RESUMO
Background: Pediatric oral surgery often necessitates the use of sedation to ensure patient comfort and cooperation. This study examines parents' satisfaction and concerns regarding the various sedation options available for their children's oral surgery, aiming to improve the overall patient experience. Materials and Methods: A cross-sectional study design was employed, with a sample size of 500 parents or guardians of children who had undergone pediatric oral surgery with sedation. A structured questionnaire was used to collect data on demographic characteristics, satisfaction with sedation methods, and common concerns. Results: The study revealed a high level of satisfaction among parents, with 80% reporting satisfaction or very high satisfaction with the sedation process. However, specific concerns were identified, including fear of sedation complications, concerns about long-term effects, child anxiety or trauma, perceived lack of control, and communication with the healthcare team. Conclusion: The findings highlight the importance of clear communication and education for parents and guardians in the context of pediatric oral surgery.
RESUMO
BACKGROUND: Universal screening of all neonates has for long been recognized as the most effective method to detect congenital hypothyroidism. However, various maternal as well as perinatal factors can influence the cord blood TSH levels. OBJECTIVES: To evaluate the effect of perinatal factors on cord blood TSH level variations in neonates born in a rural tertiary care institution in South India. METHODS: A cross-sectional study was done in 430 term neonates at birth to analyse the cord blood TSH levels and a repeat TSH estimation was done on 3rd postnatal day for those having abnormal values. The values were statistically analysed with respect to maternal, paternal and perinatal parameters. RESULTS: The mean value of CBTSH was 12.88 mIU/mL. One hundred twenty five of the 430 neonates (29.06%) were found to have elevated CBTSH levels. Two babies (0.46%) had CBTSH levels below 2.3 mIU/mL. Repeat TSH estimation done on third postnatal day in the 127 babies who had abnormal CBTSH levels revealed only 5 (3.94%) babies had abnormal levels. Serum T4 levels done on the same sample showed abnormal values in 3 (2.67%) babies. CBTSH levels showed no gender varations but increased significantly with the gestational age of the baby (p=0.001). CBTSH levels increased with increasing maternal age (p<0.001) and were significantly higher in babies of mothers with history of hypothyroidism. CONCLUSION: The incidence of congenital hypothyroidism was 3 in 430 babies, which was high compared to national and international references, highlighting the urgent need of universal screening giving importance to maternal factors also.
