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Objective This study aimed to evaluate the clinical characteristics of the neonates who fell in the maternity ward and identify the incidence of near miss events during the immediate postpartum period. Study Design The study consisted of two steps. The retrospective part included the evaluation of admissions due to the in-hospital newborn fall for 6 years. The prospective part included the assessment of the near miss events (any probability of falling of the newborn; either cosleeping or an incident with a possible consequence of falling of the newborn) in the postpartum clinic ( Results Seventeen in-hospital newborn falls were recorded: 1.8 to 2.4/10,000 live births. The median age of the neonates when the fall occurred was 22 (16–34) postnatal hours. Fourteen events (82%) occurred between 10 p.m. and 6 a.m. All neonates who experienced a fall were discharged without any known adverse outcomes. Twelve mothers (71%) had experienced a near miss event before. In the prospective arm of the study, 67 out of 804 mothers (8.3%) were found to experience a near miss event (44/1,000 days of postpartum hospitalization). Thirty-two events (49%) occurred in the first postpartum day. Fifty-two events (78%) occurred between 10 p.m. and 6 a.m. Fifty-eight mothers (86%) had no companion. Sixty-three percent of the mothers expressed intense fatigue after delivery. Conclusion In-hospital newborn fall may occur in the postpartum period, and near miss events should warn clinicians for a probable fall event. The nighttime shift requires more attention regarding the prevention of both the fall and the near miss events. Immediate postpartum mothers are needed to be observed carefully. Key Points

The aim of this study is to investigate the TyG index and TG/HDL-C ratio and their relationships with insulin resistance in LGA infants.A prospective controlled study was conducted including 65 LGA and gestational age, gender-matched appropriate for gestational age (AGA) neonates. Serum TG, total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), insulin and glucose levels were measured within two hours after birth, TyG index and HOMA-IR values were calculated.TyG index and TG/HDL- C ratio were higher in LGA neonates compared to AGA ones (p = 0.03; p = 0.00, respectively). Compared with AGA newborns, LGA newborns had higher levels of insulin and HOMA-IR (p = 0.00; p = 0.00, respectively). TyG index and TG/HDL-C ratio showed moderate correlation with HOMA-IR (r = 0.59 R

The lacunar skull is a fetal ossification disorder first defined in the early 19th century, commonly associated with spina bifida and meningocele, and rarely seen as an isolated defect. It is characterized by defects on the inner table of the skull, in the form of shallow depressions or deep cavitations causes the skull to appear fenestrated because of mesenchymal dysplasia during intramembranous ossification. These bone defects may be present in any part of the calvarium but most frequently occur in the parietal and frontal bones. Clinically, lacunar skull may be suspected, but the diagnosis usually depends on the roentgenographic appearance. We report a newborn diagnosed with severe lacunar skull defect without any congenital malformations however accompanying severe vitamin D deficiency of maternal origin.

Amaç: Oksidatif stres (OS), plasental disfonksiyonun bilinen bir nedenidir, bu nedenle preeklampsi ve gestasyon haftasınagöre düşük doğum ağırlığı ile nedensel olarak ilişkili olabilir. Preeklampsili annelerden doğan yenidoğanlarda kordonkanı iskemi modifiye albumin (İMA) ve ortalama trombosit hacmi (MPV) düzeylerini araştırmayı ve belirlenen düzeyleringestasyon haftasına göre düşük doğum ağırlığı ile ilişkisini değerlendirmeyi amaçladık.Gereç ve Yöntem: Prospektif kontrollü olan bu çalışmaya annesinde preeklampsi olan 50 bebek ve sağlıklı annelerin 40sağlıklı yenidoğanı dahil edildi. Preeklampsili annelerin bebeklerinde kordon kanı İMA ve MPV düzeyleri ölçüldü. Kordonkanı İMA düzeylerinin gestasyon haftasına göre düşük doğum ağırlığı olma durumunu öngörmedeki rolü de araştırıldı.Bulgular: Preeklamptik annelerin bebeklerinin kordon kanı İMA ve MPV düzeyleri kontrollere göre anlamlı derecede yüksekti.Serum İMA düzeyleri gestasyon haftasına göre düşük doğum ağırlığı olan bebeklerde, doğum ağırlığı gestasyonel yaşa uygun(AGA) bebeklere göre anlamlı olarak yüksekti (p=0,018), ancak MPV düzeyleri her iki grupta da benzerdi (p=0,735).Sonuç: Bu çalışmaya göre, preeklamptik annelerin bebeklerinde kord kanı İMA ve MPV düzeylerinin OS durumunun basitbir ölçümü olarak yararlı olduğu düşünülebilir. Bununla birlikte, bu belirteçlerin klinik pratikteki yararlılığını belirlemek içindaha büyük örneklemli daha ileri çalışmalar gerekli olacaktır., Aim: Oxidative stress (OS) is a known cause of placental dysfunction, thus may be causally related to preeclampsia andsmall for gestational age infant (SGA). We aimed to investigate cord blood ischemia-modified albumin (IMA) and meanplatelet volüme (MPV) levels in neonates born to mothers with preeclampsia and correlate the determined levels withbeeing SGA.Material and Method: A prospective controlled study was conducted. Fifty infants of mothers with preeclampsia, 40healthy neonates of healthy mothers were included. Cord blood IMA and MPV levels were measured in infants ofmothers with preeclampsia. The role of cord blood IMA levels to predict beeing SGA was also investigated.Results: Cord blood IMA and MPV levels of infants of preeclamptic mothers were significantly higher compared tocontrols. Serum IMA levels were significantly higher in SGA infants compared to appropirate for gestational age (AGA)infants (p=0.018), however MPV levels were similar in both groups (p=0.735).Conclusion: According to this study cord blood IMA and MPV levels may be considered useful as a simple measure ofOS status in infants of mothers with preeclampsia. However, further studies with larger samples will be necessary todetermine usefulness of these markers in clinical practice.