• Neurodevelopmental outcome at seven years in term, acidotic newborns

      Diviney, M; Pinnamaneni, R; Murphy, JFA; Lynch, B; Rushe, H; Madigan, C; Geary, M; Foran, A (Irish Medical Journal, 2015-04)
      The objective was to follow up a cohort of acidotic full-term infants with or without hypoxic ischemic encephalopathy (HIE) and determine if at 7 years they displayed any neurodevelopmental delays. Children (n=44) were divided according to those with mild (n=25) or severe (n=19) acidosis and were then further subdivided into those with or without HIE. Participants were assessed using the Wechsler Intelligence Scale for Children (WISC-IVUK) and Achenbach Child Behaviour Checklist (CBCL). No differences in WISC-IVUK scores in children without HIE irrespective of the cord pH values were found. Children with HIE grade I scored significantly higher in perceptual reasoning than those with grade III (p<0.01). CBCL scores revealed no differences between groups. Findings suggest evidence of impairment at school-age that correlates with the degree of encephalopathy. Acidosis without the presence of clinical encephalopathy was associated with normal outcome.
    • Rotunda Hospital Dublin clinical report 1st January 1996 to 31st December 1996.

      Rotunda Hospital Dublin.; McKenna, Peter (Rotunda Hospital Dublin, 1997)
      It was inevitable that 1996 following the year of our 250th celebration would be something of an anticlimax. It could nor have been anticipated however the manner in which 1996 would leave its mark. From the clinical perspective rhe rear brought a new-and difficult problem for the hospital, and indeed society to cope with. In 1996 we faced the difficulty of looking after 42 drug addicted babies born to drug addicted mothers. The medical difficulties involved in detoxifying rhe babies and the larger social problems that they will inevitably face on their discharge provide an insight inro a singularly unpleasant subculture of Dublin life. Improving economic and social circumstances which we have taken as part of modern Ireland have clearly not touched the environment of which these babies will be returning.