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Aim:The study aims to determine features, morbidities and mortality of adolescent pregnants and their hospitalized newborns in the neonatal period.Methods:Six hundred forty-one adolescent pregnants were enrolled and compared to 309 non-adolescent pregnants. Demographic characteristics of mothers and complications of delivery, demographic characteristics of newborns, morbidities, and mortality of infants admitted to hospital during neonatal period were recorded.Results:The mean age of adolescent and non-adolescent pregnants were 17.2±0.8 and 27.0±4.3 years, respectively. Education levels, being housewife, extramarital birth-giving, cesarean section rate, and twin pregnancy were higher in adolescent pregnants. The mean height, head circumference, and weight of newborns in adolescent pregnants were significantly lower. Even though neonatal mortality was similar in both pregnants, early neonatal morbidities were more common in adolescent pregnants. Duration and rate of hospitalization, and morbidities causing hospitalization during the neonatal period were similar in the babies of both pregnants. Among babies admitted to the neonatal intensive care unit, mortality rates were higher in babies born to non-adolescent mothers.Conclusion:Worse neonatal outcome of babies born to adolescent pregnants, and higher mortality in the neonatal period in non-adolescent pregnants were found. But characteristics and morbidities of babies hospitalized in the neonatal period were similar in both groups.

Palliative care is referred to as 'organization of end-of-life care' and describes a holistic and active care approach for the patient and family with physical, emotional, social and spiritual aspects. Pediatric palliative care has entered the global agenda and its use has started in pediatric hospitals in the 1990s. Pediatric palliative care is now also being used in some children with chronic and life-limiting or threatening conditions in our country. The survival rate of children has increased thanks to medical and technological developments and pediatric palliative care is now used more frequently in practice. The number of neonates requiring palliative care has also increased with decreasing neonatal mortality rates in recent years. Palliative care of the neonate with a life-limiting condition begins at the time of diagnosis, and continues during the child's life, at the moment of death and afterwards. Palliative care consists of the maintenance of an effective and comprehensive approach focusing on the newborn and his/her family. This article discusses the neonatal palliative care approach and the recommendations in practice. [ABSTRACT FROM AUTHOR]

Congenital adrenal hyperplasia (CAH) is an autosomal recessive disease causing gender differentation disorder. 21-Hydroxylase deficiency comprises more than 90% of patients and leads to cortisol deficiency. Cortisol deficiency causes life threatining adrenal failure. The diagnosis could be missed and the disease may cause to death especially in male neonate and girls with virilised severely. After the CAH diagnosis, the management of disease is possible both medical and surgical. Therefore neonatal CAH screening program is performed in many developed countries. Both male and female infant death can be prevented as well as early medical/surgical intervention correct the problems without grow-up. Europe and American Societies of Pediatric Endocrinology recommend the neonatal CAH screening. Because of all these reason neonatal CAH screening is important and necessary in our country that has high prevalence of consanguineous marriage. [ABSTRACT FROM AUTHOR]

Multiple organ failure (MOF) is characterized by deterioration of more than one function from among respiratory, hepatic, renal, hematologic, and cardiac functions after sepsis, trauma, hypoxia, or other causes. This study included 88 newborn infants who had a history of delivery between 24-41 gestational weeks and were diagnosed with culture-positive sepsis at Baskent University Ankara and Adana hospitals from 2007 to 2011. Organ dysfunction, frequency of MOF, and the relation between MOF and causative microorganisms and mortality were investigated. Patients were divided into four groups according to the microorganism isolated in blood cultures. Twenty percent of newborns developed MOF after sepsis with a gram-positive bacterium except coagulase-negative staphylococcus. MOF frequencies were 36.8%, 100% and 20.8% for sepsis with gram-negative bacteria, fungus and coagulase-negative staphylococcus, respectively. Among these infection groups, statistically significant differences were observed between death rates, MOF development, cardiac, liver and hematologic failures, and disseminated intravascular coagulation. Mortality rates were not statistically significantly different between patients with and without MOF. Although sepsis and associated MOF is an important cause of morbidity and mortality during the neonatal period, in this study, MOF was observed most frequently in fungal sepsis, but this was not associated with a high mortality rate. [ABSTRACT FROM AUTHOR]

Objectives: Early diagnosis and treatment is essential in reducing mortality in newborns with pneumothorax. In this study, newborns with a diagnosis of pneumothorax in neonatal intensive care unit of our hospital were evaluated and aimed to increase the awareness of physicians. Methods: 12 cases with pneumothorax were evaluated retrospectively. The gender, birth weight, gestational age, mode of delivery, the presence of underlying disease, pneumothorax localization, implementation of the surfactant and mechanical ventilation and existence or absence of mortality were recorded. Results: During the study, pneumothorax was detected 12 patients. Male/female ratio was 1.4. Eight of the patients had born with cesarean delivery, the mean birth weight of cases was 2623±912 g and, 66.7% of cases were term babies. Pneumothorax was observed in the first week of life in all patients and it occurred spontaneously in 4 patients. The frequency of bilateral pneumothorax was 41.7%. For the treatment, closed tube drainage was performed in 9 patients. The overall mortality rate was 66.7%. Half of the patients who died had congenital anomalies such as diaphragmatic eventration (n=1), hydrocephalus (n=1), encephalocel (n=1), non-immune hydrops fetalis (n=1). Conclusion: Additional congenital anomalies, such as PDAs and persistent pulmonary hypertension were found to be effective on mortality in neonates with pneumothorax. Although, it is a life-threatening condition, the emergency treatment is life saving. Therefore, in patients with risk factors, keeping pneumothorax in mind is also the first step of the treatment. [ABSTRACT FROM AUTHOR]