A Unique Case of Intrauterine Pressure Injury.

Autor: Burns HR; In the Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, Heather R. Burns, BA, is a Research Fellow; Nicolas H. Yim, BA, is Research Fellow; and Rami P. Dibbs, MD, and Andrew M. Ferry, MD, are Plastic Surgery Residents. At Texas Children's Hospital, Houston, Michael A. Belfort, MD, PhD, is Obstetrician/Gynecologist-in-Chief and Chair of Obstetrics and Gynecology and Edward P. Buchanan, MD, is Chief of Plastic Surgery. The authors have disclosed no financial relationships related to this article. Submitted August 29, 2022; accepted in revised form December 22, 2022., Yim NH, Dibbs RP, Ferry AM, Belfort MA, Buchanan EP
Jazyk: angličtina
Zdroj: Advances in skin & wound care [Adv Skin Wound Care] 2023 Dec 01; Vol. 36 (12), pp. 667-671.
DOI: 10.1097/ASW.0000000000000063
Abstrakt: Abstract: The authors present a review of the literature regarding pressure injuries (PIs) in neonates and a case of a newborn who developed a PI following a prolonged labor process and fetal malposition. A girl born at 35 weeks' gestation to a 34-year-old gravida 7 para 6 mother with a medical history of untreated gestational diabetes, preeclampsia, and COVID-19 was delivered via cesarean section after failure to progress through labor. The premature infant was found to have a 3.2 × 2.3-cm PI at the nape of the posterior neck. Premature infants have a histologically proven, age-dependent decreased thickness of their stratum corneum, epidermis, and dermis, which places them at increased risk of developing PIs that can be painful and lead to infection. In the present case, the neonate's congenital PI was successfully treated with medical-grade honey for approximately a month.
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Databáze: MEDLINE