Does My Child Have Physical Developmental Delays?
Physical developmental delays are when children aren’t doing activities (like rolling over, sitting without support, or walking) that other children their age are doing. Developmental delays can be a sign of a serious health condition, so it’s important to talk with your child’s pediatrician about them.
https://www.healthychildren.org/English/MotorDelay/Pages/default.aspx
#aap #development
Physical developmental delays are when children aren’t doing activities (like rolling over, sitting without support, or walking) that other children their age are doing. Developmental delays can be a sign of a serious health condition, so it’s important to talk with your child’s pediatrician about them.
https://www.healthychildren.org/English/MotorDelay/Pages/default.aspx
#aap #development
HealthyChildren.org
Does My Child Have Physical Developmental Delays?
If you are unsure if your child is developing specific skills, use our tool to learn more about the signs of developmental delays in children ages 5 and under.
👉Evaluation for Neonatal HSV in Infants Undergoing Workup for Serious Bacterial Infection: A 5-Year Retrospective Review
📌Neonatal herpes simplex virus (HSV) infection carries a high risk of mortality and, among survivors, morbidity, including developmental delay and seizures. Accurate and timely diagnosis, which is necessary to reduce mortality, is complicated by the range of clinical presentations, which can include few or no signs, symptoms, or characteristic laboratory findings. Although diagnosis in infants with skin-eye-mucosal (SEM) disease may be immediately apparent on the basis of the presence of vesicles,9 other manifestations of HSV may be more difficult to identify. Infants with disseminated disease, for example, can present with fulminant sepsis and disseminated intravascular coagulation or simply with hypothermia and lethargy.Similarly, infants with isolated central nervous system (CNS) HSV can present with few nonspecific clinical and laboratory findings, especially early in the disease.
🔗https://hosppeds.aappublications.org/content/early/2020/05/07/hpeds.2020-0033
👉open access
#herpes #infections #aap #pediatricshospital #neonatology
📌Neonatal herpes simplex virus (HSV) infection carries a high risk of mortality and, among survivors, morbidity, including developmental delay and seizures. Accurate and timely diagnosis, which is necessary to reduce mortality, is complicated by the range of clinical presentations, which can include few or no signs, symptoms, or characteristic laboratory findings. Although diagnosis in infants with skin-eye-mucosal (SEM) disease may be immediately apparent on the basis of the presence of vesicles,9 other manifestations of HSV may be more difficult to identify. Infants with disseminated disease, for example, can present with fulminant sepsis and disseminated intravascular coagulation or simply with hypothermia and lethargy.Similarly, infants with isolated central nervous system (CNS) HSV can present with few nonspecific clinical and laboratory findings, especially early in the disease.
🔗https://hosppeds.aappublications.org/content/early/2020/05/07/hpeds.2020-0033
👉open access
#herpes #infections #aap #pediatricshospital #neonatology
👉Health Supervision for People With Achondroplasia
📌Achondroplasia is the most common short-stature skeletal dysplasia, additionally marked by rhizomelia, macrocephaly, midface hypoplasia, and normal cognition. Potential medical complications associated with achondroplasia include lower extremity long bone bowing, middle-ear dysfunction, obstructive sleep apnea, and, more rarely, cervicomedullary compression, hydrocephalus, thoracolumbar kyphosis, and central sleep apnea. This is the second revision to the original 1995 health supervision guidance from the American Academy of Pediatrics for caring for patients with achondroplasia. Although many of the previously published recommendations remain appropriate for contemporary medical care, this document highlights interval advancements in the clinical methods available to monitor for complications associated with achondroplasia. This document is intended to provide guidance for health care providers to help identify individual patients at high risk of developing serious sequelae and to enable intervention before complications develop.
🔗https://pediatrics.aappublications.org/content/early/2020/05/22/peds.2020-1010
👉Free access
News: https://www.aappublications.org/news/2020/05/26/achondroplasia052620
#aap #guide #achondroplasia
📌Achondroplasia is the most common short-stature skeletal dysplasia, additionally marked by rhizomelia, macrocephaly, midface hypoplasia, and normal cognition. Potential medical complications associated with achondroplasia include lower extremity long bone bowing, middle-ear dysfunction, obstructive sleep apnea, and, more rarely, cervicomedullary compression, hydrocephalus, thoracolumbar kyphosis, and central sleep apnea. This is the second revision to the original 1995 health supervision guidance from the American Academy of Pediatrics for caring for patients with achondroplasia. Although many of the previously published recommendations remain appropriate for contemporary medical care, this document highlights interval advancements in the clinical methods available to monitor for complications associated with achondroplasia. This document is intended to provide guidance for health care providers to help identify individual patients at high risk of developing serious sequelae and to enable intervention before complications develop.
🔗https://pediatrics.aappublications.org/content/early/2020/05/22/peds.2020-1010
👉Free access
News: https://www.aappublications.org/news/2020/05/26/achondroplasia052620
#aap #guide #achondroplasia
👉Supporting Breastfeeding in Infants Hospitalized for Jaundice
📌Early involvement of trained lactation consultants safely improves rates of EB for infants hospitalized with neonatal hyperbilirubinemia.
🔗https://hosppeds.aappublications.org/content/10/6/502
#jaundice #breastfeeding #aap #pediatrics #bilirubin
📌Early involvement of trained lactation consultants safely improves rates of EB for infants hospitalized with neonatal hyperbilirubinemia.
🔗https://hosppeds.aappublications.org/content/10/6/502
#jaundice #breastfeeding #aap #pediatrics #bilirubin
👉Tummy Time and Infant Health Outcomes: A Systematic Review
📌RESULTS: Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.
LIMITATIONS: Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.
CONCLUSIONS: These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
🔗https://pediatrics.aappublications.org/content/145/6/e20192168
#tummy #development #neurology #aap #pediatrics
📌RESULTS: Sixteen articles representing 4237 participants from 8 countries were included. Tummy time was positively associated with gross motor and total development, a reduction in the BMI-z score, prevention of brachycephaly, and the ability to move while prone, supine, crawling, and rolling. An indeterminate association was found for social and cognitive domains, plagiocephaly, walking, standing, and sitting. No association was found for fine motor development and communication.
LIMITATIONS: Most studies were observational in design and lacked the robustness of a randomized controlled trial. High selection and performance bias were also present.
CONCLUSIONS: These findings guide the prioritization of interventions aimed at assisting parents meet the global and national physical activity guidelines.
🔗https://pediatrics.aappublications.org/content/145/6/e20192168
#tummy #development #neurology #aap #pediatrics
👉Not Crying After Birth as a Predictor of Not Breathing
📌All nonbreathing infants after birth do not cry at birth. A proportion of noncrying but breathing infants at birth are not breathing by 1 and 5 minutes and have a risk for predischarge mortality. With this study, we provide evidence of an association between noncrying and nonbreathing. This study revealed that noncrying but breathing infants require additional care. We suggest noncrying as a clinical sign for initiating resuscitation and a possible denominator for measuring coverage of resuscitation.
🔗https://pediatrics.aappublications.org/content/145/6/e20192719
#breathing #resuscitation #aap #pediatrics #crying
📌All nonbreathing infants after birth do not cry at birth. A proportion of noncrying but breathing infants at birth are not breathing by 1 and 5 minutes and have a risk for predischarge mortality. With this study, we provide evidence of an association between noncrying and nonbreathing. This study revealed that noncrying but breathing infants require additional care. We suggest noncrying as a clinical sign for initiating resuscitation and a possible denominator for measuring coverage of resuscitation.
🔗https://pediatrics.aappublications.org/content/145/6/e20192719
#breathing #resuscitation #aap #pediatrics #crying
👉Biomarkers and Disease Severity in Children With Community-Acquired Pneumonia
📌WBC count, ANC, CRP, and procalcitonin are generally not useful to discriminate nonsevere from severe disease in children with CAP, although CRP and procalcitonin may have some utility in predicting the most severe outcomes.
🔗https://pediatrics.aappublications.org/content/145/6/e20193728
#pneumonia #crp #pct #respiration #aap #pulmonology #infections #pediatrics
📌WBC count, ANC, CRP, and procalcitonin are generally not useful to discriminate nonsevere from severe disease in children with CAP, although CRP and procalcitonin may have some utility in predicting the most severe outcomes.
🔗https://pediatrics.aappublications.org/content/145/6/e20193728
#pneumonia #crp #pct #respiration #aap #pulmonology #infections #pediatrics
👉Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease
📌Seven years after its addition to the US Recommended Uniform Screening Panel, newborn screening for critical congenital heart disease (CCHD) using pulse oximetry became mandatory in the United States. Although CCHD newborn screening reduces morbidity and mortality, there remain important opportunities to improve. An expert panel convened for a 1-day meeting in September 2018, including subject matter experts and representatives from stakeholder organizations. Presentations on CCHD outcomes, variations in approach to screening, and data and quality improvement helped identify improvement opportunities. The expert panel concluded that sufficient evidence exists to recommend modifying the current American Academy of Pediatrics algorithm by (1) requiring an oxygen saturation of at least 95% in both (formerly either) the upper and lower extremities to pass and (2) requiring only 1 repeat screen instead of 2 for cases that neither pass nor fail initially. The panel underscored the importance of improving public health reporting by further specifying the targets of screening and criteria for reporting outcomes (false-negative and false-positive cases). The panel also highlighted the need to ensure sufficient public health funding for CCHD newborn screening and opportunities for education and global implementation. Newborn screening for CCHD using pulse oximetry has led to significant improvements in child health outcomes. However, further important work is required to understand and improve the effectiveness and efficiency of screening.
🔗https://pediatrics.aappublications.org/content/early/2020/06/02/peds.2019-1650
#cardiology #screening #guide #aap #neonatology #cchd
📌Seven years after its addition to the US Recommended Uniform Screening Panel, newborn screening for critical congenital heart disease (CCHD) using pulse oximetry became mandatory in the United States. Although CCHD newborn screening reduces morbidity and mortality, there remain important opportunities to improve. An expert panel convened for a 1-day meeting in September 2018, including subject matter experts and representatives from stakeholder organizations. Presentations on CCHD outcomes, variations in approach to screening, and data and quality improvement helped identify improvement opportunities. The expert panel concluded that sufficient evidence exists to recommend modifying the current American Academy of Pediatrics algorithm by (1) requiring an oxygen saturation of at least 95% in both (formerly either) the upper and lower extremities to pass and (2) requiring only 1 repeat screen instead of 2 for cases that neither pass nor fail initially. The panel underscored the importance of improving public health reporting by further specifying the targets of screening and criteria for reporting outcomes (false-negative and false-positive cases). The panel also highlighted the need to ensure sufficient public health funding for CCHD newborn screening and opportunities for education and global implementation. Newborn screening for CCHD using pulse oximetry has led to significant improvements in child health outcomes. However, further important work is required to understand and improve the effectiveness and efficiency of screening.
🔗https://pediatrics.aappublications.org/content/early/2020/06/02/peds.2019-1650
#cardiology #screening #guide #aap #neonatology #cchd
👉Resuscitation Opportunities for Fellows of Very Low Birth Weight Infants in the Vermont Oxford Network
📌 The number of opportunities available to fellows for managing VLBW and ELBW infants in the DR is highly variable among programs. Fellows’ exposure to key, high-risk DR procedures such as cardiopulmonary resuscitation is low at all programs. Fellowship programs should track fellow exposure to neonatal resuscitations in the DR and integrate supplemental learning opportunities. Given the low numbers, the number of new and existing NPM programs should be considered.
🔗https://pediatrics.aappublications.org/content/early/2020/06/10/peds.2019-3641
#education #aap
📌 The number of opportunities available to fellows for managing VLBW and ELBW infants in the DR is highly variable among programs. Fellows’ exposure to key, high-risk DR procedures such as cardiopulmonary resuscitation is low at all programs. Fellowship programs should track fellow exposure to neonatal resuscitations in the DR and integrate supplemental learning opportunities. Given the low numbers, the number of new and existing NPM programs should be considered.
🔗https://pediatrics.aappublications.org/content/early/2020/06/10/peds.2019-3641
#education #aap
👉In-Hospital Formula Feeding and Breastfeeding Duration
📌 IHFF was associated with earlier weaning, with infants exposed to IHFF at 2.5 to 6 times higher risk in the first year than infants exclusively breastfed. Strategies to reduce IHFF include prenatal education, peer counseling, hospital staff and physician education, and skin-to-skin contact.
🔗https://pediatrics.aappublications.org/content/early/2020/06/05/peds.2019-2946
#feeding #formula #supplement #newborn #nutrition #breastfeeding #aap #pediatrics
📌 IHFF was associated with earlier weaning, with infants exposed to IHFF at 2.5 to 6 times higher risk in the first year than infants exclusively breastfed. Strategies to reduce IHFF include prenatal education, peer counseling, hospital staff and physician education, and skin-to-skin contact.
🔗https://pediatrics.aappublications.org/content/early/2020/06/05/peds.2019-2946
#feeding #formula #supplement #newborn #nutrition #breastfeeding #aap #pediatrics
📌From crawling to pointing to speaking, developmental milestones are especially important in early infancy & childhood. CDC has free Learn the Signs. Act Early. materials for pediatricians to share with families so they can track their child’s progress:
🔗https://www.cdc.gov/ncbddd/actearly/freematerials.html
#development #tools #cdc #resources #aap #neurology
🔗https://www.cdc.gov/ncbddd/actearly/freematerials.html
#development #tools #cdc #resources #aap #neurology