ABSTRACT
Background: Accidental poisoning is an important cause of morbidity and mortality in children. Poisoning is one of the medical emergencies encountered in the emergency department. Accidental poisoning is common in toddlers and pre-school children. Aim of this study was to determine the agents of poisoning and demographic distribution of children brought to Rajarajeswari Medical College and Hospital with a history of accidental poisoning.Methods: The study method was descripitive study done in pediatric department at Rajarajeswari Medical College and Hospital for 18 months, from 1 December 2017 to 31 May 2019. 25 cases were of accidental poisoning. Data was analysed by statistical analysis.Results: The prevalence of accidental poisoning was 0.1%. There was male preponderance, 16 cases were male (64%) and 9 were female (36%), hydrocarbon (40%) was the most common household agent causing poisoning, followed by pyrethroid (24%), followed by NSAID’S (8%). Most common symptom was vomiting. The mean time elapsed to reach hospital was 97.80 minutes. In majority of the cases, hospital stay was for 2 days in (13 cases (52%)).Conclusions: Children become victims of accidental poisoning. Most common agents of poisoning are household products and medications.
ABSTRACT
Background: Gestational age is a critical factor in the management, decision making and follow up of new born infants. Identification of gestational age especially within 48 hours of life is crucial for new born. Since decades attempts have been made to find an alternative measurement for gestational age and birth weight estimation of the newborns. Last menstrual period is an inexpensive method and potentially efficient for calculating gestational age. Objective of this study was to the present study aims to compare the gestational age by New Ballards score with LMP, in pre term babies.Methods: A total 150 pre term babies who are born to mothers remembering LMP were enrolled for the study group. During the study period new Ballard scoring was done for babies within 48hrs and Gestational age was compared with LMP. The collected data was analyzed by using SAS-6.50 version. Study design a prospective observational study was conducted over a period of one year from January 2018 till December 2018 at Rajarajeswari Medical College and Hospital, Bengaluru, IndiaResults: The New Ballard score is found to be significantly correlated with GA above 29 weeks (p<0.01). The LMP mean was 35±2.0 weeks. Total 60.6 % of the childbirth is lead to normal vaginal delivery. The analysis shows LMP were found to be strongly correlated with GA (p<0.01).Conclusions: LMP alone can be reliably used in assessing the gestational age and can be assessed more accurately and be confirmed with new Ballard’s scoring for preterm babies of >29 weeks.
ABSTRACT
Background: Breastfeeding is common in developing countries, but exclusive breastfeeding is rare, and complementary foods are introduced to babies at an early age. Despite the proven risks associated with not exclusively breastfeeding, few mothers exclusively breastfeed their babies for six months as recommended by the World Health Organization. The objective of this study was to determine the effect of breast-feeding promotion interventions on baby weight at three months of age.Methods: A randomized experimental study was conducted for a period of 6 months from February 2019 till July 2019 in a tertiary care hospital. Weight- for-age (WA) indices have been determined for 95 infants from three to four months of age, participating in this study. They included 49 that started received promotion interventions support after delivery (till 2 weeks) and 46 that received routine care (control group). Collected data were analysed using SPSS software ver.11.5.Results: Weight-for-age indices were significantly lower for the early group than the control group (p=0.012). They suggest that the breast-feeding promotion interventions are very important educational tools to ensure healthy weight gain in infants.Conclusions: There is evidence that breastfeeding for at least 6 months, compared with feeding formula, prevents the possibility of atopic dermatitis, cow’s milk allergy and early childhood wheezing. Poorer nutritional status was significantly associated with earlier complementary feeding. The results suggest that exclusive breastfeeding along with promotion of weaning education should be promoted in India.
ABSTRACT
Background: Poisoning is one of the commonest cause of emergency hospital admission in children. The accidental poisoning is seen more commonly in toddlers and intentional poisoning is seen in adolescents. Rapid globalization and increased stress has increased the risk of suicidal poisoning. The accidental poisoning can be reduced by proper education to parents and by keeping poisonous substances out of reach of the child.Methods: The study was carried out over 18 months. Sociodemographic profile of pediatric cases was studied in department of pediatrics at Rajarajeswari medical college and hospital. Descriptive study analysis was done.Results: During 18 month study period, 34 cases were analysed. The incidence was found to be 1.64%. Male:female ratio was found to be 1:1.6. Majority belonged to upper lower class and majority were from urban class.Conclusions: The importance childhood poisoning with its association with socio-demographic factors were studied and intervention were done.
ABSTRACT
Background: The aim of this study was to determine the clinical profile of neonates admitted with dehydration fever and ascertain the maternal and neonatal factors affecting it.Methods: A observational descriptive study was conducted at Rajarajeswari Medical College and hospital, population included neonates who were admitted in NICU with dehydration fever.Results: The study were conducted among 50 neonates admitted with dehydration fever. Majority of neonates (72%) were diagnosed with dehydration fever on day 3 of life. 84 % neonates were born to primiparous mothers. In the study there was significant difference in mean birth weight, weight at admission and percentage of weight loss between birth weight and weight at admission with respect to symptoms on presentation. Mean % of weight loss was 12.06 when dehydration fever was presented with fever, 11.29 when dehydration fever presented with decreased urine output, 18.44 when presented with both fever and decreased urine output and 12.73 when presented with jaundice these values were statistically significant.Conclusions: Dehydration fever occurs most commonly on day 3 or after, effective measures should be initiated for early diagnosis and prevention of complications like effective breast-feeding counselling, proper techniques, good latching and supplementation of artificial feeds if required and monitoring of daily weight and daily urine output.