Document Detail

Risks of ancient practices in modern times.
MedLine Citation:
PMID:  12456945     Owner:  NLM     Status:  MEDLINE    
Swaddling, ie, wrapping the child to restrict movement, is an ancient practice. In the Netherlands, it is becoming increasingly popular as an intervention for excessive crying in infants. However, one must be well aware of the potential risks. We present the case reports of a twin boy and girl who had been swaddled and kept in a heated room for several days. On admission to the hospital, both infants suffered from severe hypovolemic shock, hyperthermia, and secondary respiratory insufficiency. The girl developed multiple organ dysfunction syndrome and died, whereas the boy had an uneventful recovery. When swaddling is being considered as an intervention for excessive crying in infants, parents have to be well-informed about the possible side effects and about additional measures that they may have to take to make it a safe intervention.
Josephus Petrus Johannes van Gestel; Monique Pauline L'Hoir; Maartje ten Berge; Nicolaas Johannes Georgius Jansen; Frans Berend Plötz
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  110     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2002-11-28     Completed Date:  2002-12-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e78     Citation Subset:  AIM; IM    
Pediatric Intensive Care Unit, University Medical Center, Wilhelmina Children's Hospital, Utrecht, The Netherlands.
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MeSH Terms
Clothing / adverse effects*
Fatal Outcome
Fever / etiology*
Infant Equipment
Multiple Organ Failure / etiology
Restraint, Physical / methods*
Shock / etiology*

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