Background and Aims A recent Government policy drive is to increase home delivery rates. Data are lacking about whether this strategy is embraced by perinatal healthcare professionals. Our aim was to examine opinions regarding home deliveries held by consultant paediatricians, neonatologists, gynaecologists, obstetricians, GPs and midwives. Methods Cross-sectional survey of UK professionals in East Anglia. Likert scales ranging from 0-10 assessed professionals' general experiences of and enthusiasm for home birthing and support for the Government's plan. Results 52% of professionals responded, including 68% of Paediatricians. Paediatricians and Neonatologists generally reported negative experiences of home delivery and were considerably less enthusiastic regarding home deliveries than any other professionals. Paediatricans generally held a negative outlook on home delivery [median 4, IQ 3-5] and were in opposition to the government's plan [median 3, IQ 2-5], whilst midwives were more enthusiastic about home delivery than any other profession [median 9, IQ 8-10, p<0.0001] and were more likely to support the government plan to increase the rate of home deliveries [median 8.5, IQ 7-10, p<0.0001]. GP's, obstetricians and gynaecologists tended to give more neutral or negative opinions towards home birth [GP (median 5, IQ 3-7.5) ObGyn (median 5, IQ 2-7)] and towards the government's plan [GP (median 5, IQ 2-6) ObGyn (median 5, IQ 2-5)]. Conclusions Negative experiences and opinions of perinatal healthcare professionals regarding home delivery may adversely affect its uptake by women and will need to be addressed if the Government's plan to increase home delivery rates is to succeed.
Introduction Griscelli syndrome type 2 is a rare disorder charecterised by pigment dilution (silvery hair), variable immune deficiency, and tendency to develop a life threatening hemophagocytic syndrome. Presentation in neonatal life is even more rare. Materials and Methods These are three siblings to first cousin parents who presented with Griscelli syndrome in the neonatal life with dessimel outcome. Results J, A, S, are three siblings, two sisters and one brother born to first cousin parents. All had normal vaginal full term delivery. All presented on day one of life with pallor, silvery hair, and hepatosplenomegaly. Investigations revealed variable degrees of anemia & thrombocytopenia. BM revealed hemophagocytic syndrome. There was no HLA matched BM donor so they were treated conservatively. They had repeated admissions for infections and received several blood and platalet transfusion. They had stoem courses and died by two months of age. Conclusion This is probablly the largest series of Griscelli syndrome presenting in neonatal life. BM is the only hope fore this syndrome. Athorough family history is always helpfull in diagnosing difficult cases.
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