Unexpected Death by Amniotic Fluid Aspiration Misconceived as Feeding Problem / 대한법의학회지

Aspiration of amniotic fluid, whether being meconium-stained or not, can cause a respiratory distress in neonates. This disorder may result in fatal consequence including unexpected death. Fetal hypoxia stimulates fetal gasping respiration, which can provoke massive amniotic fluid aspiration. A new born male-baby was found dead on the next day after vaginal delivery, and according to the statement of care-giver there was no serious event to the baby except for poor feeding. The diagnosis of amniotic fluid aspiration was confirmed at autopsy. The authors present the autopsy findings, clinical features and courses, failing medicolegal system and medical negligence, with literature review.

Eating Habits of Children Under 4 Years with Poor-Feeding / 대한소아소화기영양학회지

PURPOSE: To find out the differences in eating habits between poor feeding and non-poor feeding children. METHODS: We performed questionnaires on 504 children under four years of age who visited hospitals in Gwangju city and JaollaNamdo from May to August, 2002. RESULTS: 138 (27.4%) children were included in poor feeding group, and 366 (72.%) children were in non-poor feeding group. Breast feeding rate was 18.8% in the poor feeding group and 20.3% in the non-poor feeding group. Duration of breast feeding for less than six months were noted in 70.5% of poor feeding group, and 58.5% of non-poor feeding group. The time at starting solid food in the poor feeding group was as follows; 15.9% of infants started on solid food when they were 2~4 months old, 32.7% during 4~6 months, 38.1% during 6~8 months and 18.8% over one year of age. Solid food was given in wrongly manners in both groups by nursing bottles, including 80.4% in poor feeding group and 66.6% in non-poor feeding group. CONCLUSION: This study demonstrated close relationships among poor feeding children under four years of age with history of low rate and short duration of breast feeding, inappropriate time to start on solid food, less interest in food during mealtime, and unbalanced diet. Pediatricians should make an effort to play an important role in nutritional education and treatment in children.