Assessment of Thoracic Abnormalities in Premature Infants

Background: There is a large incidence of congenital thoracic abnormalities that manifest as deformities and or defects of anterior chest walls. Thoracic abnormalities in preterm infants may also be associated with malpositioning in the incubator in the presence of respiratory disease and prolonged mechanical ventilation. Immaturity of respiratory and musculoskeletal system need to compromise biomechanical function of thorax. Thus, the purpose of the study is to access the thoracic alteration and the factors associated with its abnormalities in the infants born prematurely. Objective: Assess thoracic alteration in premature infants. Methods: This was an observational study with infants in first year of age, born prematurely with birth weight < 2000g. Exclusion criteria were: major congenital malformations as defined by the centers for disease contol and prevention, grade III/IV intraventricular hemorrhage or preventricular leucomalacia. Physical examinations were performed independently to assess shoulder elevation and thoracic alterations. Results: 34 infants born prematurely were included for the study according to the inclusion criteria from which 20 infants (58.8%) showed thoracic abnormalities and remaining 14 infants (41.1%) were without abnormalities. Conclusion: The prevalence of thoracic abnormalities was high in infants born prematurely, and was associated with pulmonary disease, and may also have compromised the growth rate of these infants during the first year of life.

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The communication between low birth weight premature infants and their mothers in the first year of life: A description of four cases

PsycEXTRA Dataset ◽

10.1037/e579192013-410 ◽

2012 ◽

Author(s):

D. Bissessur ◽

M. Pascoe ◽

P. Mayers

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Premature Infants ◽

First Year ◽

First Year Of Life

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Factors Associated with Maternal Opinion of Infant Development—Clues to the Vulnerable Child?

PEDIATRICS ◽

10.1542/peds.69.5.537 ◽

1982 ◽

Vol 69 (5) ◽

pp. 537-543

Author(s):

Marie C. McCormick ◽

Sam Shapiro ◽

Barbara Starfield

Keyword(s):

Birth Weight ◽

Infant Development ◽

Infant Health ◽

Subsequent Development ◽

First Year ◽

Factors Associated ◽

Slow Development ◽

First Year Of Life ◽

Relationship Of ◽

The Relationship

A mother's expectations about the development of her infant have been found to be a strong determinant of child development, but little is known about the factors that may affect maternal assessment of development. In this study, the relationship of the mother's opinion of the development of her infant with several sociodemographic, antenatal, intrapartum, and infant health variables was examined for a large sample of 1-year-old infants for whom gross motor observations were also obtained at the time of the interview. Among those observed to be developing at an appropriate rate, 4.0% were perceived by their mothers as developing more slowly than the mothers considered normal; among infants developing more slowly, 28.6% were considered to be developing slowly by their mothers. In both groups, the major determinants of maternal opinion of slow development concerned the infant's health: low birth weight, congenital anomalies regardless of severity, hospitalization during the first year of life, and high ambulatory care use. These results indicate that maternal perception of infant development may not reflect the infant's level, but past or present illness, and raise questions about the influence of infant health on maternal-infant interactions and the effect of such interactions on subsequent development in the child.

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Abnormal Shoulder Girdle Muscle Tone in Premature Infants During Their First 18 Months of Life

PEDIATRICS ◽

10.1542/peds.77.5.664 ◽

1986 ◽

Vol 77 (5) ◽

pp. 664-669

Author(s):

Michael K. Georgieff ◽

Judy C. Bernbaum

Keyword(s):

Premature Infants ◽

Motor Development ◽

Muscle Tone ◽

Birth Asphyxia ◽

Shoulder Girdle ◽

First Year ◽

First Year Of Life ◽

Girdle Muscle ◽

Shoulder Girdle Muscle

To document the incidence of and neonatal factors associated with abnormal shoulder girdle muscle tone in premature infants at follow-up, we studied 125 consecutively admitted infants weighing < 1,750 g treated in The Children's Hospital of Philadelphia intensive care nursery and subsequently seen in the Neonatal Follow-up Program up to 18 months of age. Fifty-seven infants (46%) displayed abnormal shoulder girdle muscle tone which presented clinically as scapular retractions. These infants had significantly lower birth weights (P < .001) and gestational age (P < .001) as well as a higher incidence of acute and chronic pulmonary disease (P < 0.01) and CNS insults (P < .05) when compared with infants without scapular retractions. The 57 infants with scapular retractions were further divided into two groups: 42 infants (74%) in whom scapular retractions were associated with generalized mild hypertonicity and 15 infants (26%) in whom scapular retractions compensated for trunk and neck hypotonicity. The infants with scapular retractions and hypotonicity had a significantly higher incidence of neonatal neurologic morbidity including seizures, major resuscitations, and birth asphyxia (P < .01) when compared with the infants with scapular retractions and hypertonicity. Shoulder girdle tone abnormalities in the first year of life inhibit crawling, sitting, and object manipulation and, therefore, may manifest as delays in motor development. Identification of infants with significant neonatal risk factors for tone abnormalities is important to allow for earlier therapeutic intervention.

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EVALUATION OF THE ROUTINE PHYSICAL EXAMINATION OF INFANTS IN THE FIRST YEAR OF LIFE: OBSERVATIONS

PEDIATRICS ◽

10.1542/peds.45.6.963 ◽

1970 ◽

Vol 45 (6) ◽

pp. 963-964

Author(s):

Alfred Yankauer

Keyword(s):

First Year ◽

Comprehensive Health Care ◽

Routine Examination ◽

Ability To Work ◽

Health Supervision ◽

Consumer Control ◽

Comprehensive Health ◽

Physical Examinations ◽

Routine Physical Examination ◽

First Year Of Life

Studies of the kind Dr. Anderson has reported are important because of the issues they raise—issues that only time, social change and further study will finally resolve. The issues are both direct and indirect or inferential. The direct issues apply only to young children who are receiving continuing comprehensive health care from a single medical source regardless of how the source is financed, and to the "routine" examination of such children to discover new somatic conditions in need of care. Dr. Anderson's findings challenge the rigidity of current American health supervision routines. They raise questions, not only about the extent to which other "examiners" can select (not diagnose or treat) children who require the pediatrician's special attention but also about the frequency, content and timing of such examinations, regardless of who carries them out. The indirect issues are more sensitive and more difficult to deal with. They revolve around the questions which Dr. Webb has phrased so feelingly in terms that will be understood by many pediatricians: the nature of the pediatrician's expectations and the satisfactions he derives from his work; his ability to work with and through others rather than in simple one-to-one relationship; the numbers, training, and roles of other workers associated with him; the relative importance of "routine" physical examinations as compared to other aspects of his work; the acceptability of any change in routines to his patients; and the need to "sell" services in a competitive market subject to greater consumer control. Statistical projections must always stumble over if's and but's.

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THE EFFECT OF MONTHLY GAMMA-GLOBULIN ADMINISTRATION ON MORBIDITY AND MORTALITY FROM INFECTION IN PREMATURE INFANTS DURING THE FIRST YEAR OF LIFE

PEDIATRICS ◽

10.1542/peds.32.1.4 ◽

1963 ◽

Vol 32 (1) ◽

pp. 4-9 ◽

Cited By ~ 1

Author(s):

Jules Amer ◽

Esther Ott ◽

Frank A. Ibbott ◽

Donough O'Brien ◽

C. Henry Kempe

Keyword(s):

Premature Infants ◽

Gamma Globulin ◽

Repeated Administration ◽

Morbidity And Mortality ◽

Controlled Study ◽

First Year ◽

Double Blind ◽

First Year Of Life

A double-blind controlled study to determine the effect on infections of repeated administration of large doses of gamma-globulin to premature infants revealed that significantly more of these infants had no infections and fewer had mild infections during the first year of life. The data also suggests that gamma-globulin afforded some amelioration of serious but nonfatal infections. Deaths from infection showed a similar trend in favor of the gamma-globulin group, but this difference on its own was not significant.

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HEMATOPOIESIS IN PREMATURE INFANTS WITH SPECIAL CONSIDERATION OF THE EFFECT OF IRON AND OF ANIMAL-PROTEIN FACTOR

PEDIATRICS ◽

10.1542/peds.16.6.753 ◽

1955 ◽

Vol 16 (6) ◽

pp. 753-762

Author(s):

James A. Wolff ◽

Alice M. Goodfellow

Keyword(s):

Premature Infants ◽

Animal Protein ◽

Iron Therapy ◽

First Year ◽

Protein Factor ◽

Anemia Of Prematurity ◽

Significant Difference ◽

One Year ◽

First Year Of Life ◽

Weight Groups

Normal values in the first 3 months of life have been determined for hemoglobin, erythrocytes, reticulocytes, platelets, leukocytes and differential counts for premature infants with birth weights less than 1200 gm., and for those between 1200 and 1500 gm. at birth. No significant difference was found in the degree of depression of levels of hemoglobin and erythrocytes when values in the 2 weight groups were compared. Two reticulocyte peaks occur during the first 3 months of life. The first peak is present immediately after birth. The second peak, at about the eighth week, coincides with the occurrence of the greatest degree of anemia. Neither iron therapy nor treatment with animal-protein factor containing vitamin B12 and Aureomycin®, started before the end of the third week of life, had a statistically significant effect on the early phase of the anemia of prematurity. Untreated premature infants and those given animal-protein factor were anemic at the end of the first year of life. Subjects given iron therapy had normal hemoglobin values at one year of age. Blood transfusion is rarely necessary in the treatment of the anemia of prematurity.

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Prenatal factors associated with the development of eczema in the first year of life

Pediatric Allergy and Immunology ◽

10.1111/j.1399-3038.2005.00233.x ◽

2005 ◽

Vol 16 (1) ◽

pp. 19-26 ◽

Cited By ~ 12

Author(s):

Margaret Kurzius-Spencer ◽

Marilyn Halonen ◽

I. Carla Lohman ◽

Fernando D. Martinez ◽

Anne L. Wright

Keyword(s):

First Year ◽

Factors Associated ◽

Prenatal Factors ◽

First Year Of Life

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51 Prevalence of Wheezing and Risk Factors Associated to Wheezing in Infants in the First Year of Life, Cuibá, MT, Brazil

World Allergy Organization Journal ◽

10.1097/01.wox.0000411796.72431.42 ◽

2012 ◽

Vol 5 ◽

pp. S17

Author(s):

Lillian Sanchez Lacerda Moraes ◽

Olga Akiko Takano ◽

Dirceu Solé

Keyword(s):

Risk Factors ◽

First Year ◽

Factors Associated ◽

First Year Of Life

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Factors associated with the development of skin allergies in premature newborns in the first year of life

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2021.20200261 ◽

2021 ◽

Vol 42 ◽

Author(s):

Leonardo Bigolin Jantsch ◽

Bruna Paola de Lima Bridi ◽

Giovana Dornelles Callegaro Higashi ◽

Andrea Moreira Arrué ◽

Diúlia Calegari de Oliveira ◽

...

Keyword(s):

Preterm Infants ◽

Protective Factor ◽

Newborn Infants ◽

Late Preterm ◽

First Year ◽

Cross Sectional ◽

Late Preterm Infants ◽

Factors Associated ◽

Skin Allergy ◽

First Year Of Life

ABSTRACT Objective To identify the factors associated with the development of skin allergies in the first year of life in moderate and late preterm infants. Method: This is a cross-sectional study with 151 moderate and late preterm infants, born between May 2016 and May 2017. Participants were evaluated in the 3rd, 6th, 9th and 12th months of life, in telephone interviews. Statistical analyzes were performed in the SPSS software with frequency comparison tests and logistic regression. Results: The prevalence of skin allergy, in the perception of caregivers, among late and moderate preterm infants was 16%. Factors such as being admitted to neonatal intensive care (p = 0.006) and not being breastfed (p = 0.041) showed a significant association with the development of skin allergies in the 3rd and 12th months of life, respectively. Conclusion: Skin allergy, in the perception of caregivers, is more severe in newborn infants who have clinical respiratory and gastrointestinal manifestations, be it conditioning or cause-effect. Breastfeeding proved to be a protective factor in the first year of life.

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