Wadia Journal of Women and Child Health最新文献

{"title":"Assessment of health facilities of Pune city, India, for delivering respectful maternity care","authors":"H. Ansari, R. Yeravdekar","doi":"10.25259/wjwch_17_2024","DOIUrl":"https://doi.org/10.25259/wjwch_17_2024","url":null,"abstract":"","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"9 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthetic management of a child with a laryngeal mass associated with Laryngo-onycho-cutaneous syndrome","authors":"Mridul Dua, Mukta Shikhare, Balagopal Kurup, Pradnya Haridas Sawant","doi":"10.25259/wjwch_51_2023","DOIUrl":"https://doi.org/10.25259/wjwch_51_2023","url":null,"abstract":"With fewer than 50 reported cases, Laryngo-onycho-cutaneous syndrome is a rare condition presenting in childhood with skin and conjunctival ulcerations and laryngeal pathology. A 4-year-old girl presented with recent onset aphonia. Airway endoscopy revealed a laryngeal mass. Tracheostomy was advised but parents denied consent. Two weeks later, she developed severe stridor warranting emergent tracheostomy. The child was diagnosed as Laryngo-onycho-cutaneous syndrome, also known as Shabbir syndrome. Subsequently, she was taken up for laser excision of the mass. Here, we describe the anesthetic management in such airway procedures. Total intravenous anesthesia and local anesthetic in the form of vocal cord spray are safe and environment-friendly alternatives to inhalational anesthesia for airway endoscopies.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"10 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141265395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Role of peripartum cesarean section in maternal collapse in pregnancy","authors":"G. Balsarkar","doi":"10.25259/wjwch_11_2022","DOIUrl":"https://doi.org/10.25259/wjwch_11_2022","url":null,"abstract":"Fortunately, maternal cardiopulmonary arrest is an uncommon complication in the field of obstetrics, nevertheless dreaded by the clinicians. Perimortem cesarean section (PMCS), if performed in a timely manner, not only improves the chances of fetal survival but also improves the success rates of maternal resuscitation. In pregnant women over 20 weeks of gestation, if there is no response to correctly performed cardiopulmonary resuscitation within 4 min of maternal collapse or if resuscitation is required to be continued beyond this time, then perimortem cesarean section should be undertaken to assist maternal resuscitation. Delivery of the fetus and placenta reduces oxygen consumption and improves venous return and cardiac output, facilitates chest compressions, and makes ventilation easier. PMCS should be considered a resuscitative procedure, to be performed primarily in the interests of maternal survival. Delivery within 5 min of maternal collapse improves the chances of survival for the baby. A case of maternal collapse due to cardiac tamponade with aortic dissection where a live baby was delivered by perimortem cesarean section is described.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"2 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Genetic counseling in atypical genitalia: Challenges and proposed communication approach","authors":"Shailesh Pande, Shiny Babu, Harshvardhan Gawde","doi":"10.25259/wjwch_10_2024","DOIUrl":"https://doi.org/10.25259/wjwch_10_2024","url":null,"abstract":"Atypical genitalia (AG) is a rare condition in which a child’s external genitals are not properly distinguished. The genitals can be seen as incompletely developed or have both male and female internal and/or external genital structures. Identification of genetic causes in such children is important for appropriate genetic counseling. Genetic counseling in AG is very crucial and sensitive. Also, there are lots of challenges involved in offering and communicating the information to parents or individuals. The article highlights the challenges in counseling and proposes a simple communication approach in AG.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"9 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141266916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An initiative for better patient handling and process evolution using BD Vacutainer® UltraTouch™ Push Button Blood Collection Set with Pre-Attached Holder","authors":"D. Mamtora, Sonal Ghogale, Sharmila Solanki, Madhura Sawant","doi":"10.25259/wjwch_28_2023","DOIUrl":"https://doi.org/10.25259/wjwch_28_2023","url":null,"abstract":"\u0000\u0000Venepuncture and intravenous cannula insertions frequently cause pain and anxiety in paediatric patients. Various studies have observed that higher gauge and shorter needles are less painful, and the likelihood of bleeding was decreased compared to the lesser gauge needles. Hence a study was designed with objective of evaluation of BD UT PBBCS – PAH (latest blood collection device) for pain perception of paediatric patients.\u0000\u0000\u0000\u0000The current study was conducted at the outpatient department of Bai Jerbai Wadia Hospital for Children. In this study, 33 paediatric individuals were included. Venepuncture was performed with UTPBBCS-PAH (25G) and after the procedure feedback was collected. Pain perception feedback was gathered using a categorical scale ranging from 0 to 5, also known as the “verbal pain intensity scale”.\u0000\u0000\u0000\u0000The current study found that pain intensity was significantly lower with UTPBBCS-PAH, and the overall experience was less traumatic.\u0000\u0000\u0000\u0000The UTPBBCS is deemed to be the appropriate blood collection device for the paediatric population due to design elements contributing to less painful experience.\u0000","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral complex microphthalmia with unilateral coloboma in a preterm neonate","authors":"Anushka Bhadane, R. Prashanth, Sruthi Nair, A. Haribalakrishna","doi":"10.25259/wjwch_2_2024","DOIUrl":"https://doi.org/10.25259/wjwch_2_2024","url":null,"abstract":"","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"49 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139816913","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering unilateral congenital facial palsy in neonates: A case series and literature review","authors":"Medha Goyal, R. Prashanth, Sonam Shah, A. Mujeeb, S. Mhatre, A. Haribalakrishna","doi":"10.25259/wjwch_1_2024","DOIUrl":"https://doi.org/10.25259/wjwch_1_2024","url":null,"abstract":"Unilateral facial palsy in neonatal period either occurs in isolation or in association of a syndrome. We report three neonates, two boys and one girl, who presented with unilateral facial palsy at birth. Clinical assessment was performed by a neonatologist, ear-nose-throat (ENT) surgeon, an ophthalmologist and a physiotherapist. Magnetic resonance imaging (MRI) of the brain in two neonates and additional computerized tomography (CT) of the temporal bone in one patient was done to exclude developmental anomalies of the facial nerve. Imaging revealed an underlying underdevelopment etiology with absence of cochlea in one neonate. These findings point towards the importance of imaging and systematic diagnostic work-up. This article describes a multidisciplinary approach toward unilateral, isolated congenital facial palsy along with a literature review. Role of physiotherapy, auditory rehabilitation, and other medical and surgical options have also been discussed.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"62 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139823180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brown adipose tissue – magnetic resonance imaging (MRI) appearance of these physiological fat deposits in a newborn","authors":"Hirva Manek, Foram Gala","doi":"10.25259/wjwch_36_2023","DOIUrl":"https://doi.org/10.25259/wjwch_36_2023","url":null,"abstract":"Brown adipose tissue (BAT) is responsible for thermogenesis in neonates and infants in response to cold environment. 18F-fluorodeoxyglucose positron emission tomography is the reference for imaging of BAT, but it is a functional imaging modality and hence lacks sensitivity due to varying patient and environmental factors. Magnetic resonance imaging (MRI) lacks the use of radioactivity and ionizing radiation and can prove to be an excellent imaging modality to study the distribution of BAT. We report a neonate with sepsis whose MRI study of the neck and upper chest done to look for infective focus revealed classical distribution and signal intensity of BAT.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139876699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Deciphering unilateral congenital facial palsy in neonates: A case series and literature review","authors":"Medha Goyal, R. Prashanth, Sonam Shah, A. Mujeeb, S. Mhatre, A. Haribalakrishna","doi":"10.25259/wjwch_1_2024","DOIUrl":"https://doi.org/10.25259/wjwch_1_2024","url":null,"abstract":"Unilateral facial palsy in neonatal period either occurs in isolation or in association of a syndrome. We report three neonates, two boys and one girl, who presented with unilateral facial palsy at birth. Clinical assessment was performed by a neonatologist, ear-nose-throat (ENT) surgeon, an ophthalmologist and a physiotherapist. Magnetic resonance imaging (MRI) of the brain in two neonates and additional computerized tomography (CT) of the temporal bone in one patient was done to exclude developmental anomalies of the facial nerve. Imaging revealed an underlying underdevelopment etiology with absence of cochlea in one neonate. These findings point towards the importance of imaging and systematic diagnostic work-up. This article describes a multidisciplinary approach toward unilateral, isolated congenital facial palsy along with a literature review. Role of physiotherapy, auditory rehabilitation, and other medical and surgical options have also been discussed.","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"2 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139882768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteoarticular tuberculosis in infants: A diagnostic and management challenge","authors":"Shalin Shah, Prithvi Nathani, A. Aroojis, M. Agashe, R. Mehta","doi":"10.25259/wjwch_33_2023","DOIUrl":"https://doi.org/10.25259/wjwch_33_2023","url":null,"abstract":"\u0000\u0000Musculoskeletal manifestations of tuberculosis in infants are rare and different both in etiopathological mechanism and clinical presentation. Radiological diagnosis of osteoarticular tuberculosis (TB) in infants is tricky due to the various differentials of a cystic lesion. Literature also mention it only in isolated case reports. We carried out this study with an aim to collate and study patterns of osteoarticlular TB in the appendicular skeleton and to highlight the difficulties in diagnosis and management.\u0000\u0000\u0000\u0000We retrospectively reviewed the data at our hospital over the past 8 years. Microbiologically confirmed osteoarticular tuberculosis affecting appendicular skeleton in children below 1 year of age were included in the study. Cases with spine involvement were excluded. The delay to diagnosis from the onset of symptoms, the initial diagnosis and treatment given were noted. The resolution of radiological presentation and occurrence of deformities at the final follow up (atleast 1 year) were noted.\u0000\u0000\u0000\u0000During the study period, 8 infants were diagnosed to have osteoarticular tuberculosis with median age at presentation of 8.7 months (range 3 to 12 months). Average duration of follow up was 4 years (range 1 to 8 years). Cystic, Erosive, infiltrative, spina ventosa and mortar pestle were the radiological appearances found. Three of the 8 cases were referred as suspected malignancy. All but one case were vaccinated with BCG. Curettage and anti-tubercular therapy (ATT) were the treatment in all cases. Three cases with a delay in diagnosis of more than 2 months, developed complications: 1 had limb length discrepancy (LLD) due to physeal involvement, 1 developed angular deformity and 1 child had perthe’s disease as a sequelae.\u0000\u0000\u0000\u0000Osteoarticular tuberculosis is an increasing possibility, shockingly, even in infancy and should be a differential in an endemic country like India. A delay to diagnosis of even 2 months of this condition can lead to devastating complications. Being mindful of the diagnosis and early treatment gives rewarding results.\u0000","PeriodicalId":147193,"journal":{"name":"Wadia Journal of Women and Child Health","volume":"211 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139820837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}