Asian Journal of Clinical Pediatrics and Neonatology 2021-09-30T11:30:13+00:00 Dr. Rohit Varshney Open Journal Systems <p><strong class="pull-left">Asian Journal of Clinical Pediatrics and Neonatology (AJCPN)</strong>&nbsp;&nbsp;is an open-access; freely accessible, online and print Quarterly peer-reviewed international journal publishes a wide spectrum of advanced research in different fields of pediatrics and neonatology, covering etiology, diagnosis, therapy and prognosis aspects. <br><strong>Online ISSN: 2347-3363 | Print ISSN: 2347-3355</strong></p> Early Developmental Outcomes Among Infants Born Early Term 2021-09-30T11:25:13+00:00 Kadirvel Karthikeyan Sumathisri Ramachandran Ragasivamalini Sivapregassam Soundararajan Palanisamy <p><strong>Background: </strong>The length of gestation has a strong impact on the child’s developmental outcomes. Early childhood development (during the first year of life) is crucial for life-long learning. We aimed at investigating the possible influence of early term birth on early child development by recording the age of attainment of early developmental milestones. <strong>Subjects and Methods: </strong>This prospective cohort study was conducted in a tertiary care teaching hospital in South India between Feb and Dec 2020. It included 70 full term and 50 early term neonates, born between 39- 40 weeks and 37-38 weeks respectively, who were followed up till 4 months of age. Clinical condition during the hospital stay was recorded. Attainment of social smile was collected by phone call. Head control grading was done at 4 months of age. <strong>Results: </strong>Neonatal morbidities were found to be higher among early term babies. The mean age of attainment of social smile was 31.38 days and 48.26 days among infants born&nbsp;&nbsp;&nbsp; at early term and full term respectively. Head control grading was normal in all full term born infants whereas 11% of early term infants did&nbsp; not achieve appropriate head control grading at the end of 4 months. These results were statistically significant. <strong>Conclusion</strong>: Our observations suggest that there is increased risk for adverse respiratory consequences and hyperbilirubinemia among infants born early-term. There is obvious relationship between gestation length and developmental outcomes of the child and hence early-term neonates have to be enrolled as high risk neonates to start early intervention for preventing neurodevelopmental impairment.</p> 2021-09-30T00:00:00+00:00 Copyright (c) 2021 Author Prevalence of Urinary Tract Abnormalities in Children with First Urinary Tract Infection at Tertiary Care Institute of Gujarat 2021-09-30T11:30:00+00:00 Hardas K Chavda Madhuben Hardas Chavda <p><strong>Background: </strong>Pediatric urinary tract infections (UTIs) are a major health-care issue. UTI may be a harbinger of variety of underlying urinary tract abnormalities. This study was conducted to identify the prevalence of urinary tract abnormality in children following the first episode&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; of UTI. <strong>Subjects and Methods: </strong>This was a hospital-based prospective observational study conducted in children with culture-proven first episode of UTI attending the outpatient department or admitted in the tertiary hospital of Gujarat over a period of 12 months. During the study period, 80 children were diagnosed as culture proved first UTI. Ultrasonography (USG) abdomen, micturating cystourethrography (MCU), and dimercaptosuccinic acid (DMSA) kidney scan were done. <strong>Results: </strong>The most common pathogen isolated in urine culture was E. coli. About 17.5% had abnormal finding in USG abdomen. Structural Among them, majority (21.4%) had hydroureteronephrosis. DMSA scan was done in 45 children who showed abnormalities in 11. MCU was done in 32 children, which showed abnormalities in 11. The most common anomaly detected was VUR. Among eight children with VUR, majority 37.5% had Grade I VUR. <strong>Conclusion: </strong>UTI is a common pediatric problem with the potential to produce long-term morbidity. In children below 5 years, symptoms and signs are non-specific and routine urine examination may not yield persistent findings. Hence, high index of suspicion is necessary. The presence of VUR is a risk for recurrence of UTI and renal scarring.</p> 2021-09-30T00:00:00+00:00 Copyright (c) 2021 Author