Intro Flashcards
Perinatal period
20th week of gestation to the first 7 ( or 6 ) days after birth
Neonatal period
The first 28 days after birth
Early infancy
1 mo to 1 yr
Later infancy ( toddlers )
1-2 yrs
Pre-school
2-5 yrs
Middle childhood/ school age
6-10 yrs
Adolescence
10-19
Early: 10-13
Middle: 14-16
Late: 17-19
Pediatric age group
Perinatal period Neonatal period Under-five: Early infancy Later infancy Preschool Middle childhood/ School age Adolescence
Causes of Infant Mortatility 2010
- Bacterial Sepsis
- Pneumonia
- Respiratory Distress of the NB
Leading Causes of Child Mortality Rate 1-4 years 2010
- Pneumonia
- Diarrhea
- Congenital anomalies
Leading Causes of Mortality 5-9 years 2010
- Pneumonia
- Dengue & HF
- Accidental Drowning
vitamin a is given
Every 6 months or at birth
Top ten most common foods eaten by 6 mo to 5yo 2003
- Rice
- Coconut oil
- White sugar
- Powdered filled milk
- Brown sugar
- Chicken egg
- Pan de sal
- Milo chocolate drink
- Instant noodles
- Galunggong
Expanded Progam of Immunization
BCG DPT OPV Hepa B Measles Rotavirus Hib
Micronutrients
Iodine Iron Vit a Zn Folate
Significant Early Child Health Intervention Programs in the Philippines
Expanded Program of Immunization (EPI)
ORS for diarrheas
Breastfeeding promotion thru Mother-Baby Friendly Hospital Initiative
Control of Acute Respiratory Infections (CARI)
Micronutrient Awareness and Programs
Newborn Screening Program, Expanded (28d/o)
Designed to meet the major demands for child health in both urban and rurual areas in the country
under-five clinic Ufc
UFC is a low-cost comprehensive child care focusing on:
- treatment of common illnesses: ARI, diarrheas, malnut and micronutrient def
- Primary orevention
- Indentification of at-risk children and prompt mgmt of recognized problems or diseases & its possible complications
- Promotion of parent-child relations
Most common childhood problems
- Pneumonia
- Diarrhea
- Measles
- Malaria
- DHF
- Malnutirition
- Anemia
- Ear problems
Cost effective intervention recommended by WHO
more integrated approach
Presented as wall charts or as booklets
Based on simple clinical signs
Integrated Management of Childhood Illness (IMCI)
Objectives of IMCI
- reduce deaths & the frequency & severity of illness and disability
- contribute to improved growth & development
Tools the MDs Use to Deal wth the Children and Families
Cognitive
Interpersonal or manual
Attitudinal
Up to date factual info abt dxtic and therpeutic issues, available on recall or readily accessible sources, and the ability to relate this information to the pathophysiology of their patients in the context of individual biologic variability
Cognitive
The ability to carry out a productive interview, execute a reliable PE, perform a deft venipuncture, or manage a cardiac arrest or resuscitation of a depressed baby
Interpersonal or manual
The MD’s unselfish commitment to the fullest possible implementation of knowledge and skills on behalf of children and their family in an atm of empathic sensitivity amd concern
Attitudinal
- concerned w/ the health and growth and development of infants, children and adolescents
- particular organ systems and biological processes, also env and social influences
- the whole medicine applied to an individual
Pediatrics