It also announced a Global Maternal and Neonatal In 2017 WHO published a new definition of maternal sepsis based on the presence of The bedside, and should not be laboratory-based. Publications from two recent multidisciplinary consensus conferences,Īdult and the other on sepsis in the pregnant woman,Ĭoncluded that the criteria for diagnosing sepsis should be clinically-based, A barrier to further progress has been the lack of consensus on the definition of Sepsis remains a common and potentially preventable cause of direct maternal death However, there was a wide and clinically relevant disagreement between TCB and TSB measurements during the PT phase, improving significantly after PT.ĭespite major advances in the last century, particularly in high resource settings, maternal The agreement between TCB and TSB after cessation of PT improved, with TCB underestimating TSB by a mean TCB-TSB difference of -10☓1 (95% agreement limits of 52 to -72).Ĭonclusion: TCB measurements correlated strongly with TSB levels during and after PT. TCB underestimated TSB level during PT, with a mean TCBC-TSB difference of -25±43 (95% agreement limits of 62 to -112) and a mean TCBU-TSB difference of -48±46 (95% agreement limits of 45 to -140). There was a significant correlation between TSB and TCB during PT (r=0.72, 95% CI 0.66 to 0.77 in covered area r=0.75, 95% CI 0.70 to 0.80 in uncovered area) and after PT (r=0.87, 95% CI 0.83 to 0.91). Results: We have enrolled 196 preterm infants. Main outcome measures: Correlation and agreement between TCB (TCBU and TCBC) and TSB during and after PT. Interventions: TCB was measured from an exposed area of the skin (the sternum TCBU) and the covered area of the skin under the nappy (the bony part of the upper outer quadrant of the buttock TCBC) within an hour of obtaining total serum bilirubin (TSB). Patients: Preterm infants (from 23+0 to 36+6 weeks of gestation) born between June 2017 and May 2018 requiring PT. Objective: To examine the accuracy of transcutaneous bilirubinometry (TCB) measurements during and after phototherapy (PT) in preterm infants.ĭesign: Prospective observational cohort study. For services to effectively meet the needs of children with social-emotional difficulties and their families, consideration of maternal factors is also necessary. The significant rates of social-emotional problems in young children in the current study and the potential negative impact on child health and wellbeing, suggest that the early assessment of social-emotional adjustment should be incorporated into routine clinical assessment for young children. Task-specific self-efficacy was the only significant predictor of child social-emotional competencies in a model which explained 21% of the variance. Clinical or non-clinical group membership, parenting satisfaction and maternal psychological distress were found to be significant predictors of child social-emotional problems in a model which explained 59% of the variance. Two hierarchical multiple regressions were carried out with social-emotional problems and social-emotional competencies as the respective criterion variables. Similarly, 55.5% of young children in the clinical sample and 30% in the non-clinical sample had significant delays in the acquisition of social-emotional competencies. The results indicated that 55.5% of young children in the clinical sample and 15% in the non-clinical sample had significant social-emotional problems. Mothers completed a questionnaire battery which assessed parenting self-efficacy, parenting behaviour, psychological distress and child social-emotional adjustment. Mothers were recruited from waiting lists for child Early Intervention services (clinical sample) and community mother-toddler groups (non-clinical sample). Data were collected from a cross-sectional sample of 72 mothers of young children aged between 12 and 48 months. This study compared rates of reported social-emotional difficulties in young children in clinical and non-clinical samples and probed a predictive model of social-emotional adjustment. The purpose of this study was to generate greater understanding of social-emotional difficulties in infants and toddlers in an Irish context.
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