Alex Tang
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Books Recommendation
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Medical Students /Paediatric notes
Session Two: Causes of Ill Health in Children
Dr Alex Tang
1. Factors that contribute to ill health in children
a. Birth factors
i. During pregnancy
1. smoking, alcohol, drug addiction
2. maternal infections
3. poor ante monitoring
a. VDRL
b. Rhesus
c. Weight gain
4. poor maternal health
ii. During birth
1. prolonged labour
2. obstructed labour
3. neonatal asphyxia
4. umbilical cord prolapse
iii. After birth
1. congenital heart disease
2. neonatal jaundice
3. infections
4. breast feeding
5. prematurity
iv. Genetics
1. congenital hypothyroidism
2. Down Syndrome
3. Edward Syndrome
4. Patau Syndrome
5. Combined immunodeficiency disease
b. Family factors
i. Parenting skills
1. lack of parenting skills
2. immature parents
3. lack of knowledge of nutrition
4. poor feeding techniques
5. delegation to maids/other caretakers
6. child abuse
ii. Dysfunctional families
1. single parents
2. divorce
3. using children as weapons
iii. Adoption/foster care
c. Community practices
i. Cultural taboos
ii. Food taboos
d. Environmental factors
i. Overcrowding
ii. Shelter
iii. Dangerous surroundings
iv. Poor sanitation
e. Economic
i. Poverty
ii. Recession
iii. Large family
iv. Health of wage-earner
2. Factors that encourages good health
a. Good health care monitoring
i. Antenatal monitoring
ii. Well child followup monitoring
iii. Immunisation
b. Good parenting skills
i. Breast feeding
ii. Weaning
iii. Balanced diet
iv. Love and care
v. Role models
c. Community practices
i. Role of grandparents and extended families
ii. Healthy food practices
d. Environmental
i. Shelter
ii. Safe
iii. Clean
3. Reflection ideas
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