Sana Ben Mrad has completed her PhD at the age of 25 from Tunis El Manar I University and post doctoral studies from University school of Medecine of Tunis. She is actually a pediatrician at the departement of pediatrics and neonatology of Habib Bougatfa University Hospital. She accomplished complementary studies in inherited metabolic diseases in 2016 and in pediatric dermatology in 2013. She has published many papers in reputed journals.
Neonatal esogastritis is relatively common and is characterized by the contrast between severity of clinical and endoscopic features and its usually rapidly favorable evolution. The first clinical symptoms can appear very early, sometimes in the first hours of life. We report on a case of neonatal oesogastritis particular by the antenatal onset of hemorrhage. The mother, primigravida without significant past medical history, presented at a term of 37 gestationa weeks and 5 days for metrorrhagia. An emergency caesarean delivery was decided for suspicion of acute abruption and fetal distress. The amniotic fluid was dark blood stained. Placenta was normally inserted without wound nor abruption. Uterus, tubes and ovaries were all intact. The eutophic newborn had Apgar score of 8 at 1mn and 9 at 5mn inspite of a double circular cord. Melena coated with red blood was noted from the first minutes of life and the nasogastric aspiration brought a hematic fluid. Hemodynamic state was stable. There was no other clinical anomaly besides a transcient tachypnea. Homeostasis exams were normal and so abdominal doppler ultrasound. Endoscopy done at H60 of life showed a congestive esogastritis. Bleeding stopped after four days of proton pump inhibitor with stabilization of hemoglobin at 12 g / dl. Enteral feeding was then introduced without incident and treatment continued for 1 month.rnEtiopathogenesis of neonatal esogastritis is still poorly understood. Our observation by associating fetal distress due to circular cord and antenatal digestive bleedig may highlight the importance of fetal distress as an aetiological factor in neonatal esogastritis. rn
Meltem Uğurlu has completed her PhD at the age of 29 years from Gulhane Military Medical Academy. Her subject of study includes Prenatal/Postnatal Care, Obstetrics and Gynecology
We determined maternal & neonatal health consequences of education and counseling for the pregnant with preeclampsia (PE) risk & effects of those on self-efficacy level & healthy lifestyle behaviors. Fourty seven pregnants were in the study group (SG) and 53 were in the control group (CG). PE risk determination form, self-efficacy scale (SES), healthy lifestyle behavior scale II (HLBS-II), self-monitoring form, postpartum (PP) assessment form, PE education booklet for necessary information were utilized in the course of collection of research data. Groups were monitored 4 times from 20th week of pregnancy, labor and PP follow-ups were performed. The women in SG were educated and counseled on PE. CG were subjected to standard care. HLBS-II score averages in both groups in the first monitoring were similar, while HLBS-II averages of the SG were found to be higher & significant in 2nd, 3rd and 4th monitoring sessions. SES averages of the pregnants in both groups was found similar in all of 4 monitoring sessions. CG experienced most of the severe PE symptoms, more than the SG. 1st and 5th min. apgar scores, weight & nutrition conditions were found to be similar between the infants in the SG & CG. PE developed in 7.6% of pregnants in CG and gestational hypertension developed in 6.3% of SG and 5.7% of CG. No difference in pregnancy problems & PP maternal and neonatal problems were found between two groups. Education and consultation provided to pregnants with PE risk contributes to acquiring healthy lifestyle behaviors and improvement of mother-infant health.