Iain Hutchison, Malcolm Nicolson and Lawrence Weaver, Child Health in Scotland: A History of Glasgow's Royal Hospital for Sick Children

Introduction There is substantial body of evidence that portrays gap in the existing maternal and child health continuum of care; one is less attention given to adolescent girls and young women until they get pregnant. Besides, antenatal care is too late to reduce the harmful effects that a woman’s may have on the fetus during the critical period of organogenesis. Fortunately, preconception care can fill these gaps, enhance well-being of women and couples and improve subsequent pregnancy and child health outcomes. Therefore, the main aim of the current study was to assess preconception care utilization and associated factors among pregnant women attending antenatal care clinics of public health facilities in Hosanna town. Methods A facility based cross-sectional study design was carried out from July 30, 2020 to August 30, 2020. Data were collected through face-to-face interview among 400 eligible pregnant women through systematic sampling technique. Epi-data version 3.1 and SPSS version 24 was used for data entry and analysis respectively. Both bivariable and multivariable logistic regression analysis was conducted to identify association between dependent and independent variables. Crude and adjusted odds ratio with respective 95% confidence intervals was computed and statistical significance was declared at p-value <0.05. Result This study revealed that 76 (19%, 95% Cl (15.3, 23.2) study participants had utilized preconception care. History of family planning use before the current pregnancy (AOR = 2.45; 95% Cl (1.270, 4.741), previous history of adverse birth outcomes (AOR = 3.15; 95% Cl (1.650, 6.005), poor knowledge on preconception care (AOR = 0.18; 95% Cl (0.084, 0.379) and receiving counseling on preconception care previously (AOR = 2.82; 95% Cl (1.221, 6.493) were significantly associated with preconception care utilization. Conclusions The present study revealed that nearly one-fifth of pregnant women have utilized preconception care services. History of family planning use before the current pregnancy, previous history of adverse birth outcomes, poor knowledge on preconception care and receiving counseling on preconception care previously were significantly associated with preconception care utilization. Integrating preconception care services with other maternal neonatal child health, improving women’s/couples knowledge & strengthening counseling services is pivotal.

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Book Review Diet in Infancy. The Essential Introduction to the Study of Disease in Childhood . By A. Dingwall-Fordyce, M.D., F.R.C.P., Editor, Extra-Physician to the Royal Hospital for Sick Children, Edinburgh. 174 pp. Edinburgh and London: William Green & Sons. 1908.

Boston Medical and Surgical Journal ◽

10.1056/nejm190901211600307 ◽

1909 ◽

Vol 160 (3) ◽

pp. 81-82

Keyword(s):

Royal Hospital ◽

Sick Children

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Presidential Address—1974

PEDIATRICS ◽

10.1542/peds.54.6.673 ◽

1974 ◽

Vol 54 (6) ◽

pp. 673-676

Author(s):

James B. Gillespie

Keyword(s):

Child Health ◽

American Academy ◽

Presidential Address ◽

Leadership Role ◽

Robert Frost ◽

The Past ◽

Medical Environment ◽

American Academy Of Pediatrics ◽

Concern For Others ◽

History Of

The history of the American Academy of Pediatrics is a chronicle of practical idealism. I will not attempt to recount recent and past achievements of our society, for most have been well documented. It is beyond my capacity to identify the changes in Academy role and structure which may occur in our rapidly changing and complex social and medical environment. However, I do wish to reflect briefly on certain recent programs and actions which point up the expanding role and broader scope of interests of the Academy. These actions and interests, hallmarks of maturity and enhanced concepts of responsibility and accountability, are significant of our times. Wisdom has been gained as we have stood upon the shoulders of our predecessors. Today's Academy cannot be separated from the past. We are deeply indebted to the perceptive, astute leadership of other days and to a dedicated membership which, for 44 years, has closely adhered to our stated goals. We continue to value their counsel. The contributions of those who preceded us are the principal reason why we are where we are today. There is justifiable optimism for the assumption that the Academy will continue its leadership role as the major advocate for improved child health in the Americas. I sincerely believe that success will come to a society whose principal objective is placing concern for others higher on the scale of values of more and more people. We are reassured by a membership and leadership dedicated to service above self. In the words of Robert Frost: "There cannot be much to fear in a country where so many right faces are going by.

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Intramuscular Progesterone for the Prevention of Recurrent Preterm Birth

50 Studies Every Obstetrician-Gynecologist Should Know ◽

10.1093/med/9780190947088.003.0007 ◽

2021 ◽

pp. 38-42

Author(s):

Emily A. Oliver ◽

Amanda Roman-Camargo

Keyword(s):

Preterm Birth ◽

Child Health ◽

Human Development ◽

Intraventricular Hemorrhage ◽

Controlled Trial ◽

Supplemental Oxygen ◽

Spontaneous Preterm Birth ◽

Increased Risk ◽

Hydroxyprogesterone Caproate ◽

History Of

Women with a history of spontaneous preterm birth have an increased risk of recurrent preterm birth. In this randomized placebo-controlled trial funded by the National Institute of Child Health and Human Development, patients between 16 and 20 weeks of gestation with a history of spontaneous preterm birth were administered intramuscular 17 alpha-hydroxyprogesterone caproate (17P) or placebo, weekly until 36 weeks of gestation. Treatment with 17P significantly reduced the rate of preterm birth (36.3% vs. 54.9%, p <0.001). Rates of necrotizing enterocolitis, intraventricular hemorrhage, and need for supplemental oxygen were all significantly decreased in the 17P group. In women with a history of spontaneous preterm birth, weekly 17P decreases the rate of recurrent preterm birth.

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