[Transfer of a very low birth weight newborn infant to the intensive therapy center at birth. Transfer "in utero" or after delivery?]. / Il trasferimento del neonato di peso molto basso alla nascita al centro di terapia intensiva. Trasferimento "in utero" o dopo il parto?

During the 1975-1984 period, 93 infants weighing 1500 g or less were transferred to the Magenta Perinatal Center Hospital. The survival rate at discharge was 82.9% for infants transferred in utero and 63.5% for infants transferred postnatally (p less than 0.05). The incidence of major neurological sequelae was 3.1% and 23.3% respectively (p less than 0.02). This experience confirms that the high risk pregnancies should be referred to the Perinatal Center for optimal care of the mother, fetus and newborn infant.

[Paralysis of the sciatic nerve and gluteal necrosis caused by umbilical artery catheterization in a newborn infant. Description of a case followed for 6 years]. / Paralisi del nervo sciatico e necrosi glutea da cateterismo arterioso ombelicale in un neonato. Descrizione di un caso seguito per sei anni.

A premature newborn developed left sciatic palsy and gluteal necrosis following umbilical artery catheterization. A six-year follow-up revealed an one-cm shortening of the left leg and foot, with an appreciable functional recovery. In connection with this rare thromboembolic complication of catheterization, we reviewed the Literature about the pathogenetic and clinical aspects of foot-drop and gluteal necrosis.