Page 300 - Abstract Book KONIKA 18

Neonatology

P-NEO-027
Conservative Management of Neonatal Acute Kidney Injury
as A Consequences of Twin to Twin Transfusion Syndrome

Putri M. T. Marsubrin, Henny A. Puspitasari, Rosalina D. Roeslani
Department of Child and Health, Faculty of Medicine Universitas Indonesia/
Dr. Cipto Mangunkusumo General Hospital, Jakarta, Indonesia

Abstract
Background Amongst other sequelae, acute kidney injury (AKI) can be found as post-natal complication
of twin-to-twin transfusion syndrome (TTTS). Objective To report aims to describe a case of a recipient
twin with AKI associated to twin-to-twin transfusion syndrome (TTTS). Case A-newborn recipient twin
of TTTS was admitted to neonatal intensive care (NICU) due to respiratory distress requiring mechanical
ventilation. In the early days, he underwent electrical seizure caused by hypocalcemia and hypoglycemia.
AKI was diagnosed due to high level of creatinine serum at day 4 and decrease of urine output using nRIFLE
criteria. Conservatively treated, his kidney function was improving, and calcium level was back to normal
after 1 month. Conclusion TTTS in newborn can cause AKI in the recipient. Evaluation of AKI is important
to avoid further complication such as electrolyte imbalance and chronic kidney disease.
Keywords: twin to twin transfusion syndrome; neonatal acute kidney injury; hypocalcemia; neonatal
seizure

P-NEO-028
Clinical Features and Characteristics of Neonate
from Mother Who was Confirmed COVID-19
at RSUP Dr. M. Djamil Padang Period January 1, 2021 – August 7, 2021

Freidlander Pangestu, Eny Yantri
Department of Child Health, Faculty of Medicine Universitas Andalas/Dr. M. Djamil Hospital,
Padang, West Sumatera, Indonesia
Abstract
Background Neonates have a high susceptibility to viral infections. Risk of transmission of COVID-19 to
neonates during perinatal, breastfeeding and hospitalization with mothers confirmed COVID-19 is still not
clear yet. With the increase in cases of pregnant women who are confirmed COVID-19, will have an impact
on the outcome of their babies. Objective To evaluate the clinical features and characteristics of neonates
from mothers confirmed COVID-19 at RSUP Dr. M. Djamil Padang. Methods This study is a retrospective
descriptive, using medical record data of all neonates from mothers confirmed COVID-19 during January
1, 2021 - August 7, 2021 in a high-risk neonatology unit. Results There were 90 neonates from mothers
confirmed COVID-19, cesarean section 86.7%, and 62.2% at term. Neonates born with respiratory distress
61.1% mostly used CPAP with the most diagnosis of neonatal pneumonia. Neonates confirmed COVID-19
as many as 12 people (13,3%) with 58.33% symptomatic with radiological features of pneumonia 41.67%,
transient tachypnea of the newborn 16.66%, and normal 41.67%. The mean RNL value was 3.868 with a
standard deviation 3.283. The CT value of neonates who confirmed COVID-19 was above 30 in 7 neonates,
3 neonates whose values were below 30 and 2 no data were found. The majority of mothers were in the age
category of 25-34 years and 76.7% were asymptomatic. Conclusion Majority of neonates from mothers
confirmed for COVID-19 were born with respiratory distress and required a breathing apparatus. Mothers
confirmed COVID-19 were mostly asymptomatic.
Keywords: neonate; COVID-19; mother confirmed COVID-19

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