Abstract:
:Seventy five mothers with lactation failure were studied, whose less than 4-month-old babies were admitted to the hospital. Partial lactational failure (94.7%) was noted more often than complete lactational failure (5.3%). Initiation of breastfeeding was delayed for 2 to 5 days usually for traditional reasons (77.3%) and because the mothers felt that the milk output was inadequate (92%). The various causes of lactation failure were determined and the relationship to various factors was analyzed. The commonest cause of lactation failure was insufficient milk or no milk (80%). The age, parity, education, socio-economic status, religion, family structure and urban vs rural status of mother--all had a bearing on the occurrence of lactation failure. An attempt was made to relactate all these mothers. The outcome was successful in 69.3 cases and failed in only 4% cases. In 26.7% cases, we cannot predict the outcome as the mothers hospital stay was very brief with no follow up. :A total of 75 mothers whose babies under 4 months old were hospitalized with lactation failure were studied. The age of the mothers varied from 16 years to 40 years with a mean of 23.7 years. 50 (66.7%) of the mothers were from the urban areas. 43 (57.3%) of them were primipara and 61 (81.3%) were Hindus. All the mothers given prelacteal feeds comprising water, water with sugar or glucose, milk (goat, cow, or milk powder) to their babies. The commonest cause of lactation failure with insufficient milk or no milk (80%). The age, parity, education, socioeconomic status, religion, family structure, and urban vs. rural residence of mother had a bearing on the occurrence of lactation failure. The initiation of breast feeding was delayed for 2-5 days usually for traditional reasons (77.3%) and because the mothers felt that the milk output was inadequate (92%). Only 4 (5.3%) mothers had complete lactation failure and practiced exclusive top feeding. Of the 71 (94.7%) mothers with partial lactation failure, 41 (54.7%) were giving frequent breast feeds while 30 (40%) were breast feeding occasionally. Relactation was attempted in all cases. Mothers have been motivated to breast feed and were provided adequate rest, nutrition, and psychological support. If lactation was still not established, then metoclopramide was given orally in the 8-hourly dosage of 10 mg for 10 days. If this also failed, nursing supplementer was tried. The relactation attempt was successful in 49 (69.3%) partial and 3 (7.5%) complete lactation failure cases. Relactation failed in 22 (30.7%) mothers with partial lactation failure and 1 (2.5%) mother with complete lactation failure. (26.7%) mothers with partial lactation failure were lost to follow up. Out of 4 cases of complete lactation failure, 1 had severe anemia with hypoproteinemia, the 2nd developed intense dislike of her baby at birth, the 3rd had tuberculosis and was advised not to breast feed, and in the 4th case the mother stopped breast feeding completely because she felt that her milk was unsuitable.
journal_name
Indian Pediatrjournal_title
Indian pediatricsauthors
Mathur GP,Chitranshi S,Mathur S,Singh SB,Bhalla Mkeywords:
subject
Has Abstractpub_date
1992-12-01 00:00:00pages
1541-4issue
12eissn
0019-6061issn
0974-7559journal_volume
29pub_type
杂志文章abstract::Thrombocytosis is a frequent finding in hemograms obtained from hospitalized and ambulatory children due to the widespread use of automated blood cell counters. Pediatricians are commonly puzzled in cases of thrombocytosis to determine the underlying cause and the need for therapy. The purpose of this review is to ass...
journal_title:Indian pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:2008-08-01 00:00:00
abstract:: ...
journal_title:Indian pediatrics
pub_type: 评论,信件
doi:
更新日期:2018-11-15 00:00:00
abstract:OBJECTIVE:To study the association between common AIDS restriction genes and slow disease progression among perinatally-infected children in India. METHODS:ART-naïve children were identified and selected host factors including CCR5-∆32, SDF1-3'A, CCR5-59029G, HLA-B*27, B*57 were studied using allele-specific PCR-RFLP ...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:10.1007/s13312-014-0505-x
更新日期:2014-10-01 00:00:00
abstract::The distribution of supplementary nutrition (SN) to beneficiaries is an issue of debate in the Integrated Child Development Services (ICDS) program, discussed in almost all fora in which the scheme is on the agenda. ICDS program managers rightly decided in 1975 to make SN a program component, and it should remain so....
journal_title:Indian pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:1998-03-01 00:00:00
abstract:CONTEXT:Increased prevalence of obesity in childhood and adolescence, defined by the use of body mass index (BMI), has drawn attention towards direct measurement of body fat. OBJECTIVE:To develop age-and sex-specific reference distribution of body fat in apparently healthy North-Indian children in the age group of 7-1...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:10.1007/s13312-013-0237-3
更新日期:2013-09-01 00:00:00
abstract:OBJECTIVE:To examine the benefits of anemia prophylaxis in adolescent school.girls by weekly or daily iron-folate supplementation. DESIGN:Prospective study. SETTING:Government girl schools of northeast Delhi. SUBJECTS:2088 subjects (with hemoglobin greater than 7.9 g/dL), including 702 on daily and 695 on weekly iro...
journal_title:Indian pediatrics
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2003-04-01 00:00:00
abstract:OBJECTIVE:To evaluate the efficacy of the ketogenic diet in Indian children with uncontrolled epilepsy. STUDY DESIGN:Prospective observational study. SETTING:Hospital based. PATIENTS:105 children (age 4 months to 18 years) with uncontrolled epilepsy enrolled in the ketogenic diet program over a period of 9 years and...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
abstract::The best known muscular dystrophies are X-linked dystrophinopathies. A clinically and genetically heterogeneous group presenting with weakness of the pelvic and shoulder girdles is that of the limb-girdle muscular dystrophies (LGMDs). Sarcoglycanopathies (SGPs) are autosomal recessive LGMDs. We report a rare case of p...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2003-11-01 00:00:00
abstract:OBJECTIVES:To evaluate efficacy of polymerase chain reaction (PCR), using the insertion sequence IS6110 as target for DNA, to detect Mycobacterium tuberculosis in body fluids of children with suspected tuberculosis (TB). SETTING:Hospitalized patients. METHODS:A comparison of PCR on body fluids, Acid Fast Bacilli stai...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2000-04-01 00:00:00
abstract:OBJECTIVE:To compare the effectiveness of tepid sponging and antipyretic drug versus only antipyretic drug among febrile children. DESIGN:Randomized controlled trial. SETTING:Tertiary care hospital. PARTICIPANTS:150 children 6 mo - 12 yr age with axillary temperature 101F. INTERVENTION:Tepid sponging and antipyreti...
journal_title:Indian pediatrics
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2009-02-01 00:00:00
abstract::Twenty five asphyxiated neonates had ECG changes consistent with degree of asphyxia. Equivocal changes were found in mild asphyxia and changes suggestive of myocardial infarction were seen with severe asphyxia. In most cases, the changes reverted to normal within two weeks signifying great ability of the neonatal hear...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract::A case of idiopathic hypereosinophilic syndrome who had an unusual presentation in the form of pericardial effusion is being presented here. The child initially responded to corticosteroids but could not maintain normal eosinophil counts on tapering of steroids. Therefore he was put on hydroxyurea and low dose of ster...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2004-01-01 00:00:00
abstract::Seven hundred and fifty nine children in different sectors were covered in this study, which was undertaken by observational techniques, questionnaires and physical examination. All children belonged to the age group of 6-14 years. Nearly 30% children had migrated from neighbouring districts and states. Almost 88% wer...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1991-09-01 00:00:00
abstract::We conducted a case control study to compare the quality of life (QOL) in 40 cases of HIV infected children and 40 demographically matched controls with other chronic ailments at a referral hospital in Northern India. Quality of life among HIV infected children was significantly better in psychosocial (P=0.008), emoti...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:10.1007/s13312-013-0300-0
更新日期:2013-12-01 00:00:00
abstract::Ninety neonates were ventilated over a period of 33 months of whom 50 (55.5%) survived. Fifty seven babies received IPPV while 33 CPAP. IPPV mode was being used more frequently recently and survival rates have steadily improved over past 3 years. Survival was cent per cent in babies above 1.5 kg on CPAP mode while 16/...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
abstract:OBJECTIVE:To compare the effect of Kangaroo mother care (KMC) and conventional methods of care (CMC) on growth in LBW babies (> 2000 g). STUDY DESIGN:Randomized controlled trial. SETTING:Level III NICU of a teaching institution in western India. SUBJECTS:206 neonates with birth weight < 2000 g. INTERVENTION:The sub...
journal_title:Indian pediatrics
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2008-01-01 00:00:00
abstract:JUSTIFICATION:Gaucher disease (GD) is amongst the most frequently occurring lysosomal storage disorder in all ethnicities. The clinical manifestations and natural history of GD is highly heterogeneous with extreme geographic and ethnic variations. The literature on GD has paucity of information and optimal management g...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2018-02-15 00:00:00
abstract:OBJECTIVE:(i) To assess the severity of Iodine Deficiency Disorders (DD) in Baroda and Dang Districts of Gujarat, using biochemical prevalence indicators of IDD; and (ii) To establish a biochemical baseline, in a sub-sample of the large population of Gujarat, that could be used to monitor the effectiveness of iodine re...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2001-03-01 00:00:00
abstract::This retrospective analysis documents the usefulness of fiberoptic bronchoscopy in finding the etiology of 56 cases of unresolved atelectasis in infancy, over a two year period (June 2005 to May 2007). Fiberoptic bronchoscopy identified the etiology leading to a revised diagnosis and change in management strategy in 3...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:10.1007/s13312-010-0134-y
更新日期:2010-07-01 00:00:00
abstract::We studied the actual time taken to document temperature in a stable neonate by an electronic digital skin thermometer with automatic time beeper. We studied 100 neonates after initial stabilization. The mean time required for documenting the temperature by a electronic thermometer in axilla was 56.34+/-1.54 secs for ...
journal_title:Indian pediatrics
pub_type: 信件
doi:
更新日期:2009-12-01 00:00:00
abstract:: ...
journal_title:Indian pediatrics
pub_type: 评论,杂志文章
doi:
更新日期:2019-09-15 00:00:00
abstract::Delayed diagnosis of undescended testes is a major problem. A retrospective review of 298 testes units was performed to assess the age at referral, age at operation, complications and final outcome. The mean age at referral was 57 months. Only 24% of cases were operated below 2 years. A similar pattern of delayed orch...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:OBJECTIVE:To describe the clinical spectrum and factors associated with poor short-term outcomes in children with interstitial lung disease (ILD). DESIGN:Retrospective chart review SETTING:Pediatric Chest Clinic of a tertiary care hospital METHODOLOGY:We retrieved information regarding clinical course and laborato...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:10.1007/s13312-013-0034-z
更新日期:2013-01-08 00:00:00
abstract::The incidence and the factors that influence twinning were studied in six villages of Dholka Taluka, a rural field training centre. The twinning rate was 10.10 per 1000 maternities. The monozygotic and dizygotic twinning rates were 4.53 and 5.56, respectively by applying Weinberg's differential formula. In three fourt...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1990-03-01 00:00:00
abstract::We report a case of toxic epidermal necrolysis who was successfully treated with intravenous immunoglobin and granulocyte colony-stimulating factor. He had poor prognostic factors such as extensive epidermal loss, neutropenia, acute respiratory distress syndrome and candida sepsis, but nonetheless made a complete reco...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2004-04-01 00:00:00
abstract::Fifty newborns, 25 full term SFDs (small for date) and 25 full term AGAs (appropriate for gestational age) were taken up for comparative study of their behavior using BNBAS (Brazelton's neonatal behavior assessment scale). The study revealed that full term SFDs performed significantly poorly on all items under cluster...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1994-07-01 00:00:00
abstract::Avian flu is affecting the poultry animals world over since first outbreak in 1997 in Hong Kong and has resulted in 92 human deaths and culling of more than 150 million poultry animals in Asia and Europe. The loss to the economy has also been enormous. 13 new countries, including India, reported occurrence of the dise...
journal_title:Indian pediatrics
pub_type: 杂志文章,评审
doi:
更新日期:2006-04-01 00:00:00
abstract::This study was conducted in 2006 to assess the current iodine nutriure of the population in Haryana by assessing the urinary iodine excretion levels amongst the school age children between 6-12 years. Altogether 3,019 urine samples were collected from all the 19 districts in Haryana. The urinary iodine was analyzed by...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2009-01-01 00:00:00
abstract::A 2-yr-old child with early onset diabetes and hypothyroidism, and diagnosed as Wolcott-Rallison Syndrome, developed two episodes of acute liver failure and recovered, but he remains at high risk of developing another episode of acute liver failure. Autoimmune, metabolic or genetic disorders should be evaluated in chi...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:2019-12-15 00:00:00
abstract::Psychosocial assessment was carried out in 35 children with acute lymphatic leukemic, an equal number with non-leukemic chronic illness and their parents. Psychological dysfunction existed more frequently in parents of leukemic children. Depression as an initial reaction on being conveyed the diagnosis, was seen in 85...
journal_title:Indian pediatrics
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00