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H Trotman

Mechanical Ventilation of Neonates at the University Hospital of the West Indies: 1987–2015

Issue: 
DOI: 
10.7727/wimj.2018.172
Pages: 
410–14
Synopsis: 
Access to mechanical ventilation by neonates has increased tremendously at the University Hospital of the West Indies. The present challenge however, is decreasing mortality in these neonates who access this technology.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

The Spectrum of Neonatal Disorders Managed at the University Hospital of the West Indies over the Past Two Decades

Issue: 
DOI: 
10.7727/wimj.2018.174
Pages: 
404–09
Synopsis: 
It is clear that a diverse spectrum of medical disorders is managed on the neonatal unit of the UHWI and that the fledgling neonatal unit providing basic care for neonates of the 1960s has matured into the level II Newborn Special Care Nursery and Level III NICU that it is today. The time is now opportune, for Neonatology to gain independent status as a Division of Neonatology within the Department of Child Health at the UHWI.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

Neonatal Mortality at the University Hospital of the West Indies over Six Decades: Trends and Causes

Issue: 
DOI: 
10.7727/wimj.2018.173
Pages: 
398–403
Synopsis: 
There has been a decrease in the neonatal mortality rate over the past six decades but further intervention is needed to achieve the sustainable developmental goal of less than ten neonatal deaths per thousand live births at the UHWI.
Accepted: 
02 Nov, 2018
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e-Published: 19 Dec, 2018

Outcome of Macrosomic Infants at the University Hospital of the West Indies

Issue: 
DOI: 
10.7727/wimj.2015.050
Pages: 
269–74
Synopsis: 
Fetal macrosomia remains a difficult obstetric problem with significant maternal, perinatal and neonatal consequences. There needs to be targeted, coordinated perinatal and neonatal measures if these morbidities are to be reduced.

ABSTRACT

Objective: To determine the outcome of macrosomic infants at the University Hospital of the West Indies over a three-year period.

Accepted: 
23 Mar, 2015
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e-Published: 16 Oct, 2015

Clinical Research Informing Neonatal Care at the University Hospital of the West Indies: 50 Years Experience

Issue: 
Pages: 
351–5
Synopsis: 
Clinical research at the University Hospital of the West Indies over the past fifty years has informed local practice in neonatal care including management policies and treatment regimes.

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e-Published: 21 Aug, 2013

Review of Mortality of Very Low Birthweight Infants at the University Hospital of the West Indies over the Past Four Decades

Issue: 
Pages: 
356–60
Synopsis: 
Mortality of very low birthweight infants at the University Hospital of the West Indies has decreased over the past four decades, however, there has been no appreciable decline in mortality for those weighing ≤ 750 g. Measures to further decrease mortality must target these small infants.

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e-Published: 21 Aug, 2013

Conjoined Twins: Bioethics, Medicine and the Law

Issue: 
Pages: 
123–24
Synopsis: 
Clinicians managing conjoined twins find themselves at a crossroad where bioethics, medicine and law converge.
INTRODUCTION
 
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e-Published: 06 Feb, 2014

The Neonatal Intensive Care Unit at the University Hospital of the West Indies: The First Few Years’ Experience

Issue: 
Pages: 
75–9
Synopsis: 
The judicious use of neonatal intensive care measures in a developing country can result in a reduction of morbidity and mortality. However, in order to maximize on benefits versus cost in an atmosphere of budgetary constraint, evidence-based management policies and protocols must be developed and implemented.

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e-Published: 10 Jun, 2013

Predictors of Poor Outcome in Neonates with Bacterial Sepsis Admitted to the University Hospital of the West Indies

Issue: 
Pages: 
80–4
Synopsis: 
Prematurity, very low birthweight and female gender are predictors of poor outcome in neonates with bacterial sepsis. Strategies aimed at decreasing morbidity and mortality in neonates with sepsis must include measures that will decrease the incidence of prematurity and low birthweight.

ABSTRACT

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e-Published: 10 Jun, 2013

Pattern of Pregnancy Weight Gain in Homozygous Sickle Cell Disease and effect on Birth Size

Issue: 
Pages: 
36–40
Synopsis: 
Maternal weight gain between 25–30 weeks gestation correlates positively with birthweight among AA mothers but appears delayed beyond 30 weeks in SS mothers.

ABSTRACT

Objective: To assess pregnancy weight gain and newborn anthropometry in mothers with homozygous sickle cell (SS) disease and normal controls.

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e-Published: 17 Oct, 2013

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