[80-year anniversary of infant welfare in Berne. From infant welfare to counseling for mothers. From aides to nurse counselors].
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Four apparently normal breast-fed infants failed to thrive when fed on demand. They all shared a tendency to accept long intervals between feeds from birth. Infant welfare clinics should be alerted to this problem. If infants who attend these clinics are accurately weighed and their progress carefully recorded on weight charts this insidiously developing complaint could be detected earlier and with appropriate advice, a potentially serious condition averted.
A scheme for dealing with cases of non-accidental injury in children in the Derby clinical area has been operating since 1971. A stable team of doctors, policemen, and social workers deal with each case. The parents are told at once that battering is suspected, and the police and social services department co-operate closely in establishing the facts, supporting the family, and protecting the child. A psychiatric assessment of the parents may help social workers decide on the long-term care of the child, and the forensic physician is invaluable if the case has to go to court. The team has made three recommendations about prevention and management of these cases: a specialist social service team should be set up to deal with these children and regain the skills and knowledge lost when children's departments were abolished in 1971; babies should be routinely weighed naked in infant welfare clinics; and juvenile courts should be able to order a psychiatric report on the parents in care proceedings.
This article investigates how sociodemographic, economic, medical, and public health factors influence infant mortality by using data about German administrative areas from 1871 to 1933. Marital fertility has the largest impact on infant mortality, followed by illegitimacy, medical care, urbanization, and infant welfare centers. The variables considered here account for most of the variation in infant mortality. Some of the unexplained variance is due to factors associated with regions, such as breastfeeding patterns, and with time periods, such as national health insurance. The analyses found no evidence that advances in medical technology affected infant mortality or that the influence of economic development changed over time.
With the help of family doctors, mothers and infant welfare sisters, we report an analysis of symptom and food diaries maintained throughout the first twelve months of life on 482 infants. This reveals the existence of extensive symptomatology in the first year of life--most of which was clearly unrelated to ingestion of foods or cow's milk. Our efforts to define the true incidence of cow's milk allergy have been unsuccessful. Altogether, 77 of the 482 diaries have revealed symptomatology at some time in the year which could conceivably have been associated with cow's milk ingestion. But, in only one of these 77 children were withdrawal and challenge tests carried out to determine whether the symptomatology disappeared on withdrawal of cow's milk and reappeared on its reintroduction into the diet. Most of the remaining 76 children had long periods of complete freedom from symptoms whilst taking cow's milk, and the evidence of any association with cow's milk was generally very tenuous. Soya substitutes were introduced in 13 cases, and cow's milk was temporarily discontinued in another 11 cases. Only 16 of these 77 children continued to experience chronic symptoms during the last two weeks of their first year.
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OBJECTIVES: Ascertain what effect post-natal visits have on recruiting involvement in the mother and child programme of activities. Identify the profile of mothers and children with little involvement in these activities. Ascertain how suitable the register is. DESIGN: Study of cohorts of previous years. The term exposed cohort refers to mothers who received the postnatal visit in 1989, and non-exposed cohort to those who did not receive one. SITE. Health Centres in Almanjáyar and Cartuja. Primary Attention. Evaluation of the services offered. PATIENTS OR OTHER PARTICIPANTS: The sample consisted of the 166 women whose pregnancy we monitored from the Centre, and who gave birth between January and December 1989. MAIN MEASUREMENTS AND RESULTS: The most indicative results show that the group that received the post-natal visit tended to attend the healthy child clinic, family planning and metabolism testing services, with greater frequency, and to breast feed longer. The differences are only significant (p = 0.004) in the case of family planning. CONCLUSIONS: We positively evaluate the post-natal visit because of its contribution to the early detection of the problems of mother and child, and to recruitment into Family Planning. And because the examining risk has meant that factors associated with reduced coverage by the services (ethnicity, educational level, mother's age) did not act as such in our study.
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