The baby blues is a precocious psychic impairment that may occur within the first two weeks following delivery. It is considered a trigger point, and sometimes a decompensation towards more serious postpartum psychiatric disorders. It is as well a hazard, predisposing to abnormal psycho-affective development in infants, otherwise intimately dependent on maternal bonding. Although there have been advances in understanding the psychopathology, the clinical presentations, and the inter-relationship of the condition with other disorders of perinatality, the management however remains unclear and poorly described. There seems to be confusion between indications for mere observation with monitoring on one hand, and the need for psychotherapy or pharmacotherapy on the other hand. This is maintained by the ambiguous distinction between primary baby blues which is milder, and severe baby blues with immediate and late complications that are sometimes neglected. Whereas, intervention may be necessary in a number of cases to prevent adverse outcomes in affected mothers and their infants. In this short paper, we review the management of baby blues according to the severity and we give clues for prevention, based on known protective factors.

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Introduction: Intestinal intussusception is defined as the penetration of a proximal segment of the intestine into a distal segment, leading to intestinal obstruction. It is a common cause of small bowel obstruction in children. This pathology is rare in adults and represents only 1% of all cases of intestinal obstruction. We report a case of ileoileal intestinal intussusception in a 26-years-old adult woman, complicating postpartum eclampsia. Case Presentation: This was a 26-years patient being treated for eclampsia associated with HELLP syndrome and complicated with acute kidney injury. The diagnosis of intussusception was made based on a clinical bowel obstruction syndrome and confirmed with ultrasounography. The management consisted of laparotomy with surgical resection of the invaginated bowel segment. Conclusion: Intestinal intussusception is mainly a childhood pathology which may exceptionally occur in adults. The degree of bowel and hence abdominal distension caused by intestinal obstruction justifies surgical exploration, with subsequent resection of invaginated segment as a therapeutic intervention.

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Introduction: Exocrine pancreatic pathologies are rare conditions in children. Their diagnosis should be evoked and systematically sought in any child presenting with severe acute or chronic abdominal pain, malnutrition and steatorrhea. The management is complex and may be multidisciplinary over the long term. Case Presentation: We report the case of a 7-month-old infant referred for unexplained malnutrition. Born macrosomic, since the age of 6 weeks he had been vomiting and not gaining weight. Then the progressive appearance of steatorrhea and a malabsorption syndrome led to acute malnutrition. Exocrine pancreatic insufficiency was demonstrated with low lipase and the patient was taken care of. Treatment consisted of oral administration of pancreatic enzymes and nutritional rehabilitation. Significant and favorable evolution was noted as early as within two weeks from treatment initiation. Conclusion: Exocrine Pancreatic Insufficiency (EPI) is a rare but severe condition in pediatrics. The etiological diagnosis is often linked with genetic diseases, and so not always obvious in our context. However, clinical evaluation and complementary examinations may serve as diagnostic guidelines. Management is palliative and allows rapid improvement of the patient as early as within two weeks from start.