Search PubMed⌕ Search

Biomedical subjects

V Y Yu

Publications and source records attributed to V Y Yu.

At least 127 records · Page 7Linked to original sources
PubMed1981

Hospital referrals of home births in the intrapartum and postpartum periods.

Twenty home birth patients referred for hospital management were reviewed. Eleven mothers were referred in labour and nine infants in the first week after birth. The clinical presentation and neonatal outcome are described. The majority had antenatal factors suggesting increased perinatal risk. Careful patient selection, prompt detection and early referral of complications, and adequate facilities for infant resuscitation should minimise the risks of home birth. More research is required on the population requesting home birth and its outcome.

Adolescent↗
PubMed1981

Parents' reactions to unrestricted parental contact with infants in the intensive care nursery.

In order to determine parental attitudes and reactions to a policy in which the quality and quantity of parental contact with their preterm or critically-ill infants in the intensive care nursery were determined by the parents, 20 parental pairs were studied regarding their pattern of involvement with their infants, the emotional stress which they experienced, and their responses to the nursery environment during the first fortnight after their infants' birth. This study demonstrated that early and extended parent-infant contact was possible for infants admitted to the intensive care nursery. Both parents chose to maintain a high level of involvement with their infants despite the associated anxiety and anticipatory grief experienced during this period. All felt more reassured with repeated visits, and most believed their infants also felt more loved and secure with the increased contact. The majority would have been opposed to restricted visiting hours and restricted contact with their infants. An open visiting policy and an organized parental-care programme is an important component of neonatal intensive care, since every preterm or critically-ill infant has a family whose psychosocial needs must be recognized and supported.

Attitude↗
PubMed1980

Improving prognosis for infants weighing 1000 g or less at birth.

In the two years 1977 and 1978, 55 infants weighing less than or equal to 1000 g were admitted to the neonatal unit of the Queen Victoria Medical Centre. Overall neonatal survival was 60%; 44% of infants weighing 501-750 g and 67% of infants weighing 751-1000 g survived. One postneonatal death occurred at 51 days. Maternal risk factors were present in 80% of infants, although none had an effect on survival. Perinatal asphyxia, as indicated by an Apgar score less than or equal to 3 at five minutes, and base deficit greater than 10 mmol/l on admission, were associated with decreased survival. Mortality data with increasing postnatal age were used to produce a chart for sequential predication of neonatal survival. Intraventricular haemorrhage remained the most common necropsy finding. Follow-up of 32 survivors to date has shown no abnormalities, with the exception of one retrolental fibroplasia, and one porencephaly of unknown aetiology. We conclude that the prognosis for infants weighing less than or equal to 1000 g has continued to improve. From a review of the clinical and pathological characteristics in these infants however, it is obvious that this outcome requires complex organisation and costly resources in perinatal centres to which high-risk pregnancies must be transferred for optimal management both before and after birth.

Australia↗