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A Unique Case of Intrauterine Pressure Injury.
Heather R Burns1, Nicolas H Yim, Rami P Dibbs
1In the Division of Plastic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, Heather R. Burns, BA, is a Research Fellow; Nicolas H. Yim, BA, is Research Fellow; and Rami P. Dibbs, MD, and Andrew M. Ferry, MD, are Plastic Surgery Residents. At Texas Children's Hospital, Houston, Michael A. Belfort, MD, PhD, is Obstetrician/Gynecologist-in-Chief and Chair of Obstetrics and Gynecology and Edward P. Buchanan, MD, is Chief of Plastic Surgery. The authors have disclosed no financial relationships related to this article. Submitted August 29, 2022; accepted in revised form December 22, 2022.
Neonatal pressure injuries (PIs) are painful and increase infection risk due to premature infants' thinner skin. This case study shows a congenital PI successfully treated with medical-grade honey.
Area of Science:
- Neonatal dermatology
- Pediatric wound care
- Obstetrics
Background:
- Neonatal pressure injuries (PIs) pose significant risks, including pain and infection, particularly in premature infants.
- Premature infants have thinner stratum corneum, epidermis, and dermis, increasing susceptibility to PIs.
- Prolonged labor and fetal malposition are identified risk factors for neonatal PIs.
Approach:
- Literature review on neonatal pressure injuries.
- Case study of a preterm infant with a congenital PI.
- Treatment of the neonatal PI using medical-grade honey.
Key Points:
- A 35-week gestation infant developed a 3.2 × 2.3 cm PI on the posterior neck.
- The infant's mother had a history of gestational diabetes, preeclampsia, and COVID-19.
- Medical-grade honey effectively treated the congenital PI over one month.
Conclusions:
- Premature infants are at high risk for PIs due to developmental factors.
- Prompt and appropriate treatment, such as with medical-grade honey, can lead to successful PI resolution.
- Understanding risk factors is crucial for preventing and managing neonatal PIs.
