International Journal of Pediatrics

Decretion of Late Onset Sepsis with Enteral Low Dose Lactulose in Very Premature Infants: A Double-Blind Randomized, Placebo-Controlled Pilot Study

Amir-Mohammad Armanian; Nima Salehimehr; Hosein Saneian; Elahe Shirani; Mostafa HajiRezaei

Volume 7, Issue 10 , October 2019, , Pages 10225-10233

https://doi.org/10.22038/ijp.2019.41124.3466

Abstract

Background Neonatal sepsis contributes substantially to neonatal morbidity and mortality, and is an ongoing major global public health challenge. We aimed to evaluate the effects of ... Read More

Effects of Abdominal Massage on the Weight Gain of Preterm Infants Hospitalized in Selected Hospitals of Isfahan, Iran: A Randomized Controlled Clinical Trial

Mahin Shaeri; Amir-Mohammad Armanian; Saeid Amini Rarani; Mahboubeh Valiani; Ahmad Ghadami

Volume 6, Issue 9 , September 2018, , Pages 8153-8160

https://doi.org/10.22038/ijp.2018.30897.2730

Abstract

Background: Birth weight is one of the decisive factors in infant vulnerability and mortality. The impact of a full-body massage on the weight gain of preterm infants has been taken ... Read More

Is "Delayed Umbilical Cord Clamping" Beneficial for Premature Newborns?

Amir-Mohammad Armanian; Hatav Ghasemi Tehrani; Maryam Ansari; Sedighe Ghaemi

Volume 5, Issue 5 , May 2017, , Pages 4909-4918

https://doi.org/10.22038/ijp.2016.7909

Abstract

Background: The appropriate moment for clamping the umbilical cord is controversial. Immediate cord clamping (ICC) is an item of active management of the third stage of labor (AMTSL). ... Read More Background: The appropriate moment for clamping the umbilical cord is controversial. Immediate cord clamping (ICC) is an item of active management of the third stage of labor (AMTSL). Unclamped umbilical cord may cause inconvenience in preterm neonates because they commonly need some levels of emergent services. Some studies revealed delayed cord clamping (DCC) of preterm neonates results in better health conditions like lower rates of respiratory distress syndrome (RDS), less morbidities in labor room and lower risk of postpartum hemorrhage. The aim of the present study was to determine the effect of delayed umbilical cord clamping on premature neonatal outcomes. Materials and Methods: In this single‑center randomized control trial study, sixty premature neonates (gestational age ≤ 34 weeks) were randomly assigned to ICC (cord clamped at 5–10 seconds) or DCC (30–45 seconds) groups and followed up in neonatal intensive care unit (NICU). Primary outcomes were 1st and 5th minute Apgar score, average of level of hematocrit after birth, intra ventricle hemorrhage and need some levels of resuscitation. Results: Differences in demographic characteristics were not statistically significant. After birth, neonates who had delayed clamping had significantly higher mean hematocrit after at 4-hour of birth (49.58+5.15gr/dl vs. 46.58+5.40gr/dlin DCC vs. ICC groups, respectively) (P=0.031). Delayed cord clamping reduced the duration of need to nasal continues positive airway pressure (NCPAP) (86.7% and 60.0% in ICC and DCC groups, respectively, P= 0.039). Attractively, the results showed lower incidence of clinical sepsis in delayed cord clamping neonates (53.3% vs. 23.3% in ICC and DCC groups, respectively, P=0.033). Conclusion: Prematurity complications might decrease by delay umbilical cord clamping which improve the hematocrit, duration of need to NCPAP and incidence of clinical sepsis. Furthermore, DCC may have no negative impact on neonatal resuscitation.

Effects of Abdominal Massage on Feeding Tolerance in Preterm Infants Hospitalized in Selected Hospitals of Isfahan- Iran

Mahin Shaeri; Ahmad Ghadami; Mahboubeh Valiani; Amir-Mohammad Armanian; Saeid Amini Rarani

Volume 5, Issue 3 , March 2017, , Pages 4503-4510

https://doi.org/10.22038/ijp.2017.21376.1795

Abstract

Background Feeding intolerance is one of the leading causes of weight loss in preterm infants. The present study aimed to evaluate the effects of abdominal massage on feeding ... Read More

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Author = Amir-Mohammad Armanian

Decretion of Late Onset Sepsis with Enteral Low Dose Lactulose in Very Premature Infants: A Double-Blind Randomized, Placebo-Controlled Pilot Study

Abstract

Effects of Abdominal Massage on the Weight Gain of Preterm Infants Hospitalized in Selected Hospitals of Isfahan, Iran: A Randomized Controlled Clinical Trial

Abstract

Is "Delayed Umbilical Cord Clamping" Beneficial for Premature Newborns?

Abstract

Effects of Abdominal Massage on Feeding Tolerance in Preterm Infants Hospitalized in Selected Hospitals of Isfahan- Iran

Abstract