomy. She herself has type I osteogenesis imperfecta and has had many fractures in her lifetime. She also has a history of factor XIII deficiency and is followed by Dr. Hanna. She has had heavy bleeding in the past. Based on her height and weight at the start of the pregnancy, her BMI was 47 and currently it is about 49. She does have asthma that is currently asymptomatic. Her one previous delivery was by cesarean delivery and the plan will be to undergo a repeat cesarean delivery. Currently, at this time she has no complaints and has positive fetal movement.

The most common health problems in the neonatal intensive care unit are prematurity, respiratory distress syndrome, bronchopulmonary dysplasia, and necrotizing enterocolitis (Caner, 2014). Prematurity is the most common at 63.9%, respiratory distress syndrome at 40.6%, bronchopulmonary dysplasia at 20.2%, and lastly necrotizing enterocolitis at 6.6% (Caner, 2014). While most of the top diagnoses derive from prematurity, not all patients in a neonatal intensive care unit are there because they are premature. Some patients are there because they were born with a serious defect that needed immediate and demanding treatment or just need slightly more care than other infants when they are born.

The patient was born with a long-segment congenital tracheal stenosis and pulmonary sling, which occurs when the pulmonary artery develops posterior to the trachea. Based on the nature of the patient’s condition immediate autologous patch tracheoplasty was performed at six-days old. In the post-operative period the patient was unable to be extubated as severe bilateral bronchomalacia developed thus requiring stainless steel stent

Owen is a 2 month old male with the above mentioned cardiac history. He was brought to our clinic for first visit after being discharged from PICU. His bilateral PAs stenosis improved significantly after having PA branches balloon angioplasty and LPA stenting 6/6/2017. His echo today showed max pressure gradient of 23 mmHg across the LPA stent and 17 at the distal RPA and RVH with mild dynamic RVOTO when he bears down. In addition, he had moderate pulmonary valve regurgitation with minimal gradient across his RV-PA conduit. In the future, Owen will likely require further intervening on the narrowed LPA and RPA as well as on his RV-PA conduit. Timing to be detirmend by his longitudinal follow up. In term of PACs, it is currently well-controlled

Pregnancy: A pregnancy of 16–18 weeks is very much deceptive and one should be very much careful to exclude pregnancy during childbearing period irrespective of the status of the women. If necessary, the help of X-ray or sonar may be taken. If none is available, it is a sound policy to re-examine the patient after 4 weeks when all the diagnostic features of pregnancy will be clinically evident.

There has been about 100 procedures performed in the US to date. Advances in prenatal diagnosis of fetal congenital malformation of the airway such as fetal neck masses, lung or mediastinal tumors, congenital high airway obstruction syndrome, conjoined twin separation, and acute respiratory distress syndrome.

Patent ductus arteriosus (PDA), one of the more common cardiac defects at birth, is the persistence of an opening between the pulmonary artery and the descending thoracic aorta. This opening is as a result of failure of the physiological fetus ductus arteriosus to close, which normally occurs soon after birth. This hole allows for oxygenated blood from the aorta to mix with oxygen-depleted blood from the pulmonary artery. As a consequence, significant strain is placed on the heart and pressure within the lungs’ arteries is dramatically increased.