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Biomedical subjects

J Henriques

Publications and source records attributed to J Henriques.

4 recordsLinked to original sources

Does conception before marriage matter?

Data from the 1970 British Births survey were used to compare 1380 births conceived before marriage (women who were delivered less than 6 months after marriage) with 13,845 births to women who had been married for at least 6 months before delivery. Infants in the premarital conception group were at increased risk because of maternal youth, primiparity and maternal health behaviour such as smoking. Once these factors had been taken into account there was no residual risk of perinatal death or low birthweight. There was a slight excess of preterm deliveries.

Adolescent

Unmarried at delivery. I. The mothers and their care.

Information on 934 never married mothers (Single) were compared with 301 who were widowed, divorced or separated (Once-married) and 15 225 who were married at the time of delivery and were part of the 1970 British Births Survey. Once the maternal age and parity differences had been taken into account the major findings concerned the mothers' health behaviour and the obstetric care they received. Single and Once-married mothers were markedly less likely than the Married group to have used contraceptives in the 18 months before conception, to know accurately the date of the last menstrual period, to commence antenatal care before the third trimester, and to attend antenatal or parentcraft classes. Both groups were more likely to smoke, the Once-married group having an especially high rate of heavy smokers. Single mothers were more likely to be anaemic during pregnancy and the Once-married to have a history of bleeding. Both groups were more likely to be delivered in a consultant unit. Relatively high proportions of Single and Once-married mothers had delivered without any pain relief.

Analgesia

Unmarried at delivery. II. Perinatal morbidity and mortality.

The British Birth Survey included 98% of all deliveries in Great Britain in one week of April 1970. For this report, singleton births to 934 Single (never-married), 301 Once-married (widowed, separated or divorced) and 15 225 Married mothers were compared. After allowing for maternal age, parity and smoking history, there was still a reduction in birth weight in the two unmarried groups, which was mainly associated with pre-term gestation rather than growth retardation. Perinatal mortality was considerably elevated, especially for the Once-married. The excess mortality was mainly among the 'Macerated normally formed stillbirths' and 'Asphyxia' categories of the Wigglesworth classification.

Asphyxia Neonatorum

[Visual screening in children].

The Early Visual Screening (EVS) before verbal communication and, certainly, before one year old, is essential to prevent strabismus and/or amblyopia. We consider the PREFERENTIAL LOOKING (PL) for visual acuity determination and screening of the amblyopia and the PHOTOREFRACTION (VIDEO-REFRACTION: VPR-1) for refractive screening, adequated methods for Early Visual Screening. We suggest that these two technics are used as EVS methods, four times in childhood (newborn, 6-8 weeks, 6-8 months, 18-24 months) performed by an Ophthalmologist at a Pilot Health Center of the National Health Service. The classic methods of visual screening such as: child's reaction to the eye occlusion, pursuit movements, STYCAR balls and miniature toys, Cover test, Hirschberg test, red fundus reflex, anterior segment examination, each of these used according to the child's age, must be performed by an Ophthalmologist. We think they are a positive alternative until we are able to use the PREFERENTIAL LOOKING and VIDEO-REFRACTION in Early Visual Screening. In the kindergarten and primary school the ASTENOPIC complaints due to hipermetropia, minor astigmatism and convergent deficit as well as chronic inflammation of the anterior segment eyelids and anexus, can be related with poor school performance more than with strabismus or myopia.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent