scholarly journals Prevalence of breastfeeding in a baby-friendly pediatric practice in Trieste, Italy: follow up to 36 months of age

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Mariarosa Milinco ◽  
Adriano Cattaneo ◽  
Anna Macaluso ◽  
Paola Materassi ◽  
Nicola Di Toro ◽  
...  
Keyword(s):  
Healthy Child ◽  
Newborn Infants ◽  
High Income ◽  
Infants And Children ◽  
Pediatric Practice ◽  
Peer Counselor ◽  
Duration Of Breastfeeding

Abstract Background A breastfeeding-friendly physician’s office that applies the 13 recommendations of the Academy of Breastfeeding Medicine can help increase the exclusivity and duration of breastfeeding. Having already published the results up to five months of age of this intervention in our pediatric practice, we now report on the follow up to 36 months. Methods A cohort of 252 newborn infants was enrolled with our pediatric office in Trieste, Italy, between 1 January 2016 and 31 December 2016. The office implemented baby-friendly pediatric practices and a biological nurturing approach to the support of breastfeeding. In addition to the services offered by two pediatricians, support was provided by a peer counselor. Data on breastfeeding were collected at periodic healthy child visits up to 36 months of age. The outcome of interest for this follow up was the rate of any breastfeeding, defined as the percentage of infants and children who had received breastmilk in the previous 24 h. Results The rates of any breastfeeding at discharge and at 1, 3 and 5 months (n = 252) were 95.2, 95.8, 89.3 and 86.5%, respectively. At 8, 12, 18, 24 and 36 months of age, the rates of breastfeeding were 70.6% (163/231), 59% (135/229), 35% (78/224), 24.6% (55/224) and 7.2% (16/224), respectively. Conclusions The rates of any breastfeeding recorded in our pediatric practice up to age 36 months, are much higher than those reported elsewhere in high income countries and are likely to be associated with our baby-friendly and biological nurturing approach.

scholarly journals Follow-up of Newborns, Infants, and Children with Sepsis

2017 ◽  
Vol 07 (01) ◽  
pp. e38-e41
Author(s):  
P. Dahlem ◽  
P. Biggar
Keyword(s):  
Survival Rates ◽  
Newborn Infants ◽  
Infants And Children ◽  
Older Children ◽  
Follow Up Studies ◽  
Related Quality ◽  
Health Related ◽  
Considerable Impact

AbstractMortality in newborn infants and children with sepsis is high with survival rates of generally more than 50% in recent studies. Longitudinal follow-up studies have the potential to reveal short-term and lifelong physical, mental, and psychological sequelae. Although no comprehensive follow-up research has yet been performed, a small number of follow-up studies have shown that there is a considerable impact on the patients' lives and their families after hospital discharge. Health-related quality of life also seems to be affected; however, it does not correlate with severity of sepsis or handicap per se. Prematurely born infants, who can develop sequelae directly attributable to prematurity and its consequences, suffer differently from sepsis-related lifelong sequelae compared with older children. Fortunately, time may heal some wounds due to the effect of growth in children. In future, large centers should establish structural follow-up programs for clinical and research purposes to learn more about the needs of affected children and their families.

Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

2021 ◽  
pp. 1-11
Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Survey Report ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

The Use of TORCH Titers

PEDIATRICS ◽  
1983 ◽  
Vol 72 (1) ◽  
pp. 41-43 ◽  
Author(s):  
Diane Leland ◽  
Morris L. V. French ◽  
Martin B. Kleiman ◽  
Richard L. Schreiner
Keyword(s):  
Herpes Simplex ◽  
Pregnant Women ◽  
Infants And Children ◽  
Serologic Tests ◽  
Test Use

Of 603 patients undergoing serologic tests for Toxoplasma, syphilis, rubella, cytomegalovirus, and herpes simplex (TORCH tests) during a 4-year period, 381 (63%) were infants younger than 6 months and 110 (18%) were either the mothers of those infants or pregnant women. The remaining 112 (19%) were older infants and children, male adults, or nonpregnant female adults. Of 381 infants less than 6 months of age who were tested, 323 (85%) had only a single TORCH test. Of 35 (9%) infants who had follow-up titers, 16 (46%) had a specific titer requested whereas in 19 (54%) the entire TORCH battery was repeated. Follow-up titers were infrequently (25%) requested when initial titers were elevated. Infection with a TORCH agent was not confirmed serologically in any of the 603 patients. The pattern of TORCH test use has a poor diagnostic return.

Preschool Vision Screening in Pediatric Practice: A Study From the Pediatric Research in Office Settings (PROS) Network

PEDIATRICS ◽  
1992 ◽  
Vol 89 (5) ◽  
pp. 834-838 ◽  
Author(s):  
Richard C. Wasserman ◽  
Candace A. Croft ◽  
Sarah E. Brotherton
Keyword(s):  
Cross Sectional Study ◽  
Vision Screening ◽  
Initial Screening ◽  
Sectional Study ◽  
Older Children ◽  
Pediatric Practice ◽  
Screening Process ◽  
Cross Sectional ◽  
Health Supervision

In this cross-sectional study, the vision-screening process is described for 8417 children aged 3 to 5 seen for health supervision in a group of 102 pediatric practices in 23 states and Puerto Rico. Three hundred forty children who failed screening (63% of those who failed) were followed up 2 months after initial screening. The sample was 52% male, 86% white, 9% black, 3% Hispanic, and 1% Asian. Vision screening was attempted on 66% of children overall. Pediatricians' reasons for not screening were "not routine" (44%), "too young" (40%), and "screening done previously" (17%). Younger children were less likely to be screened than older children (39% of those aged 3), and Hispanics were less likely to be screened than other ethnic groups (P < .001). Thirty-three percent of children received no screening for latent strabismus. Two months later, 50% of parents whose child had failed a vision test were unaware of this fact on questionnaire follow-up. Eighty-five percent of children referred to an eye specialist had made or kept an appointment. It is concluded that pediatricians need to increase vision screening among younger preschool children and communicate more effectively to parents the results of screening failure.

Updates and Advances: Pediatric Musculoskeletal Infection Imaging Made Easier for Radiologists and Clinicians

2021 ◽  
Vol 25 (01) ◽  
pp. 167-175
Author(s):  
Michael S. Furman ◽  
Ricardo Restrepo ◽  
Supika Kritsaneepaiboon ◽  
Bernard F. Laya ◽  
Domen Plut ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Imaging Techniques ◽  
Daily Clinical Practice ◽  
Infants And Children ◽  
Imaging Evaluation ◽  
Musculoskeletal Infection ◽  
Wide Range ◽  
Life Threatening ◽  
Optimal Patient Management

AbstractInfants and children often present with a wide range of musculoskeletal (MSK) infections in daily clinical practice. This can vary from relatively benign superficial infections such as cellulitis to destructive osseous and articular infections and life-threatening deep soft tissue processes such as necrotizing fasciitis. Imaging evaluation plays an essential role for initial detection and follow-up evaluation of pediatric MSK infections. Therefore, a clear and up-to-date knowledge of imaging manifestations in MSK infections in infants and children is imperative for timely and accurate diagnosis that, in turn, can result in optimal patient management. This article reviews an up-to-date practical imaging techniques, the differences between pediatric and adult MSK infections, the spectrum of pediatric MSK infections, and mimics of pediatric MSK infections encountered in daily clinical practice by radiologists and clinicians.

Congestive Cardiomyopathy in Infants and Children: Incidence, Diagnosis, and Follow-up

1986 ◽  
pp. 1175-1179
Author(s):  
J. Areias ◽  
I. Valente ◽  
A. Duarte ◽  
J. Maciel ◽  
D. Cunha
Keyword(s):  
Infants And Children ◽  
Congestive Cardiomyopathy ◽  
In Infants And Children

scholarly journals Does Jaundice in Newborn Infants Affect Exclusivity and Duration of Breastfeeding in Taiwan?

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kuei-Hui CHU ◽  
Sen-Wen TENG ◽  
Chen-Jei TAI ◽  
Ching-Mei CHANG ◽  
Li-Yin CHIEN
Keyword(s):  
Newborn Infants ◽  
Duration Of Breastfeeding

Congenital Palatal Ulcers in Newborn Infants with Cleft Lip and Palate: Diagnosis, Frequency, and Significance

1996 ◽  
Vol 33 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Margit Bacher ◽  
Gernot Göz ◽  
Thinh Pham ◽  
Thomas Ney ◽  
Michael Ehrenfeld
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Newborn Infants ◽  
Posterior Part ◽  
Newborn Period ◽  
Wide Range ◽  
Palatal Plate ◽  
Large Cohort Study ◽  
Decubital Ulcer

Congenital decubital ulcers were found in 94% of newborn infants with unilateral cleft lip and palate in the course of a systematic study of a large cohort study (N = 52). The procedures for diagnosis, documentation, and follow-up are described. The ulceration area at birth varied over a wide range. The ulcerations were usually located in the posterior part of the vomer. Sonographic evidence supports the hypothesis that the ulcerations are caused mechanically by the motor activity of the tongue during the fetal and newborn period. The decubital ulcer disappeared in each case within 5 days following the implementation of a palatal plate.

Questions About Hypertension

PEDIATRICS ◽  
1977 ◽  
Vol 59 (1) ◽  
pp. 138-139
Author(s):  
Michael D. Bailie
Keyword(s):  
Blood Pressure ◽  
Newborn Infants ◽  
Infants And Children ◽  
Health Maintenance

The commentary "The Pediatrician and Hypertension"1 emphasized a most important but still much ignored aspect of health maintenance of children. I feel that two points need to be emphasized further. First, physicians measuring blood pressure in children should be aware that the three sizes of cuff normally available for newborn, infants, and children may be inadequate and could potentially lead to an overestimation of the blood pressure. This situation arises because the bladder is frequently too short and not because it is too narrow.

PEDIATRIC SCREENING EXAMINATIONS IN PRIVATE PRACTICE

PEDIATRICS ◽  
1968 ◽  
Vol 41 (1) ◽  
pp. 115-119
Author(s):  
Glenn Austin ◽  
William Foster ◽  
John C. Richards
Keyword(s):  
Medical Care ◽  
Patient Care ◽  
Private Practice ◽  
Pediatric Practice ◽  
Paramedical Personnel ◽  
Assistant Physician ◽  
Special Value ◽  
System Review ◽  
Pediatric Screening

A pediatric assistant performs health screening examinations in a private pediatric practice without the presence of the doctor. Only patients between the ages of 6 to 12 years who have no apparent significant problems and who have had a complete physical and history by a pediatrician the year previously are accepted for the screening, which includes a system review, height, weight, visual and hearing testing, hemoglobin, urinalysis, and immunizations. The pediatric assistant, chosen for her ability to communicate with mothers, is of special value in listening to minor complaints. The chart is reviewed by the child's pediatrician and problems are discussed with the assistant. Physician follow-up is accomplished if deemed helpful. This is accepted by patients, allows continuity of personal comprehensive medical care in the pediatric office at a reduced cost, and allows the physician more time for patient care while increasing efficient use of paramedical personnel. Possible misuse of screening examinations, with resulting impersonal and fragmented medical care, is discussed.

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