Pediatric Review: International Journal of Pediatric Research

ABCC6 MISSENSE MUTATION AND SEVERE RESISTANT SYSTEMIC HYPERTENSION IN A CHILD.

Thendral M — 2025-04-22

Pseudoxanthoma elasticum (PXE) is a rare multisystem disorder characterised by progressive calcification and fragmentation of elastic fibres. Recent genetic advances have identified the underlying defect in the ABCC6 gene on chromosome 16p13.1. Patients typically develop cutaneous, ocular, and cardiovascular manifestations, but there is considerable phenotypic variability. Skin changes are usually apparent in adulthood and rarely observed in childhood. Since the prognosis of PXE largely depends on the extent of extracutaneous organ involvement, early recognition, intervention, and lifestyle adjustments are important to reduce morbidity.

Penetrating Tracheal Injury in a Child from a Rooster Bite: A Rare and Unprecedented Case Report

Amitkumar Jadhav — 2025-05-21

Abstract
Penetrating tracheal injuries in the pediatric population are uncommon and are most frequently associated with high-energy trauma or animal attacks, such as dog bites¹. However, avian-related penetrating injuries are exceedingly rare, with no documented cases of tracheal injury caused by rooster bites found in the literature. This report presents a rare case of a 3-year-old child who sustained a tracheal perforation secondary to a rooster bite to the neck. The clinical presentation, diagnostic challenges, surgical intervention, and successful outcome are discussed. This case highlights the importance of early recognition and prompt management of rare penetrating neck injuries in children.

Early Initiation of Breastfeeding: Caesarean Mother’s Challenges and Coping

Mussarat Musera Khan — 2025-05-26

The aim of this narrative review is to identify the available literature related to factors related to caesarean section and early initiation of breastfeeding, challenges which cause hinderance to early initiation of breastfeeding and the coping strategies mothers could employ to overcome the challenges. The narrative review secondarily helps the author to select the study design, methodology and development of the questionnaire. It is a well-known fact that early initiation of breastfeeding is essential component in the crucial first hour after birth. The review compares the data obtained through various searches in regard to early initiation of breastfeeding in vaginal and caesarean delivery. Also, some factors which are responsible for delay especially in case of caesarean section are identified which would help in planning of assessment questionnaire components. Apart from caesarean section delivery being the main determinant for late initiation of breastfeeding, the associated clues like post- operative pain, delayed mother-newborn dyad contact, lack of maternal efficiency to handle newborn after birth plays an important role in determining the breastfeeding initiation. Family and partner support had a great role in coping with post- partum anxiety.

Key words: early initiation of breastfeeding (EIBF), caesarean section, vaginal delivery, challenges, coping strategies