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Full-Text Articles in Medicine and Health Sciences
Early Premature Infant Physiologic And Behavioral Indicators Of Ans Instability, Karen Popp Becker
Early Premature Infant Physiologic And Behavioral Indicators Of Ans Instability, Karen Popp Becker
Theses and Dissertations
The advanced survival of the early premature infant (EPI) since the post-surfactant era has not improved many comorbidities. EPI comorbidities influence their lifelong health, social, and cognitive outcomes. EPIs often have immature and disorganized responses to stimuli during the neonatal period. EPIs respond to stressors from the Neonatal Intensive Care Unit’s (NICU) environment, stimulation, or disease states based on physiologic system changes, often resulting in observable behavioral changes. Both physiologic and behavioral changes reflect autonomic nervous system (ANS) disruption, thus instability. Instability of the ANS due to chronic stressors, can lead to chronic physiologic dysregulation and lead to lifelong health …
Examining Infant Health Outcomes Impacted By South Carolina's Regionalized System Of Perinatal Care, Michael Grady Smith
Examining Infant Health Outcomes Impacted By South Carolina's Regionalized System Of Perinatal Care, Michael Grady Smith
Theses and Dissertations
Perinatal regionalization systems have been shown to reduce the risk of neonatal mortality when very low birth weight infants are delivered in Level III hospitals with neonatal intensive care units, sub-specialist staffing, and adequate experience caring for high-risk pregnancies and neonates. However, studies to date examining the association between delivery in Level III hospitals and neonatal mortality have not accounted for censoring due to fetal deaths. Furthermore, studies of perinatal regionalization to date have not adequately assessed the association between delivery hospital level of care and the infant’s hospital length of stay. This dissertation examined 8,594 very low birth weight …