Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained. MAS is characterized by hypoxemia, hypercapnia and acidosis that continues to be associated with signifi cant morbidities and mortality. Worldwide, the incidence has declined due to improved obstetric and perinatal care. The pathophysiological mechanism of MAS include perinatal hypoxia, acute airway obstruction, pulmonary and systemic inflammation, surfactant inactivation and persistent pulmonary hypertension of the newborn (PPHN). Respiratory and hemodynamic supports are main therapies for MAS. Early identification and appropriate management of PPHN is important as it associates with significant mortality and morbidities. This review suggests a comprehensive overview of the epide miology, diagnosis, management, prognosis and prevention of MAS.

Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained. MAS is characterized by hypoxemia, hypercapnia and acidosis that continues to be associated with signifi cant morbidities and mortality. Worldwide, the incidence has declined due to improved obstetric and perinatal care. The pathophysiological mechanism of MAS include perinatal hypoxia, acute airway obstruction, pulmonary and systemic inflammation, surfactant inactivation and persistent pulmonary hypertension of the newborn (PPHN). Respiratory and hemodynamic supports are main therapies for MAS. Early identification and appropriate management of PPHN is important as it associates with significant mortality and morbidities. This review suggests a comprehensive overview of the epide miology, diagnosis, management, prognosis and prevention of MAS.

Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained. MAS is characterized by hypoxemia, hypercapnia and acidosis that continues to be associated with signifi cant morbidities and mortality. Worldwide, the incidence has declined due to improved obstetric and perinatal care. The pathophysiological mechanism of MAS include perinatal hypoxia, acute airway obstruction, pulmonary and systemic inflammation, surfactant inactivation and persistent pulmonary hypertension of the newborn (PPHN). Respiratory and hemodynamic supports are main therapies for MAS. Early identification and appropriate management of PPHN is important as it associates with significant mortality and morbidities. This review suggests a comprehensive overview of the epide miology, diagnosis, management, prognosis and prevention of MAS.

Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained. MAS is characterized by hypoxemia, hypercapnia and acidosis that continues to be associated with signifi cant morbidities and mortality. Worldwide, the incidence has declined due to improved obstetric and perinatal care. The pathophysiological mechanism of MAS include perinatal hypoxia, acute airway obstruction, pulmonary and systemic inflammation, surfactant inactivation and persistent pulmonary hypertension of the newborn (PPHN). Respiratory and hemodynamic supports are main therapies for MAS. Early identification and appropriate management of PPHN is important as it associates with significant mortality and morbidities. This review suggests a comprehensive overview of the epide miology, diagnosis, management, prognosis and prevention of MAS.

Meconium aspiration syndrome (MAS) is defined as respiratory distress in newborn infants born through meconium-stained amniotic fluid whose symptoms cannot be otherwise explained. MAS is characterized by hypoxemia, hypercapnia and acidosis that continues to be associated with signifi cant morbidities and mortality. Worldwide, the incidence has declined due to improved obstetric and perinatal care. The pathophysiological mechanism of MAS include perinatal hypoxia, acute airway obstruction, pulmonary and systemic inflammation, surfactant inactivation and persistent pulmonary hypertension of the newborn (PPHN). Respiratory and hemodynamic supports are main therapies for MAS. Early identification and appropriate management of PPHN is important as it associates with significant mortality and morbidities. This review suggests a comprehensive overview of the epide miology, diagnosis, management, prognosis and prevention of MAS.

Food allergy is a rare form of feeding intolerance in preterm infants, with symptoms similar to necrotizing enterocolitis. We report a case of clinically diagnosed cow’s milk-induced eosinophilic enterocolitis in an infant with extremely low birth weight. The patient was born at 24 weeks and 1 day gestation, weighing 610 g, had repeated episodes of gastrointestinal symptoms after feeding, and was placed on nil per os. On day 67, the eosinophil count increased suddenly (7,852.8/mL), and the formula was changed to amino acid-based (Neocate). Gradually, the eosinophil count returned to normal. Ileostomy was performed and full enteral feeding was achieved with Neocate. Intraoperatively, the intestine was nonnecrotic and viable; the biopsy report showed massive mucosal eosinophilic infiltration. The patient was diagnosed with cow’s milk-induced eosinophilic enterocolitis.

Ectopic pancreas is defined as an abnormally located pancreatic tissue not sufficiently connected with the normal pancreas, which rarely occurs in neonates. To our knowledge, only a few cases of ectopic pancreas have been reported in newborns in South Korea. We report a case of ectopic pancreas as the cause of intussusception and jejunal atresia in a newborn. This clinical association is extremely rare, and this is the first report in South Korea.

Ectopic pancreas is defined as an abnormally located pancreatic tissue not sufficiently connected with the normal pancreas, which rarely occurs in neonates. To our knowledge, only a few cases of ectopic pancreas have been reported in newborns in South Korea. We report a case of ectopic pancreas as the cause of intussusception and jejunal atresia in a newborn. This clinical association is extremely rare, and this is the first report in South Korea.

PURPOSE: Many studies have reported the merits of breastfeeding, and increasing efforts are made to encourage breastfeeding for preterm babies. Recently, YouTube is being increasingly used as a source of medical information. We evaluated the quality of information provided on YouTube on breastfeeding for preterm babies.METHODS: On June 20, 2018, we performed a YouTube search using four terms related to breastfeeding for preterm babies. Of the 355 videos in the first five pages, 78 were analyzed; videos with irrelevant content (n=200), duplicated material (n=71), and those using another (non-Korean) language (n=6) were excluded. Videos were classified according to upload source and usefulness, and were evaluated based on reliability and quality.RESULTS: Medical websites or TV channels (46.2%) and physicians or hospitals (12.8 %) were the most and least common upload sources, respectively. The usefulness of the information was rated the highest in physician or hospital-uploaded videos (70.0%). The reliability of the physician or hospital-uploaded (2.70±1.42) and medical website or TV channel-uploaded (2.91±1.42) videos were statistically significant. The highest proportion of good quality videos (≥good) (60.0%) comprised physician or hospital-uploaded videos. Of the videos evaluated, 44.9% were useful. The highest proportion of useful videos comprised those uploaded by medical websites or TV channels (68.6%). The highest proportion of non-useful videos comprised civilian videos (80.8%).CONCLUSION: Physician or hospital-uploaded videos were more useful and had excellent reliability and quality; however, these had the least amount of information. Development of educational programs by experts that can be accessed by public through popular platforms like YouTube is necessary.
Breast Feeding ; Health Education ; Humans ; Infant, Newborn ; Infant, Premature ; Internet