Abstract：
OBJECTIVE:To explore the opinions of non-tertiary obstetricians towards the care and outcome of extremely premature infants. METHODS:A structured questionnaire was mailed nationally to 232 obstetricians affiliated to maternity facilities with Level II nurseries. RESULTS:The overall response rate was 75% (n = 174) after two mailings. This included 14 obstetricians who declined to participate. The median birthweight and gestation for active resuscitation was 500 g (350-800) and 24 weeks (22-26), respectively. Factors influencing decision to transfer were: better outcomes for infants born at perinatal centres (74%), paediatric advice (10%), personal beliefs (5%), parental wishes (4%), hospital policy (3%), legal repercussions (2.5%) and past history of infertility (2%). Obstetricians in Victoria and Western Australia (WA) would transfer at 22 weeks whilst the median gestation for transfer in other states was 24 weeks (P = 0.001). Most respondents underestimated intact and infant survival rates but WA and Victorian obstetricians were less pessimistic. CONCLUSIONS:Most obstetricians in non-tertiary facilities who responded to our survey considered 500 g and 24 weeks to be the median birthweight and gestation for active resuscitation. This is similar to recent surveys of neonatologists and obstetricians in perinatal centres. There is significant underestimation of intact and infant survival at the extremes of prematurity when compared to available Australian data. Differences towards antenatal transfer between States may represent influences of local perinatal centres.
journal_name
J Paediatr Child Healthjournal_title
Journal of paediatrics and child healthauthors
Gooi A,Oei J,Lui Kdoi
10.1046/j.1440-1754.2003.00187.xkeywords:
subject
Has Abstractpub_date
2003-08-01 00:00:00pages
451-5issue
6eissn
1034-4810issn
1440-1754pii
187journal_volume
39pub_type
杂志文章abstract：METHODOLOGY:A cross-sectional study of growth, puberty and endocrine function was performed on 35 girls and 33 boys with thalassaemia major. RESULTS:Despite regular transfusion and chelation therapy, 75% of the girls and 62% of the boys over the age of 12 years were below the third percentile for height. Hypogonadotro...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1995.tb00752.x
更新日期：1995-04-01 00:00:00
abstract：:This study examined the association between women's retrospective reports of smoking during pregnancy and subsequent language, cognitive, behavioural and physical development in their children up to age 9 years. While there was a strong association between maternal smoking and an index of disadvantageous child rearing...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1994.tb00631.x
更新日期：1994-06-01 00:00:00
abstract：:Two hundred and seven Australian paediatricians were sent a questionnaire to determine whether they undertook developmental screening and/or assessment. Replies were received from 140 (68%) paediatricians of whom 115 (82%) stated they did developmental screening and 58 (41%) said they did developmental assessment. The...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1993.tb00534.x
更新日期：1993-10-01 00:00:00
abstract：OBJECTIVES:Parental alcohol misuse exposes children to risk, but is poorly identified in paediatric settings. We aimed to (i) measure the alcohol use in parents of a sample of children attending emergency and (ii) assess the quality of documentation of this alcohol use by paediatric residents. METHOD:Parents of childr...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.1999.t01-1-00345.x
更新日期：1999-04-01 00:00:00
abstract：:A population of consecutively surviving very low birthweight (VLBW) infants comprising 41 infants (24 female) birthweight less than 1000 g and 108 infants (63 female) birthweight 1000-1500 g received detailed audiological evaluation. The audiological test battery comprised auditory brainstem evoked response (ABR) prio...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1992.tb02636.x
更新日期：1992-04-01 00:00:00
abstract：AIM:This paper describes the Toddlers at Risk of Autism Clinic (TRAC), which utilises the Social Attention and Communication Study (SACS) and/or Autism Detection in Early Childhood (ADEC) play-based assessments to facilitate the early diagnosis of autism. METHODS:A retrospective audit was conducted of all 42 children ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.12832
更新日期：2015-07-01 00:00:00
abstract：:A term infant was admitted at 6 h of age with seizures related to hyponatraemia. During the last hours of labour the infant's mother had drunk 3 L of water. After delivery the serum sodium was 121 mmol/L in the mother and 126 mmol/L in the infant. Both resolved spontaneously. We discuss this case and the impact of mat...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2004.00516.x
更新日期：2004-12-01 00:00:00
abstract：AIM:Many Australian children have dental decay in their deciduous teeth. Poor oral health can negatively impact a child's ability to eat, speak, sleep and socialise, with adverse impacts later in life. Paediatricians are well placed to examine children's teeth and to provide advice and education about oral health. Usin...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.14426
更新日期：2019-11-01 00:00:00
abstract：AIM:To identify factors that distinguish duct-dependent congenital heart disease (DDCHD) from non-DDCHD in newborn infants. METHOD:A retrospective, cohort study. The Newborn Emergency Transport Service, Victoria (NETS) is a retrieval service for all inter-hospital neonatal transfers, and the Royal Children's Hospital,...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.12410
更新日期：2014-01-01 00:00:00
abstract：OBJECTIVE:This study compares the use of standard overhead fluorescent phototherapy units with the BiliBlanket a woven fibreoptic pad which delivers high intensity light with no ultraviolet or infrared irradiation in the treatment of jaundice in preterm infants. METHODOLOGY:We chose to study infants between 800 and 25...
journal_title：Journal of paediatrics and child health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1440-1754.1995.tb02903.x
更新日期：1995-02-01 00:00:00
abstract：AIM:The aim of this study was to compare hospital admissions from infancy to adulthood, between children born with orofacial clefts (OFC) and those without OFC. METHODS:The method used was a cohort study using record-linked administrative datasets. Participants included all children liveborn in Western Australia (WA) ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.13024
更新日期：2016-04-01 00:00:00
abstract：:These guidelines have been developed by the anaphylaxis working party of the Australasian Society of Clinical Immunology and Allergy to provide advice for minimizing the risk of food-induced anaphylaxis in schools, preschools and child-care centres. The guidelines outline four steps for the prevention of food anaphyla...
journal_title：Journal of paediatrics and child health
pub_type： 指南,杂志文章
doi：10.1111/j.1440-1754.2004.00509.x
更新日期：2004-12-01 00:00:00
abstract：AIM:To compare macronutrient and fibre intake by pre-school children born with intra-uterine growth restriction (IUGR) or as appropriate for gestational age (AGA) and to compare their intake with paediatric nutritional recommendations for identification of potential areas of modification during early life. METHODS:A p...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.13815
更新日期：2018-05-01 00:00:00
abstract：AIM:To describe a respiratory support programme for children at home by parents and layperson carers. METHODS:Analysis of records of children with long-term mechanical respiratory support at home. RESULTS:From 1979 to 2008 the programme managed 168 children (median age 7 years, range 3 weeks-19 years) with obstructiv...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2009.01618.x
更新日期：2010-01-01 00:00:00
abstract：:A number of physiological studies, published over the last 10 years, have investigated the links between prone sleeping and sudden infant death syndrome (SIDS). This review evaluates those studies and derives an overview of the different affects of sleeping prone or supine in infancy. Generally, compared with the supi...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章,评审
doi：10.1046/j.1440-1754.2002.00002.x
更新日期：2002-08-01 00:00:00
abstract：:Lower urinary tract symptoms, particularly urgency, frequency and incontinence are common in school-aged children but are often overlooked. They may cause considerable physical, social and psychological difficulties to children and their families, and usually are manifestations of underlying non-neurogenic voiding dis...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章,评审
doi：10.1111/j.1440-1754.2011.02216.x
更新日期：2012-02-01 00:00:00
abstract：OBJECTIVE:The objective of this study was to determine whether there remain developmental differences between term infants at 3 years of age following major non-cardiac surgery (NCS) and cardiac surgery (CS) compared with healthy control infants in New South Wales (NSW), Australia. STUDY DESIGN:Between 2006 and 2008, ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.12943
更新日期：2015-12-01 00:00:00
abstract：:The development of educational packages on health-related topics has become common in school curricula. This paper describes an integrated health and education input in the development of an educational package about asthma for Year 8 high school students. Ownership and educational relevance of the package (ensuring i...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1994.tb00719.x
更新日期：1994-12-01 00:00:00
abstract：OBJECTIVE:To study injuries in young people associated with the use of rollerblades, draw comparisons with skateboarding and rollerskating injuries, and suggest strategies for injury prevention. METHODOLOGY:Injuries associated with the use of rollerblades, skateboards and rollerskates in young people aged < or = 14 ye...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1996.tb01538.x
更新日期：1996-02-01 00:00:00
abstract：:We report the first described case of a first rib fracture secondary to pertussis infection. An 11-year-old boy presented with sudden onset of severe right-sided pleuritic chest pain on a background of a 6 week history of a coughing illness and considerable weight loss. Pertussis was clinically suspected and proven on...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.2001.00568.x
更新日期：2001-02-01 00:00:00
abstract：:A preliminary investigation was made into the effectiveness of two breastmilk fortifiers on the Australian market (FM-85 [Nestlé, Vevey, Switzerland] and Enfamil Human Milk Fortifier [EHMF; Mead Johnson, Evansville, IN, USA]). Infants < 1800 g and < 34 weeks gestation at birth, who were receiving breast milk, were ran...
journal_title：Journal of paediatrics and child health
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1111/j.1440-1754.1994.tb00661.x
更新日期：1994-08-01 00:00:00
abstract：:There is increasing evidence that hyperthermia can occur in cool climates because of overwrapping and that this practice precedes many deaths labelled as SIDS. We have attempted to test the hypothesis that the interaction of a cold face and a hot body might lead to further hyperthermia in a piglet model. Twelve non-se...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1992.tb02730.x
更新日期：1992-01-01 00:00:00
abstract：:Legal and clinical complexities surrounding consent to medical treatment for trans and gender diverse (TGD) youth in Australia continue to develop. New Australian Standards of Care and Treatment Guidelines have also introduced substantial clinical developments. Significant changes to legal principles from court decisi...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.15181
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVES:To compare the neurobehavioural outcome of children aged 6-12 years with severe closed head injury [sCHI] (coma > 24 h), mild-to-moderate head injury [mCHI] (coma < 6 h) and orthopaedic controls. METHODS:Twenty-nine children in each group, matched for age, sex and ethnicity, were assessed using the Glasgow ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.1998.00239.x
更新日期：1998-08-01 00:00:00
abstract：:We discuss a recently resettled African refugee child with acute schistosomiasis, who presented with fever, hepatosplenomegaly and marked eosinophilia. We outline the differential diagnoses of eosinophilia in the recently resettled refugee and returned traveller and outline the epidemiology and clinical spectrum of sc...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2012.02523.x
更新日期：2012-10-01 00:00:00
abstract：OBJECTIVE:To develop national charts of birthweight percentiles by gestational age and infant sex for liveborn twins born in Australia. METHODOLOGY:National data on live twin births to non-Indigenous Australian-born mothers during 1991-94 were derived from perinatal data collected by midwives in each State and Territo...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1046/j.1440-1754.1999.00354.x
更新日期：1999-06-01 00:00:00
abstract：:Recommended cardiopulmonary resuscitation guidelines for infants and children by health-care personnel have been updated following an extensive review of the science of resuscitation. Notable changes include a change to a single chest compression-to-ventilation ratio of 15:2, a single DC shock (2 J/kg) strategy for sh...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.2007.01257.x
更新日期：2008-01-01 00:00:00
abstract：AIM:Childhood overweight and obesity is unacceptably high in industrialised nations. School-based interventions have largely been atheoretical and ineffective. This study aimed to test a new theory-based protocol for its effects on measures of fitness and body mass index (BMI), and its proposed psychosocial mediators, ...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章,随机对照试验
doi：10.1111/jpc.13447
更新日期：2017-04-01 00:00:00
abstract：AIM:We aimed to identify key socioeconomic and health factors that are associated with a child's likelihood of being retained in kindergarten prior to commencing first year of school in Australian children. METHODS:We used data linked from the School Entrant Health Questionnaire administered to children commencing sch...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/jpc.13014
更新日期：2016-03-01 00:00:00
abstract：OBJECTIVE:Angelman syndrome (AS) is a rare congenital neurodevelopmental disorder with complex genetic aetiology. Diagnosis may be difficult and there is severe life-long disability. An AS clinic was commenced in Sydney, Australia, in 1993 with the aim of gathering information about the natural history of AS, managemen...
journal_title：Journal of paediatrics and child health
pub_type： 杂志文章
doi：10.1111/j.1440-1754.1996.tb00902.x
更新日期：1996-04-01 00:00:00
