Kalipay Acevedo wasn't due to have her baby for another month, when one sleepy Sunday morning recently she felt her stomach drop. No pain. No contractions. She was just gushing blood.
Her husband, Miguel, called the ambulance to their Tampa home. Kalipay passed out on the way to the hospital.
She had had a placental abruption, a condition in which the placenta detaches prematurely from the uterus. The resulting loss of oxygen and glucose to the baby's brain caused a condition called hypoxic-ischemic encephalopathy.
Doctors quickly delivered baby Sianna Marie Acevedo by Caesarean section. But she wasn't breathing. In fact, she didn't breathe for about 14 minutes. Her little heart pumped at just 30 beats a minute — much slower than the 100 to 160 beats a minute considered normal for newborns. She was pale and wasn't moving.
"I broke down. I thought I had lost my child," Miguel Acevedo says.
Within the hour, Sianna was on her way by helicopter to Shands at UF. There, neonatologist Michael Weiss, M.D., and his team in the neonatal intensive care unit have been using a body cooling technique to try to stave off damage to the brains of babies like Sianna.
Weiss and his team started quickly to carry out the procedure, called systemic hypothermia. They placed the baby on a pad attached to a temperature control machine, cooling her body to about 7 degrees Fahrenheit lower than normal body temperature for 72 hours. EEG electrodes attached to her head allowed monitoring of her brain activity patterns that could give clues about how she will fare after the treatment. A cerebral saturation monitor, connected to the lead on the baby's forehead, gave Weiss an idea of blood flow to the brain. UF is one of the few institutions to use this monitor and one of the few in the state to offer the cooling procedure.
what is done to restore blood volume in these cases? Is there any chance for auto transfusion in the case of placental abruption, or do volume expanders/ donated blood need to be used? Fascinating video that puts a lovely face to advances in preventing birth brain injury :)
Community pharmacists are the health professionals most accessible to the public. They supply medicines in accordance with a prescription or, when legally permitted, sell them without a prescription. In addition to ensuring an accurate supply of appropriate products, their professional activities also cover counselling of patients at the time of dispensing of prescription and non-prescription drugs, drug information to health professionals, patients and the general public, and participation in health-promotion programmes. They maintain links with other health professionals in primary health care.