Medpulse International Journal of Pediatrics

Medpulse International Journal of Pediatrics

Basic info

  • Publisher: MedPulse Publishing Corporation
  • Country of publisher: india
  • Date added to EuroPub: 2019/Nov/09

Subject and more

  • LCC Subject Category:
  • Publisher's keywords:
  • Language of fulltext: english
  • Time from submission to publication: weeks

Publication charges

  • Article Processing Charges (APCs): No
  • Submission charges: No
  • Waiver policy for charges? No

Open access & licensing

  • Type of License:
  • License terms
  • Open Access Statement: No
  • Year open access content began: 2017
  • Does the author retain unrestricted copyright? False
  • Does the author retain publishing rights? False

Best practice polices

  • Permanent article identifier:
  • Content digitally archived in:
  • Deposit policy registered in:

This journal has '184' articles

Incidence and distribution of congenital malformations in newborns at a tertiary teaching hospital in Kolhapur Maharashtra

Incidence and distribution of congenital malformations in newborns at a tertiary teaching hospital in Kolhapur Maharashtra

Authors: Bhushan A Miraje, Uday A Miraje, Amar V Naik, Meghana G Kamble
Year: 2017, Volume: 4, Number: 1
(0 downloads)
Abstract

Background: According to the World Health Organization (WHO) document of 1972, the term congenital malformations should be confined to structural defects at birth. Aims and Objectives: To study Incidence and Distribution of Congenital Malformations in Newborns at a Tertiary Teaching Hospital in Kolhapur Maharashtra. Methodology: This was a cross-sectional study carried out in the Department of Pediatrics at the Tertiary Teaching Hospital in Kolhapur Maharashtra during the Year January 2015 to December 2015. All the Neonates who were delivered at this hospital at OBGY department. All the neonates were examined and detail clinical histories was noted and were screened for the all congenital anomaly that can be detected clinically only was recorded. From this the incidence of congenital anomaly was calculated. Result: The incidence of congenital anomalies were 1.32% Incidence of congenital anomalies/1000 births was 13.2 %.The most common system affected was CNS 0-38.35% followed by GIT-28.76%; Musculo-Skeletal 15.06%; ENT -6.84%; GUT-6.84%; Opthalmology-4.10% and most common anomaly found was Meningomyelocele, Bilateral cleft lip and cleft palate, Congenital Talipesequinovarus, Micro-otia, Hypospadiasis, Anopthalmos respectively in systems. Conclusion: In our study we have seen incidence of congenital anomalies were 1.32% Incidence of congenital anomalies/1000 births was 13.2 %The most common system affected was CNS followed by GIT, Musculo-Skeletal, ENT, GUT, Ophthalmologyand most common anomaly found was Meningomyelocele, Bilateral cleft lip and cleft palate, Congenital Talipesequinovarus, Micro-otia, Hypospadiasis, Anopthalmosrespectively insystems.

Keywords: Congenital Malformations, Newborns, GIT (Gastro intestinal System), Musculo-Skeletal, ENT (Ear Nose Throat), GUT (Genito-Urinary System).
Prevalence of febrile seizures in childhood epilepsy

Prevalence of febrile seizures in childhood epilepsy

Authors: Ashok Kumar, A B Shah
Year: 2017, Volume: 4, Number: 1
(0 downloads)
Abstract

Background: Febrile seizures are the most common form of convulsion in infants and children. Seizure occurs with raised body temperature (fever) but without underlying serious etiology. Most commonly occur between 6 months to 5 years of age. Aims and Objective: To determine the prevalence of febrile seizure before the onset of afebrile seizures in childhood epilepsy. Material and Method: Children between 1 to 14 years of age with idiopathic, cryptogenic epilepsy and other rare epilepsy syndromes were included in the study. Children with acute symptomatic seizures or epilepsy due to identifiable acquired lesion like granulomas etc were excluded from the final analysis. Of the 100 cases 49 were localization related, 48 were generalized and in 3 cases the syndromes was undetermined. Results: Seizures provoked by fever had occurred before the onset of afebrile seizures in 15 of 100 cases studied. 7 of these later developed generalized epilepsy syndromes 6 developed localization related epilepsy syndromes and in 2 cases it was undetermined. In our study 4% of the cases had cryptogenic localization related epilepsy. Of these 3% were semiologically complex partial seizures of temporal lobe origin. Of the 6 children with absence epilepsy 2 children (33%) had febrile seizure preceding onset of absence seizures. Of the other idiopathic generalized epilepsy cases 2 children had a family history of febrile/afebrile seizures and also prior history of febrile seizures qualifying the criteria of generalized epilepsy with febrile seizures plus (GEFS+) syndrome. In one of our cases febrile seizures started at 6 months of age and had continued till presentation to us at 5 years of age. In the second patient febrile seizure occurred at 3 years of age and later the child had two afebrile seizures at 9 and 13 years of age. We had 3 cases of other symptomatic generalized epilepsy (50%) with prior history of febrile seizures. Conclusion: Febrile seizures preceded epilepsy in 15% of our patients. Two patients of these had GEFS+ syndrome, a genetic syndrome linked to the sodium channels. Febrile seizures were also found preceding childhood absence epilepsy and cryptogenic localization related epilepsy especially in children with complex partial seizures

Keywords: Febrile seizure, febrile convulsion, childhood epilepsy, complex partial seizures, absence epilepsy, pediatric epilepsy.
Efficacy of indigenous bubble CPAP in treating respiratory distress of newborn

Efficacy of indigenous bubble CPAP in treating respiratory distress of newborn

Authors: Suresh Narayan Singh, Shivprasad Mundada
Year: 2017, Volume: 4, Number: 1
(0 downloads)
Abstract

Background: Respiratory illness remains one of the most common causes of neonatal death in the developing world. The respiratory support during distress is provided to neonates using either mechanical ventilation or Continuous Positive Airway Pressure (CPAP).Aim and Objectives: To study the efficacy of indigenous bubble CPAP in treating respiratory distress among newborns also, to study the variation in outcome of BCPAP with changing gestational age. Material and Methods: It’s a prospective, observational type of study conducted on the babies requiring BCPAP at the time or during the hospital stay over a period of 2 years. The final outcome in terms of success and failure evaluated and also studied with reference to gestational ages. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. There were 452 males with 276 (61.06%) managed successfully with a Poor outcome among males compared to females (77.03%). There is an increase in chance of success regarding outcome of BCPAP as the gestational age increases. Out of 748 babies kept on BCPAP, 244 (32.6%) failed and remaining 504 (67.4%) were showed favourable results with BCPAP. Summary and Conclusions: BCPAP is increasingly used as a first choice for ventilator support in tertiary centres. It reduces morbidity and mortality, as well as the need for mechanical ventilation. It can be administered by trained nurses and is safer than mechanical ventilation.

Keywords: Respiratory distress, BCPAP
Study of congenital malformations and related maternal and foetal factors: Hospital based study

Study of congenital malformations and related maternal and foetal factors: Hospital based study

Authors: Bhushan A Miraje, Amar V Naik, Uday A Miraje, Meghana G Kamble, Snehal A Harne
Year: 2017, Volume: 4, Number: 1
(0 downloads)
Abstract

Background: Congenital malformation represents defects in morphogenesis during early fetal life. According to the World Health Organization (WHO) document of 1972. Aims and Objectives: To Study of Congenital Malformations and related Maternal and Foetal Factors: Hospital Based Study Methodology : This was a cross sectional study carried out at the Paediatric department of the tertiary health care center during one year period from January 2015 to December 2015. All the 5607 newborns at the tertiary health care centre were screened for congenital malformation clinically and history of mothers like Iron Folic acid Consumption, Consanguinity, Maternal age, Fever with Rash, TORCH infection, Exposure to Smoking, Family history were asked. Result: The incidence of malformation was highest in the Age group >31 i.e. 4.26%and above age group followed by 15-20 1.21%; 26-30-0.81%; 21-25-0.43%and overall the incidence was observed to be 1.30%.The majority of the Associated Maternal Factors found were Age more than 31 Yrs. -53.42%; Inadequate IFA Supplementation -34.24%; H/o Fever with Rash -26.02%;H/o TORCH infection -20.54% H/o Exposure to Smoking -17.80%;Family history -16.43%;Consanguineous marriage -13.69%. The fetal factors associated with the Malformations were Male gender i.e. 63.01% followed by Low birth weight 61.64% ; Twins -20.54%; Birth order >4 -19.17%. Conclusion: In our study we have observed Maternal Factors associated were Age more than 31 Yrs. Inadequate IFA Supplementation; H/o Fever with Rash ;H/o TORCH infection-;H/o Exposure to Smoking; Family history ;Consanguineous marriage; The fetal factors associated with the Malformations were Male gender i.e. 63.01% followed by Low birth weight; Twins ; Birth order >4.

Keywords: Congenital Malformations, Maternal and Foetal Factors, IFA Supplementation TORCH infection, Fever with Rash.
Incidence and mortality in the babies with meconium aspiration syndrome admitted in NICU

Incidence and mortality in the babies with meconium aspiration syndrome admitted in NICU

Authors: Supriya Shankar Gotey, Kalvati Jaju
Year: 2017, Volume: 4, Number: 1
(0 downloads)
Abstract

Background: Passage of meconium considered physiological exhibiting sign of foetal maturity on one hand and a sign of foetal distress a response to hypoxic insult on the other hand. Intrauterinefoetal gasping, mechanical airway obstruction, pneumonitis, surfactantin activation, and damage of umbilical vessels all play roles in the pathophysiology of meconium aspiration. Its more commonly seen in terms and post term deliveries. Aim and Objectives: To study the incidence and mortality in babies with meconium aspiration syndrome admitted in NICU. Material and Methods: It’s a prospective observational study. The study population included all the babies born with MSAF in the tertiary care centre during study period of 2 years from Nov 2014 to Oct 2016.Diagnosis of MAS is based on the presence of respiratory distress in an infant born through MSAF, with noalternate cause for respiratory distress. Results: Incidence of deliveries with meconium stained amnioticfluid was 4.24%.Most common complication in babies born with MSAF was meconiumaspiration syndrome (62.5%) followed by PPHN (42.04%). The incidence of meconium aspiration syndrome in babies with MSAF found to be 8.1% while, mortality due to MAS syndrome comes out to be 20%. Summary and Conclusions: Incidence of MSAF varies with place to place in accordance with study population and availability of antenatal care facilities. Meconium aspiration syndrome is an important cause of morbidity and mortality among newborns in the developing world

Keywords: Meconium aspiration syndrome.
Study of depression among parents and patients of type 1 diabetes mellitus and it's correlation with glycemic control

Study of depression among parents and patients of type 1 diabetes mellitus and it's correlation with glycemic control

Authors: Aniket Kumbhojkar
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Background: The study was conducted in endocrine and diabetes division with following objectives 1. To analyze presence of depressive symptoms among parents of type1 DM patients. 2. To analyze presence of depressive symptoms among type1 DM patients. 3. Examine correlation between depression in parents and glycemic control of patients. Methods: Thirty-Two parents and children (M=14, F=18) completed self-report questionnaires. Beck Depression inventory (BDI-II) was used to assess depression among parents. Centre for epidemiological studies depression scale for children (CES-DC) was used for assessment of depression in children with type 1 DM. HbA1C value done within last 3 months was also recorded in the predecided proforma along with other details. Correlation statistics used for analysis of relationship between depression grade and HbA1c. Results: 72 % of parents had depressive symptoms. Parents with severe depression were 34% among depressed parents. Only 23% of children reported symptoms which were falling in depression category. There was strong correlation between grade of depression in parent and HbA1c of child (p <0.001). Conclusions: According to our study there is significant prevalence of depression among parents of type 1 DM children. Depressive symptoms among parents negatively influence glycemic control in patient of type 1 DM.

Keywords: Type 1 DM, Depression, HbA1c, Glycemic control.
Cranial ultrasound in preterm neonates

Cranial ultrasound in preterm neonates

Authors: Manindersingh Charansingh Juneja, Sudha Rao Chandrashekhar
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Aims and Objectives: 1.To study brain abnormalities with cranial ultrasound in preterm infants. 2.To study association of various risk factors and cranial ultrasound abnormalities. 3.To assess the progression of abnormalities and treatment outcome. Results: Out of the 47 preterms included in our study, 20(42.6%) had abnormal cranial ultrasound done within 48 hrs of admission. When these preterms were followed up as per the protocol of the study, we found that at the mean follow up age of 35 wks, the cranial USG abnormalities reduced to 15 (31.9%). At term, these abnormalities were further reduced to 6 (12.8%). The results obtained above was statistically significant. In the present study, 64.7% were male and 38.3% were female. In addition, 40.4% were SGA, 53.2% were AGA and 6.4% were LGA. Most of the mother were primigravida (55%). Birth weight, Gestational age and Apgar score at 1 min and 5 min were statistically significant related with the abnormal cranial USG on admission. Age of the mother, Gravida, complications in the pregnancy and use of antenatal steroids were not statistically significant. Mode of ventilation, surfactant administration, presence of PDA, requirement of inotropes, presence of sepsis and abnormal neurological examination at term were statistically significant Conclusion: 1.Cranial USG abnormalities frequently occur in preterm infants. Many of them may resolve over a period of time especially when checked at full term. 2. The smaller the baby by gestational age, more chances of presence of cranial USG abnormalities. 3.Presence of cardiorespiratory risk factors increases the chance of cranial USG abnormalities.

Keywords: Cranial USG, Follow up, Preterm, Risk factors, Screening.
Feeding practices and immunization status among children with severe acute malnutrition: Findings of a single center observational study

Feeding practices and immunization status among children with severe acute malnutrition: Findings of a single center observational study

Authors: Uday Gajare, Shivprasad Kachrulal Mundada, Suresh Narayan Singh
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Objective: To describe the pattern of feeding practices among children with severe acute malnutrition (SAM) Material and Methods: This was an observational study among hospitalized children between six month to five years of age. Children were eligible for inclusion in the study if they fulfilled any one of the following criteria; weight for height/length Z score < -3SD, mid upper arm circumference <115 mm, presence of bilateral pitting edema of nutritional origin or severe visible wasting. Pattern of feeding practices in children with SAM was recorded. Results: Thirty eight children with mean age of 24.86 (±13.3) months out of 2751 had SAM. Breastfeeding was initiated within one hour in 55.2% children with SAM whereas in 34.20% it was initiated after one hour. A total of 5.3% children were not breast fed at all. The percentage of children receiving exclusive breastfeeding, mixed feeding or replacement feed during first six month were 47.4%, 42.1% and 10.5% respectively. Out of 38 children, 21.1% were bottle fed. Diarrhea was present in 62.5% of bottle fed children. Complementary feeds were initiated before six months in 52.7% children with SAM and immunization status at the time of admission was complete only in 50% children. Conclusion: Feeding practices and immunization in children are potentially modifiable factor which play an important role in the development of severe malnutrition in children. Parents should be educated about the correct feeding practices and importance of immunization to avoid complications in the children below five years of age.

Keywords: Children, feeding practices, Maharashtra, severe acute malnutrition.
Comparison of variation in body temperature between standard care and kangaroo mother care after sponge bath in stable preterm neonates

Comparison of variation in body temperature between standard care and kangaroo mother care after sponge bath in stable preterm neonates

Authors: S Mangalgi, M Sudheendra, S B Shetty
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Objective: To determine the impact of kangaroo mother care after sponge bathing on thermoregulation in stable preterm neonates admitted in the Neonatal Intensive Care Unit. Methods: This prospective comparative study was conducted at Ramaiah Medical College Hospital in the Neonatal Intensive Care Unit. All stable preterm neonates between gestational age of 28-36 weeks at birth, postnatal days 7-30 days, weighing less than 2000 grams at birth, admitted to the NICU for preterm care and who are on full nasogastric or pallada feeds were included. Neonates with major congenital anomalies, chromosomal abnormality, and neurological disorders were excluded. Neonates were given sponge bath followed by routine incubator care and kangaroo mother care on two consecutive days, thereby each neonate acts as a control for itself. The axillary temperature was measured before bath, 15mins,30mins and 60mins after bath. The difference in temperature between various time periods were compared between routine care and Kangaroo Mother Care. Results: The mean difference in temperature ± SD (in °F), between before bath and 15 mins after bath in routine care and kangaroo mother care was found to be 98.52±0.29 and 98.56±0.18 respectively (P value=0.380) The mean difference in temperature ± SD (in °F), between 15 mins and 30 mins after bath in routine care and kangaroo mother care was found to be 0.234±0.23 and 0.093±0.37 respectively (P Value=0.01) Conclusions: The two methods of care- routine care and kangaroo mother care were found to be effective in raising the temperature of the neonate towards the baseline following sponge bath. However, kangaroo mother care was found to increase the temperature earlier than routine care. This reduces the period of stress the neonate undergoes thereby potentiating growth and development.

Keywords: Kangaroo mother care, hypothermia, sponge bath.
Clinical profile and course of disease in babies with complications of meconium stained amniotic fluid

Clinical profile and course of disease in babies with complications of meconium stained amniotic fluid

Authors: Supriya Shankar Gotey, Kalavati Jaju
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Background: Passage of meconium considered physiological exhibiting sign of foetal maturity on one hand and a sign of foetal distress a response to hypoxic insult on the other hand. Meconium stained amniotic fluid (MSAF) occurs in approximately 8 to 25% of all deliveries, primarily in situations of advanced foetal maturity or foetal stress. Aim and Objectives: To study clinical profile and course of disease in babies with complications of meconium stained amniotic fluid Material and methods: It’s a prospective observational study. The study population included all the babies born with MSAF in the tertiary care centre during study period of 2 years from Nov 2014 to Oct 2016.The babies meeting the criteria for admission are admitted in NICU and managed as per the protocols. Results: Incidence of deliveries with meconium stained amnioticfluid was 4.24%.Postdatism is the most common risk factor for MSAF accounting for 51.48%. Most common complication in babies born with MSAF was meconium aspiration syndrome (62.5%) followed by PPHN(42.04%). The incidence of meconium aspiration syndrome in babies with MSAF found to be 8.1% while, mortality due to MAS syndrome comes out to be 20%. Summary and conclusions: Incidence of MSAF varies with place to place in accordance with study population and availability of antenatal care facilities. Meconium aspiration syndrome is an important cause of morbidity and mortality among newborns in the developing world.

Keywords: Meconium, foetal distress.
Knowledge and awareness of infant feeding practices in antenatal mothers: A cross sectional study

Knowledge and awareness of infant feeding practices in antenatal mothers: A cross sectional study

Authors: Bhavana Tiwari, V K Tandon, Gaurav Arya, Alok Gupta, Chitra Rani Chauhan, Rohit Agarval, Mukesh Mishra
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Background: As per World Health Organization (WHO) the appropriate method of infant feeding is breastfeeding which is the ideal food for the healthy growth and development of infant and young child. Implementations of proper infant and young child feeding practices can result in reduction in infant mortality rate. Material and Method: an observational cross sectional study Pediatric department and the participants were the antenatal mothers attending obstetric OPD. Results: Out of 275 participants majority were between 20 – 30 years age group, from rural background, Hindu in religion, house-wife and from nuclear family. Majority had the knowledge that breast feeding should be started within 4 hours (in normal delivery 81.7%, in caesarean delivery 71.6%). Knowledge about colostrum feeding was also present in 70% participants. Conclusion: Knowledge and awareness of infant feeding practices among antenatal mothers was assessed and results show that antenatal counseling about proper breast feeding practices should be given so as to improve infant’s proper growth and development

Keywords: Breastfeeding, colostrum, World Health Organization.
Study of outcome of bubble CPAP in babies with respiratory distress with respect to antenatal risk factors

Study of outcome of bubble CPAP in babies with respiratory distress with respect to antenatal risk factors

Authors: Suresh Narayan Singh, Shivprasad Mundada
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Background: Respiratory distress is most common and serious complication in relation with various antenatal factors, which together account for over one-half of all neonatal deaths globally. The respiratory support during distress is provided to neonates using either mechanical ventilation or Continuous Positive Airway Pressure (CPAP). Aim and Objectives: To study the outcome of indigenous Bubble CPAP in babies with respiratory distress with respect to antenatal risk factors. Material and Methods: It’s a prospective, observational type of study conducted on the babies requiring BCPAP at the time or during the hospital stay over a period of 2 years. The final outcome in terms of success and failure of BCPAP with regard to various antenatal factors evaluated and compared. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. Antenatal factors like antepartum hemorrahge, multiple gestation, prior preterm birth, premature rupture of membrane were associated were poor outcome while, pregnancy induced hypertension has relatively better outcome. Summary and Conclusions: BCPAP is increasingly used as a first choice for ventilator support in tertiary centres. It reduces morbidity and mortality, as well as the need for mechanical ventilation. It can be administered by trained nurses and is safer than mechanical ventilation.

Keywords: Respiratory distress, Antenatal factors.
Temperature instability during medical procedures in neonates admitted in the neonatal intensive care unit

Temperature instability during medical procedures in neonates admitted in the neonatal intensive care unit

Authors: S Mangalgi, M Sudheendra
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Objectives: To determine the temperature instability during medical procedures in neonates admitted in the NICU Methods: This prospective observational study was carried out in the Neonatal Intensive Care Unit at Ramaiah Medical College Hospital on neonates requiring procedures such as PICC insertion, ECHO, surfactant therapy, umbilical vein catheterisation, venous cut down and lumbar puncture. Neonates with cardiovascular instability and neurological disorders were excluded. Procedures were carried out under radiant warmers in air mode and axillary temperature was measured before the procedure, immediately after, 15 and 30 minutes after the procedure. Quantitative parameters were expressed as mean ± standard deviation. Qualitative parameters were expressed as frequency and percentage. Results: The mean difference in temperature ± SD (in °F) before and after the procedure was found to be 0.228±0.53 overall. In neonates with basal hypothermia the increase was found to be 0.775±0.89. In neonates in normal range of baseline temperature was found to be 0.091±0.26. Conclusion: Variation in temperature occurs during common procedures in the NICU leading to an increase in temperature. This increase in temperature may cause overheating and its consequences.

Keywords: Procedure, temperature, hypothermia, hyperthermia.
Maternal and foetal risk factors predicting outcome of bubble CPAP in babies with respiratory distress

Maternal and foetal risk factors predicting outcome of bubble CPAP in babies with respiratory distress

Authors: Shakira Savaskar, Suresh Narayan Singh
Year: 2017, Volume: 4, Number: 2
(0 downloads)
Abstract

Background: Respiratory distress is most common and serious complication in relation with various maternal and foetal risk factors, which together account for over one-half of all neonatal deaths globally. The respiratory support during distress is provided to neonates using either mechanical ventilation or Continuous Positive Airway Pressure (CPAP). Aim and Objectives: To study the maternal and foetal risk factors predicting outcome of Bubble CPAP in babies with respiratory distress Material and Methods: It’s a prospective, observational type of study carried out on the babies requiring BCPAP at the time or during the hospital stay over a period of 2 years. The final outcome in terms of success and failure of BCPAP with regard to various maternal and foetal risk factors evaluated and compared. Results: Out of 1571 patients, a total of 748 (47.61%) required BCPAP. Maternal risk factors like antepartum hemorrahge, multiple gestation, prior preterm birth, premature rupture of membrane were associated were poor outcome while, pregnancy induced hypertension has relatively better outcome. Foetal risk factors like gender, gestational age and birth weight of newborn are associated with outcome of BCPAP. Summary and conclusions: BCPAP is increasingly used as a first choice for ventilator support in tertiary centres. It reduces morbidity and mortality, as well as the need for mechanical ventilation. It can be administered by trained nurses and is safer than mechanical ventilation.

Keywords: Respiratory distress, BCPAP.

About Europub

EuroPub is a comprehensive, multipurpose database covering scholarly literature, with indexed records from active, authoritative journals, and indexes articles from journals all over the world. The result is an exhaustive database that assists research in every field. Easy access to a vast database at one place, reduces searching and data reviewing time considerably and helps authors in preparing new articles to a great extent. EuroPub aims at increasing the visibility of open access scholarly journals, thereby promoting their increased usage and impact.