Wednesday 10 July 2013

11 July, 2013

Babies sleeping on their backs are more likely to develop flat spots on their head

Nearly half of the newborns develop flat spots on their heads by the time they are two-month old due to sleeping on their backs to prevent sudden infant death syndrome, a new Canadian study has found. Published in the US journal Paediatrics, the study investigated the occurrence of positional plagiocephaly, or flat spots on heads, in infants 7 -12 weeks of age who attend a two-month well-child clinic in Calgary, Alberta, Canada, Xinhua reported.
Researchers from the Canadian Mount Royal University assessed 440 healthy full-term infants who had been born at more than 37 weeks of pregnancy. Of these infants, 205, or more than 46 per cent, were observed to have some form of flat spots on their heads. Of all infants with the condition, about 63 per cent had flattening on the right side and about 78 per cent had a mild form of the condition, they said.
‘Since the 1992 recommendation from the American Academy of Paediatrics to have infants sleep on their backs, infant mortality from sudden infant death syndrome has declined dramatically,’ the researchers said in a statement. ‘One consequence, however, has been an increase in positional plagiocephaly, or flat spots on infants’ heads.’
According to the researchers, the high rate of head flattening indicates that parents should be educated early about how to prevent the condition from occurring. Flat spots, however, are generally harmless. The researchers said there is some indication that children with positional plagiocephaly have mild developmental delays, but that those typically disappear by 18 months.
Treatment for the condition is usually simple and painless, often cured by repositioning the infants while they sleep, encouraging them to alternate their head position while sleeping on their backs. The American Academy of Pediatrics does not recommend using any wedge pillows or other devices to keep babies in one position, and only kids with severe cases may need to wear a special orthotic helmet.


11.07.2013



Conjoined twins from Madhya Pradesh successfully separated at AIIMS

A little less than eight months old, Shaily tries to grab the hands of a reporter her mother is talking to while her twin Shilpa plays in her father’s lap nearby. Shaily and Shilpa were joined at birth and were surgically separated at the All India Institute of Medical Science (AIIMS) here a few months ago when they were six months old. They are both healthy and cheerful now. The twins were born to Lal Bhai, a daily wage labourer, and Shashikala in Aber village of Satna in Madhya Pradesh. They were brought to AIIMS Nov 12, 2012, nearly a month after their birth. For the poor parents, a surgery for their daughters was an impossible dream. However, MP from Satna, Ganesh Singh, stepped in and brought them to AIIMS.
Doctors took nearly five months to complete check-ups on the girls and plan the surgery, which took place May 29.Doctors said the girls shared one vital organ, the liver, which was to their advantage. ‘The girls were joined at chest, so our first concern was whether they shared the heart. Fortunately, they had separate hearts and other organs, but shared liver,’ said said M. Bajpai, professor of paediatric surgery at AIIMS.
The surgery took about eight hours, of which nearly four hours were taken to give anaesthesia. Then the liver was separated and was covered in local body tissues. The chest and bone muscles were also separated and a reconstructive surgery was done. ‘We are feeling blessed that our children are healthy,’ said Lal Bhai.
‘We were sad, we cried when they were born. We did not know why this happened. I did not know I was carrying twins. When we went for delivery to the government hospital, we were asked to go to a private hospital,’ said Shashikala. However, the parents are now hopeful of a bright future for their girls. ‘We want to give them good opportunities in life, to educate them,’ said Lal Bhai. Doctors also said that the girls would have a normal life. ‘They will have to come here for checkups for some years. They will have a normal life,’ Bajpai added.
In recent times, there have been various conjoined twins in the news most including a pair in Panvel who were almost sacrificed by their father who was hoodwinked by a black magic, Bihar’s17-year-old conjoined twins Saba and Farah who won’t be separated according to a SC ruling because there were chances that one of the twins wouldn’t survive the surgery and Betul’s twins (Stuti and Aradhana) where Aradhana passed away of septicaemia.  

11.07.2013






To accomplish great things, we must not only act, but also dream; not only plan, but also believe

Anatole France


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