Marzo 2006 - Volume XXV - numero 3
Pagine elettroniche ; Ricerca
Pediatri di Famiglia - Associazione Culturale Pediatri Lazio
*Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, ISS, Roma
Indirizzo per corrispondenza: flavia.luchino@libero.it
Key words: Breastfeeding, Care coordination, Evaluation, Advocacy
We conducted a survey with the aim to analyse the content of discharge cards released to mothers leaving maternity hospitals in Rome. Thirty-one family paediatricians collected a total of 295 discharge cards released to mothers of well-being newborns from 30 different maternity hospitals of Rome. All discharge cards quoted breastfeeding. Nevertheless 67% of information related to breastfeeding were not correct. 95% of mothers received written information on formula supplementation (84% of them were printed on discharge cards). 61% received a hand written prescription of a specific formula. 55% of the discharge cards suggested both options: “free“ breastfeeding as well as time-table feeding. The discharge card is only a tool, not even the most important, to support breastfeeding. Nevertheless, it is the unique written information which over 32,000 mothers delivering in Rome, receive from maternity hospitals. We believe discharge cards should include only understandable, complete, correct and evidenced-based information in order to favour breastfeeding.
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Pagine elettroniche ; Caso Contributivo
Clinica Pediatrica, IRCCS “Burlo Garofolo”, Trieste
Indirizzo per corrispondenza: ebarbi@libero.it
Key words: Idiopathic retroperitoneal fibrosis, Abdominal pain, Hypertension, Renal failure
Idiopathic Retroperitoneal Fibrosis (IRF) is a rare syndrome of unknown origin, possibly of autoimmune nature, which leads to the compression and obstruction of ureteres and other adjacent organs. We describe two paediatric cases of IRF which represent the wide spectrum of clinical expression and evolution of this disease. The diagnosis of IRF should be suspected in front of a patient with abdominal pain, hypertension, hydronephrosis and ESR elevation. An early diagnosis is fundamental to prevent renal failure.
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