Journal of mother and child最新文献

{"title":"The COVID-19 pandemic in a paediatric population: A health care perspective.","authors":"Viral P Maru,&nbsp;Salil Bapat","doi":"10.34763/jmotherandchild.20212502.d-21-00008","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00008","url":null,"abstract":"<p><p>SARS-CoV-2, a member of the coronaviridae family, has caused a deadly pandemic known as the Coronavirus disease 2019, (COVID-19). Paediatric patients get infected by direct exposures or airborne droplets, mostly from households with a cluster of infection or a history of exposure to outbreak areas. COVID-19 is contagious in children (those under the age of 18), with an average incubation time of around 6.5 days. Paediatric patients account for less than 5% of total COVID-19 patients worldwide, and hence studies involving such subjects are unlikely in the near future. As a result, there are inadequate data about COVID-19 infection in children. Therefore, we present this systematic review to understand the epidemiology, clinical features, diagnostic outcomes, and available options for the management of COVID-19 in paediatric populations in order to advise clinical and public health policy choices for safety of children worldwide.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"102-118"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976585/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39631395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Usefulness of two types of pain monitors in newborns treated in NICU, in the opinion of experts: Results of the survey.","authors":"Wojciech Walas,&nbsp;Julita Latka-Grot,&nbsp;Tomasz Szczapa,&nbsp;Iwona Maroszyńska,&nbsp;Magdalena Rutkowska,&nbsp;Alicja Bartkowska-Śniatkowska,&nbsp;Andrzej Piotrowski","doi":"10.34763/jmotherandchild.20212502.d-21-00018","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00018","url":null,"abstract":"<p><p>Pain experienced in the neonatal period has been shown to have serious short- and long-term consequences. It is also known that painkillers have side effects and should not be abused. The basis of proper pain management is assessment of pain, which in newborns is very difficult due to the lack of verbal communication. In these patients, behavioural scales are used to assess pain, but they have numerous shortcomings. For this reason, many newborns treated in the ICU are at risk of pain, so instrumental methods of detecting and assessing the severity of pain are being sought. During three months, seven Polish NICUs conducted research with the use of NIPE and SCA monitors. After this time, the heads of these departments filled in questionnaires regarding their individual opinions on the usefulness of these devices. All respondents found pain monitors useful in the NICU. The NIPE monitor was rated slightly higher, as its usefulness in assessing the effectiveness of analgosedation and in the management of patients in the postoperative period was better rated. The high acceptance of both devices by legal guardians of newborns is noteworthy. It should be stated that in newborns, any way to improve pain monitoring is valuable. In the opinion of Polish experts, pain monitors are useful in NICU. The NIPE monitor was assessed a little higher and was considered useful in the assessment of analgosedation and in postoperative treatment. Pain monitors can provide valuable support for pain assessment in newborns treated in the NICU.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"72-76"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39675673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Challenges in implementation of mother milk banks in Rajasthan: A situational analysis.","authors":"Neha Mantri, Akhil D Goel, Nitin K Joshi, Pankaj Bhardwaj, Vaishali Gautam, Manoj K Gupta","doi":"10.34763/jmotherandchild.20212502.d-21-00009","DOIUrl":"10.34763/jmotherandchild.20212502.d-21-00009","url":null,"abstract":"<p><strong>Background: </strong>Breastmilk is the baby's \"first vaccine\". Donated human milk (DHM) is the next best alternative when a mother's milk is not available, as recommended by WHO- UNICEF. DHM as a nutritional source provides similar immune protection and may prove revolutionary in reducing neonatal morbidity and mortality. The study aimed to explore the challenges in the implementation of selected Mother Milk Banks (MMBs) of Rajasthan.</p><p><strong>Material and methods: </strong>A qualitative in-depth interview of key stakeholders was conducted to know the various facets of the challenges in milk banking practices using the Root Cause Analysis framework.</p><p><strong>Results: </strong>The system challenges identified in the functioning of AMMBs were lack of recurring funds, dedicated lactational counselors, and trained technicians. Databases for demand-supply estimates were also lacking. The community challenges were low acceptance of DHM due to safety concerns, risk of disease transmission, and quality of donated milk. Moreover, the religious stigma and cultural beliefs regarding the transfer of heredity traits and decrease in mother-child affection act as barriers in donating milk.</p><p><strong>Conclusion: </strong>For acceptance and availability of DHM, Social Behavior Communication Change (SBCC) interventions must be incorporated early during the antenatal check-up period. Our study highlighted the role of education; motivation by healthcare providers has a major influence on infant feeding choices. In a developing country such as India, where the frameworks concerning the development of mother milk banks are still maturing, our study findings provide baseline information to address the barriers in the implementation of mother milk banks in India.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"86-94"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39675672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal perception of a child with cancer.","authors":"Ida P Opalińska","doi":"10.34763/jmotherandchild.20212502.d-21-00010","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00010","url":null,"abstract":"<p><strong>Background: </strong>The representation of a child is an important element of mother-child relations, which allows the mother to empathise with and respond to the child's needs. A child's cancer may be reflected in the mother's representation of the child. The aim of this study was to see whether there were differences in a mother's representation of healthy and oncologically ill children.</p><p><strong>Material and methods: </strong>The participants in the study include 30 mothers of oncologically ill children and 25 women with healthy children as the control group. The study used a self-constructed questionnaire containing questions about the mothers' representations of their children as well as demographic information.</p><p><strong>Results: </strong>Women with oncologically ill children less frequently described their children as independent, impulsive, needing food and the recognition of others, than mothers of healthy children. They also felt fear more frequently when thinking about the child. There were, however, common elements in representations of ill and healthy children. Impulsiveness and interest in computer games and movies was more often attributed to boys than girls in both categories, while helpfulness was attributed more often to older children than younger ones. Single mothers felt regret more often when thinking about the child than mothers who had some helpers.</p><p><strong>Conclusion: </strong>Maternal representations of a child may include, but do not have to include, disease-related content. Perceptions of a child's independence, impulsiveness, and needs seem to be related to the child's health, but for other elements of the child's image this relation is not present.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"95-101"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39630962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and tuberculosis co-infection in pregnancy - A case series and review.","authors":"Pranav Modi,&nbsp;Roshni Khanna,&nbsp;Nanditha Reddy,&nbsp;Ashwini Patankar,&nbsp;Shahid Patel,&nbsp;Girija Nair,&nbsp;Sriram Gopal,&nbsp;Abhay Uppe","doi":"10.34763/jmotherandchild.20212502.d-21-00002","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00002","url":null,"abstract":"<p><p>Various guidelines are in place for management for COVID-19 and pulmonary tuberculosis (PTB) in pregnancy. However, to the best of our knowledge, there are no significant guidelines for the management of COVID-19 and PTB co-infection in pregnancy. Pregnancy being an altered physiological state, the use of various drugs and their outcomes are altered. Here we present two cases of COVID-19 and PTB co-infection in pregnancy which were managed successfully.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"127-134"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39575618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of paired pandemic of COVID-19 and HIV infection on pregnant women and children: A challenging issue.","authors":"Naina Kumar,&nbsp;Mishu Mangla","doi":"10.34763/jmotherandchild.20212502.d-21-00017","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00017","url":null,"abstract":"<p><p>COVID-19 infection started in China in December 2019 and was declared a global pandemic of international concern by the WHO in March 2020. With rapid spread of infection worldwide, health systems and health care programs came to a standstill, leaving essential services such as antenatal care and human immunodeficiency virus (HIV) comprehensive care for children and pregnant women completely devastated. Furthermore, due to lockdowns, children and pregnant women living with HIV were forced to stay at home with no access to health facilities, loss of follow-up, and discontinuation of antiretroviral drugs therapy. The present review briefs concerning the impact of COVID-19 and HIV/AIDS pandemics on children and pregnant women worldwide.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"123-126"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39630964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maternal and neonatal outcomes among women with and without severe acute respiratory syndrome corona virus-2 infection: A retrospective analytical study.","authors":"Pratyasha Peepal,&nbsp;Tanushree Sandipta Rath,&nbsp;Saurav Nayak,&nbsp;Sujata Pendyala","doi":"10.34763/jmotherandchild.20212502.d-21-00021","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.d-21-00021","url":null,"abstract":"<p><strong>Background: </strong>Corona virus disease (COVID-19) is an infectious disease caused by the novel corona virus known as severe acute respiratory syndrome corona virus 2 (SARS Cov-2). Physiological changes occurring during pregnancy can have a positive or negative effect on the disease progression. The objective of the study was to evaluate the maternal and neonatal outcomes in pregnant women with COVID-19 compared to pregnant women without COVID-19 and to determine its influence on the healthcare system.</p><p><strong>Material and methods: </strong>This was a retrospective analytical study conducted at a tertiary care hospital in Odisha, India, over 3 months, from 1 September 2020 until 30 November 2020. Results were compared in both groups.</p><p><strong>Results: </strong>Three hundred and three (303) women delivered, out of whom 92 were COVID-19 positive. Incidence of COVID-19 positivity was 30.3% with 93.47% asymptomatic patients. The majority of the patients were 26-35years of age. Average gestational age at delivery for both groups was 37-40 weeks. COVID-19 positivity was seen more in primigravidas than in multigravidas. Comorbidities such as GDM/type 2 DM, PIH, PROM, APH and jaundice were similar in both groups and statistically non-significant, whereas association of anaemia and hypothyroidism were statistically significant (p<0.05) in the positive group. A single maternal death was reported in the positive group. There was an increase in Caesarean section (p=0.002) with higher incidence of preterm births and lowbirth weights in the positive group. Only 3 babies tested positive for COVID-19, so vertical transmission probability was low. Overall, all babies were healthy and the majority of women were discharged without any complications.</p><p><strong>Conclusion: </strong>There was no significant effect of the infection on maternal and fetal outcomes, but further studies and long-term follow-up is needed to look for any delayed effects on the babies and mothers.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"77-85"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39765911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial.","authors":"Marcin Czech","doi":"10.34763/jmotherandchild.20212502.edit.2021_25_02","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212502.edit.2021_25_02","url":null,"abstract":"","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 2","pages":"70-71"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8976591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39765912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Suspicions regarding the genetic inheritance of acute lymphoblastic leukemia in patients with down syndrome.","authors":"Emir Behluli,&nbsp;Nexhibe Nuhii,&nbsp;Thomas Liehr,&nbsp;Gazmend Temaj","doi":"10.34763/jmotherandchild.20222601.d-22-00002","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20222601.d-22-00002","url":null,"abstract":"<p><p>Children with Down syndrome (DS) are at markedly increased risk for acute lymphoblastic leukaemia (ALL). DS is caused by trisomy of chromosome 21 affecting approximately 1 in 732 newborns in the USA. ALL is the most common cancer in children and constitutes approximately 25% of cancer diagnoses among children under the age of 15. Different protocols for treatment and management of paediatric ALL are available; however, DS children with ALL (DS-ALL) have increased risk of therapy-related toxicity compared to those without DS. Herein, we summarize the available literature on inherited predisposition for ALL, and possibilities for molecular therapy and treatment for DS-ALL patients.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"26 1","pages":"104-110"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9226078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prevalence of self-medication in breastfeeding mothers during the COVID-19 pandemic.","authors":"Samaneh Naseri,&nbsp;Bahareh Bahman Bijari,&nbsp;Fatemeh Dabaghzadeh,&nbsp;Tania Dahesh","doi":"10.34763/jmotherandchild.20222601.d-22-00021","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20222601.d-22-00021","url":null,"abstract":"<p><strong>Background: </strong>Self-medication is an important health and social issue, especially for women due to critical periods such as pregnancy and lactation. Accordingly, this study aimed to investigate the use of nonprescribed medications by lactating mothers visiting health centers affiliated to Kerman University of Medical Sciences during the COVID-19 pandemic.</p><p><strong>Material and methods: </strong>This descriptive-analytical cross-sectional study was conducted in Kerman from October to December 2020. The research population included all lactating women who visited health centers affiliated to Kerman University of Medical Sciences to receive health services. The data in this study were collected using a checklist.</p><p><strong>Results: </strong>A total of 228 mothers who met the inclusion criteria participated in the study. A total of 221 mothers (97.0%) received nonprescribed medications (377 drugs in total). Among 377 nonprescribed medications, 279 drugs (74.0%) could be used while breastfeeding. The three most commonly used nonprescribed medications were acetaminophen tablets (84 [22.3%]), gelofen compound (51 [13.5%]), and adult cold medications. The majority of the mothers, 153 (40.6%), chose nonprescribed medications based on pharmacy staff recommendations. The COVID-19 outbreak was the most common reason for using 246 (65.3%) nonprescribed drugs. There was a statistically significant relationship between the mothers' education and the accuracy of their information about the side effects of nonprescribed medications use.</p><p><strong>Conclusion: </strong>The prevalence of self-medication by lactating women during the COVID-19 pandemic was very high. A significant percentage of the mothers did not have correct information about the adverse effect of arbitrary use of nonprescribed drugs on their babies.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"26 1","pages":"58-65"},"PeriodicalIF":0.0,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10032325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9525315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}