Bulk of the cost of care was the hospital bill.

BACKGROUND Congenital anomaly of kidney and urinary tract (CAKUT) are among the most common anomalies diagnosed prenatally. Early diagnosis and timely intervention can preserve renal function and avoid morbidity. AIMS AND OBJECTIVES To screen, select at-risk newborns for congenital renal and urinary tract anomalies by postnatal ultrasound and to study the pattern of distribution, clinical presentation and its correlation with antenatal scan. MATERIALS AND METHODS It was a prospective study. Postnatal ultrasound of 40 subjects fulfilling the inclusion criteria was performed on 4 th day of life. Postnatal ultrasound findings were compared with antenatal records and immediate postnatal clinical course was assessed. RESULTS Out of 40 high-risk selected screen patients, 14 subjects were identified to have CAKUT on postnatal USG on 4 th day of life. Hydronephrosis was the most common congenital renal anomaly with statistically good correlation with antenatal and postnatal scan (P <0.0001). Mild hydronephrosis detected on antenatal scan (with anterior pelvic diameter 7-9 mm) showed resolution on postnatal ultrasound in 3 subjects. The congenital anomalies in 4 cases were missed on antenatal USG. The number of LBW babies in the screened population was 60% and 64% babies with CAKUT were LBW. Family predisposition was seen in 12.5% of CAKUT population. CONCLUSION Congenital renal and urinary tract anomalies can be easily identified on antenatal and post natal ultrasound. LBW babies with family history of CAKUT or high-risk factors warrant radiological screening and biochemical evaluation. Hydronephrosis is the most common finding consistent in both the scans and had a good resolution rate. Prenatal screening would help in early identification of CAKUT anomalies and possible early surgical or medical intervention to prevent or slow ESRD.

BACKGROUNDRaising a child with chronic disability is stressful and demanding task which can affect the quality of life of the parent/caregiver adversely. The aim of this study was to assess the quality of life of parents of children aged between 2-12 years with cerebral palsy. MATERIALS AND METHODSThis was a cross sectional descriptive questionnaire based study, which included 30 parents of children with cerebral palsy between 2-12 years of age attending Paediatric OPD or Rehabilitation services. Interviews were conducted using a semistructured questionnaire and quality of life was assessed using World Health Organization Quality of Life-BREF (WHOQOL-BREF-) Questionnaire-short version. Statistical analysis was done with descriptive statistics using SPSS version 10. RESULTSThe mean score of the social domain of quality of life of caregivers was the lowest (9.33±1.49 SD) followed by psychological (18.23±1.50 SD). Seventy percent of parents reported their overall quality of life as neither good nor poor and 66.67% of parents were satisfied with their own health. CONCLUSIONQuality of life of parents of children with CP was affected in all domains, with predominant affection of social domain. More than half of parents were satisfied with their own general health and they reported overall quality of life was neither good nor poor. HOW TO CITE THIS ARTICLE:Chalipat S, Malwade SD, Karambelkar GR, et al. Assessment of quality of life of parents of children with cerebral palsy.

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