SVT - WPW in newborn childcare

[desordre]

My wife had our first child two weeks ago and he was diagnosed with SVT - WPW. He's being taken care of by an amazing team of doctors at Children's Hospital in Boston. My question is more about dealing with his condition once we get home. My wife and I are going back to work and we're concerned about sending him to day care. What have people done? Any recommendations/advice?

My son will be in the hospital at least another week to 10 days before becoming an outpatient.

Thanks in advance for any info!

[momtofourboys]

you also might want to ask your cardiologist or primary doctor about if your little one should recieve the synagis vaccine. this is to help lesson the effects of RSV (this is a viral infection) most kids can fight it off, if they are healthy to begin with. i am not sure if your little one would qualify. I wouldn't see why not. this infection from what I was toldif it  affects newborns who are premmeis have a heart condition, lung issues and a low immune system. they tend to ahve a harder time with it. not to try to scare you but my little one who has a heart conditon got it when he was 5 weeks old and ended up in the hospital for 15 days. then he started to recieve the shots. we actually ahd a nurse come to the house to give it. she picked it up and things like that. I didn't work.  the shots are for the winter time only. I thikn there are six one a month.
good luck and enjoy your little bundle. Aren't the doctors at choldrens boston great. we had Dr. Brown as his main cardilogist and Dr. Pigulia as the surgeon.
by the way how is the wee one doing?

I copied this form a web site
Respiratory Syncytial Virus (RSV) is a common viral disease of the lungs. It usually manifest itself as a cold in adults and older children, but can cause serious problems in infants. RSV can cause lower respitory infections, breathing problems, pneumonia or even death.

According to statistics, over 125,000 infants are hospitalized annually with Respiratory Syncytial Virus, resulting in more than 500 deaths.

RSV can be contracted by placing your hand in your mouth after you have come in contact with an infected person or surface. It can also be contracted by being in close proximity of an infected person who sneezes or coughs.

The Synagis Vaccine can help protect your little ones from the effects of RSV. The Synagis shot is injected into the leg muscle, once a month, during RSV season, which last from November thru April. The vaccine has been shown to be effective in preventing and/or reducing the severity of RSV infections and the number of hospitalizations each year.

Infants who are a product of multiple births, have lung disease, low birth weight, heart disease, and those born prematurely are at a higher risk to contract a serious form of Resipritory Syncytial Virus. If children under the age of two are going to be put in situations where the risk of exposure is iminent, Health professionals stress the importance of the vaccine.

Due to the overwhelming expense of the vaccine, it is not an option for a lot of families. One shot can set you back a thousand dollars or more. If you calculate that by five or six times a year, well, you do the math.

There are some things that you can do to reduce the risk of infection. Wash your hands frequently, avoid placing children in crowded situations(e.g. daycare, grocery stores etc.) don't smoke around your child, keep your child's toys sanitized and never let anyone with a cold come near your child.

If you have questions or concerns about Respiratory Syncytial Virus (RSV) or The Synagis Vaccine, you should talk to your healthcare professional.

Sources: American Academy of Pediatrics
Michelle

[momtofourboys]

First of all congrats on your little boy. I have 4 of them, ypoungest being 4. He also had surgery at childrens hospital boston
Cree Cree ahd different issues and was always in the hospital due to respiaory issues. I decided after his heart surgery at 3 months to stay at home with him. when he started preschool. I interviewed many preschools. I told them his lenthgy medical history and asked if they would be comfortable takiening him on. 16 of them came right out and said yes. and that was the end of discussion. 1 no and the other one said they would feel very comfortable takeing him on, however they would love to sit down have a meeting with my husband and I before the end of that school year, get his medical records they were all trained in first aid and CPR, take any training deemed necessary to make sure that if he did run into trouble they would know what to do. train on any medical device he might have (only a nebulizer) and the list continues. We ahve had 3 meetings prior to him starting school. the did run into an asthma attack with him and handled everyting smooothly. he had to try to use an eventmontior, this past month, they were willing to learn aobut that, not just his teacher the principal, sec. teachers in the next class and the gym teacer and library teacher. (anyone that would have contact or be in close range to him was trained) two days ago he ened up going on a 24 hour holter monitor due to him having varies of heart ranges form48 up to 181. they were trained.
I guess what I am saying is if you do decide to send him to a childcare, both you and the prvider need to be very comfortable
good luck and congrats
Michelle

[Cleveland Clinic]

I am assuming that the WPW was ablated and if so then he is at low risk for recurrence of the SVT. If ablation was not undertaken, and he is on medications for prevention, then I would say he still can undergo routine day care with low risk of recurrence. I would ask the excellent pediatric cardiologists at Boston Children's what their opinion is on this subject, but there is some evidence that about half of newborns with WPW that are treated medically are symptomatic by the age of 5 years of age, so medical treatment is not always definitive, but a period of watchful waiting may be appropriate.