Naser Elkabir - Academia.edu (original) (raw)

Papers by Naser Elkabir

Research paper thumbnail of Duplicate Tail Like Right Lower Limb: A Rare Congenital Malformation

Journal of pediatrics & neonatology, Dec 28, 2020

Introduction: Polymelia (supernumerary limbs) or congenital duplication of limb is an extremely r... more Introduction: Polymelia (supernumerary limbs) or congenital duplication of limb is an extremely rare condition in humans, with only few cases reported in the literature. Case Report: This is a case of newborn female born with a tail-like extra right leg, which unfortunately was not detected during the routine antenatal ultrasonography. Conclusion: Early diagnosis can facilitate the management planning and psychological preparation of the parents. Surgical resection of the accessory limb at an early age is recommended in patients with polymelia.

Research paper thumbnail of Neonatal Outcome in Pregnant Women with Confirmed COVID-19 Infection during the Last Two Weeks of a Viable Pregnancy: A Retrospective Data Analysis

Research Square (Research Square), Nov 8, 2022

Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated dis... more Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated disease manifestations and detrimental effects on their obstetric and neonatal outcomes. Previous studies have demonstrated that pregnant women with COVID-19 had similar clinical manifestations as nonpregnant women. However, there is not enough knowledge about the outcomes of neonates born to infected women although it has been reported that maternal pneumonia results in unfavorable obstetrical outcomes, including the premature rupture of membranes (PROM), intrauterine fetal demise (IUFD), intrauterine growth restriction (IUGR), and neonatal death. This retrospective study analyzes the clinical characteristics of all women with con rmed COVID-19 infection who gave birth in AWH, Qatar, as well as the possible adverse neonatal outcomes associated with maternal COVID-19 infection. Objective: To identify adverse neonatal outcomes in mothers with con rmed COVID-19 infection during the last two weeks of a viable pregnancy. Methods: This retrospective study included newborn babies born to mothers diagnosed with COVID-19 infection between 1 April 2021 and 23 May 2021 at AWH, Hamad Medical Corporation. Data: Clinical characteristics, investigation results, and course of treatment were gathered from medical records for both mothers and babies. Results: Out of 108 babies born to COVID-19-infected mothers, 47 (43.5%) were identi ed with adverse neonatal outcomes. Prematurity (28.7%), low birth weight (26%), respiratory distress (33.3%), and neonatal depression (8.3%) were the most commonly associated outcomes. Eight out of 108 babies (7.4%) tested positive for COVID-19, with 4.6% incidence of vertical transmission and 2.8% transient viremia. Using logistic regression analysis, maternal pneumonia and CT values were found to be statistically signi cant factors for premature delivery but were not signi cantly associated with neonatal infection. However, maternal ferritin levels signi cantly predicted neonatal positive PCR results. Conclusion: Our data support the possibility of the intrauterine transmission of SARS-CoV-2 even in asymptomatic women. Studies with a larger number of subjects are recommended for identifying the biological mechanisms involved.

Research paper thumbnail of Suspected chorioamnionitis with peak intrapartum temperature <380C : The prevalence of confirmed chorioamnionitis and short term neonatal outcome

Research Square (Research Square), Feb 18, 2022

Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the... more Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the leading causes of early onset neonatal sepsis. Fever ≥ 38 0 C is an essential criterion for the clinical diagnosis of CA. Obstetricians frequently take the maternal risk factors into consideration, and many mothers are treated as CA even with peak intrapartum temperature(PIT) between 37.6 0 C to 37.9 0 Cif they have other clinical signs and risk factors. Aim to estimate the prevalence of con rmed chorioamnionitis and adverseneonatal outcomes among those mothers with PIT below38 0 C.

Research paper thumbnail of Extremely Post-Term Infant with Adverse Outcome

Post-term infants are born at a gestational age >42 weeks or 294 days from the 1st day of the ... more Post-term infants are born at a gestational age >42 weeks or 294 days from the 1st day of the last menstrual period. Post-term infants have higher rates of morbidity and mortality than term infants. Risk factors for post-term births include the following: Prim gravida, prior post-term pregnancy, and genetic predisposition as a concordance for post-term pregnancy is higher in monozygotic than dizygotic twin mothers, maternal obesity, older maternal age, and male fetal gender. We are presenting a case of newborn infant delivered at post-term 47 weeks (post conception age) who was born through thick meconium stained liquor delivery showed sever skin peeling. He needed respiratory ventilation since birth and his brain magnetic resonance imaging was abnormal. This report aims to raise awareness among obstetric-gynecology and neonatologists about complications of post maturity and to put a plan to deliver these babies before reaching 42 weeks gestation

Research paper thumbnail of Oxygen saturation nomogram by pulse oximetry in the first 24 h of life

Journal of Clinical Neonatology, 2021

Aims: The aim of this study is to plot a nomogram of oxygen saturation (SpO2) in healthy newborns... more Aims: The aim of this study is to plot a nomogram of oxygen saturation (SpO2) in healthy newborns during the first 24 h of life and study the possible relationship to birth weight, mode of delivery, parity, and gender. Materials and Methods: This was a retrospective study done on a healthy newborn population. The primary purpose of the study was to see preductal saturation during the first 24 h of life and to plot a nomogram of the 5th and 95th percentile for the first 24 h of life. Results: From 5252 babies born in our hospital during 2016, 4139 (78.8%) were included in the study. Mean SpO2 was 98.82%, with a standard deviation of 1.21%. Saturation nomogram of 5th and 95th percentile of preductal saturation during the first 24 h of life was between 96% and 100%. There was no significant difference in gender and mode of delivery. Conclusion: Baseline arterial SpO2 was relatively stable during the first 24 h of life. Moreover, it was similar to the other studies reported earlier.

Research paper thumbnail of Suspected chorioamnionitis with peak intrapartum temperature <380C : The prevalence of confirmed chorioamnionitis  and short term neonatal outcome     

Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the... more Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the leading causes of early onset neonatal sepsis. Fever ≥ 380C is an essential criterion for the clinical diagnosis of CA. Obstetricians frequently take the maternal risk factors into consideration, and many mothers are treated as CA even with peak intrapartum temperature(PIT) between 37.60C to 37.90Cif they have other clinical signs and risk factors. Aim to estimate the prevalence of confirmed chorioamnionitis and adverseneonatal outcomes among those mothers with PIT below380C. Materials and methods Retrospective chart review among mothers delivered at Al-Wakra Hospital, Qatar, between1st January2016 to 31st December 2019 with a clinical diagnosis of CA. Results Among 21,471 mothers, 442 were suspected of having CA(2.06%, 95% CI 1.88 to 2.26%). After exclusions, 415 were included in the study, 203(48.9%) mothers had PIT between 37.6-37.90C. There was no significant difference in the rate ...

Research paper thumbnail of Duplicate Tail Like Right Lower Limb: A Rare Congenital Malformation

Journal of pediatrics & neonatology, Dec 28, 2020

Introduction: Polymelia (supernumerary limbs) or congenital duplication of limb is an extremely r... more Introduction: Polymelia (supernumerary limbs) or congenital duplication of limb is an extremely rare condition in humans, with only few cases reported in the literature. Case Report: This is a case of newborn female born with a tail-like extra right leg, which unfortunately was not detected during the routine antenatal ultrasonography. Conclusion: Early diagnosis can facilitate the management planning and psychological preparation of the parents. Surgical resection of the accessory limb at an early age is recommended in patients with polymelia.

Research paper thumbnail of Neonatal Outcome in Pregnant Women with Confirmed COVID-19 Infection during the Last Two Weeks of a Viable Pregnancy: A Retrospective Data Analysis

Research Square (Research Square), Nov 8, 2022

Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated dis... more Background: Pregnant women are typically vulnerable to infectious diseases due to exaggerated disease manifestations and detrimental effects on their obstetric and neonatal outcomes. Previous studies have demonstrated that pregnant women with COVID-19 had similar clinical manifestations as nonpregnant women. However, there is not enough knowledge about the outcomes of neonates born to infected women although it has been reported that maternal pneumonia results in unfavorable obstetrical outcomes, including the premature rupture of membranes (PROM), intrauterine fetal demise (IUFD), intrauterine growth restriction (IUGR), and neonatal death. This retrospective study analyzes the clinical characteristics of all women with con rmed COVID-19 infection who gave birth in AWH, Qatar, as well as the possible adverse neonatal outcomes associated with maternal COVID-19 infection. Objective: To identify adverse neonatal outcomes in mothers with con rmed COVID-19 infection during the last two weeks of a viable pregnancy. Methods: This retrospective study included newborn babies born to mothers diagnosed with COVID-19 infection between 1 April 2021 and 23 May 2021 at AWH, Hamad Medical Corporation. Data: Clinical characteristics, investigation results, and course of treatment were gathered from medical records for both mothers and babies. Results: Out of 108 babies born to COVID-19-infected mothers, 47 (43.5%) were identi ed with adverse neonatal outcomes. Prematurity (28.7%), low birth weight (26%), respiratory distress (33.3%), and neonatal depression (8.3%) were the most commonly associated outcomes. Eight out of 108 babies (7.4%) tested positive for COVID-19, with 4.6% incidence of vertical transmission and 2.8% transient viremia. Using logistic regression analysis, maternal pneumonia and CT values were found to be statistically signi cant factors for premature delivery but were not signi cantly associated with neonatal infection. However, maternal ferritin levels signi cantly predicted neonatal positive PCR results. Conclusion: Our data support the possibility of the intrauterine transmission of SARS-CoV-2 even in asymptomatic women. Studies with a larger number of subjects are recommended for identifying the biological mechanisms involved.

Research paper thumbnail of Suspected chorioamnionitis with peak intrapartum temperature <380C : The prevalence of confirmed chorioamnionitis and short term neonatal outcome

Research Square (Research Square), Feb 18, 2022

Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the... more Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the leading causes of early onset neonatal sepsis. Fever ≥ 38 0 C is an essential criterion for the clinical diagnosis of CA. Obstetricians frequently take the maternal risk factors into consideration, and many mothers are treated as CA even with peak intrapartum temperature(PIT) between 37.6 0 C to 37.9 0 Cif they have other clinical signs and risk factors. Aim to estimate the prevalence of con rmed chorioamnionitis and adverseneonatal outcomes among those mothers with PIT below38 0 C.

Research paper thumbnail of Extremely Post-Term Infant with Adverse Outcome

Post-term infants are born at a gestational age >42 weeks or 294 days from the 1st day of the ... more Post-term infants are born at a gestational age >42 weeks or 294 days from the 1st day of the last menstrual period. Post-term infants have higher rates of morbidity and mortality than term infants. Risk factors for post-term births include the following: Prim gravida, prior post-term pregnancy, and genetic predisposition as a concordance for post-term pregnancy is higher in monozygotic than dizygotic twin mothers, maternal obesity, older maternal age, and male fetal gender. We are presenting a case of newborn infant delivered at post-term 47 weeks (post conception age) who was born through thick meconium stained liquor delivery showed sever skin peeling. He needed respiratory ventilation since birth and his brain magnetic resonance imaging was abnormal. This report aims to raise awareness among obstetric-gynecology and neonatologists about complications of post maturity and to put a plan to deliver these babies before reaching 42 weeks gestation

Research paper thumbnail of Oxygen saturation nomogram by pulse oximetry in the first 24 h of life

Journal of Clinical Neonatology, 2021

Aims: The aim of this study is to plot a nomogram of oxygen saturation (SpO2) in healthy newborns... more Aims: The aim of this study is to plot a nomogram of oxygen saturation (SpO2) in healthy newborns during the first 24 h of life and study the possible relationship to birth weight, mode of delivery, parity, and gender. Materials and Methods: This was a retrospective study done on a healthy newborn population. The primary purpose of the study was to see preductal saturation during the first 24 h of life and to plot a nomogram of the 5th and 95th percentile for the first 24 h of life. Results: From 5252 babies born in our hospital during 2016, 4139 (78.8%) were included in the study. Mean SpO2 was 98.82%, with a standard deviation of 1.21%. Saturation nomogram of 5th and 95th percentile of preductal saturation during the first 24 h of life was between 96% and 100%. There was no significant difference in gender and mode of delivery. Conclusion: Baseline arterial SpO2 was relatively stable during the first 24 h of life. Moreover, it was similar to the other studies reported earlier.

Research paper thumbnail of Suspected chorioamnionitis with peak intrapartum temperature <380C : The prevalence of confirmed chorioamnionitis  and short term neonatal outcome     

Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the... more Background Chorioamnionitis(CA) affects up to 3.9% of all deliveries worldwide, and is one of the leading causes of early onset neonatal sepsis. Fever ≥ 380C is an essential criterion for the clinical diagnosis of CA. Obstetricians frequently take the maternal risk factors into consideration, and many mothers are treated as CA even with peak intrapartum temperature(PIT) between 37.60C to 37.90Cif they have other clinical signs and risk factors. Aim to estimate the prevalence of confirmed chorioamnionitis and adverseneonatal outcomes among those mothers with PIT below380C. Materials and methods Retrospective chart review among mothers delivered at Al-Wakra Hospital, Qatar, between1st January2016 to 31st December 2019 with a clinical diagnosis of CA. Results Among 21,471 mothers, 442 were suspected of having CA(2.06%, 95% CI 1.88 to 2.26%). After exclusions, 415 were included in the study, 203(48.9%) mothers had PIT between 37.6-37.90C. There was no significant difference in the rate ...