scholarly journals ATOPIC DERMATITIS IN CHILDREN: PREAND PERINATAL RISK FACTORS

2012 ◽  
Vol 9 (2) ◽  
pp. 19-22
Author(s):  
E B Belan ◽  
L K Gavrikov ◽  
A S Kasyanova ◽  
N A Khlynova ◽  
T L Sadchikova ◽  
...  

Background. To study the influence of some pre- and perinatal factors on risk of atopic dermatitis development in children up to 3 years old. Materials and methods. 460 newborns and children histories up to 3 years old as well as pregnancy and delivery medical reports of their mothers have been analyzed. The data were estimated differentially depending on presence or absence of atopic dermatitis in 3 years old children. Results. The most significant perinatal risk factors for development of atopic dermatitis were: family history of atopy in mother (OR 3,99 [95% CI 2,38; 6,72]), gestosis, fetoplacentary insufficiency (OR 1,65 [95% CI 1,08; 2,54]), threat of interruption of pregnancy failure (OR 1,82 [95% CI 1,21; 2,74]), fed by a milk formulas (OR 1,70 [95% CI 1,13; 2,56]), cytomegalovirus (OR 1,56 [95% CI 1,02; 2,41])and ureaplasma infection in anamnesis (OR 1,77 [95% CI 1,10; 2,78]), and antibiotics (macrolids) intake during pregnancy. Conclusions. The influence of some pre- and perinatal risk factors of atopic dermatitis in children of early age has been demonstrated.

Author(s):  
Angelos Kaspiris ◽  
Efstathios Chronopoulos ◽  
Elias Vasiliadis

The most prevalent musculoskeletal disorder of childhood with unclear aetiology is Growing Pains (GPs). Anatomic deformities and factors that change bone turnover are implicated in GPs pathophysiology. Perinatal risk factors alter the bone metabolism affecting the bone mineral density and content. The aim of our study was to analyze the relationship between GPs, knock knees and perinatal factors. The examined population consisted of 276 children aged 3-7 years. Among them 10 pairs of dizygotic twins were evaluated. The data were collected by using a combination of semi-structured questionnaires, clinical examinations and medical charts of the children and the obstetric history of the mothers. 78 children presented GPs meeting Peterson’s criteria. Genu valgum severity was a significant factor for GPs manifestation and for their increased frequency and intensity. Subsequently, perinatal factors regarding gestational age, Apgar score, head circumference (lower than 33cm) and birth length or weight (smaller than 50 cm and 3000gr, respectively) made a remarkable contribution to the development of GPs. Conversely, antenatal corticosteroid treatment, increased maternal age and maternal smoking during pregnancy were not predictive for the disorder. Our data are potentially supportive for the “bone strength” theory and for the contribution of anatomical disturbances in GPs appearance.


2021 ◽  
Author(s):  
Yu Li ◽  
Lu Han ◽  
Ning Ding ◽  
Ziyi Zhang ◽  
Yuan Lin ◽  
...  

Abstract Background Autism spectrum disorder (ASD) is a complex neurodevelopmental condition characterized by persistent challenges in social communication and interaction and restricted/repetitive patterns of behavior, interests or activities. An increasing number of studies have revealed that environmental exposure is a potential risk factor for ASD. The relationship between prenatal and perinatal risk factors and ASD has rarely been studied in large samples in China. Therefore, in this study, we compared children with ASD with typical developing (TD) children to assess the ASD-associated prenatal and perinatal risk factors and provide effective information for ASD prevention. Methods A case-control study of 709 children with autism spectrum disorder (ASD) and 709 gender-matched children with typical development was conducted to investigate the prenatal and perinatal risk factors of children with ASD compared with children with typical development ( TD). Through a self-developed general information questionnaire, the basic information (name, age, gender), prenatal factors (parents’ age at the child’s birth, parents’ education levels, use of assisted reproductive technology, history of miscarriage, gestational diabetes mellitus, gestational hypertension), and perinatal factors (delivery mode, full-term birth, parity, birth weight) of the children in the two groups were examined. Results The prenatal and perinatal factors of the groups were submitted to univariate analysis, the parent’s age at childbirth, education level, history of miscarriage, use of ART, pregnancy-induced hypertension, and GDM differed significantly between the two groups (P<0.05), and that among perinatal factors, infant parity and maturity also differed significantly between the two groups (P<0.05). These statistically significant factors were included in a binary logistic regression model. The results showed that the prenatal factors of young maternal age at the child’s birth (≤24 years vs 25-29 years, OR=2.408,95%CI:1.335~4.345), old paternal age at the childbirth(≥45years vs≤24years, OR=4.744, 95%CI:1.281~17.570 ), pregnancy induced hypertension (OR=6.178, 95%CI:2.311~16.517) and GDM(OR=0.220,95%CI:0.149~0.324), the perinatal factors of preterm birth(OR=4.434, 95%CI:2.872~6.846) and non-firstborn child(OR=1.387, 95%CI:1.029~1.869) are likely risk factors for ASD. Conclusion We show that some prenatal and perinatal factors are associated with a high prevalence of ASD in children.


2005 ◽  
Vol 35 (6) ◽  
pp. 733-740 ◽  
Author(s):  
M. M. Hagendorens ◽  
C. H. Bridts ◽  
K. Lauwers ◽  
S. van Nuijs ◽  
D. G. Ebo ◽  
...  

2021 ◽  
pp. 7-9
Author(s):  
Bobby Hmar ◽  
Suresh Chakravorty ◽  
Ammu Anil ◽  
Ripunjay Khatoniar

Background of the study: Various risk factors have been reported in the development of Autism spectrum Disorder. The aim of our study is to explore the demographic and perinatal risk factors implicated in the development of ASD. A retrospective study was conducted with data of 49 children with ASD and found that total 71.3% of children were male 73.5% were in rst birth order. Out of 49 children 53.1% had history of Lower Segment Caesarean Section (LSCS). Indication of LSCS due to various obstetric or perinatal risk factors were reported in 17 cases. Three children had history of low birth weight with history of admission into Neonatal ICU. The study also explore the various co morbidity and found that ADHD (20.4%) was most common comorbidity followed by Mental retardation(18.4%), ADHD and MR(12.2%), seizure disorder and MR (8.2 %). This study found that male gender, rst birth order and perinatal risk factors are implicated in the development of Autism spectrum Disorder and majority of them have one or more another neuro developmental disorder as a comorbidity.


2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Josefina Ricardo-Garcell ◽  
Thalía Harmony ◽  
Eneida Porras-Kattz ◽  
Miguel J. Colmenero-Batallán ◽  
Jesús E. Barrera-Reséndiz ◽  
...  

In the study of 887 new born infants with prenatal and perinatal risk factors for brain damage, 11 children with West syndrome that progressed into Lennox-Gastaut syndrome and another 4 children with Lennox-Gastaut syndrome that had not been preceded by West syndrome were found. In this study we present the main findings of these 15 subjects. In all infants multifactor antecedents were detected. The most frequent risk factors were prematurity and severe asphyxia; however placenta disorders, sepsis, and hyperbilirubinemia were also frequent. In all infants MRI direct or secondary features of periventricular leukomalacia were observed. Followup of all infants showed moderate to severe neurodevelopmental delay as well as cerebral palsy. It is concluded that prenatal and perinatal risk factors for brain damage are very important antecedents that should be taken into account to follow up those infants from an early age in order to detect and treat as early as possible an epileptic encephalopathy.


2018 ◽  
Vol 11 (02) ◽  
pp. 67-73
Author(s):  
Arjun Bhattarai ◽  
Nawaraj KC ◽  
N Subedi ◽  
Namrata KC ◽  
SM Bijukchhe ◽  
...  

Background: Autism, or autism spectrum disorder, refers to a broad conditions characterized by challenges with social skills, repetitive behaviors, speech and nonverbal communication. Objectives: To determine the demographic profile of patients diagnosed with ASD, determine the significant prenatal and perinatal risk factors associated with ASD. Results: A total of 116 subjects were included in the study with 58 cases and 58 controls. They belong to the age ranging from 4 to 16 years old. Every case had a confirmed diagnosis of autism at NCH. There was a significant association noted between neonatal jaundice, nulliparity (OR=2.38; 95% CI, 0.85-6.8) and family history of autism (OR=5.30; 95% CI, 1.29-25.1) with ASD. Exposure to x-ray, medical problems, medicine intake and maternal complications during pregnancy were not significantly associated with ASD with OR 0.74; 95% CI, (0.12-4.15), OR 1.00; 95% CI (0.38-2.61), OR1.49; 95% CI, (0.63-3.53), and OR 1.27; 95% CI, (0.28-6.05), respectively. Conclusion: The current study indicates that the only significant predictor of ASD is a family history of autism. However, neonatal jaundice, maternal age of >40 years old, smoking during pregnancy and nulliparity showed a trend towards being risk factors for ASD. None of the other prenatal and perinatal characteristics significantly predicts ASD.


2018 ◽  
Vol 3 (3) ◽  

Research on international adoption has indicated that a majority of children present with a variety of special needs [1, 2]. Researchers often cite the institutional environment as the source of special needs in foreign adopted children [3, 4]. While the current article provides a general overview of developmental delays and deficits in post-institutionalized children, the overriding tenet is a call for better identification of pre- and perinatal risk factors in post-institutionalized children. The Prenatal History “Wild Card”: Inherent Difficulties Accounting for Prenatal and Perinatal Risk Factors in Samples of Post-institutionalized Children Over the past decade and a half, an increasing body of literature pertaining to international adoption has emerged. In 2004 alone, the U.S. Department of State reported more than 20,000 children were adopted from foreign countries [2]. In the United States however, the number of international adoptions have more than doubled since 1992 [5]. While similarities exist between international and domestic adoptions, children adopted from foreign countries present a number of unique issues and challenges [6]. Many of these issues and challenges stem from the fact that internationally-adopted children are very likely to have experienced out-of-home or institutionalized care. Gunnar, Grotevant and Johnson’s survey of internationally adopted children in Minnesota for example, indicated that prior to adoption 72% had experienced multiple transitions [7]. In addition Johnson suggests that roughly the same number of children adopted from foreign countries have a history of institutionalization [6]. There is now considerable evidence linking numerous poor developmental outcomes to children with a history of institutionalization [1; 8]. These findings are not surprising when considering the likelihood of exposure to the many conditions hazardous to physical, cognitive and socio-emotional development institutionalized children may face [2]. It is now well recognized, for example, that many foreign orphanages are understaffed, and institutionalized children will likely experience malnutrition, attachment problems and cognitive delays and deficits [1]. It may be obvious to even the casual observer that poor developmental outcomes are a direct result of early caretaker neglect and insufficient stimulation in the institutionalized setting. However, the general assumption that such outcomes are a direct result of the institutionalized environment is only part of the story. Although the relative contribution of nature and nurture to human development has been argued for centuries, a current review of the literature on post-institutionalized children is overwhelmingly focused on the post-natal (nurture) influences. While it is usually recognized that pre-and-perinatal influences contribute, the recognition is typically based on assumptions and speculation without the support of empirical data. The following sections will highlight what we know about the developmental outcomes for many post-institutionalized children. In contrast, we will then see that we know very little about the specific pre- and perinatal life history factors that may have contributed to these outcomes.


2006 ◽  
Vol 210 (S 5) ◽  
Author(s):  
A Messerschmidt ◽  
D Prayer ◽  
PC Brugger ◽  
G Zoder ◽  
W Sterniste ◽  
...  

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110317
Author(s):  
Faisal A. Nawaz ◽  
Meshal A. Sultan

The aim of this study is to evaluate the prevalence of low birth weight and other perinatal risk factors in children diagnosed with neurodevelopmental disorders. This is one of the first studies in the Arabian Gulf region focused on the contribution of these factors toward the development of various disorders such as attention-deficit/hyperactivity disorder, autism spectrum disorder, and other mental disorders. This descriptive study was based on qualitative data analysis. We reviewed retrospective information from the electronic medical records of 692 patients in Dubai, United Arab Emirates. The prevalence of low birth weight in children with mental disorders was significantly higher as compared to the general population (16% vs 6% respectively). Furthermore, other risk factors, including high birth weight and preterm birth were noted to have a significant association with neurodevelopmental disorders. Future research on the impact of perinatal risk factors will contribute to advancement of early intervention guidelines.


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