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IntroductionOromotor therapy exercises used for preterm infants in the NICU might promote oral-motor skills and shorten discharge day. This study investigates the impact of an oral-motor therapy program on the successful transition to breastfeeding (BF) and the enhancement of feeding skills in preterm infants below 30 weeks of gestational age who experience feeding intolerance.MethodsThe intervention group received oral-motor therapy programme for one month, while the control group did not. The feeding skills were evaluated by Early Feeding Skills Assessment Tool (EFS) and Preterm Oral Feeding Readiness Scales (POFRAS).ResultsThere was a significant difference in EFS and POFRAS scores, transition to bottle feeding at discharge and transition to BF after discharge between babies given oral-motor therapy programme and controls (p

Objective: Neonates with hyperbilirubinemia are at risk of brain damage, and at least two-thirds of neonates show clinical signs of jaundice in the first week of life. To predict the correlation between cord carboxyhemoglobin (COHb) with postnatal 24th-hour total serum bilirubin (TSB) level in newborns with ABO incompatibility. Methods: This retrospective cohort study included newborns older than 35 weeks of gestation who were followed up in the Neonatal Intensive Care Unit of Tokat Gaziosmanpaşa University Hospital between January 2019 and December 2023. Patients were divided into three groups; Group 1: ABO incompatibility with direct Coombs (DC) positive newborns, Group 2: ABO incompatibility and DC negative newborns, and Group 3: ABO incompatibility with no known hemolysis risk factors. Results: A total of 292 patients in 3 groups were included in the study. Group 1 consisted of 93 patients, Group 2 consisted of 99, and Group 3 consisted of 100. The mean newborn cord COHb was 1.59±0.56%, the mean cord bilirubin was 3.12±2.05 mg/dL, the mean 24-h TSB was 6.40±1.99 mg/dL, and the mean cord blood gas hemoglobin was 18.06±2.57 g/dL. In the first group, the correlation between cord COHb and 24-h TSB was high and statistically significant. In the second group, the correlation between cord COHb and 24-h PTH was low and statistically significant. Conclusion: The use of COHb as a predictor of 24-h postnatal TSB levels in ABO-incompatible neonates is plausible.

Aim: Immune thrombocytopenia (ITP) is the most common acquired bleeding disorder in childhood. The study aimed to assess the demographic and clinical characteristics, and treatment responses and to evaluate their effects on chronicity in pediatric ITP cases. Material and Methods: Primary ITP patients aged 1 month to 18 years, who were diagnosed and followed up in the Pediatrics Clinic of Tokat Gaziosmanpaşa University Hospital between January 2010 and December 2018, were retrospectively analyzed. Results: Thirty-eight patients with a diagnosis of primary ITP were included in the study. The mean age of the patients was 94.3±53.4 (14-199) months. The female/male ratio was 1. Twenty (57.1%) patients had acute ITP, and 15 (42.9%) patients had chronic ITP. There was no significant difference between the acute ITP group and the chronic ITP group in demographic, clinical features, laboratory findings, and treatment responses. In the first 12 months, the number of admissions with a platelet count of