Nice quote:
<The GP plays a pivotal role in the community by seeking out the early signs
of congenital heart disease (Table 2). Repeated examination in a quiet room
of a settled child should be performed. Observing mother and child during
feeding time often proves worthwhile. Babies with circulatory dysfunction
will often become unsettled and breathless with laboured retraction when
feeding (Case study 1). They also often fall asleep at the breast. Other
signs include:>
This is from this month's Australian Family Physician
http://afp.racgp.org.au/afp/2000/may/goh.shtml
It's good to read a cardiac surgeon writing about feeding and the assumption
is breastfeeding. Apparently you can hear the heart murmurs on the website
(didn't work for me though).
Lisa Amir
MBBS, MMed, IBCLC in Melbourne, Australia
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