PurposeChild safety seats (CSS) are critical for the protection of children, in case of motor vehicle accidents. Although the national legislation mandates that all newborns must be placed in an appropriately installed CSS during transportation, people often do not perceive the importance of CSS and do not use it as recommended. The purpose of this survey was to understand the use of CSS for the safe transport of newborns from hospital to home. MethodsWe interviewed parents of newborn infants, using a structured questionnaire, at the time of their discharge from Cheil General Hospital & Women’s Health Care Center, between May 2014 and July 2014. ResultsA total of 403 participants were interviewed. The rate of CSS use was only 14.9%. Overall, 76.4% of the families interviewed were not aware about the recommendations on CSS use for newborns when travelling in a car. The provision of education on using CSS significantly influenced their rate of use. Parents who were educated about mounting the CSS in a car used it more as compared with others (25.7% vs. 12.2%) (P=0.002). Furthermore, if parents had heard about the importance or necessity of CSS, they used it more than others did (19.5% vs. 10.6%, P=0.032). ConclusionDespite the legal regulation, most parents transport their newborn infants without a CSS while traveling from hospital to their home. The rate of CSS use was influenced by parental education and their knowledge about its necessity. Education programs for parents must be reinforced to increase the CSS use.
Objective: To evaluate the neonatal outcome of triplets and compare the results of twins and singletons with those of triplets. Methods: From 2004 to 2015, we reviewed medical records of triplets who were delivered in a single center. We investigated clinical characteristics and neonatal outcome according to the birth order in triplets, and compared those of twins and singletons who were gestational age-matched and born preceding and following the birth of each triplet. Results: Seventeen sets of triplet (51 neonates) were born during the reviewed 12-year period and the incidence of triplets was 0.06%. All triplets were born between 26 +5 weeks and 35 +2 weeks, the mean gestational age was 33.1±2.6 weeks, and the mean birth weight was 1,805.4±409.0 g. According to the birth order, the mean birth weight of first, second, and third babies was 1,862.6± 298.1 g, 1,788.7±277.7 g, and 1,765.3±273.5 g respectively, although there was no significant difference. Also there was no difference in respiratory distress syndrome, bronchopulmonary dysplasia, apnea, patent ductus arteriosus, intraventricular hemorrhage, periventricular leukomalacia and reti nopathy of prematurity among the three groups. In a comparative study of triplets to twins and singletons, there was no difference in neonatal outcome except birth weight (triplets vs. twins: 1,805.4 ±409.0 g vs. 1,960.3±441.0 g, P=0.068, triplets vs. singletons: 1,805.4±409.0 g vs. 2,087.8± 522.1 g, P< 0.001). Conclusion:There was no influence of the birth order on birth weight and neonatal outcome of triplets. Neonatal outcome of triplets was not different to that of twins and singletons except birth weight of triplets to singletons in a gestational age-matched study.
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