Prevalence of risk factors of primary 3rd degree malnutrition in children under 5 yars of age; admitted in services hospital, Lahore

To determine the prevalence of risk factors of primary 3rd degree malnutrition in children under 5 years of age. Hospital based descriptive study. Department of Pediatrics, SIMS/Services Hospital, Lahore, from July 2005 to December 2005. A total of 200 children were included in study, from 2 months to 5 years of age. All had 3rd degree malnutrition according to modified Gomez Classification. Risk factors included were; Fresh [Cow] milk feeding, mixed feeding, delayed weaning, more than 2 children under 5, large family size [>5 children], partial vaccination, no vaccination, working mother, un-employed factors, twin delivery. Risk factors identified were as follows: Mixed feeding 85.5% [n=171], more than 2 children under 5 was 84.5% [n=169], delayed weaning 74% [n=148], only fresh milk 70% [n=140], large family size [>5 children] 69% [n=138], partial vaccination 66.5% [n=133], working mother 24% [n=48], unemployed father 13.5% [n=27] and twin deliveries 3.5% [n=7]. Most of the risk factors are preventable just by counseling and motivation o f parents. Malnutrition can be avoided without causing financial burden on family

Outcome of babies admitted with hypoxic-ischemic encephalopathy in neonatal unit of services hospital, Lahor

To determine the outcome of newborns, admitted with different stages of HIE in Neonatal Unit, Services Hospital, Lahore. Descriptive Study. Neonatology Section, Pediatrics Department, Services Institute of Medical Sciences [SIMS] / Services Hospital, Lahore. Over a period of Six months, from 1st August 2005 to 31st January 2006. A total of 170 newborns having Apgar score less than 7 were included in the study. Babies with any congenital anomaly were excluded. 80% were males. 17.64% had weight less than 1.5 Kg, 37.06% weight between 1.5 Kg to 2.5 Kg and 45.29% had weight more than 2.5 Kg. 90.5% of our babies were delivered in Services Hospital, Lahore. 77.64% babies were full term. Babies were divided into three groups; Group-I had Apgar score 0-3, Group-II between 4 and 5 and Group-III had Apgar score 6-7. In Group-I, 65% babies died, whereas 100% had any one of the complications, in Group-II, there were 22% deaths and no baby died from Group-III. Despite advanced technology, a high number of babies have HIE and its complications. It is better to prevent babies from HIE, because once HIE occur, you cannot save babies completely from its complications