Suchergebnisse

Background: The presence of natal or neonatal teeth, which have been associated with environmental factors and hereditary syndromes, can have an impact on the psychosocial growth of children. Methods: We aimed to estimate the incidence of natal tooth in Sarlahi district of Nepal.Live births from Sarlahi district in Nepal were assessed for natal teeth and other related factors.Results: Among 28,695 live births between 2010 and 2017, we observed 7 cases of natal teeth accounting for an incidence rate of 2.44 per 10,000 (95% CI: 0.98 – 5.03). Out of 7 neonates with natal tooth, 4 were female and 3 were low birth weight (<2500 grams). None were preterm or had any associated cleft lip or palate.Conclusions: Incidence of natal tooth in Nepal is rare.It is important for health care providers to know about the possibility of occurrence of natal tooth and its management.Keywords: Incidence of natal tooth; natal tooth; neonatal tooth; Nepal.

OBJECTIVES: This study aimed to compare a standard quality of care definition to one that reflected focused antenatal care (FANC) guidelines and examine associations with receipt of good quality of care. DESIGN: This study was a longitudinal cohort study. SETTINGS: Five government health posts in the Sarlahi district of Southern Nepal PARTICIPANTS: Pregnant women between the ages of 15 and 49 who presented for their first antenatal care (ANC) visit at the study health posts. MAIN OUTCOMES: There were two quality of care definitions: (1) provision of seven services at least once during pregnancy (QOC1) and (2) provision of services to reflect the FANC guidelines by incorporating a frequency of care dimension for certain services (QOC4+). RESULTS: There was variation in service provision both in terms of frequency of provision and by gestational age at the visit. There were 213 women (49.1%) that received good quality care by the first definition, but when the frequency of service provision was included for the second definition the percentage dropped to 6.2%. There were significant differences in provision of quality care by health post for both definitions. The number of visits (QOC1 adjusted risk ratio (aRR) 1.18, 95% CI 1.13 to 1.23; QOC4+ aRR 1.46, 95% CI 1.11 to 2.80) and care during the first trimester (QOC1 aRR 1.22, 95% CI 1.01 to 1.49) and maternal age (QOC1 aRR 1.27, 95% CI 1.03 to 1.58) were associated with greater likelihood of good quality ANC. CONCLUSION: This analysis demonstrated that measuring quality of care by receipt of services at least once during pregnancy may overestimate the true coverage of quality of ANC. Future efforts should improve feasibility of including frequency of care in quality of care definitions.