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Parents Bring Newborns to A & E for Many, Not Urgent Reasons: US Study



One of the hardest things about having a new parent is finding out when babies are so sick that they need to go to the Accident and Emergency department (A & E), and if worrying signs or symptoms could actually be completely normal Doctors. 19659002] Fearful parents bring babies to all sorts of issues that include conjunctivitis, concern about how the stump looks like from the cut umbilical cord, vomiting, strange-looking stools, irregular breathing and jerky or unusual body movements – doctors write in the American Journal of Emergency Medicine.

"Differences between potentially dangerous pathology and normal infant behavior may be subtle," said lead author of the study. Zachary Drapkin of the University of Utah in Salt Lake City.

"It can be helpful if parents get advice on what to expect in the first days of life," Drapkin said via email. "Many of these problems could be tackled very effectively with improved access to primary care."

Even for A & E physicians, it can be difficult to distinguish between normal signs, symptoms, and behaviors in potentially life-threatening conditions, Drapkin and colleagues.

For example, babies with conjunctivitis or an eye drop must be seen in the emergency room if the cause is an infection, the paper writes. An infection is more likely to be the culprit if there is too much relief and abrasion.

Normally, the umbilical stump left by removing the cord at birth will turn black or brown and dry out before it falls Usually within a week. It can also have a foul smell of rotting fruits, the paper notes. But heat, swelling, purulent discharge, or fever may indicate an infection that requires immediate medical attention.

Almost all babies spit because their stomachs are so small and this is not necessarily a problem as long as babies urinate. Feeding and growing normally. In contrast to spitting, the vomiting of the bullet can be caused by medical problems that could justify a trip to the emergency room.

The children's stool may have a greenish color for babies fed with food, and more likely with a mustard. The color for breastfed infants, doctors point out. However, having a neonatal stage of bloody or black stools may require that babies be examined for serious health problems such as internal bleeding or bowel obstruction.

Newborns can easily startle and show restless movements in response to stimuli. This is normal. Note the doctors But jerking or jerky movements that continue over time and do not respond to stimuli can mean that there is a seizure problem or something else that requires urgent examination.

Apart from the challenge of finding out which children's health issues may be a real emergency Parents may also have difficulty visiting children on the same day to avoid having to go to the emergency room, said Drs. Rajesh Daftary of the University of California at San Francisco and Zuckerberg San Francisco General Hospital.

"It's hard to guess How many emergency visits to a newborn or toddler could be averted with a same-day visit, but it's certainly the majority," said Daftary, who was not involved in the newspaper, by email. "The challenge is in trying to get those appointments the same day."

Sister nurse phone lines may be helpful in some cases, but a clinician on the phone may find it difficult to make an assessment without directly examining a baby, added Daftary

"Urgent care clinics can be particularly helpful. if they are staffed by a pediatric nurse or experienced practitioner (nurse, physician assistant), "added Daftary. "Without this experience, an urgent caregiver may decide to take a child to an emergency room where a more thorough assessment can be made."


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