scholarly journals Early growth and markers of cardiovascular risk in Keralan children in the Integrated Child Development Scheme

2009 ◽  
Vol 13 (7) ◽  
pp. 1042-1048 ◽  
Author(s):  
Nick Brown ◽  
Chaniyil Krishnan Sasidharan ◽  
David Fisher
Keyword(s):  
Birth Weight ◽  
Child Development ◽  
Universal Access ◽  
Low Cost ◽  
Fat Distribution ◽  
Postnatal Growth ◽  
Maternal Child Health ◽  
Childhood Growth ◽  
Development Scheme ◽  
Early Markers

AbstractObjectiveLow birth weight is associated with increased lifelong morbidity. Kerala has a renowned, low-cost, maternal–child health system in which is couched universal access to the Integrated Child Development Scheme (ICDS), central to which is community-based maternal–infant nutritional supplementation. We assessed whether children in this environment showed enhanced birth weight and postnatal growth and whether the evolution of early markers of CVD was attenuated in comparison to contemporaries from other states.DesignA part retrospective, part prospective cohort study in which children (n 286) born in 1998–2000 in Calicut were identified from Anganwadi records. They were traced at 6 years and underwent full anthropometry and blood pressure measurements at 6 and 8 years.ResultsMean birth weight (2·86 (sd 0·40) kg) was greater than in Indian contemporaries but consistently <−1sd below the National Center for Health Statistics reference median throughout childhood. Birth weight significantly predicted body mass (BMI) at 8 years. Lower birth weight was strongly predictive of a higher waist:hip ratio (WHR) indicative of adverse central (coelomic) fat distribution (P < 0·01). Faster weight gain in infancy was weakly predictive of a lower WHR (P = 0·59), but faster late childhood growth at 6–8 years was non-significantly predictive of adverse WHR.ConclusionsAt 8 years of age, children in Calicut participating in the ICDS have greater birth weight and relative attenuation of the evolution of early CVD markers compared with children in apparently comparable states. The relative contributions of the ICDS and other factors inherent to Kerala cannot be inferred from the present study.

scholarly journals Neonatal mortality in Kenyan hospitals: a multisite, retrospective, cohort study

2021 ◽  
Vol 6 (5) ◽  
pp. e004475
Author(s):  
Grace Irimu ◽  
Jalemba Aluvaala ◽  
Lucas Malla ◽  
Sylvia Omoke ◽  
Morris Ogero ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Income ◽  
Universal Access ◽  
Low Cost ◽  
Newborn Care ◽  
Routine Data ◽  
Public Hospitals ◽  
Childhood Mortality ◽  
Age Group ◽  
Common Diagnosis

BackgroundMost of the deaths among neonates in low-income and middle-income countries (LMICs) can be prevented through universal access to basic high-quality health services including essential facility-based inpatient care. However, poor routine data undermines data-informed efforts to monitor and promote improvements in the quality of newborn care across hospitals.MethodsContinuously collected routine patients’ data from structured paper record forms for all admissions to newborn units (NBUs) from 16 purposively selected Kenyan public hospitals that are part of a clinical information network were analysed together with data from all paediatric admissions ages 0–13 years from 14 of these hospitals. Data are used to show the proportion of all admissions and deaths in the neonatal age group and examine morbidity and mortality patterns, stratified by birth weight, and their variation across hospitals.FindingsDuring the 354 hospital months study period, 90 222 patients were admitted to the 14 hospitals contributing NBU and general paediatric ward data. 46% of all the admissions were neonates (aged 0–28 days), but they accounted for 66% of the deaths in the age group 0–13 years. 41 657 inborn neonates were admitted in the NBUs across the 16 hospitals during the study period. 4266/41 657 died giving a crude mortality rate of 10.2% (95% CI 9.97% to 10.55%), with 60% of these deaths occurring on the first-day of admission. Intrapartum-related complications was the single most common diagnosis among the neonates with birth weight of 2000 g or more who died. A threefold variation in mortality across hospitals was observed for birth weight categories 1000–1499 g and 1500–1999 g.InterpretationThe high proportion of neonatal deaths in hospitals may reflect changing patterns of childhood mortality. Majority of newborns died of preventable causes (>95%). Despite availability of high-impact low-cost interventions, hospitals have high and very variable mortality proportions after stratification by birth weight.

1416-P: Impact of Birth Weight Category on Early Childhood Growth in the Offspring of Women with Diabetes

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1416-P
Author(s):  
MAISA N. FEGHALI ◽  
STEVE CARITIS ◽  
CHRISTINA M. SCIFRES
Keyword(s):  
Early Childhood ◽  
Birth Weight ◽  
Weight Category ◽  
Childhood Growth

Integrated Child Development Scheme (ICDS) Interventions in India: A Grassroots Level Perspective

2019 ◽  
Vol 1 (5) ◽  
Author(s):  
Ritesh Dwivedi
Keyword(s):  
Child Development ◽  
Development Scheme ◽  
Grassroots Level

Integrated Child Development Scheme (ICDS) Interventions in India: A Grassroots Level Perspective

scholarly journals Single-course antenatal corticosteroids is related to faster growth in very-low-birth-weight infant

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jiajia Jing ◽  
Yiheng Dai ◽  
Yanqi Li ◽  
Ping Zhou ◽  
Xiaodong Li ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Preterm Infants ◽  
Gestational Age ◽  
Very Low Birth Weight ◽  
Postnatal Growth ◽  
Weight Increase ◽  
Antenatal Corticosteroids ◽  
Lung Maturation ◽  
Growth Outcomes

Abstract Background Antenatal corticosteroids (ACS) treatment is critical to support survival and lung maturation in preterm infants, however, its effect on feeding and growth is unclear. Prior preterm delivery, it remains uncertain whether ACS treatment should be continued if possible (repeated course ACS), until a certain gestational age is reached. We hypothesized that the association of single-course ACS with feeding competence and postnatal growth outcomes might be different from that of repeated course ACS in very-low-birth-weight preterm infants. Methods A multicenter retrospective cohort study was conducted in very-low-birth-weight preterm infants born at 23–37 weeks’ gestation in South China from 2011 to 2014. Data on growth, nutritional and clinical outcomes were collected. Repeated course ACS was defined in this study as two or more courses ACS (more than single-course). Infants were stratified by gestational age (GA), including GA < 28 weeks, 28 weeks ≤ GA < 32 weeks and 32 weeks ≤ GA < 37 weeks. Multiple linear regression and multilevel model were applied to analyze the association of ACS with feeding and growth outcomes. Results A total of 841 infants were recruited. The results, just in very-low-birth-weight preterm infants born at 28–32 weeks’ gestation, showed both single and repeated course of ACS regimens had shorter intubated ventilation time compared to non-ACS regimen. Single-course ACS promoted the earlier application of amino acid and enteral nutrition, and higher rate of weight increase (15.71; 95%CI 5.54–25.88) than non-ACS after adjusting for potential confounding factors. No associations of repeated course ACS with feeding, mean weight and weight increase rate were observed. Conclusions Single-course ACS was positively related to feeding and growth outcomes in very-low-birth-weight preterm infants born at 28–32 weeks’ gestation. However, the similar phenomenon was not observed in the repeated course of ACS regimen.

scholarly journals Impact of size at birth and postnatal growth on metabolic and neurocognitive outcomes in prematurely born school-age children

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yoo Jinie Kim ◽  
Seung Han Shin ◽  
Eun Sun Lee ◽  
Young Hwa Jung ◽  
Young Ah Lee ◽  
...  
Keyword(s):  
Birth Weight ◽  
Preterm Infants ◽  
Gestational Age ◽  
Growth Velocity ◽  
Postnatal Growth ◽  
School Age ◽  
Z Score ◽  
Neurodevelopmental Outcomes ◽  
Neurocognitive Outcomes ◽  
Size At Birth

AbstractPrematurity, size at birth, and postnatal growth are important factors that determine cardiometabolic and neurodevelopmental outcomes later in life. In the present study, we aimed to investigate the associations between the size at birth and growth velocity after birth with cardiometabolic and neurodevelopmental outcomes in preterm infants. Fifty-six preterm infants born at < 32 weeks of gestation or having a birth weight of < 1500 g were enrolled and categorized into small for gestational age (SGA) and appropriate for gestational age (AGA) groups. Anthropometric and cardiometabolic parameters were assessed at school-age, and the Korean Wechsler Intelligence Scale for Children, fourth edition (K-WISC-IV) was used for assessing the intellectual abilities. The growth velocity was calculated by changes in the weight z-score at each time period. Multivariate analysis was conducted to investigate the associations of growth velocity at different periods with cardiometabolic and neurodevelopmental outcomes. Forty-two (75%) were classified as AGA and 25% as SGA. At school-age, despite the SGA children showing significantly lower body weight, lean mass index, and body mass index, there were no differences in the cardiometabolic parameters between SGA and AGA groups. After adjusting for gestational age, birth weight z-score, weight z-score change from birth to discharge and sex, change in weight z-score beyond 12 months were associated with a higher systolic blood pressure, waist circumference, and insulin resistance. Full-scale intelligent quotient (β = 0.314, p = 0.036) and perceptional reasoning index (β = 0.456, p = 0.003) of K-WISC-IV were positively correlated with postnatal weight gain in the neonatal intensive care unit. Although cardiometabolic outcomes were comparable in preterm SGA and AGA infants, the growth velocity at different time periods resulted in different cardiometabolic and neurocognitive outcomes. Thus, ensuring an optimal growth velocity at early neonatal period could promote good neurocognitive outcomes, while adequate growth after 1 year could prevent adverse cardiometabolic outcomes in preterm infants.

scholarly journals Stories, journeys and smart maps: an approach to universal access

2021 ◽  
Author(s):  
Xi Wang ◽  
Danny Crookes ◽  
Sue-Ann Harding ◽  
David Johnston
Keyword(s):  
Universal Access ◽  
Low Cost ◽  
Research Question ◽  
Emotional Engagement ◽  
New Approach ◽  
Reception Study ◽  
Audio Description ◽  
Museum Experience ◽  
Interactive Map ◽  
Partially Sighted

AbstractThis paper proposes a new approach to universal access based on the premise that humans have the universal capacity to engage emotionally with a story, whatever their ability. Our approach is to present the “story” of museum resources and knowledge as a journey, and then represent this journey physically as a smart map. The key research question is to assess the extent to which our “story” to journey to smart map’ (SJSM) approach provides emotional engagement as part of the museum experience. This approach is applied through the creation of a smart map for blind and partially sighted (BPS) visitors. Made in partnership with Titanic Belfast, a world-leading tourist attraction, the interactive map tells the story of Titanic’s maiden voyage. The smart map uses low-cost technologies such as laser-cut map features and software-controlled multi-function buttons for the audio description (AD). The AD is enhanced with background effects, dramatized personal stories and the ship’s last messages. The results of a reception study show that the approach enabled BPS participants to experience significant emotional engagement with museum resources. The smart model also gave BPS users a level of control over the AD which gave them a greater sense of empowerment and independence, which is particularly important for BPS visitors with varying sight conditions. We conclude that our SJSM approach has considerable potential as an approach to universal access, and to increase emotional engagement with museum collections. We also propose several developments which could further extend the approach and its implementation.

Perceptions of Breastfeeding in Mothers of Babies Born Preterm in Comparison to Mothers of Full-Term Babies

2011 ◽  
Vol 14 (2) ◽  
pp. 884-898 ◽  
Author(s):  
Flávia Helena Pereira Padovani ◽  
Geraldo Duarte ◽  
Francisco Eulógio Martinez ◽  
Maria Beatriz Martins Linhares
Keyword(s):  
Birth Weight ◽  
Child Development ◽  
Clinical Symptom ◽  
Trait Anxiety ◽  
Demographic Characteristics ◽  
Full Term ◽  
Psychological Status ◽  
Anxiety And Depression ◽  
State Trait Anxiety Inventory ◽  
Breastfeeding Rate

The purpose of the present study was: a) to describe the theme of verbalizations about breastfeeding in mothers' pre-term (M-PT) and full-term (M-FT) infants; b) to examine the association between these themes and mother's anxiety and depression indicators and socio-demographic characteristics and, neonatal characteristics of the infants. The sample consisted of 50 M-PT and 25 M-FT. The mothers were assessed through State-Trait Anxiety Inventory and Beck Depression Inventory and were interviewed using a Guide focusing breastfeeding issues. The M-PT group had significantly more mothers with clinical symptom of anxiety than the M-FT group. The M-PT reported more uncertainties and worries about breastfeeding and figured out more obstacles for the successful breastfeeding than the M-FT. These reports were associated positively with the infants' risk neonatal status; lower birth-weight, higher neonatal clinical risk, and more length time stay in NICU were associated with more mothers' worries and seeing obstacles for breastfeeding. In conclusion, the strategies to enhance the breastfeeding rate in the preterm population have to take into account the mothers' psychological status and their ideas in addition to offering information about the advantages of breastfeeding for child development.

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