We describe the case of a term newborn with multiple organs dysfunction, including respiratory distress, acute renal failure, and hypotension following aspiration of maternal blood around the time of birth. We also discuss potential mechanisms for local (pulmonary) and systemic effects of blood aspiration.
{"title":"Multiple Organ Dysfunction Following Aspiration of Maternal Blood","authors":"S. Patrick, D. Kershaw, M. Attar","doi":"10.5580/2edf","DOIUrl":"https://doi.org/10.5580/2edf","url":null,"abstract":"We describe the case of a term newborn with multiple organs dysfunction, including respiratory distress, acute renal failure, and hypotension following aspiration of maternal blood around the time of birth. We also discuss potential mechanisms for local (pulmonary) and systemic effects of blood aspiration.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70822156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Asthma is a common chronic disease of children. A good control of symptoms will improve quality of patient life. Inhalation technique is an important aspect in the management of asthma. The better the inhalation technique the better the lung deposition of asthma therapy especially inhaled corticosteroids. This will lead to better control of symptoms and improve adherence to treatment. In the following study the inhalation technique of asthma devices were compared using inhalation technique score system. The asthma devices studied were metered dose inhalers (pressurized MDI) without spacers and dry powder inhalers (DPI). The hypothesis studied was that the inhalation technique score of dry powder inhalers will be adversely affected with concurrent use of metered dose inhalers without spacers.
{"title":"Concurrent use of metered dose inhalers without spacer and dry powder inhalers by asthmatic children adversely affect proper inhalation technique.","authors":"Saad Alotaibi, Walid M Hassan, Hashim Alhashimi","doi":"10.5580/2546","DOIUrl":"10.5580/2546","url":null,"abstract":"<p><p>Asthma is a common chronic disease of children. A good control of symptoms will improve quality of patient life. Inhalation technique is an important aspect in the management of asthma. The better the inhalation technique the better the lung deposition of asthma therapy especially inhaled corticosteroids. This will lead to better control of symptoms and improve adherence to treatment. In the following study the inhalation technique of asthma devices were compared using inhalation technique score system. The asthma devices studied were metered dose inhalers (pressurized MDI) without spacers and dry powder inhalers (DPI). The hypothesis studied was that the inhalation technique score of dry powder inhalers will be adversely affected with concurrent use of metered dose inhalers without spacers.</p>","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3133733/pdf/nihms298555.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30007792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective - To find the knowledge of pediatrician regarding preventive dental care in National Capital Territory of Delhi. MethodThis study was designed as a telephone survey. Phone numbers were retrieved from the local classified lists. Fifteen pediatricians from each district were randomly selected. Identified practicing pediatricians were called up and interviews sought. Results- Among the pediatricians interviewed 30 (33.70%)asked the patient to be taken to a dentist for a routine checkup ,whereas 59(66.26%) asked for a dental check up only in case the patient reported any dental problem. 42(47.19%) pediatricians knew about the availability of specialized branch of dentistry dealing with oral health care of children. ConclusionThe ultimate success of preventive dentistry is very much dependent upon the knowledge and function of the medical group concerned with children. Therefore it is of prime importance that the knowledge of pediatrician regarding preventive dental care be known and if need be enhanced regularly.
{"title":"Pediatricians Take On Oral Health Care Of Children","authors":"M. Virdi, M. Kaur, S. Mittal","doi":"10.5580/2969","DOIUrl":"https://doi.org/10.5580/2969","url":null,"abstract":"Objective - To find the knowledge of pediatrician regarding preventive dental care in National Capital Territory of Delhi. MethodThis study was designed as a telephone survey. Phone numbers were retrieved from the local classified lists. Fifteen pediatricians from each district were randomly selected. Identified practicing pediatricians were called up and interviews sought. Results- Among the pediatricians interviewed 30 (33.70%)asked the patient to be taken to a dentist for a routine checkup ,whereas 59(66.26%) asked for a dental check up only in case the patient reported any dental problem. 42(47.19%) pediatricians knew about the availability of specialized branch of dentistry dealing with oral health care of children. ConclusionThe ultimate success of preventive dentistry is very much dependent upon the knowledge and function of the medical group concerned with children. Therefore it is of prime importance that the knowledge of pediatrician regarding preventive dental care be known and if need be enhanced regularly.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70821011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Orozco-gutierrez, Rosa María Estrada-Velazquez, Cesar Gil-Rosales
Background: Nasal continuous positive airway pressure (CPAP) is commonly used to treat respiratory failure in newborns with excellent results; however, pneumothorax is frequently reported, varying in frequency from 1.4% to 10.3%.Methods: In this study, we used a lung simulator to determine the cause of this variability by measuring the pressure in the CPAP system and in the interior of one balloon to simulate the lung, with repeat measurements with the nasal prongs sealed and unsealed. In addition, crying was simulated by blowing through a hole that simulated the mouth.Results: We found that when the nasal prongs were used, unsealed simulator distension existed. However, the pressure remained at zero when the nostrils were sealed, indicating that the pressure inside the simulated lung was equal to that inside the system. Simulated crying increased the pressure 4-fold.Conclusions: We conclude that the seal in the nostrils is a factor for the effectiveness of the procedure and increases the risk of pneumothorax, as well as alter the results of studies on nasal CPAP. Nostril seals should be considered for future studies on the efficacy and safety of nasal CPAP.
{"title":"Analysis of distal airway pressure changes in a simulation model of continuous positive airway pressure (CPAP).","authors":"A. Orozco-gutierrez, Rosa María Estrada-Velazquez, Cesar Gil-Rosales","doi":"10.5580/192b","DOIUrl":"https://doi.org/10.5580/192b","url":null,"abstract":"Background: Nasal continuous positive airway pressure (CPAP) is commonly used to treat respiratory failure in newborns with excellent results; however, pneumothorax is frequently reported, varying in frequency from 1.4% to 10.3%.Methods: In this study, we used a lung simulator to determine the cause of this variability by measuring the pressure in the CPAP system and in the interior of one balloon to simulate the lung, with repeat measurements with the nasal prongs sealed and unsealed. In addition, crying was simulated by blowing through a hole that simulated the mouth.Results: We found that when the nasal prongs were used, unsealed simulator distension existed. However, the pressure remained at zero when the nostrils were sealed, indicating that the pressure inside the simulated lung was equal to that inside the system. Simulated crying increased the pressure 4-fold.Conclusions: We conclude that the seal in the nostrils is a factor for the effectiveness of the procedure and increases the risk of pneumothorax, as well as alter the results of studies on nasal CPAP. Nostril seals should be considered for future studies on the efficacy and safety of nasal CPAP.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70814303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
N. Padilla-Raygoza, Laura Ruiz-Paloalto, R. D. Guerrero, Caitlin F. Canfield
Introduction. Obesity represents a major public health threat due to the high incidence of chronic disease in persons who are obese. Objective: to determine the prevalence of overweight/obesity in school age children in Celaya, Mexico, and its association with arterial hypertension. The protocol for this study was reviewed and approved by the Research and Bioethics Committee at the School of Nursing and Obstetrics at the University of Guanajuato. Materials and methods. The study is a cross-sectional, analytic, comparative, and community-based. Population: students enrolled in public elementary schools in Celaya, Guanajuato, Mexico. Inclusion criteria: both male and female children eight years of age and older were enrolled in the study given that their parents signed an informed consent, and that they assented to participate. Male and female children ages six and seven were also included in the study if their parents signed the informed consent. Exclusion criteria: children younger than six years of age, children who did not assent to participate in the study, children whose parents did not sign the informed consent. Sample: We randomized select four elementary schools in Celaya; in them, we invited parents and children to participate in the study. We measured age, gender, weight, height, Body Mass Index (BMI) and arterial tension. Outcomes were: not overweight: children at or below the 74th percentile of the CDC’s 2000 BMI curve; overweight/obese: children at or above the 75th BMI percentile. Hypertension was defined as having arterial tension above the 95th percentile given height, age, and gender. Statistical analysis. Chi-squared and Odds Ratio tests were performed to assess the association between overweight/obesity and arterial hypertension. Results. Our final sample included 301 children. The prevalence of overweight/obesity in our sample was 66.11% (199/301), while the prevalence of arterial hypertension was 7.97% (24/301). A Chi-squared test resulted in X = 3.45 df 1 p=0.06 when testing the association between overweight/obesity and arterial hypertension; the Odds Ratio was OR= 2.74 CI95%=0.90 to 8.30.Discussion. The prevalence of overweight/obesity in elementary school children was higher than we had expected to find. We also conclude that overweight/obesity and arterial hypertension are associated within this population.
{"title":"Prevalence Of Overweight/Obesity In School-Aged Children From Celaya, Guanajuato, Mexico, And Its Association With Arterial Hypertension: A Cross-Sectional Study.","authors":"N. Padilla-Raygoza, Laura Ruiz-Paloalto, R. D. Guerrero, Caitlin F. Canfield","doi":"10.5580/a78","DOIUrl":"https://doi.org/10.5580/a78","url":null,"abstract":"Introduction. Obesity represents a major public health threat due to the high incidence of chronic disease in persons who are obese. Objective: to determine the prevalence of overweight/obesity in school age children in Celaya, Mexico, and its association with arterial hypertension. The protocol for this study was reviewed and approved by the Research and Bioethics Committee at the School of Nursing and Obstetrics at the University of Guanajuato. Materials and methods. The study is a cross-sectional, analytic, comparative, and community-based. Population: students enrolled in public elementary schools in Celaya, Guanajuato, Mexico. Inclusion criteria: both male and female children eight years of age and older were enrolled in the study given that their parents signed an informed consent, and that they assented to participate. Male and female children ages six and seven were also included in the study if their parents signed the informed consent. Exclusion criteria: children younger than six years of age, children who did not assent to participate in the study, children whose parents did not sign the informed consent. Sample: We randomized select four elementary schools in Celaya; in them, we invited parents and children to participate in the study. We measured age, gender, weight, height, Body Mass Index (BMI) and arterial tension. Outcomes were: not overweight: children at or below the 74th percentile of the CDC’s 2000 BMI curve; overweight/obese: children at or above the 75th BMI percentile. Hypertension was defined as having arterial tension above the 95th percentile given height, age, and gender. Statistical analysis. Chi-squared and Odds Ratio tests were performed to assess the association between overweight/obesity and arterial hypertension. Results. Our final sample included 301 children. The prevalence of overweight/obesity in our sample was 66.11% (199/301), while the prevalence of arterial hypertension was 7.97% (24/301). A Chi-squared test resulted in X = 3.45 df 1 p=0.06 when testing the association between overweight/obesity and arterial hypertension; the Odds Ratio was OR= 2.74 CI95%=0.90 to 8.30.Discussion. The prevalence of overweight/obesity in elementary school children was higher than we had expected to find. We also conclude that overweight/obesity and arterial hypertension are associated within this population.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dentinogenesis Imperfecta (DGI) is a genetic disorder of tooth development inherited in an autosomal, dominant way, characterized by the presence of translucent or opalescent dentin, resulting in discoloration (amber-like, bluish grey color) of the teeth. It is a mesodermal defect wherein the dental papilla of either or both the primary and secondary dentition is abnormal. This paper describes the dental findings in a family where the father (33 year old) and the son (3 year old) both showed the characteristic dental features of DGI I.
{"title":"Dentinogenesis Imperfecta – “A Hereditary Developmental Disturbance of Dentin”","authors":"Bajaj Neeti","doi":"10.5580/b15","DOIUrl":"https://doi.org/10.5580/b15","url":null,"abstract":"Dentinogenesis Imperfecta (DGI) is a genetic disorder of tooth development inherited in an autosomal, dominant way, characterized by the presence of translucent or opalescent dentin, resulting in discoloration (amber-like, bluish grey color) of the teeth. It is a mesodermal defect wherein the dental papilla of either or both the primary and secondary dentition is abnormal. This paper describes the dental findings in a family where the father (33 year old) and the son (3 year old) both showed the characteristic dental features of DGI I.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70826233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Narang, S. Sandhu, Sarfaraz Padda, J. Sandhu, A. Manchanda
Apert’s syndrome (Acrocephalo-syndactyly) is a rare congenital, autosomal dominant condition characterized by primary craniosynostosis, mid face malformations and symmetrical syndactyly of the hand and feet. Untreated craniosynostosis leads to inhibition of brain growth and an increase in intracranial and intraorbital pressure. Despite of tremendous advances which have been made in the prevention and treatment of developmental anomalies, they still remain a significant cause of morbidity worldwide. As such, it is incumbent on clinicians to learn as much as possible about this condition so as to improve their ability to handle and prevent them. We present a case of Apert’s syndrome seen in a 10 year old boy. Because of the multiple alterations in patients with Apert syndrome, a multidisciplinary approach, including dentists and neurosurgeons, plastic surgeons, ophthalmologists and geneticists, is essential for a successful planning and treatment. The differences between Apert and Crouzon’s syndrome are also highlighted.
{"title":"An Insight Into The Spectrum Of Apert Syndrome – A Case Study","authors":"R. Narang, S. Sandhu, Sarfaraz Padda, J. Sandhu, A. Manchanda","doi":"10.5580/c87","DOIUrl":"https://doi.org/10.5580/c87","url":null,"abstract":"Apert’s syndrome (Acrocephalo-syndactyly) is a rare congenital, autosomal dominant condition characterized by primary craniosynostosis, mid face malformations and symmetrical syndactyly of the hand and feet. Untreated craniosynostosis leads to inhibition of brain growth and an increase in intracranial and intraorbital pressure. Despite of tremendous advances which have been made in the prevention and treatment of developmental anomalies, they still remain a significant cause of morbidity worldwide. As such, it is incumbent on clinicians to learn as much as possible about this condition so as to improve their ability to handle and prevent them. We present a case of Apert’s syndrome seen in a 10 year old boy. Because of the multiple alterations in patients with Apert syndrome, a multidisciplinary approach, including dentists and neurosurgeons, plastic surgeons, ophthalmologists and geneticists, is essential for a successful planning and treatment. The differences between Apert and Crouzon’s syndrome are also highlighted.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70827191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Weight underestimation among U.S. adolescents is common, but the ramifications of this misperception are not yet well known. Purpose: To determine the relationship between weight self-perception and participation in health behaviors among obese adolescents. Methods: The sample consisted of 1,210 obese male and female 7 and 11 graders. Participants completed the Personal Wellness Profile – Teen Edition, a general self-report measure of adolescent health functioning, and had their BMI’s measured. Data were analyzed using Χ tests and logistic regression models. Results: Underestimated weight status was associated with higher reported rates of participation in health behaviors (physical activity, healthy diet, weight management, overall healthy lifestyle) as well as greater self-efficacy in one’s ability to engage in these behaviors. Self-efficacy either partially or fully mediated the relationship between weight underestimation and the health behaviors. Discussion: Both weight perception and self-efficacy should be considered when attempting to understand and predict which adolescents with obesity are likely to engage in health behaviors. For some adolescents it is possible that intervention efforts that emphasize fostering self-efficacy in regard to weight loss behaviors may be more effective than focusing on increasing selfawareness of obese status and the associated risks.
{"title":"Weight Status Misperception And The Health Behaviors Of Obese Adolescents","authors":"Peter Thunfors, A. Hanlon, B. Collins","doi":"10.5580/20ea","DOIUrl":"https://doi.org/10.5580/20ea","url":null,"abstract":"Background: Weight underestimation among U.S. adolescents is common, but the ramifications of this misperception are not yet well known. Purpose: To determine the relationship between weight self-perception and participation in health behaviors among obese adolescents. Methods: The sample consisted of 1,210 obese male and female 7 and 11 graders. Participants completed the Personal Wellness Profile – Teen Edition, a general self-report measure of adolescent health functioning, and had their BMI’s measured. Data were analyzed using Χ tests and logistic regression models. Results: Underestimated weight status was associated with higher reported rates of participation in health behaviors (physical activity, healthy diet, weight management, overall healthy lifestyle) as well as greater self-efficacy in one’s ability to engage in these behaviors. Self-efficacy either partially or fully mediated the relationship between weight underestimation and the health behaviors. Discussion: Both weight perception and self-efficacy should be considered when attempting to understand and predict which adolescents with obesity are likely to engage in health behaviors. For some adolescents it is possible that intervention efforts that emphasize fostering self-efficacy in regard to weight loss behaviors may be more effective than focusing on increasing selfawareness of obese status and the associated risks.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70817513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We report a 6 year follow up on a patient with a non contributory family history having constellation of anomalies comprising of HOCM, turrencephaly, foreshortened mid face with retrusion of mid facial segment, low set ears, V pattern left exotropia, nystagmus with no developmental delay. DNA analysis of this patient was negative for Pfieffer, Crouzon or Apert syndrome. Review of literature uncovered no similar case reported. We think that this patient represents a new Cardio cranial dysostosis syndrome.
{"title":"Hypertrophic Cardiomyopathy In A Patient With Craniofacial Syndrom: New Cardiocranial Syndrome?","authors":"V. Kalra, Fuad M. Kiblawi","doi":"10.5580/28eb","DOIUrl":"https://doi.org/10.5580/28eb","url":null,"abstract":"We report a 6 year follow up on a patient with a non contributory family history having constellation of anomalies comprising of HOCM, turrencephaly, foreshortened mid face with retrusion of mid facial segment, low set ears, V pattern left exotropia, nystagmus with no developmental delay. DNA analysis of this patient was negative for Pfieffer, Crouzon or Apert syndrome. Review of literature uncovered no similar case reported. We think that this patient represents a new Cardio cranial dysostosis syndrome.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70821247","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Low birth weight (LBW), defined as a birth weight <2500g is basically due to prematurity or small for gestational age (SGA). These infants remain a significant public health problem in both developing and developed countries due to their significantly higher rates of morbidity and mortality.Aim: This study was undertaken to find out the proportion of LBW due to prematurity and SGA in Port Harcourt, South-South Nigeria.Study design: A retrospective chart analysis of babies admitted into the Special Care Baby Unit (SCBU) between January 2002 and December 2009.Results: There were a total of 7,191 admissions into the SCBU within the period with 1,941 (27%) being LBW. A total of 1,463 (75.4%) were preterm LBW while 478 (24.6%) were SGA. Within the same period, there were a total of 20,209 booked live deliveries in the hospital, of which 2,046 were low birth weight babies [preterm LBW 1314(64.2%); term LBW 732 (30.8%)] giving a LBW incidence of 10.1%. The differences in the mean age and height of mothers who delivered an SGA and preterm infant were not statistically significant (p = 0.3 and 0.5 respectively). When compared to mothers of normal weight babies, mothers of LBW babies were significantly younger (p = 0.01) and shorter (p = 0.0001). Identified predisposing factors in preterms were hypertensive disorders, multiple births, antepartum haemorrhages and preterm prelabour rupture of membranes while for SGA, factors identified were malaria in pregnancy, congenital abnormality, multiple gestation, and hypertensive disorders. Mortality was significantly higher in the low birth weight (p=0.000).Conclusion: There seems to be a changing trend in the cause of LBW in our region with prematurity accounting for the greater proportion as found in developed countries. Interventions to prevent the causes of preterm delivery will go a long way in reducing the incidence of LBW in the South South region.
{"title":"The Proportion Of Low Birth Weight Babies Due To Small For Gestational Age (Sga) And Prematurity In Port Harcourt, South-South Nigeria - Changing Trends.","authors":"R. Ugwu, A. Eneh","doi":"10.5580/9a8","DOIUrl":"https://doi.org/10.5580/9a8","url":null,"abstract":"Background: Low birth weight (LBW), defined as a birth weight <2500g is basically due to prematurity or small for gestational age (SGA). These infants remain a significant public health problem in both developing and developed countries due to their significantly higher rates of morbidity and mortality.Aim: This study was undertaken to find out the proportion of LBW due to prematurity and SGA in Port Harcourt, South-South Nigeria.Study design: A retrospective chart analysis of babies admitted into the Special Care Baby Unit (SCBU) between January 2002 and December 2009.Results: There were a total of 7,191 admissions into the SCBU within the period with 1,941 (27%) being LBW. A total of 1,463 (75.4%) were preterm LBW while 478 (24.6%) were SGA. Within the same period, there were a total of 20,209 booked live deliveries in the hospital, of which 2,046 were low birth weight babies [preterm LBW 1314(64.2%); term LBW 732 (30.8%)] giving a LBW incidence of 10.1%. The differences in the mean age and height of mothers who delivered an SGA and preterm infant were not statistically significant (p = 0.3 and 0.5 respectively). When compared to mothers of normal weight babies, mothers of LBW babies were significantly younger (p = 0.01) and shorter (p = 0.0001). Identified predisposing factors in preterms were hypertensive disorders, multiple births, antepartum haemorrhages and preterm prelabour rupture of membranes while for SGA, factors identified were malaria in pregnancy, congenital abnormality, multiple gestation, and hypertensive disorders. Mortality was significantly higher in the low birth weight (p=0.000).Conclusion: There seems to be a changing trend in the cause of LBW in our region with prematurity accounting for the greater proportion as found in developed countries. Interventions to prevent the causes of preterm delivery will go a long way in reducing the incidence of LBW in the South South region.","PeriodicalId":75037,"journal":{"name":"The Internet journal of pediatrics and neonatology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70825397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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