DOCSLIB.ORG

Plans of Safe Care for Infants With

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Plans of Safe Care for Infants With STATE STATUTES CURRENT THROUGH AUGUST 2019 Plans of Safe Care for Infants With Prenatal Substance Exposure and Their Families To find statute information for a particular State, go WHAT'S INSIDE to https://www.childwelfare.gov/topics/systemwide/ laws-policies/state/. What is a plan of safe care? Substance use disorders affect parents and other caregivers and can have negative effects on the health, safety, and well-being Notification/reporting requirements of children. One major area of concern is responding to the care and treatment needs of infants with prenatal substance exposure Assessment of the infant and family and their families. To receive Child Abuse Prevention and Responsibility for development of the plan Treatment Act (CAPTA) funds, States are of safe care required to ensure that they operate programs relating to child abuse and neglect Services for the infant that include the following:1 Policies and procedures (including Services for the parents or other appropriate referrals to child protection caregivers services systems and for other appropriate services) to address the needs of infants Monitoring plans of safe care born and identified as being affected by 1 42 U.S.C. § 5106a(b)(2)(B)(ii)-(iii), as amended by the Comprehensive Addiction and Recovery Act of 2016 (P.L. 114-198) Summaries of State laws Children’s Bureau/ACYF/ACF/HHS | 800.394.3366 | Email: info@[email protected] | https://www.childwelfare.gov 1 substance abuse or withdrawal symptoms WHAT IS A PLAN OF SAFE CARE? resulting from prenatal drug exposure or A POSC is a plan designed to ensure the Fetal Alcohol Spectrum Disorder (FASD), safety and well-being of an infant with including a requirement that health-care prenatal substance exposure following his providers involved in the delivery or care or her release from the care of a health- of such infants notify the child protective care provider by addressing the health and services (CPS) system of the occurrence of substance use treatment needs of the infant such condition of such infants and affected family or caregiver. States The development of a plan of safe care have flexibility as to the implementation (POSC) for infants born and identified consideration of their POSCs. For example, as being affected by substance abuse or the plan can be initiated in advance of the withdrawal symptoms or FASD to ensure infant’s birth by a designated community the safety and well-being of such infant organization, including a substance use following his or her release from the care disorder treatment provider, the health-care of health-care providers, including through provider at the birth hospital, or as part of addressing the health and substance use the discharge process to ensure services are disorder treatment needs of the infants and provided to the infant and the affected family affected family or caregivers or caregiver. There is also variation as to whether the plan is developed by a State's CPS For this publication, statutes, regulations, agency or child welfare agency. and policies regarding requirements for providing appropriate care for these infants While the plan may address the immediate were collected from across all States, the safety, health, and developmental needs District of Columbia, and the U.S. territories, of the affected infant, the POSC also must and an analysis of the information informs the include the health and substance use disorder discussion that follows. treatment needs of the affected parents or caregivers. It is best practice that the POSC Information and technical assistance on be developed with input from the parents POSCs are available through the Children’s and caregivers and in collaboration with the Bureau Regional Offices https://www.acf. health-care provider and other professionals hhs.gov/cb/resource/regional-program- and agencies involved in serving the affected managers and the National Center on infant and family. It also includes referrals to Substance Abuse and Child Welfare https:// appropriate services that support the affected ncsacw.samhsa.gov/resources/substance- infant and his or her family or caregivers. exposed-infants.aspx. Children’s Bureau/ACYF/ACF/HHS | 800.394.3366 | Email: [email protected] | https://www.childwelfare.gov 2 NOTIFICATION/REPORTING If the infant meets the State’s criteria for REQUIREMENTS abuse or neglect, the infant and family will be referred to CPS for an investigation or family Laws and/or policies in approximately 42 assessment. States and the District of Columbia require health-care providers to notify CPS when If the infant and family are screened in for they are involved in the delivery or care services, a CPS agency conducts a safety of infants who show evidence at birth of assessment to determine whether the having been prenatally exposed to drugs, infant will be safe in the infant's home. The alcohol, or other controlled substances.2 parents' ability to perform essential parental Specifically, reports are required when the responsibilities may be considered in the infant or mother has a toxicology screen assessment of the newborn's safety. Other that is positive for substances and/or the factors that may be considered include the infant exhibits physical, neurological, or following: behavioral symptoms consistent with prenatal The mother's behavior and interaction/ substance exposure, withdrawal symptoms bonding with the newborn from prenatal substance exposure, or FASD. While the notification to CPS is required by Parental protective capacities of the mother CAPTA, laws and/or policies in 14 States make and any other adult caregivers both in and clear that a notification is not considered a out of the home report of child abuse or neglect unless there is evidence of maltreatment or risk of harm to The family's support system 3 the infant. The home environment ASSESSMENT OF THE INFANT Evidence of preparation and safe care for AND FAMILY the infant, such as a crib, clothing, and Upon receiving a notification of an infant with formula prenatal substance exposure, the CPS agency Mental health concerns or the presence of makes an initial assessment to determine domestic violence whether the infant meets the State's definition of child abuse or neglect. If the infant does Assessment of all other adults and children not meet criteria for abuse or neglect, best living in the home practice is to refer the family to a community agency for assessment of the family’s needs. 2 The word "approximately" is used to stress the fact that States frequently amend their laws. This information is current through August 2019. Alabama, Alaska, Arizona, Arkansas, California, Connecticut, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Utah, Vermont, Virginia, West Virginia, and Wisconsin require reports for substance-exposed infants. 3 California, Connecticut, Delaware, Georgia, Iowa, Louisiana, Maine, Michigan, New Mexico, New York, North Carolina, Pennsylvania, Vermont, and Virginia Children’s Bureau/ACYF/ACF/HHS | 800.394.3366 | Email: [email protected] | https://www.childwelfare.gov 3 Additional assessments are made to as affected by the mother's substance determine the ongoing needs of the infant and use as well as the treatment needs of the the infant's family and other caregivers for affected parent or caregiver.4 In six States, services and other supports. The assessments the plan can be initiated by the health-care may include consideration of the following provider at the birth hospital as part of the factors: discharge process to ensure that the infant will receive appropriate care in the home.5 The infant's current condition and/or However, the responsibility for developing special needs or disabilities the plan ultimately rests with the State's child The nature and extent of the mother's protective or child welfare agency. alcohol and drug use and treatment history The POSC required by CAPTA may differ from Information on the parents' mental health a safety plan that addresses the immediate concerns, such as postpartum depression safety of the child. A POSC is determined and any co-occurring disorder by the State and can be continuous and a longer-term plan for the family that focuses The presence of other children in the home on the infant's ongoing health, development, and their current care and condition safety, and well-being. Developing the plan may include various professionals and Family strengths and involvement of the disciplines. The agency may actively involve infant's father and other family members the parents or caregivers, the infant's health- The mother's level of cooperation and care professionals, the parents' or caregivers' willingness to address concerns substance use treatment service providers, out-of-home care providers, and supportive The extent and availability of the newborn's adults identified by the parents or caregivers. family or other individuals to assist with The plan also may include information from caregiving and the provision of other early childhood intervention providers, home support visitors, public health personnel, and any The availability of stable housing with no other community supports, as appropriate. apparent safety or health hazards SERVICES FOR
Load more

Recommended publications
  • The Crying Baby: Differential Diagnosis and Management Plan
    ACTA SCIENTIFIC PAEDIATRICS Volume 2 Issue 7 July 2019 Review Article The Crying Baby: Differential Diagnosis and Management Plan Gihad I Alsaeed1*, Ibrahim G Alsaeed2 and Mohamed G Alsaeed3 1Department of Pediatrics, Al-Takhassusi Hospital, Saudi Arabia 2Intern Medical Student, Faculty of Medicine, Milan University, Italy 3Intern Medical Student, Faculty of Medicine, Pavia University, Italy *Corresponding Author: Gihad I Alsaeed, Department of Pediatrics, Al-Takhassusi Hospital, Saudi Arabia. Received: May 20, 2019; Published: June 17, 2019 DOI: 10.31080/ASPE.2019.02.0093 Abstract Crying baby is one of the most common causes of Emergency Room visits during infancy and is associated with adverse outcomes organic causes that could be serious or life threatening if not diagnosed early. The aim of this article is to illustrate the organic and for some mothers and babies. 20% of parents report problems with their Infant crying in the first 3 months. 5% of crying babies have non-organic causes of crying baby and to outline a professional approach and management plan. Keywords: Crying Baby; Infantile Colic; Formula Intolerance; Cow'S Milk Allergy; Breast Feeding Problems; Organic Causes; Crying Medication Introduction peaks at 6 weeks of age. Abnormal crying, by contrast, may occur at any time, with no response to parental soothing, and could be as- infancy; an explosion of feelings that might be disclosed or deliv- sociated with painful characters, pallor, cyanosed or mottled skin, Crying is the first communication skill to be developed in early ered in the form of the systemic activity of crying. Crying could be tearing, sweating, vomiting, or abnormal movements.
    [Show full text]
  • CHALLENGING CASES: BIOPSYCHOSOCIAL PEDIATRICS Failure to Thrive in a 4-Month-Old Nursing Infant
    CHALLENGING CASES: BIOPSYCHOSOCIAL PEDIATRICS Failure to Thrive in a 4-Month-Old Nursing Infant* CASE visits she was observed to respond quickly to visual Christine, a 4-month-old infant, is brought to the and auditory cues. There was no family history of office for a health-supervision visit by her mother, serious diseases. a 30-year-old emergency department nurse. The In that a comprehensive history and physical ex- mother, who is well known to the pediatrician to be amination did not indicate an organic cause, the a competent and attentive caregiver, appears unchar- pediatrician reasoned that the most likely cause of acteristically tired. They are accompanied by the 18- her failure to thrive was an unintentional caloric month-old and 4-year-old siblings because child care deprivation secondary to maternal stress and ex- was unavailable, and her husband has been out of haustion. Christine’s mother and the pediatrician town on business for the last 5 weeks. When the discussed how maternal stress, fatigue, and depres- pediatrician comments, “You look exhausted. It must sion could hinder the let-down reflex and reduce the be really tough to care for 3 young children,” the availability of an adequate milk supply, as well as mother appears relieved that attention was given to make it difficult to maintain regular feeding sessions. her needs. She reports that she has not been getting The pediatrician recommended obtaining help with much sleep because Christine wakes up for 2 or more child care and household responsibilities. The evening feedings and the toddler is now awakening mother was also encouraged to consume adequate at night.
    [Show full text]
  • A Dose-Response Relationship Between Organic Mercury Exposure from Thimerosal-Containing Vaccines and Neurodevelopmental Disorders
    Int. J. Environ. Res. Public Health 2014, 11, 9156-9170; doi:10.3390/ijerph110909156 OPEN ACCESS International Journal of Environmental Research and Public Health ISSN 1660-4601 www.mdpi.com/journal/ijerph Article A Dose-Response Relationship between Organic Mercury Exposure from Thimerosal-Containing Vaccines and Neurodevelopmental Disorders David A. Geier 1, Brian S. Hooker 2, Janet K. Kern 1,3, Paul G. King 4, Lisa K. Sykes 4 and Mark R. Geier 1,* 1 Institute of Chronic Illnesses, Inc., 14 Redgate Ct., Silver Spring, MD 20905, USA; E-Mails: [email protected] (D.A.G.); [email protected] (J.K.K.) 2 Department of Biology, Simpson University, 2211 College View Dr., Redding, CA 96003, USA; E-Mail: [email protected] 3 Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas, 5353 Harry Hine Blvd., Dallas, TX 75390, USA 4 CoMeD, Inc., 14 Redgate Ct., Silver Spring, MD 20905, USA; E-Mails: [email protected] (P.G.K.); [email protected] (L.K.S.) * Author to whom correspondence should be addressed; E-Mail: [email protected]; Tel.: +1-301-989-0548; Fax: +1-301-989-1543. Received: 12 July 2014; in revised form: 7 August 2014 / Accepted: 26 August 2014 / Published: 5 September 2014 Abstract: A hypothesis testing case-control study evaluated concerns about the toxic effects of organic-mercury (Hg) exposure from thimerosal-containing (49.55% Hg by weight) vaccines on the risk of neurodevelopmental disorders (NDs). Automated medical records were examined to identify cases and controls enrolled from their date-of-birth (1991–2000) in the Vaccine Safety Datalink (VSD) project.
    [Show full text]
  • Intervention Ideas for Infants, Toddlers, Children, and Youth Impacted by Opioids
    TOPICAL ISSUE BRIEF Intervention IDEAs for Infants, Toddlers, Children, and Youth Impacted by Opioids Overview Prevalence The abuse of opioids—such as heroin and various prescription drugs commonly prescribed for pain (e.g., oxycodone, hydrocodone, and fentanyl)—has rapidly gained attention across the United States as a public health crisis. Youth may be exposed to opioids in a variety of ways, including but not limited to infants born to mothers who took opioids during pregnancy; children mistakenly consuming opioids (perhaps thinking they are candy); teenagers taking opioids from an illicit street supply; or, more commonly, teenagers being given opiates for free by a friend or relative.1,2 Even appropriate opioid use among adolescents and young adults to treat pain may slightly increase their risk of later opioid misuse.3 The Centers for Disease Control and Prevention (CDC) have identified opioid abuse as an epidemic, noting that opioids impact and affect all communities and age groups.4 Between 1997 and 2012, 13,052 children were hospitalized for poisonings caused by oxycodone, Percocet (a combination of acetaminophen and oxycodone), codeine, and other prescription opioids.5 Every 25 minutes, an infant is born suffering from opioid withdrawal, and an estimated 21,732 infants were born in 2012 with neonatal abstinence syndrome (NAS), a drug withdrawal syndrome.6 According to data from 2014, approximately 28,000 adolescents had used heroin within the past year, 16,000 were current heroin users, and 18,000 had a heroin use disorder.7 At the same time, relatively few data are available about the effects of opiates on the U.S.
    [Show full text]
  • Child and Adolescent Needs and Strengths: Early Childhood
    Child and Adolescent Needs and Strengths: Early Childhood CANS: EC Supplemental Guide A Support for the CANS (Early Childhood) Information Integration Tool for Young Children Ages Birth to Five SET is part of the System of Care Initiative, within the Allegheny County Department of Human Services, Office of Behavioral Health Stacey Cornett, Copyright 2007. Child and Adolescent Needs and Strengths: Early Childhood (CANS:EC) Section One: Child Strengths This section focuses on the attributes, traits, talents and skills of the child that can be useful in developing a strength-based treatment plan. Within a systems of care approach identifying strengths is considered an essential part of the process (Miles, P., Burns, E.J., Osher, T.W., Walker, J.S., 2006). A focus on strengths that both the child and the family have to offer allows for a climate of hope and optimism and has been proven to engage families at a higher level. Strength-based assessment has been defined as, “the measurement of those emotional and behavioral skills, competencies, and characteristics that create a sense of personal accomplishment; contribute to satisfying relationships with family members, peers, and adults; enhance one’s ability to deal with adversity and stress; and promote one’s personal, social, and academic development” (Epstein & Sharma, 1998, p.3). The benefits of a strength- based assessment include involving parents and children in a service planning experience that builds on what a child and family are doing well, facilitates positive expectations for the child, and empowers family members to take responsibility for the decisions that will affect their child (Johnson & Friedman, 1991; Saleebey, 1992).
    [Show full text]
  • The Child with Failure to Thrive
    The Child with Failure to Thrive Bonnie Proulx, MSN, APRN, PNP Pediatric Gastroenterology Children’s Hospital at Dartmouth Manchester, NH DISCLOSURES None of the planners or presenters of this session have disclosed any conflict or commercial interest The Child with Failure to Thrive OBJECTIVES: 1. Review assessment and appropriate diagnostic testing for children who fail meet expected growth 2. Discuss various causes of failure to thrive. 3. Identify appropriate referrals for children with failure to thrive. Definition • Inadequate physical growth diagnosed by observation of growth over time on a standard growth chart Definition • More than 2 standard deviations below mean for age • Downward trend in growth crossing 2 major percentiles in a short time • Comparison of height and weight • Not a diagnosis but a finding Pitfalls • Some children are just tiny • Familial short stature children may cross percentiles to follow genetic predisposition • Normal small children may be diagnosed later given already tiny Frequency • Affects 5-10% of children under 5 in developing countries • Peak incidence between 9 and 24 months of age • Uncommon after the age of 5 What is normal growth • Birth to 6 months, a baby may grow 1/2 to 1 inch (about 1.5 to 2.5 centimeters) a month • 6 to 12 months, a baby may grow 3/8 inch (about 1 centimeter) a month • 2nd year of life 4-6 inches • 3rd year 3-4 inches • Annual growth until pre-puberty 2-3 inches per year Normal weight gain • Birth to 6 months-gain 5 to 7 ounces a week. • 6 to 12 months -gain 3 to 5 ounces (about 85 to 140 grams) a week.
    [Show full text]
  • Protein Energy Malnutrition (Failure to Thrive) Algorithm
    CLINICAL PATHWAY PROTEIN ENERGY MALNUTRITION (FAILURE TO THRIVE) ALGORITHM Conduct Initial Assessment • History and physical (H&P), nutrition focused • Weight height, BMI, % of ideal body weight and exam: assess severity (symmetric edema = severe) Inclusion criteria: • • Consider basic labs based on H&P; A complete blood count (CBC) is strongly Children newborn to 21 years of age • recommended due to risk of anemia Inpatients admitted for evaluation and • Additional labs based on H&P treatment of Protein Energy Malnutrition • Assess micronutrients: iron, zinc, vitamin D, and others as indicated by H&P (PEM) or Failure to thrive (FTT) OR • • Baseline potassium, phosphorus, and magnesium if concerned about re-feeding Patients identified with PEM/FTT during • Calorie count up to 3 days their hospital stay. • Consults: Social Work, Registered Dietician, Occupational Therapy, and Lactation Exclusion criteria: • Outpatients • Patients with FTT/PEM secondary to an identified concern (e.g., cancer, genetic condition, other chronic illness). Is there a risk for •Pts w/ suspected or confirmed micronutrient Yes eating disorder deficiencies? Initiate treatment for micronutrients deficiencies: • Empiric zinc therapy for patients No older than 6 months for 1 month • Iron therapy in the absence of inflammation • Vitamin D and other What are the micronutrients based on labs degrees of malnutrition and risk of refeeding? Mild, moderate, Severe or severe malnutrition AND malnutrition but at risk of NO RISK of refeeding refeeding • • Initiate feeding per recommended Initiate feeding at 30-50% of RDA for current weight • daily allowance (RDA) for current Monitor potassium, phosphorus, and magnesium weight and age once to twice a day for a total of 4 days • • Use PO route if patient is able to Advance by 10-20% if labs are normal • take 70% of estimated calories If labs abnormal hold off on advancing feed until orally corrected • Start thiamine Advance calories to meet level for catch up growth.
    [Show full text]
  • The Crying Baby: What Approach? Pamela S
    The crying baby: what approach? Pamela S. Douglasa and Peter S. Hillb aDiscipline of General Practice, University of Purpose of review Queensland and bSchool of Population Health, University of Queensland, Herston, Queensland, Cry-fuss problems are among the most common clinical presentations in the first few Australia months of life and are associated with adverse outcomes for some mothers and babies. Correspondence to Pamela S. Douglas, MBBS, Cry-fuss behaviour emerges out of a complex interplay of cultural, psychosocial, FRACGP, General Practitioner, Adjunct Senior environmental and biologic factors, with organic disturbance implicated in only 5% of Lecturer, Discipline of General Practice, University of Queensland, Royal Women’s and Children’s Hospital, cases. A simplistic approach can have unintended consequences. This article reviews Herston 4027, QLD, Australia recent evidence in order to update clinical management. Tel: +61 432982831; e-mail: [email protected] Recent findings New research is considered in the domains of organic disturbance, feed management, Current Opinion in Pediatrics 2011, 23:523–529 maternal health, sleep management, and sensorimotor integration. This transdisciplinary approach takes into account the variable neurodevelopmental needs of healthy infants, the effects of feeding management on the highly plastic neonatal brain, and the bi-directional brain–gut–enteric microbiota axis. An individually tailored, mother- centred and family-centred approach is recommended. Summary The family of the crying baby requires early intervention to assess for and manage potentially treatable problems. Cross-disciplinary collaboration is often necessary if outcomes are to be optimized. Keywords breast-feeding, colic, infant, infant crying, infant feeding, sleep Curr Opin Pediatr 23:523–529 ß 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins 1040-8703 and child abuse [10,11].
    [Show full text]
  • Parenting Children Who Have Been Exposed to Methamphetamine
    Non-Return Information Packet Assisting families on their lifelong journey Parenting Children Who Have Been Exposed to Methamphetamine A Brief Guide for Adoptive, Guardianship, and Foster Parents Oregon Post Adoption Resource Center 2950 SE Stark Street, Suite 130 Portland, Oregon 97214 503-241-0799 800-764-8367 503-241-0925 Fax [email protected] www.orparc.org ORPARC is a contracted service of the Oregon Department of Human Services. Please do not reproduce without permission. PARENTING CHILDREN WHO HAVE BEEN EXPOSED TO METHAMPHETAMINE A BRIEF GUIDE FOR ADOPTIVE, GUARDIANSHIP AND FOSTER PARENTS Table of Contents Introduction: ............................................................................................................. 1 Part I: Methamphetamine: An Overview ........................................................... 2 What is meth? What are its effects on the user? How prevalent is meth use? How is meth addiction treated? Part II: Meth’s Effects on Children ...................................................................... 7 What are the prenatal effects of exposure? What are the postnatal effects of prenatal exposure? What are the environmental effects on children? Part III: Parenting Meth-Exposed Children ....................................................... 11 Guiding principles Age-specific suggestions Part IV: Reprinted Articles .................................................................................. 20 Appendix A: Recommended Resources Appendix B: Sources Page i PARENTING CHILDREN WHO HAVE
    [Show full text]
  • Prenatal Cocaine Exposure and Infant Cognition
    Infant Behavior & Development 28 (2005) 431–444 Prenatal cocaine exposure and infant cognition Lynn T. Singer a,∗, Laurie J. Eisengart a, Sonia Minnes a, Julia Noland b, Arthur Jey a, Courtney Lane a, Meeyoung O. Min a a Department of Pediatrics, Case Western Reserve University, The Triangle Building, 11400 Euclid Avenue, Suite 250-A, Cleveland, OH 44106, USA b Vanderbilt University, Nashville, TN, USA Received 9 November 2004; received in revised form 8 March 2005; accepted 24 March 2005 Abstract The present study examined the relationship of prenatal cocaine exposure to infant information processing in the first year of life. In a prospective, longitudinal study of 177 cocaine-exposed and 175 non-exposed infants, the Fagan Test of Infant Intelligence (FTII) was used to measure attention, visual recognition memory and information processing speed at 6.5 and 12 months of age. Groups were compared over time using mixed linear model analyses. Prenatal cocaine exposure predicted poorer visual recognition memory at 12 months, with exposed infants ob- taining lower mean scores and a higher percentage of scores in the risk range. Across exposure groups, information processing speed increased with age, demonstrating a developmental effect. Tobacco and marijuana exposures were related to faster looking times, which did not relate to visual recognition memory. Cognitive deficits and attentional problems noted in prior studies of cocaine-exposed children at later ages may be detectable in infancy. © 2005 Elsevier Inc. All rights reserved. Keywords: Cocaine; Infants; Visual recognition; Memory; Fagan Test of Infant Intelligence 1. Introduction During the 1980s, cocaine use reached epidemic levels in the United States among pregnant women in urban areas, subsequently exposing hundreds of thousands of children to cocaine prenatally (National ∗ Corresponding author.
    [Show full text]
  • Etiology of Excessive Crying in Infants Aged Between 1 Month to 12Months in Peripheral Institute of Himachal Pradesh, India
    www.ijcrt.org © 2020 IJCRT | Volume 8, Issue 6 June 2020 | ISSN: 2320-2882 ETIOLOGY OF EXCESSIVE CRYING IN INFANTS AGED BETWEEN 1 MONTH TO 12MONTHS IN PERIPHERAL INSTITUTE OF HIMACHAL PRADESH, INDIA 1Subhash chander, 2Avishek dhiman 1Dr Subhash Chander, MD Pediatrician, Civil hospital, Jwalamukhi, Kangra Himachal Pradesh 2Dr Avishek Dhiman MS ENT, Civil hospital, Jwalamukhi, Kangra Himachal Pradesh Abstract Inconsolable crying conveys the evidence about an infant’s state as well as mental health which, when carefully seen can provide diagnostic information for parents and clinicians. When crying is inconsolable and imprudent, it can stress parents, disrupt parenting and in rare cases, make infant at risk for abuse. Around 25% of all infants cry excessively during their first months of life. This phenomenon has been termed “infant colic.” In most cases, clinicians are unable to determine the cause of the colic. In this study we are finding causes for the excessive cry in infants aged between1month to 12 months. The causes for the excessive crying like infantile colic, nasal blockade, diaper rash, hunger, acute otitis media, and post vaccination febrile illness, cow milk protein allergy, flatulence, fever, sepsis, and meningitis, foreign body in eye, hair tourniquet syndrome and excessive maternal concern were studied. Key words: excessive cry, infantile colic, acute otitis media Introduction Inconsolable infant behaviour and colic are usually used to express a range of behaviours in infants aged up to 1 year that include prolonged episodes of crying, difficulties with sleeping and also feeding1. Studies suggest that it is 20% prevalent and incidence rate is equal between both genders2-3.
    [Show full text]
  • Paediatrics at a Glance
    Paediatrics at a Glance Lawrence Miall Mary Rudolf Malcolm Levene Blackwell Science Paediatrics at a Glance This book is dedicated to our children Charlie, Mollie, Rosie Aaron, Rebecca Alysa, Katie, Ilana, Hannah, David and all those children who enlightened and enlivened us during our working lives. Paediatrics at a Glance LAWRENCE MIALL MB BS, BSc, MMedSc, MRCP, FRCPCH Consultant Neonatologist and Honorary Senior Lecturer Neonatal Intensive Care Unit St James’s University Hospital Leeds MARY RUDOLF MB BS BSc DCH FRCPCH FAAP Consultant Paeditrician in Community Child Health Leeds Community Children’s Services Belmont House Leeds MALCOLM LEVENE MD FRCP FRCPCH FMedSc Professor of Paediatrics School of Medicine Leeds General Infirmary Leeds Blackwell Science © 2003 by Blackwell Science Ltd a Blackwell Publishing company Blackwell Science, Inc., 350 Main Street, Malden, Massachusetts 02148-5018, USA Blackwell Science Ltd, Osney Mead, Oxford OX2 0EL, UK Blackwell Science Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia Blackwell Wissenschafts Verlag, Kurfürstendamm 57, 10707 Berlin, Germany The right of the Authors to be identified as the Authors of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published 2003 Library of Congress Cataloging-in-Publication Data Miall, Lawrence. Paediatrics at a glance/Lawrence Miall, Mary Rudolf, Malcolm Levene.
    [Show full text]