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186776

Protective Effect of Trans-placental Transferred Immunoglobulins against Neonatal Morbidities in A Tertiary Level Intensive Care Unit

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Matern. fet. med.
Neonatal Infections
Neonatal Screening

Abstract

Background: The levels of transplacental transferred immunoglobulin (Ig) carry protective effect to the neonate and varies by many factors as gestational age, maturity, body weight, hemodynamics and maternal diseases. Aim: This study aimed to measure the serum levels of Ig A and Ig G in neonates in different settings and to correlate their levels with neonatal morbidities. Methods: The study conducted during the period from June 2020 to January 2021 in a tertiary level NICU and included a total number of fifty one neonates. The measurement of serum Ig G and Ig A levels were measured by mininef method. Results: The mean value of Ig G and Ig A were 898 mg g/l and 16.3 g/l respectively. Ig G was directly correlated with the maturity, weight, early starting of feeding (p-value 0.001) while they correlated inversely with respiratory and inotropic support and CRP levels (p=value 0.001). Ig G was correlated inversely with the respiratory support whether CPAP or mechanical ventilation; being higher in neonates who didn't receive assisted ventilation. A cut off level of 512 g/l of Ig G was needed to detect increased risk of neonates to sepsis. Preterm babies had lower values than full term ones (p-value 0.001). Conclusion: Transplacental transferred immunoglobulins had a protective effect for neonates and their levels were inversely correlated with neonatal morbidities either in preterm or fullterm neonates

DOI

10.21608/anj.2021.83662.1033

Keywords

Neonates, Ig G, Ig A, Trans-placental, morbidities

Authors

First Name

Wafaa

Last Name

Ahmed

MiddleName

O.

Affiliation

Department of Pediatrics, Faculty of medicine, Ain Shams University

Email

wafaaosman83@gmail.com

City

Cairo

Orcid

0000-0003-4081-0705

First Name

Walaa

Last Name

Kabiel

MiddleName

M.

Affiliation

Department of Clinical-pathology, Faculty of Medicine, Ain Shams University

Email

walaa_willy@yahoo.com

City

-

Orcid

-

First Name

Dalia

Last Name

Mohamed

MiddleName

A.

Affiliation

Department of Medical Biochemistry and Molecular Biology, Faculty of Medicine, Ain Shams University

Email

dalia_wahab@med.asu.edu.eg

City

-

Orcid

0000-0002-0033-7362

Volume

4

Article Issue

1

Related Issue

30119

Issue Date

2022-01-01

Receive Date

2021-06-18

Publish Date

2022-01-01

Page Start

27

Page End

44

Online ISSN

2636-3569

Link

https://anj.journals.ekb.eg/article_186776.html

Detail API

https://anj.journals.ekb.eg/service?article_code=186776

Order

3

Type

Research article

Type Code

965

Publication Type

Journal

Publication Title

Annals of Neonatology Journal

Publication Link

https://anj.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023