Journal of mother and child最新文献

{"title":"Hospital schools during COVID-19: Teachers' perspective.","authors":"Maja Gajda, Aleksandra Berkowska, Agnieszka Małkowska-Szkutnik","doi":"10.34763/jmotherandchild.20212503SI.d-21-00016","DOIUrl":"10.34763/jmotherandchild.20212503SI.d-21-00016","url":null,"abstract":"<p><p>Temporary lockdowns have been introduced in many countries as a preventive measure against the spread of the virus in 2020 and 2021. School closures and remote education have posed some difficulties for both students and teachers. A qualitative study and the semi-structured interview method was chosen to collect hospital teachers' insights into their work experiences during the pandemic. The sample consisted of 21 participants who worked as hospital school teachers. The study revealed the following thematic areas: introduction of remote/hybrid teaching (Frequency=8), lack of the sense of employment stability (F=4), limited contact with students (F=6), necessity to adapt to dynamically changing conditions (F=3), sedentary character of work (F=3), improvement of the quality of work and work conditions (F=4). The research was conducted as part of the Back to School Project (project number: 2019-1-PL01-KA201-065602), with funding from Erasmus+. The data collected during the study will be used to create guidebooks for both hospital school and mainstream school teachers.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 3","pages":"202-208"},"PeriodicalIF":0.0,"publicationDate":"2022-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10384754","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":"Perception and Practice of Breastfeeding in Public in Poland","authors":"Justyna Grzyb, łukasz Grzyb, M. Wilińska","doi":"10.34763/jmotherandchild.20212504.d-21-00020","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212504.d-21-00020","url":null,"abstract":"Abstract Background The aim of the study was to get to know polish women’s opinions and experiences regarding breastfeeding in public. Material and methods A one-time 11-question survey aimed at women during lactation or breastfeeding in the past who completed a paper questionnaire or online questionnaire on the website (www.laktacja.pl). The study was conducted electronically from 1 September 2019 to 31 March 2020 in Maternity and Neonatal Departments, primary health-care clinics in various Polish cities. Data from 700 questionnaires were statistically analysed with the use of Pearson’s chi-squared test of independency or Fisher’s exacts test when applicable (small cell counts). Results 90% of the surveyed women expressed the opinion that it should be possible to breastfeed in public, and 78% of women have had such an experience. Most often it was their own cars, a room for a mother and child, a hall or just a place available when there was a need to feed the child (e.g., a bench, cafe, toilet). About 10% of women faced criticism while breastfeeding in a public place, and 8.6% of women have never breastfed the child out of the house due to the lack of proper place and conditions, embarrassment and no sympathy from other people. Conclusion Taking into account the benefits of long-term breastfeeding and the comfort of breastfeeding women, their children and the environment, it is necessary to create dedicated places for breastfeeding in public places.","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"34 1","pages":"277 - 284"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89922848","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":"A secondary analysis of maternal ultra-processed food intake in women with overweight or obesity and associations with gestational weight gain and neonatal body composition outcomes.","authors":"Kathryn Whyte,&nbsp;Isobel Contento,&nbsp;Randi Wolf,&nbsp;Laura Guerra,&nbsp;Euridice Martinez,&nbsp;Xavier Pi-Sunyer,&nbsp;Dympna Gallagher","doi":"10.34763/jmotherandchild.20212504.d-21-00025","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212504.d-21-00025","url":null,"abstract":"<p><strong>Background: </strong>This study is an observational secondary analysis of the Lifestyle Intervention for Two (LIFT) randomised controlled trial data. There is a paucity of data related to mechanisms of health effects and dietary intake of ultra-processed foods (UPF). Earlier studies demonstrate associations between greater UPF intake and weight gain. The purpose of the study was to describe associations among maternal UPF intake with gestational weight gain (GWG) and neonatal body composition.</p><p><strong>Material and methods: </strong>Women with overweight or obesity (n=156) and offspring (n=126) with complete energy intake, anthropometrics and body composition measures were selected. Maternal weights and diet recalls (Automated Self-Administered 24) were measured at weeks 14 and 35 gestational age (GA). Body composition was assessed by infant quantitative magnetic resonance (infant-QMR) and air displacement plethysmography (ADP) at birth. Dependent variables were GWG and neonatal fat mass, fat-free mass, and lean mass at birth; covariates were dietary, socioeconomic and biological. Stepwise linear regressions were used to test associations.</p><p><strong>Results: </strong>Highest quartile of percentage of energy intake from UPF (PEI-UPF) was not significantly correlated with maternal GWG (p=0.215), infant QMR fat (p=0.816) and lean mass (p=0.423) or ADP fat (p=0.482) or fat-free mass (p=0.835).</p><p><strong>Conclusions: </strong>While no significant associations with UPF were observed in this smaller size cohort, further investigations would be justified in larger cohorts on the relationships of maternal UPF intake and GWG and offspring outcomes. Clinical Trial NCT01616147.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 4","pages":"244-259"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9444195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10425235","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":"Advantages of Side-lying Position. a Comparative Study of Positioning During Bottle-feeding in Preterm Infants (≤34 Weeks GA)","authors":"Anna Raczyńska, E. Gulczyńska, T. Talar","doi":"10.34763/jmotherandchild.20212504.d-22-00008","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212504.d-22-00008","url":null,"abstract":"Abstract Background The quality and safety of bottle-feeding in premature infants can be improved by optimal positioning. This study analysed the advantages of side-lying position (SLP) and semielevated position (SEP) during bottle-feeding in premature infants. Material and methods A total of 42 neonates (n=42) born ≤34 weeks of gestational age were included in the study. Four feeding sessions—two in SLP and two in SEP— were analysed for each newborn. The level of saturation (SpO2) and heart rate, which are the parameters assessing the physiological stability, were measured in the studied newborns. The other factors that were examined to determine the quality of feeding included the total time of decline of SpO2 to ≤85%, level of the newborn’s alertness measured using the Neonatal Behavioral Assessment Scale, and the frequency of choking episodes. The proportion of milk consumed (volume of milk consumed relative to the volume expected) and the feeding duration as well as the total time of feeding session were recorded. Results SLP was safer in terms of the frequency of choking episodes. Choking episodes were more frequently observed with feeding in SEP (p<0.001). Moreover, the proportion of milk consumed by infants was statistically significantly higher in SLP (p<0.046) compared to SEP. No significant differences in the other tested parameters were noted in infants fed in SLP and infants fed in SEP. Conclusions This study demonstrated that SLP is effective in reducing the number of choking episodes during feeding. The proportion of milk consumed was better when the neonates were fed in SLP.","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"8 1","pages":"269 - 276"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75942042","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":"Comparison of Respiratory Distress Syndrome Amongst Preterm Twins (28-34 Weeks) Born Within and After Two Weeks of Completion of Single Antenatal Corticosteroid Course: a Bidirectional Cohort Study","authors":"Monisha J Arulalan, Gowri Dorairajan, N. Mondal, P. Chinnakali","doi":"10.34763/jmotherandchild.20212504.d-21-00034","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212504.d-21-00034","url":null,"abstract":"Abstract Background The literature on neonatal outcomes in preterm twins delivered before 34 weeks but within and after 14 days of a single initial steroid course is limited. Material and methods This bidirectional (226 prospective and 42 retrospectives) cohort study was performed at a tertiary care teaching hospital in South India. We compared the respiratory distress syndrome and neonatal death amongst preterm twins from 28 to 34 weeks born < 14 days (Group A, n=268) and after 14 days (Group B, n=268) of completion of a single course of antenatal steroids. We used multivariable regression analysis (log-binomial model) to adjust for confounding variables. We generated a propensity-matched score with probit regression to analyse outcomes (respiratory distress and neonatal deaths). Results The two groups had significant differences in the distribution of birthweight, gestation period and mode of delivery. On adjusted analysis, the period of gestation below 33 weeks and weight below 1.5 kg had the maximum influence on respiratory and other morbidities, and weight less than 1 kg on neonatal death. [adjusted relative risk (ARR) 26.06, (95%CI=2.37-285.5), p=0.008]. On propensity scoring after matching all these variables, we found an [ARR of 2.0 (95% CI: 1.03-3.88), P=0.017] for neonatal death after 14 days of steroid injection. The ARR for respiratory distress syndrome was 1.13 in those born after 14 days of steroids, though it did not reach statistical significance. Conclusion On propensity scoring, the steroid-delivery interval more than 14 days was associated with a significantly increased risk (ARR of 2) of neonatal death.","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"11 1","pages":"260 - 268"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75244949","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":"A Cultural Syndicate of Society and NGOs Challenges To Deter Child Labour Manipulation in Addis Ababa","authors":"H. Wondimu","doi":"10.34763/jmotherandchild.20212504.d-21-00032","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212504.d-21-00032","url":null,"abstract":"Abstract This study aimed to investigate the existing trends of child labour abuse in Addis Ababa, as well as to examine the sociocultural barriers that impede nongovernmental organizations. This study involves two domestic NGOs (FHIDO and SCFDS) working on child issues. The study used a qualitative approach with 25 participants in in-depth interviews, one focus-group discussion, and six key informants to collect or acquire a full grasp of the issue and to address the study's stated objectives. The finding of this study revealed some psychometric reasons for the children to be engaged in hazardous work activities, including their family background (dynamics), poverty, and self-actualisation arising from contributions to the well-being of the family. Concerning gender-selective norms as a problem, the chosen two organizations are facing a significant task in putting an end to child labour exploitation in the region owing to social gender preference. The cultural and social expectations of men and women make the issue ubiquitous in their communities. Based on the findings of this study, the Winrock International (2008) approach of CIRCLE experience with an awareness-raising plan is recommended.","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"38 1","pages":"285 - 300"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90253937","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":"High alanine aminotransaminase associated with daptomycin use in a premature infant.","authors":"Suzan Suhail Asfour,&nbsp;Fahad Aljobair,&nbsp;Adli Abdelrahim,&nbsp;Mountasser Mohammad Al-Mouqdad","doi":"10.34763/jmotherandchild.20212501.d-20-00020","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212501.d-20-00020","url":null,"abstract":"<p><p>Daptomycin is a cyclic lipopeptide antibiotic, a fermented product derived from <i>Streptomyces roseosporus</i> that is active against gram-positive bacteria. We report on a premature infant who developed hepatotoxicity as an adverse drug reaction after the administration of daptomycin 6 mg per kg per dose every 12 h. The patient had an unexpectedly sharp rise of alanine aminotransaminase, prothrombin time and international normalised ratio on the second day following daptomycin administration. This case illustrates a previously unrecognised adverse drug effect associated with daptomycin use in infants.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 1","pages":"65-68"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39513133","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":"Effect of continuous supportive telephone counselling on improving breastfeeding self-efficacy in mothers with late preterm infants four months after discharge: A randomized, controlled study.","authors":"Marzieh Mohammadian, Azam Maleki, Gholamreza Badfar","doi":"10.34763/jmotherandchild.20212501.d-20-00017","DOIUrl":"10.34763/jmotherandchild.20212501.d-20-00017","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding self-efficacy is an important motivational factor in the continuity of lactation in mothers with preterm infants.</p><p><strong>Objective: </strong>The study aimed to determine the effect of continuous supportive telephone counselling on improving breastfeeding self-efficacy in mothers with late preterm infants.</p><p><strong>Material and methods: </strong>This randomized, controlled study was carried out with 65 eligible mothers (control n = 32, intervention n = 33) recruited in Ahvaz, Iran, in 2020. The eligible women were allocated into two groups- intervention and control-according to the block design. Data were measured monthly up to four months after discharge using the Dennis Breastfeeding Self-Efficacy Questionnaire. The control group received only routine care. Continuous supportive telephone counselling was provided for the intervention group members daily for 14 days after neonatal discharge. Data were analyzed using chi-square, repeated measures analysis of variance, independent t-test, and paired t-test at the significant level of 0.05. Statistical analysis was performed using the SPSS 16.0 software (SPSS Inc., Chicago, IL, USA).</p><p><strong>Results: </strong>The overall score in breastfeeding self-efficacy showed a statistically significant difference between the two study groups during the four months after discharge compared to the pre-intervention stage (P = 0.001). In the intervention group, the mean score of breastfeeding self-efficacy increased from 33.18 to 53.48, and in the control group it decreased from 31.17 to 28.56.</p><p><strong>Conclusion: </strong>The results showed that continuous supportive telephone counselling can improve breastfeeding self-efficacy in mothers with preterm infants. The approach seems to be an acceptable basis for designing intervention programs in this field.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 1","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39515631","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":"Over-the-counter antipyretics use among children from Southeastern Poland.","authors":"Olga Pyznar,&nbsp;Nina Mól,&nbsp;Magdalena Zasada,&nbsp;Wojciech Zasada,&nbsp;Małgorzata Mazurek,&nbsp;Przemko Kwinta","doi":"10.34763/jmotherandchild.20212501.d-20-00024","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212501.d-20-00024","url":null,"abstract":"<p><strong>Background: </strong>Over-the-counter (OTC) drugs are becoming increasingly popular. However, little is known about parents' practices concerning the use of OTC antipyretics in children. This paper aimed to study the habits and knowledge of parents regarding the use of OTC antipyretics in their offspring, considering the demographic and socioeconomic characteristics of the families.</p><p><strong>Material and methods: </strong>A multiple-purpose survey was conducted anonymously among 229 parents of patients hospitalised in the Department of Paediatrics, University Children's Hospital, Krakow. Each parent answered 23 questions regarding OTC antipyretics use in his/her hospitalised child throughout the whole child's life. The data was statistically analysed.</p><p><strong>Results: </strong>OTC antipyretics are administered to their children by 92% of parents. In the vast majority (87%), health care professionals or a leaflet were the sources of information on the drug and its dosage. Parents also used information from TV or the Internet (27%) and friends and family (30%), especially those in the younger age group. Families with high socioeconomic status were more likely to use health care professionals' advice for drug knowledge. Parents of children with allergic diseases made less use of nonmedical sources of knowledge.</p><p><strong>Conclusions: </strong>The majority of parents use OTC antipyretic drugs in their children. However, a high percentage of people using nonmedical sources of information is of concern. It is necessary to educate caregivers and to build the parents' awareness that they take an active role in their child's treatment. It would be useful to create generally available recommendations for home treatment.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 1","pages":"35-43"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39515630","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 retrospective molecular analysis of large or giant congenital melanocytic nevi in a group of Polish children.","authors":"Katarzyna Wertheim-Tysarowska,&nbsp;Orest Szczygielski,&nbsp;Katarzyna Seliga,&nbsp;Andrzej Tysarowski,&nbsp;Jerzy Bal,&nbsp;Elżbieta Michalak,&nbsp;Agnieszka Magdalena Rygiel,&nbsp;Ewa Sawicka","doi":"10.34763/jmotherandchild.20212501.d-21-00007","DOIUrl":"https://doi.org/10.34763/jmotherandchild.20212501.d-21-00007","url":null,"abstract":"<p><strong>Background: </strong>Large and giant congenital melanocytic nevi (CMN), benign naevomelanocytic proliferations derived from neural crests, with a projected adult size (PAS) ≥ 20 cm, are connected to a high risk of melanoma and neurocutaneous melanosis. Among several factors, genetic alterations seem to be involved in tumorigenesis. The aim of the present study was to analyse the mutation status of <i>NRAS</i> and <i>BRAF</i> genes in resection specimens from large or giant CMN in a group of Polish patients.</p><p><strong>Material and methods: </strong>The formalin-fixed, paraffin-embedded resection specimens from 18 patients, fixed in the years of 2006 to 2017, were included in the study. The regions containing the highest load of melanocytes were macrodissected prior to DNA isolation. The <i>NRAS</i> and <i>BRAF</i> mutation status was evaluated using qPCR.</p><p><strong>Results: </strong>We detected activating mutations in <i>NRAS</i> gene (codons: 12 and 61) in 7 out of the 18 (38.9%) patients. No <i>BRAF</i> mutations were found.</p><p><strong>Conclusion: </strong>Our study, the first molecular analysis of large/giant CMN in Polish patients, supports the hypothesis that <i>NRAS</i> mutation in codon 61 are frequent, recurrent mutations in large/giant CMN. Moreover, we show, for the first time, that <i>NRAS</i> mutations in codon 12 (p.Gly12Asp) can be also detected in giant CMN. The exact role of these genetic alterations in CMN formation remains to be elucidated.</p>","PeriodicalId":73842,"journal":{"name":"Journal of mother and child","volume":"25 1","pages":"19-24"},"PeriodicalIF":0.0,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8603851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39515632","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}