INTRODUCTIONThe development in science and technology has helped us to overcome the superstitions associated with pregnancy to some extent. But, still many of us follow them even though we realize that these lacks scientific evidence. As in many other things in life, numerous traditions have been created. They often have nothing with science. They are usually prejudices that became part of local culture. 1,2 Cultural competence in the provision of postpartum care is essential for nurses in the healthcare world of the 21 st century. We planned this study to gain an understanding of traditional postpartum practices for women and babies, and to investigate the factors influencing such practices. Midwives and nurses should discuss these findings and their implications when they educate new mothers and their families about contemporary methods of postnatal maternal and infant care. METHODSIt was a cross sectional descriptive observational study. It was conducted at a tertiary care hospital in Northern India in Jaipur City. The study population was women who have delivered in last 3 days either vaginally or by lower segment caesarian section. Information was collected by direct face to face interview with mother and family members and responses were noted down. The fixed numbers of question were asked.The language of communication was Hindi. Local language was also used, if the mothers had difficulty in communication through Hindi. Questions were open ended and responses falling into preset possible ABSTRACT Background: The development in science and technology has helped us to overcome the superstitions associated with pregnancy to some extent. Objective of present study was to record information about common ritualistic myths during pregnancy and after baby birth. Methods: It was a cross sectional observational study conducted in a tertiary care center. Information was collected from 200 admitted women who delivered in last 3 days with direct questions to mother. Results: Total 180 (90%) women were following the ritualistic myths. Mean age and mean parity was 30.1 years and 2.8 respectively. Sixty five percent women were belonging from rural background. Religion distribution was as follows 144 Hindu, 40 Muslim and 16 were others. Prevalence of the myths was 136 (94.4%), 32 (80%), 12 (75%) in Hindu, Muslim and other religions respectively. An inverse relation was observed between education level and acceptance of myth. Conclusions: Ritualistic myths during pregnancy and after birth were more common with low literacy, rural background and in Hindus.
Crouzon syndrome is a rare genetic disorder. It is inherited as an autosomal dominant pattern. Mutations in the FGFR2 gene are known to cause Crouzon syndrome. Craniofacial abnormalities are common at birth and may progress with time. The severity of these signs and symptoms varies among affected children. A full term, large for date, male baby was delivered to a gravida 2 mother by cesarean section having facial dimorphism suggestive of Crouzon syndrome. Genetic team confirmed the diagnosis. Baby had severe respiratory distress. On work up, upper bony airway narrowing was found (diameter 3 mm). Later on, baby was operated for the same. Baby is asymptomatic now and doing well up to 2 months of follow-up. Management of Crouzon disease is multidisciplinary and early diagnosis has prime importance. Follow-up must ensure late features like hearing problems, vision problems, dental problems, intelligence, cranial synostosis, and upper airway problems.
Hallervorden-Spatz syndrome is a disorder characterized by dystonia, parkinsonism, and iron accumulation in the brain. The disease is caused by mutations in gene encoding pantothenate kinase 2 (PANK2) and patients have pantothenate kinase-associated neurodegeneration. We present an 8-year-old boy with progressive muscle dystonia, neuroregression, frequent fall and multiple injury marks of different stages. Seizures are rare with PANK2. This child had seizure onset at 4 years of age and seizure free on valproate and levetricetam. The CT scan showed tiger eye appearance and mutations on PANK2 gene.
Background: To study the lipid profile of 3rd trimester pregnant women and their cord blood with and without intrauterine growth restriction Design: Observational study, Setting: Department of Obstetrics and Neonatology, in a teaching hospital in North India during February 2013 to August 2014.Methods: Third trimester pregnant women and their neonates. Enrolled 250 women were divided in intrauterine growth restricted and control groups. Outcome Measures: Venous blood Lipid levels of 3rd trimester mothers and their neonate at birth.Results: Women of IUGR group had significantly lowered total cholesterol (TC), triglycerides (TG), high density lipoproteins (HDL) and low density lipoproteins (LDL)210.2 (19.8), 221.6 (36.2),65.4(11.7)and 130.7 (20.8)compared to 251(55.3), 234.7(35.6), 70.8(19.9) and 181.3(16.8) mg/dl control group. The TC, TG and LDL levels in cord blood of IUGR group were 93.6(16.5), 50.4 (6.5) and 51.8(12.6) as compared 106.4(17.7), 30.7(4.4) and 55.9(12.1) mg/dl to control group (p value <0.05). HDL levels were significantly lower 15.8(4.6) in IUGR group as compared to 26.5(5.4) in control group. The LDL: HDL and TC: HDL ratio was significantly higher in IUGR group. Maternal weight, gestational age, urban residence, primi parity, birth weight and APGAR score were lower, while maternal age, parity, smoking, blood pressure, cesarean sections (%) and male sex (%) of baby was higher in IUGR group.Conclusions: Lipid profile of mothers of IUGR fetuses had significantly lowered cholesterol levels and their cord blood had shown atherogenic phenotype
Ectodermal dysplasia (ED) results from abnormalities of the ectodermal structures such as hairs, teeth, nails, sweat glands, craniofacial structures, digits and other parts of the body. More than 200 different syndromes have been identified. It inherits as autosomal dominant or recessive or fresh mutations. Diagnosis is usually clinical with confirmation done by genetic studies. We report a newborn female baby delivered with sparse hair, poor skin pigmentation, dysmorphism, and absence of sweating, clinically diagnosed as ED. Her elder 3-year-old male sibling was a diagnosed case of ED, alive and healthy. Early diagnosis, multidisciplinary approach, and precautions during summer may be helpful in minimizing dehydration episodes and decrease in morbidity and mortality. Antenatal diagnosis is helpful in limiting the birth with ED.
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