Safe Sleep, Plagiocephaly, and Brachycephaly: Assessment, Risks, Treatment, and When to Refer.

Abstract:

:The Safe to Sleep campaign started in 1994, reducing the risk of sudden infant death syndrome (SIDS) by 40% to 60%. However, an undesirable consequence has been a 400% to 600% increase in positional head deformities. We review the risks for positional plagiocephaly or brachycephaly, treatment modalities, and when to refer. Differential diagnoses for non-positional deformities are discussed. Risks for positional head deformities include prenatal, perinatal and postnatal factors. These include torticollis, inadequate tummy time, abnormal intrauterine positioning, premature or postmature birth, prolonged labor, complex medical conditions, prolonged hospitalizations, developmental delay, and use of supportive or convenience devices. Recommended treatment involves repositioning techniques or physical therapy with or without helmet use. Early referral to physical therapy or a head shape program insures better outcomes for full correction of the deformity. The severity of residual deformities is directly related to the age at which the child is referred. [Pediatr Ann. 2020;49(10):e440-e447.].

journal_name

Pediatr Ann

journal_title

Pediatric annals

authors

Marshall JM,Shahzad F

doi

10.3928/19382359-20200922-02

subject

Has Abstract

pub_date

2020-10-01 00:00:00

pages

e440-e447

issue

10

eissn

0090-4481

issn

1938-2359

journal_volume

49

pub_type

杂志文章
  • Neonatal Intestinal Obstruction Syndrome.

    abstract::Neonatal intestinal obstruction is caused by an anatomical abnormality that produces bowel movement failure. Intestinal obstruction presents with three classic clinical signs: vomiting, abdominal distention, and failure to pass meconium. Intestinal obstruction is one of the most common causes for admitting a pediatric...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20180425-02

    authors: Vargas MG,Miguel-Sardaneta ML,Rosas-Téllez M,Pereira-Reyes D,Justo-Janeiro JM

    更新日期:2018-05-01 00:00:00

  • Developmental and family effects of autism.

    abstract::Autistic disorder is a developmental disorder, the course of which grows out of the interaction of a chronic brain syndrome with the changes of maturation and development and a patchwork of habilitative programs. Definitive intervention awaits better definition through neuroanatomic and neurobehavioral studies. Invest...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19900101-09

    authors: Levitas A

    更新日期:1990-01-01 00:00:00

  • Pediatric upper-extremity fractures.

    abstract::Upper-extremity fractures account for more than half of childhood bony injuries. The frequency of injury increases with increasing mobility. The most common mechanism is a fall on an outstretched hand while playing. Optimal management requires knowledge of the normal anatomy and variants unique to pediatric bones. The...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20140417-12

    authors: Arora R,Fichadia U,Hartwig E,Kannikeswaran N

    更新日期:2014-05-01 00:00:00

  • Sedation in the emergency department.

    abstract::Pediatric ED patients now have a wide variety of options to help relieve the pain and apprehension associated with an ED visit. Safe and effective management of these children has become a priority in properly staffed and equipped EDs throughout the country. ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20050801-10

    authors: Sacchetti A,Cravero J

    更新日期:2005-08-01 00:00:00

  • Nutrition during teenage pregnancy.

    abstract::The nutritional needs of pregnant adolescents are the greatest at a time when it is most difficult to meet them. Dieting, skipping meals, snacking, eating away from home, consuming fast foods, and trying unconventional diets are common eating behaviors among adolescents, which relate to their changing lifestyles of in...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19930201-07

    authors: Gutierrez Y,King JC

    更新日期:1993-02-01 00:00:00

  • Developmental Trigger Thumb.

    abstract::Developmental trigger thumb, although uncommon, can be easily identifiable in the pediatric outpatient visit. Patients often present with their thumb locked in flexion and a firm nodule at the base of the thumb. The thumb is usually passively correctable and nonpainful. It is important to examine the opposite thumb as...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20160317-02

    authors: Twu J,Angeles J

    更新日期:2016-04-01 00:00:00

  • Pediatric abdominal surgical emergencies.

    abstract::Pediatric abdominal surgical emergencies may present the primary physician with a diagnostic challenge. A systematic approach will help to minimize missed diagnoses and resultant complications. It always must be kept in mind that children often have atypical presentations of common entities. Prudent and directed use o...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19960801-08

    authors: Pollack ES

    更新日期:1996-08-01 00:00:00

  • Evaluation and Management of Adolescents with Abnormal Uterine Bleeding.

    abstract::The International Federation of Gynecology and Obstetrics and the American Congress of Obstetricians and Gynecologists support the use of new terminology for abnormal uterine bleeding (AUB) to consistently categorize AUB by etiology. The term AUB can be further classified as AUB/heavy menstrual bleeding (HMB) (replaci...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20150910-09

    authors: Mullins TL,Miller RJ,Mullins ES

    更新日期:2015-09-01 00:00:00

  • Epidemiology and etiology of autistic spectrum disorders difficult to determine.

    abstract::The epidemiology of the autistic spectrum disorders is changing. A clear increase in prevalence has been noted during the past 2 decades. What is less clear is the cause for this increase. Multiple factors appear to be responsible. The preponderance of evidence suggests most of the rise in incidence and prevalence is ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-20031001-11

    authors: Coury DL,Nash PL

    更新日期:2003-10-01 00:00:00

  • Cardiac emergencies in children.

    abstract::Pediatric cardiac emergencies require very specific treatment in the emergency room setting. Considering the possibility of a cardiac problem as the cause for the presenting symptoms is the initial step in successful management. Many patients present with what is initially considered a primary pulmonary disorder such ...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-19960601-09

    authors: Schamberger MS

    更新日期:1996-06-01 00:00:00

  • Care of the Child with Special Needs.

    abstract::About 18% of all children in the United States have complex medical diseases, require technologic support, and/or have developmental or intellectual disability. These children require routine or maintenance care through the medical-home model. However, due to a lack of physicians, time, and financial constraints it is...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20151111-01

    authors: Traisman ES

    更新日期:2015-12-01 00:00:00

  • Contraception for adolescents.

    abstract::CME EDUCATIONAL OBJECTIVES: 1.Identify and explain the four currently available methods of emergency contraception.2.Discuss the risk and benefits of intrauterine devices as a first-line option for contraception in adolescents.3.Review strategies for explaining the most common contraceptive methods to an adolescent. T...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20130128-08

    authors: Yen S,Martin S

    更新日期:2013-02-01 00:00:00

  • Understanding gender variance in children and adolescents.

    abstract::Gender variance is an umbrella term used to describe gender identity, expression, or behavior that falls outside of culturally defined norms associated with a specific gender. In recent years, growing media coverage has heightened public awareness about gender variance in childhood and adolescence, and an increasing n...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20140522-07

    authors: Simons LK,Leibowitz SF,Hidalgo MA

    更新日期:2014-06-01 00:00:00

  • Adolescent Sexual Health and Education: Where Does the Pediatrician's Responsibility Fall?

    abstract::Adolescence is a stressful time with a considerable amount of change, not only physically, with all the changes expected throughout puberty, but also emotionally, spiritually, and psychosocially. Teens are learning how to build and sustain relationships, learning boundaries in all areas of their lives, experimenting, ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/19382359-20180321-01

    authors: Dawson RS

    更新日期:2018-04-01 00:00:00

  • Office malpractice pitfalls.

    abstract::Familiarity with and adherence to the above principles may not make you claim or judgment proof, but they should improve patient care in your office and decrease your exposure to medico-legal interventions. Always bear in mind that medical practice is not a right conferred upon you by virtue of your medical degree, bu...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19910201-07

    authors: Cohn B

    更新日期:1991-02-01 00:00:00

  • Atopic Dermatitis: Update on Pathogenesis and Therapy.

    abstract::Atopic dermatitis (AD) is the most common inflammatory skin condition in pediatric patients. AD has long been associated with comorbidities including food allergies, asthma, and allergic rhinitis, but recent literature has expanded this list to include attention-deficit/hyperactivity disorder and depression. AD has tr...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20200217-01

    authors: de la O-Escamilla NO,Sidbury R

    更新日期:2020-03-01 00:00:00

  • Gastroesophageal reflux in children: a clinical review.

    abstract::The diagnosis of gastroesophageal reflux requires careful consideration of the patient's clinical history and initial evaluation of presenting symptoms. In cases where overt vomiting in noted, the initial evaluation should include a barium esophagram and upper gastrointestinal series. The diagnosis of gastroesophageal...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19820101-09

    authors: Berquist WE

    更新日期:1982-01-01 00:00:00

  • Pediatric chronic rhinosinusitis.

    abstract::Pediatric chronic rhinosinusitis is a multifactorial inflammatory and infectious disorder. It likely reflects a dysfunction at the site of the interaction between host and environmental factors in the nose and sinuses. Our limited understanding of this common childhood disease makes it difficult to diagnose and to tre...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20140723-10

    authors: Silviu-Dan F

    更新日期:2014-08-01 00:00:00

  • Viral Hepatitis in Children: A Through E.

    abstract::Hepatitis is defined as inflammation of the liver. This inflammation can be acute and self-limited, chronic (leading to cirrhosis and an increased risk for hepatocellular carcinoma), or fulminant (requiring lifesaving liver transplantation). Although there are many causes of hepatitis, this article focuses on the main...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20161114-01

    authors: Chugh A,Maximos M,Perlman M,Gonzalez-Peralta RP

    更新日期:2016-12-01 00:00:00

  • Paradigm Shifts in the Treatment of Appendicitis.

    abstract::Acute appendicitis is the most common cause of emergent surgery in children. Historically, surgical dogma dictated emergent appendectomy due to concern for impending perforation. Recently, however, there has been a paradigm shift in both the understanding of its pathophysiology as well as its treatment to more nonoper...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20160525-01

    authors: Mak GZ,Loeff DS

    更新日期:2016-07-01 00:00:00

  • Neonatal and Prepubertal Gynecologic Concerns.

    abstract::The role of the pediatrician in today's health care environment is one of constant evolution, as specialty care becomes more difficult to access for a growing number of young patients and their families. The primary care doctor will now have to offer more reassurance and follow-up that was once thought to be solely th...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20151012-03

    authors: Merens TA

    更新日期:2015-10-01 00:00:00

  • Clinical characteristics and efficacious treatment of posttraumatic stress disorder in children and adolescents.

    abstract::Children in the United States are exposed to a variety of traumatic events. Psychosocial sequelae to these events vary in their nature and severity. PTSD is a common, debilitating response to traumatic events that may alter the normal developmental course for children. Risk and protective factors in the development of...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/0090-4481-20050201-13

    authors: Brown EJ

    更新日期:2005-02-01 00:00:00

  • The Safe Environment for Every Kid model: promotion of children's health, development, and safety, and prevention of child neglect.

    abstract::Child neglect is by far the most prevalent form of child maltreatment. There is a need to try to prevent this problem, and pediatric primary care offers an excellent opportunity. This article describes one such approach, the Safe Environment for Every Kid (SEEK) model. SEEK enables practitioners to identify and help a...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/00904481-20141022-11

    authors: Dubowitz H

    更新日期:2014-11-01 00:00:00

  • A critical evaluation of bronchial hygiene in pediatric pulmonary disease.

    abstract::The variables inherent in analyzing the effectiveness of modalities used to achieve bronchial hygiene are numerous. Treatments may be given in a variety of settings, including intensive-care units, pediatric wards, respiratiory therapy departments, physical therapy departments, chronic-care hospitals, special educatio...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:

    authors: Holsclaw DS,Tecklin JS

    更新日期:1977-08-01 00:00:00

  • Pediatric Monogenic Diabetes: A Unique Challenge and Opportunity.

    abstract::Monogenic diabetes affects approximately 120,000 people in the United States but continues to be misdiagnosed. Within the pediatric population, 1% to 3% of diabetes is monogenic, and early diagnosis and genetically targeted management of congenital diabetes and maturity onset diabetes of the young (MODY) can have a tr...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20190730-02

    authors: Harris A,Naylor RN

    更新日期:2019-08-01 00:00:00

  • Great Vessels of Children: Takayasu's Arteritis.

    abstract::Takayasu's arteritis (TA) is a granulomatous, large vessel vasculitis affecting primarily the aorta and its main branches. It is characterized by inflammation in the blood vessel wall, leading to either luminal occlusion or dilatation with aneurysm formation. The etiology of TA is unknown, but there seems to be a stro...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/00904481-20150611-10

    authors: de Ranieri D

    更新日期:2015-06-01 00:00:00

  • An epidemiological study of anorectic and bulimic symptoms in adolescent girls: implications for pediatricians.

    abstract::Our findings suggest that most cases of anorexia nervosa among high school girls are eventually recognized and treated. However, it is worrisome that a large number of girls suffering from early anorexia nervosa and an even greater number suffering from bulimia do not seek treatment for their disorder. In addition, it...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19821101-10

    authors: Whitaker AH

    更新日期:1992-11-01 00:00:00

  • Adolescent Sleepiness: Causes and Consequences.

    abstract::Insufficient sleep duration and poor sleep quality are common among adolescents. The multidimensional causes of insufficient sleep duration and poor sleep quality include biological, health-related, environmental, and lifestyle factors. The most common direct consequence of insufficient and/or poor sleep quality is ex...

    journal_title:Pediatric annals

    pub_type: 杂志文章,评审

    doi:10.3928/19382359-20170816-01

    authors: Hansen SL,Capener D,Daly C

    更新日期:2017-09-01 00:00:00

  • An introduction to the National Committee for Quality Assurance.

    abstract::The corporations that purchase private health benefits and the public payers, Medicare and Medicaid, are insisting increasingly that managed care plans be publicly accountable for the quality of care and service delivered. NCQA has responded to that demand with programs that assess both the organization and operation ...

    journal_title:Pediatric annals

    pub_type: 杂志文章

    doi:10.3928/0090-4481-19980401-09

    authors: Sennett C

    更新日期:1998-04-01 00:00:00

  • The most important meal of the day: why children skip breakfast and what can be done about it.

    abstract::We all experience that morning rush to get somewhere - to work, to school, or to complete a number of important errands before we reach those final destinations. Many adults skip meals for a variety of reasons. Children and teenagers are no different. Eating behaviors can promote or diminish healthy nutrition. A child...

    journal_title:Pediatric annals

    pub_type: 杂志文章,实务指引

    doi:10.3928/00904481-20130823-10

    authors: Jackson LW

    更新日期:2013-09-01 00:00:00