集団保育に取り入れられたベビーサインに関する研究-保護者・保育者への質問紙調査結果の報告-

Baby Signing is a method of teaching simple,symbolic gestures to preverbal children and using them to communicate with the children. This study aimed to identify what function Baby Signing serves in childcare by surveying workers at day care centers that use this communication method,and parents of children who attend such centers. The results of a survey of five care providers and 21 parents revealed that (1) the care providers were able to understand the children`s demands more readily by having the children use Baby Signing and (2) began consciously using the gestures themselves to talk to the children in a more easy-to-understand manner, but that (3) some care providers felt it difficult to master Baby Signing. On the other hand,(1)many families began using the gestures that the children had learned at day care centers to communicate with their children, while(2) some families were unable to understand the children`s gestures and could not respond successfully. These findings suggest that collaboration between parents, as well as between day care centers and families, is needed to allow Baby Signing to be used more smoothly and effectively

A Smart Baby Cradle

A small baby needs parents' attention for whole day and 7 days a week, which is impossible due to other priorities like house hold activities, official works and personal works. Day care centre or nanny is the two options available which involves lot of passion. We all live in a world where technologies are sournded all around us. The new generations of parents were raised up with this amazing technology. There are lots of things or items present on these earth that parents will buy to help them care for their baby (Cradle, Crib, Baby Monitor, etc.). So, there is a need for safe and secure place to take good care of the children2019;s need with minimum human intervention and care, which can be accomplished with the help of a 201C;Smart Baby Cradle201D;. A 201C;Smart Baby Cradle201D; provides parents a smart automatic cradle system which help these parents monitor and comfort the baby. The Smart Baby Cradle allows them to monitoring their babies, the cradle, play soothing music, even speak to the baby, observing the temperature of the infant, bed wet sensor which will caution the attendants for bunk wetting of the infant. The mother where so ever she is can have a look on the baby through camera inserted in the cradle. All the fittings are done through Arduino and PIR sensor. Additionally, we provide a predefined nutrition food chart to help baby remain healthy

Gastroschisis-can be prevented?

Gastroschisis is a congenital anterior abdominal wall defect, adjacent and usually to the right of the umbilical cord insertion. Gastroschisis has no covering sac and no associated syndromes. This differentiates it from an omphalocele, which usually is covered by a membranous sac. G4P3L1D2 by date 37 weeks by scan 37 weeks (17.2) Ultrasonography S/O Gastrochisis delivered a male baby of 2.4kg and was shifted to the NICU. The exposed contents were given cellulose dressing. On post-natal day 2 baby was taken for abdominal wall repair. Baby was started on Ryle’s tube feeding and was further managed by the neonatologist.

Growth performance and survival of local and white leghorn chicken under intensive management system

This study was conducted to evaluate the comparative growth, sexual maturity, survival, and feed utilization efficiency of local and White Leghorn chicken under intensive management condition. Five groups of each of the two breeds, with 200 baby chicks each, were subjected to appetite feeding with commercial layer\'s type starter\'s and grower\'s ration at day old to eight weeks and eight weeks to twenty weeks of age respectively in a completely randomised design with 5 replication. The results showed that mean daily feed intake and total feed consumption from hatching to maturity were significantly higher (

Factors Influencing on the Mothers’ Brand Choice in Baby Milk Formula: A Study in Vavuniya District, Sri Lanka

Marketers are very much interested in knowing about the preferences from the existing as well as prospective customers for any product or service. Knowing mothers’ brand choice is essential for creating strategies for baby items, especially about their choice on Milk Food Formula, in the market. Using Grounded Theory approach, this study explores how the marketers can gain fresh insights into mothers’ behavior of baby milk products in the day-to-day market.  By using this methodology, researcher plans to analyze the data from 40 in-depth interviews with a mother who has infants in the research area. This approach allows the development of new knowledge about the mothers’ purchase behavior on milk powder brands. The findings of the study might show that mothers are seeking for a better benefit, such as convenience, nutritional content, organic, economical, availability, varied fat content, recommendation(s) from their family doctors and relatives, etc. which are match with their living patterns, cultural norms, as well as their care on infants. Especially they are more concern on brand benefits, which match the needs of the society. This research might help to give an implication to design a unique strategy to the marketers to attract more and more mothers to purchase particular brand in the selected area as well as country at large. Keywords: Infant, Baby Milk Formula, Mothers Brand Choice Marketers, In-depth-interviews

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

Background Early breastfeeding practices are important determinants of later breastfeeding behaviors and can be influenced by multiple factors. Despite the Baby-Friendly Hospital Initiative reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined. Research aims To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital. Methods Data were drawn from baMBINO—a longitudinal, 2017–2019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants (N = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by Baby-Friendly Hospital Initiative accreditation, a multivariate logistic regression was performed. Results First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives (OR = 1.19, 95% CI [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (aOR = 2.46, 95% CI [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr. Conclusions The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives.The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is funded by FEDER funds through the Operational Programme for Competitiveness and Internationalization, and by national funds of FCT – Fundação para a Ciência e Tecnologia, under the scope of the project “Perinatal Health in Migrants: Barriers, Incentives and Outcomes” (POCI-01-0145-FEDER-016874; PTDC/DTPSAP/6384/2014), the Unidade de Investigação em Epidemiologia - Instituto de Saúde Pública da Universidade do Porto (EPIUnit) (info:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB/04750/2020/PT), the PhD grant PD/BD/128082/2016 (CL) co-funded by the FCT and Human Potential Operating Program of the European Social Fund (POPH/FSE Program) and the contract DL57/2016/CP1336/CT0001 (CF)

Hemolytic disease of the fetus and newborn caused by anti-D and anti-S alloantibodies: a case report

<p>Abstract</p> <p>Introduction</p> <p>Hemolytic disease of the fetus and newborn is most commonly caused by anti-D alloantibody. It is usually seen in Rhesus D (RhD)-negative mothers that have been previously sensitized. We report here a case of hemolytic disease of the fetus and newborn in a newborn baby caused by anti-D and anti-S alloantibodies, born to a mother who was RhD negative, but with no previous serological evidence of RhD alloimmunization.</p> <p>Case presentation</p> <p>A one-day-old Chinese baby boy was born to a mother who was group A RhD negative. The baby was jaundiced with hyperbilirubinemia, but with no evidence of infection. His blood group was group A RhD positive, his direct Coombs' test result was positive and red cell elution studies demonstrated the presence of anti-D and anti-S alloantibodies. Investigations performed on the maternal blood during the 22 weeks of gestation showed the presence of anti-S antibodies only. Repeat investigations performed post-natally showed the presence of similar antibodies as in the newborn and an anti-D titer of 1:32 (0.25 IU/mL), which was significant. A diagnosis of hemolytic disease of the fetus and newborn secondary to anti-D and anti-S was made. The baby was treated with phototherapy and close monitoring. He was discharged well after five days of phototherapy.</p> <p>Conclusions</p> <p>This case illustrates the possibility of an anamnestic response of allo-anti-D from previous sensitization in a RhD-negative mother, or the development of anti-D in mid-trimester. Thus, it highlights the importance of thorough antenatal ABO, RhD blood grouping and antibody screening, and if necessary, antibody identification and regular monitoring of antibody screening and antibody levels for prevention or early detection of hemolytic disease of the fetus and newborn, especially in cases of mothers with clinically significant red cell alloantibody.</p

Singleton birth after preimplantation genetic diagnosis for Huntington disease using whole genome amplification

Objective: To report a successful case of preimplantation genetic diagnosis (PGD) for Huntington disease using whole genome amplification. Design: Case report. Setting: University assisted reproduction unit. Patient(s): A couple with family history of Huntington disease: The husband was carrying the expanded allele of the IT15 gene, and the wife had the normal allele. Intervention(s): Preimplantation genetic diagnosis with whole genome amplification for identification of genetically normal embryos. Main Outcome Measure(s): Live birth. Result(s): In an IVF cycle, 15 oocytes were retrieved, of which 13 were mature and 11 were fertilized. On day 3, embryo biopsy and PGD were performed on ten good-quality embryos. Multiple displacement amplification was conducted, followed by polymerase chain reaction with fluorescence primers. Three pairs of primers were used for the amplification of the IT15 gene at the: 1) trinucleotide expansion site; 2) trinucleotide expansion site plus the polymorphic site situated on its 3′-end; and 3) polymorphic marker located downstream of the trinucleotide repeats. Two normal blastocysts were replaced on day 5 and another two good-quality blastocysts were cryopreserved. The woman gave birth to a normal baby girl whose normal genetic status was confirmed by prenatal diagnosis. Conclusion(s): Whole genome amplification by multiple displacement amplification can be used for PGD of Huntington disease. © 2009 American Society for Reproductive Medicine.postprin

Early neonatal respiratory distress revealing meningitis caused by Streptococcus pneumoniae serotype 17F: a case report

Background: Streptococcus pneumoniae (S. pneumoniae) is the first leading cause of invasive diseases such as meningitis, bacteremia and pneumoniae in children. In this case we report an early neonatal respiratory distress revealing meningitis caused byS. pneumoniae Serotype 17F through vertical transmission, in the newborn of 3 hours of live. Case description: A male late preterm newborn was born by vaginal delivery at a gestational age of 34 weeks. At 3 hours of life, he was admitted for early moderate neonatal respiratory distress in the Neonatal Medicine and Resuscitation Service.Cerebrospinal fluid culture yielded S. pneumoniae belonging to serotype 17F while the blood culture was negative. The same pneumococcal serotype was recovered from the high vaginal swab of the mother. Both isolates were found susceptible to all tested antibiotics except tetracycline and chloramphenicol to which the strain was resistant. Antibiotherapy management of the child included ceftriaxone at 150mg/kg/day for 21 days, in combination with gentamycin at 5 mg/kg/day for 5 days. ciprofloxacin was added at 40mg/kg/day in two doses for a period of three weeks as the baby presented a hydrocephalus. Conclusion: This finding shows that clinical manifestations of neonatal pneumococcal meningitis may be atypical and/or misleading. Keywords: Streptococcus pneumoniae; neonatal meningitis; respiratory distress

Decreasing Floor Morphine Equivalents Per Day Rates in the Mother/Baby Department

Problem: Cesarean sections (C/S) are among the most common operations in the United States and result in moderate visceral and somatic pain. Historically, C/S pain has been treated with opioid pain relievers. The U.S. Department of Health and Human Services declared the misuse of opioids an epidemic in 2017, leading healthcare providers and organizations to look inward at how opioids are prescribed and used at all levels of patient care. Context: A microsystem assessment on a 60-bed mother/baby unit indicated one of the highest average opioid administration rates per day for postoperative C/S patients in the organization’s region for the obstetrical service line. Interventions: A quality improvement project was implemented to address this problem. Based on an extensive literature review, a quality improvement team established a proposal for three interventions to decrease the average opioid use per day in this patient population. All interventions were non-pharmacological. The first was an abdominal binder that all C/S patients received upon arrival at the mother/baby unit. The second was increased use of simethicone for postoperative gas pain. The third intervention was a pain management menu to guide nurses in providing postoperative pain management education. Due to the time constraints of the project, the quality improvement team did not implement the interventions of increasing simethicone use and the use of the pain management menu. Measures: The outcome measure was the average morphine equivalents per day administered postoperatively. The process measures included the rate of patients who received abdominal binders postoperatively, the rate of patients who received simethicone during their postpartum stays, and the rate of patients who received pain management menus. The balancing measure was the daily average delta pain score. Results: Data from June 2021 showed a 0.6 morphine equivalent decrease in the average daily morphine equivalent administration rate. Abdominal binder applications increased from 57% to 86%, and the percentage of patients who did not receive a binder decreased from 43% to 14%. Average delta pain scores dropped 0.2 points, indicating patients did not verbalize additional pain following interventions. Conclusion: Maternity healthcare providers are responsible for adequately treating and managing postoperative pain to optimize recovery and encourage bonding of the new family unit. The use of non-pharmacological interventions can decrease pain without the undesirable side effects seen with opioid administration. Initial results showed a decrease in the administration of opioids postoperatively by increasing abdominal binder use among C/S patients. Further data will need to be collected to determine the long-term benefits of the interventions implemented