Asian Journal of Clinical Pediatrics and Neonatology https://aijournals.com/index.php/ajcpn <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> en-US dir.aijournals@gmail.com (Dr. Rohit Varshney) Wed, 16 Jan 2019 05:29:20 +0000 OJS 3.1.1.2 http://blogs.law.harvard.edu/tech/rss 60 Clinical Profile of Multiple Gestations at a Tertiary Care Hospital https://aijournals.com/index.php/ajcpn/article/view/367 <p><strong>Background: </strong>Monochorionic twins showed increased incidence of discordant growth as compared to dichorionic twins. Studies have reported fivefold mortality of twins in comparison with singleton pregnancy. In this a prospective study is done to assess the perinatal, neonatal mortality and morbidity in multiple gestations. Zygosity determines the degree of risk of chromosomal abnormalities in each fetus of a multiple gestation. The risk for aneuploidy in each fetus of an MZ pregnancy is the same as a singleton pregnancy, and except for rare cases of genetic discordancy, both fetuses are affected. In a DZ pregnancy, each twin has an independent risk for aneuploidy, and therefore has twice the risk of having a chromosomal abnormality compared with a singleton. <strong>Subjects and Methods: </strong>All mothers with multiple gestation were recruited to this study. Twins and Triplets in OBG ie. new born brought from other hospitals were excluded. Statistical analysis was done as percentage. <strong>Results: </strong>80 twins were studied, out of which preterm deliveries constituted 87.5% of all deliveries. Most of the mothers were between 25-29 year age group and most of them were primi. There was family history of twining in 10% of the study group. <strong>Conclusion: </strong>Vaginal delivery was done for 68% of twins and LSCS for 23.8%.</p> Jeevan S Nair ##submission.copyrightStatement## https://aijournals.com/index.php/ajcpn/article/view/367 Tue, 15 Jan 2019 00:00:00 +0000 Accuracy of Pallor in the Diagnosis of Anemia in Children Aged 6 Months to 5 Years https://aijournals.com/index.php/ajcpn/article/view/368 <p><strong>Background: </strong>The diagnosis and management of anemia largely depends on clinical assessment for pallor. Pallor is explained as decreased colour of the skin and mucous membranes. <strong>Aims and Objectives:</strong> To study sensitivity, specificity and predictive value of pallor at palpebral conjunctiva, tongue, nail bed and palm in diagnosing anemia and correlate pallor with hemoglobin. <strong>Subjects and Methods: </strong>400 children aged between 6 months to 5 years out of which 200 having pallor (Cases) and 200 no pallor (Controls), admitted at Department of Pediatrics, D.Y.Patil Medical college and hospital, Kolhapur from 1<sup>st</sup> October 2016 to 31<sup>st</sup> March 2018 were included in this study. Palpebral conjunctiva, tongue, nailbed and palms were examined for pallor. Hemoglobin estimation were done by Drabkin’s method in all children. Anemia was defined according to WHO criteria (Hb &lt; 11g/dl). Data was analyzed statistically. <strong>Results: </strong>Among 200 children with pallor, tongue pallor was identified in maximum (79%), palmar pallor in minimum (61%). Mean hemoglobin in pallor group ranged from 8.7 to 9.04g/dl and 10.96 to 11.1g/dl in no pallor group. Hemoglobin was lowest with tongue pallor (8.7g/dl). Children with pallor group, 160(71%) had anemia and no pallor group 140 (77%) had no anemia. Maximum sensitivity and specificity were for tongue pallor (59.5%) and palmar pallor (92.2%) respectively and maximum predictive value was for palmar pallor (88.2%). <strong>Conclusion: </strong>Pallor was found to be very useful in detecting anemia, also it had more specific than sensitive value. The best predictor site for pallor for diagnosing anemia was palm.</p> Anand Chaudhary, Saiprasad Onkareshwar Kavthekar, Mohan Anantrao Patil, Bhuvan Kumar Singh ##submission.copyrightStatement## https://aijournals.com/index.php/ajcpn/article/view/368 Tue, 15 Jan 2019 00:00:00 +0000 Perinatal and Neonatal Outcome in Multiple Gestations https://aijournals.com/index.php/ajcpn/article/view/369 <p><strong>Background: </strong>Fetal growth is independent of the number of fetuses until approximately 30 weeks’ gestation, after which growth of multiple gradually falls of compared with singletons. IUGR is defined as an estimated fetal weight (EFW) less than third percentile for gestational age or an EFW&lt;10th percentile for gestational age in addition to evidence of fetal compromise. The mechanisms are likely uterine crowding, limitation of placental perfusion, and anomalous umbilical cord insertion. Monochrrionic twins are more likely to the IUGR compared with dichorionic twins and have higher perinatal mortality. Neonatal mortality was more in vaginal delivery 90% that may be due to the increased preterm and low birth weight in this group. Natal complications were more in vaginal delivery. Out of the variables studied, significant influence on neonatal mortality was seen only with discordant twins. <strong>Subjects and Methods: </strong>This study was carried out among multiple gestation pregnant ladies got admitted at a tertiary care hospital. This was a prospective study. <strong>Results: </strong>Neonatal mortality was more in vaginal delivery 90% that may be due to the increased preterm and low birth weight in this group. Natal complications were more in vaginal delivery. <strong>Conclusion: </strong>Out of the variables studied, significant influence on neonatal mortality was seen only with discordant twins.</p> Jeevan S Nair ##submission.copyrightStatement## https://aijournals.com/index.php/ajcpn/article/view/369 Tue, 15 Jan 2019 00:00:00 +0000