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The rational presentation form of perinatal care in developed countries is evaluated within the regionalization program. Neonatal transport is the main step for the regionalization of perinatal care. It is a very important factor for reducing neonatal mortality and morbidity, especially in developing countries. Neonatal transport is a system integrity that includes more than one essential matter. Neonatal transport requires special hardware and serious organization because it can be a caused of mortality and morbidity in its own right. This guideline deals with the transport of newborn babies (definitions, personnel, technical equipment, stabilization conditions, special medical conditions, communication), and the current situation in our country and standard approaches. It should not be forgotten that changes in public space will also change the approach and that every baby should be evaluated within himself or special conditions. © Copyright 2018 by Turkish Pediatric Association.

In this study, newborns with congenital heart disease in the Cukurova University Neonatal Intensive Care Unit during 2007-2011 have been retrospectively evaluated. The incidence of congenital heart disease in newborn babies admitted to the NICU in the 5 years studied was 6.6% (217/3287 patients). 133 (61.3%) of the patients were cyanotic; 76 (35.1%) were acyanotic. Phenotypic malformations were diagnosed in 18 patients, and genetic syndromes in 12 patients. Catheterization-based interventions or cardiac surgery (61 catheter angiographies and 70 surgical procedures) were performed on 112 (51.6%) patients at mean 5.8 ± 7.4 days of admission by pediatric cardiologists or surgeons. 67 (30.8%) of patients with cardiac malformations died during the neonatal period.

Approximately 10% of newborns require some degree of active resuscitation at birth. All the equipment should be maintained before delivery as if the baby will be delivered in its worst condition. The person caring the baby should be present in every delivery and should be educated about newborn resuscitation. After delivery, determination of the need for resuscitative efforts should begin immediately and proceed throughout the A, B, C and D resuscitation blocks. With the developing perinatal care, the very extremely preterm babies live more and these babies need different resuscitation management. Resuscitation of these babies begin inutero. Neonatal T-piece resuscitator should be used to prevent valotrauma and barotauma and time for surfactant installation should be managed properly.

Perinatal arrythmia is described as abnormal heart rates or existence of extrasystoles in the fetal or neonatal period. In this study, neonates admitted to the Çukurova University Neonatal Intensive Care Unit between 1 January 1998-30 June 2003 for arrythmia or who were diagnosed as arrythmia after hospitalization were evaluated retrospectively. In this period, 21 of 4465 patients (0.4% of all patients) was diagnosed as arrythmia. Supraventricular tachycardia were determined in 12 (57.1%), ventricular tachycardia in two (9.5%), and ventricular fibrillation in two (9.5%), atrioventricular block in five (23.8%) patients. When infants in the neonatal intensive care units are classfied according to diagnosis, frequency of arrythmia is low. Although arrythmia in the neonatal period is rare, treatment must be urgent.

Aim: This prospective, randomised, double-blinded study was performed to compare intubating conditions, maternal and neonatal effects of remifentanil used for endotracheal intubation in caesarean section with succinylcholine. Materials and Methods: Following Faculty ethic committee approval and written informed consent of parturients, ninety-six parturient were assigned randomly to one of three groups. After intravenous administration of atropine 0.5 mg, anaesthesia was induced with thiopental sodium (5 mg kg-1) followed by remifentanil 2,5 µg kg-1 (Group R2) (n=32), remifentanil 3 µg kg-1 (Group R3) (n=32) over 60 seconds or succinylcholine 1.5 mg kg -1 (Group S) (n=32). Intubating conditions and haemodynamic parameters were recorded. Preoperatively and after umbilical cord clamping, maternal blood samples were taken to evaluate plasma renin, glucose, and cortisol, and neonatal umbilical cord blood samples were taken to evaluate blood gas values. New-borns' performance were assessed using APGAR and neuro adaptive capacity scores (NACS). Results: Intubation conditions were significantly better in group R3 and S than in group R2 (p

Seckel syndrome, an autosomal recessive syndrome is characterised by microcephaly, dwarfism-prenatal onset growth deficiency, prominent nose, bird- like narrow face, micrognathia, severe mental retardation, chromosomal instability, pancytopenia. Incidence is 1:10000. Here an uncommon case with Seckel Syndrome was reported.

We present the results of 20 premature infants with respiratory distress syndrome (RDS) treated with exogenous surfactant (Survanta). The mean gestational age of the infants was 29.1 ± 2.8 (23-24) weeks with a mean birth weight of 1248 ± 301 (755-1750) g. Infants with perinatal hypoxic-ischemic encephalopathy, intrauterine infections and congenital malformations were not included in the study. Surfactant (100 mg/kg, 4 ml/kg) was administered intratracheally to neonates within six hours after birth under the rescue strategy. Four infants received a second dose of surfactant after 6-8 hours. A significant decrease was observed in the fraction of inspired oxygen and partial pressure of carbondioxide, and a significant increase was observed in blood pH and partial pressure of oxygen following surfactant therapy. The survival rate was 50% in infants weighing 1501-150 g, and 41.6% in those weighing 1000-1500 g. Four patients weighing less than 1000 g did not survive. Sixteen (80%) patients had some complications, the main complication being systemic infection (40%). These results show that RDS-related mortality can be reduced in our neonatal intensive care unit by administering surfactant to premature infants suffering from RDS.