2. REVIEW OF LITERATURE
Growth is a polygenic and multifactorial phenomenon and it is predominant during first two years of life. Growth during infancy is a predictor of adult health (1). Literature focusing on factors affecting morphometric indicators, growth of preterm born and full term born infants was reviewed put the present study in context and to highlight the exemplary studies done in this area.
2.1 Factors affecting growth of infants
Socio economic status of a family, nutrition, environmental factors, health status, smoking of mother are the major factors that affect fetal as well as infant growth (27). Maternal and paternal characteristics like education, occupation also has a significant impact on the growth of the infant (28).
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Preterm birth is risk factor for mortality, perinatal morbidity and neuro-developmental disabilities. Prematurity not only affects the neonates and their families but also has lot of implications for the health services as these infants may have to spend many weeks in the hospital …show more content…
A Systematic review of outcomes amount for survival, morbidity, growth and developmental delay for infants born preterm in low and middle income countries share their findings that prematurity is the leading cause of death in neonates with lower gestational ages. Several other studies report an increased risk of morbidity in preterm infants compared to infants born at term. This includes increased risk of cerebral palsy, respiratory distress syndrome (RDS), retinopathy of prematurity (ROP), periventricular leukomalacia (PVL), bronchi-pulmonary dysplasia and intraventricular haemorrhage (IVH) (40). A hospital based retrospective cohort study by Allen et al. of neonatal outcome of infants born at 22 to 25 weeks of gestation done in 1993 concluded that the incidence of neonatal complications decreases with the increase in gestational age (41). Additionally, findings obtained from a systematic review done in 2008 state that the risk of neonatal mortality and morbidity in infants who were both preterm and small for gestational age was higher than that of infants with either characteristic alone
However, in 1963 “about 25,000 children a year died because medical science lacked the skills and the specialized equipment needed to save them” (James 1). “By 2002, fewer than 1,000 babies a year die[d] of respiratory distress” (Philip 807) and “doctors can now save preemies as young as 23 and 24 weeks with the use of the protein surfactant, ventilators, and advanced technology known as continuous positive air pressure” (James 3). “The death of this presidential baby was a critical event, according to historians, one that sparked medical advances [and increased funding] that did for the survival of preemies what Sputnik did for the space race” (James 1). The terms, “neonatology and neonatologist were first introduced in 1960” (Philip 799).
The specialized field of neonatal nursing did not really develop until the 1960s advancements in care and technology improved treatment greatly. Low birth weight and premature births were the leading factors in infant’s deaths (“Overview: Neonatal nurses.”). These nurses play a very important role in health care for infants born with these different health
Study was focus on vulnerable mothers (young, less educated, and/or unmarried), and the results show that early and adequate use of care improved for both racial groups, and racial disparities in prenatal care use have been markedly reduced, except for some young mothers. Gortmaker, S. (1979). The effects of prenatal care upon the health of the newborn. American Journal of Public Health July 1979: Vol.
2. Premature births can alter with the baby’s intellectual and developmental progression causing problem with the functioning of the baby’s brain. i. This can delay the baby’s physical and learning development, its ability to communicate with others, and with the ability to care for itself. ii. The baby can also have behavior problems, ADHD, Autism, Neurological disorders, hearing loss, and several other disabilities.
This condition also increases the risk of the child suffering from chronic disease. Such children suffer from respiratory problems and blood pressure. This condition also hinders the brain development in the child hence resulting to a child with lower IQ. Low birth weight also affects the family and the entire community. Family resources are spent in providing health care to the child.
It is vital to monitor a childâ€TMs sequence and rate of the developments in order to determine what type help they may or may not need in future. Each child in care could be recorded all areas of developments. Through the reference of the sequences, monitor what children can or cannot do at a specific stages in their lives. As said, while most children follow the same common pattern of development, they may reach the milestones at different ages, depending on each of the individual childâ€TMs ability and a range of personal and external factors that may affect them. The order in which the development of children would happen and the speed in which it would happen are
The prenatal diagnostics and prenatal screening being routine procedures should be considered as advantage of modern medicine. It helps to reveal wide spectrum of fetus abnormal conditions, but not only congenital defects and malformations. Early detection of many of them could help to perform surgical correction and necessary management as soon as possible in order to save newborns’ lives. On the other hand, this method is widely discussed and it has many opponents, and in some countries prenatal diagnostic procedures is not considered now as a screening method. Main ethical issues are terminations of pregnancies in case of malformations, which may be supposed as eugenical abortion, inform consent and problem of decision-making process.
Literature Review INTRODUCTION Gestational diabetes mellitus (GDM) is a popular pregnancy complication which affects 15% of pregnant women worldwide (1). GDM normally associates with both long term and short term morbidity in both mother and child. For example, the mother will deliver baby at high birth weight (macrosomia) which results in the baby being at risk for hypoglycemia, jaundice and birth trauma (2). In longer term, this child is more prone to have abnormal glucose tolerance and develop into diabetes during adolescence (3).
Outline II. Medical Setting According to the CDC, an infant is considered prematurely born when they are born prior to the full-term 37 weeks of gestation. A related concern is low birth weight, where the infant weighs under 5 pounds. The associated risks with preterm birth and low birth weight include _________, which can be monitored and treated in the NICU.
Around the world there are children who are exposed to different environments, different situations, various educational levels, and different availabilities to nutritional resources. Physical development plays a crucial role in the outcome of the child’s growth on the path to adulthood. Parental guidance is a direct influence on the final product of the child’s health and the speed in which the child matures. Alina not only grew healthy but grew at a faster pace, speeding up the process in which her maturity aided her into a more conscious and nutritious lifestyle. Starting as early as weeks Alina’s growth was “ahead of the normal charts” which as a parent looked extremely well, for Alina was only small and needed all the nutrients she can
He is a very hands-on student. He also enjoys being outside, which is why he is very active. SPECIAL NEED When a baby is born before 37 weeks of pregnancy, it is considered to be premature. The earlier in pregnancy a baby is born, the more likely he or she is to have health problems. Zion was born at six months.
The child being able to sit, stand, walk, talk or even making gestures to communicate in which initiated and strongly coached by the adults at a specific month range; at some point babies and young children are made to do actions and gestures to entertain adults all merely to satisfy the adults expectations. To assess the child growth and development we should look at each child as a whole; taking in great consideration several factors in which affect their physical, mental, emotional, social and even medical well-being. These factors include: Perinatal conditions - is the state of health of the mother and child during pregnancy up to the time of the delivery. This includes congenital anomalies brought about by poor health and diet the child is receiving from the mother during pregnancy.
You must take this into note since sometimes a baby is growing but no weight gain, it could be due to a health problem and it is ideal to speak to a pediatrician. But do not worry about the extra fat on the baby’s thighs, neck, arms or on the
Neonatal care has greatly improved in recent years and it has become possible for very low birth weight or asphyxiated newborns to survive. Until a few years ago, many of these babies inevitably died early. Now we can prolong their life, but with handicaps in many cases. A recent debate centred on whether it is ethical to withhold or withdraw therapy, sometimes in an active way, allowing newborns, presumed unable to lead a normal life, to die. 1,2,3,4,5,6 Attitudes on this ethical question in neonatal intensive care units of four Western countries,7 France,8 The Netherlands,9 and other states10 have been published.
Childbirth: Present Day and Yesteryear The natural event of childbirth has taken place since the beginning of time and while it’s beauty has never faded the child birthing process has evolved and differed from generation to generation. The dawning of childbirth seems to be a very primitive, organic one but health of the mother and baby were more at risk. While today the child birthing process may not seem as organic and natural it is a safer, healthier beginning for the mother and baby. I have heard my paternal grandmother speak both fondly and horrifically about her 2 different child birthing experiences many times.