Vulnerable child syndrome in everyday paediatric practice: A condition deserving attention and new perspectives

2020 ◽  
Author(s):  
Inge Nelly Elisabeth Verbeek ◽  
Lonneke Onzenoort‐Bokken ◽  
Sebastiaan Hermanus Johannes Zegers
2007 ◽  
Vol 41 (6) ◽  
pp. 28
Author(s):  
ROXANNE NELSON

1995 ◽  
Vol 16 (1) ◽  
pp. 47???53 ◽  
Author(s):  
MICHAEL THOMASGARD ◽  
W. PETER METZ

1998 ◽  
Vol 21 ◽  
pp. 671
Author(s):  
Paula A. Scheye ◽  
Douglas M. Teti ◽  
Jeanne H. Laliberte ◽  
Christine D. Reiner ◽  
Walter Meyer ◽  
...  

PEDIATRICS ◽  
1989 ◽  
Vol 84 (5) ◽  
pp. 773-778
Author(s):  
Kathi Kemper ◽  
Brian Forsyth ◽  
Paul McCarthy

Jaundice is the most commonly treated condition of otherwise well newborns. Although recommended treatments are thought to be safe and effective, the impact of jaundice and therapy on maternal attitudes and behavior is unknown. It was hypothesized that, in contrast to comparison mothers, mothers of jaundiced infants would be more likely to stop breast-feeding in the first month of life, have more separation difficulties with their infant, and be greater users of health care. Both groups of mothers were surveyed in the hospital and 1 month after discharge. Mothers were eligible if their infants were born at Yale-New Haven Hospital after February 1987 and were in the regular nursery. Jaundiced infants had a total serum biirubin concentration ≥205 mmol/L (12 mg/dL); control infants were not jaundiced. Of those who agreed to participate, 84% (85/101) of mothers of jaundiced infants and 80% (124/155) of control mothers completed the 1-month questionnaire. There were no substantial differences between the control and jaundiced groups, respectively, with regard to maternal age (29.1 years vs 29 years) education (66% vs 60% some college), or race (86% vs 82% white). Breast-feeding was more common in the jaundiced group (61% vs 79%, P < 05). By 1 month, more mothers of jaundiced infants had completely stopped breast-feeding (19% vs 42%,P < .01). They were more likely to have never left the baby with anyone else (including the father) or left the baby at most one time for less than 1 hour (15% vs 31%, P < .05). Although they reported a similar number of infant health problems in the first month of life (35% vs 27%, control vs jaundiced group), mothers of jaundiced infants were more likely to take the baby for more than two well-child checkups (6% vs 17%, P < .05), more than one sick visit (9% vs 19%, P = .05), and any emergency room visit (2% vs 11%, P < .05) (not including visits for bilirubin measurements). These results suggest that jaundice and current therapies for it may increase the risk for premature termination of breast-feeding and for development of the vulnerable child syndrome.


PEDIATRICS ◽  
1987 ◽  
Vol 79 (4) ◽  
pp. 637-639
Author(s):  
DEBORAH L. CALLANAN ◽  
LINDA B. HINER

Parental actions and beliefs shape every aspect of a child's health and development. Green and Solnit described a vulnerable child syndrome in which the child's development was impaired when the parents treated him or her in an inappropriate fashion because they had an unreasonable expectation that he or she would die. We recently cared for a child who suffered a life-threatening event (status epilepticus due to hyponatremia) because the parents were trying to avoid reproducing a serious, but not life-threatening, problem (nursing bottle caries) that had occurred in the older sibling. This distortion of professional advice created vulnerability to significant neurologic problems.


1992 ◽  
Vol 13 (10) ◽  
pp. 363-363
Author(s):  
Vincent J. Menna

An anathema for the general pediatrician is the task of ascertaining the significance of a child's symptoms relayed over the telephone by a parent. The use (or misuse) of certain words by a parent may determine whether a child is examined. Many other factors also are involved, including an anxious parent, the "vulnerable child" syndrome, a visiting grandparent, and a tired doctor. "Lethargic" is the most common malapropism. We often have heard the history that a child has a fever and is lethargic. Is it meningitis, septicemia, or just a viremia? Being unsure, one certainly must see the patient. Usually, at the time of the office visit, it requires a receptionist and two nurses to restrain the patient.


2009 ◽  
Vol 30 (5) ◽  
pp. 193-194 ◽  
Author(s):  
F. Kokotos ◽  
H. M. Adam

2009 ◽  
Vol 22 (4) ◽  
pp. 228-234 ◽  
Author(s):  
Andrea Freeman Duncan ◽  
Margaret O'Brien Caughy

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