Skip to content. | Skip to navigation

Personal tools
You are here: Home Clinical Topics Pediatrics

Pediatric Clinical Topics

Includes breastfeeding, developmental, perinatal, peripartum, and infant care issues.

Breastfeeding Clinical Topics

Information for providers about breastfeeding and related topics, especially as related to culture.

Breast Feeding Support for Somali Mothers - PDF
A powerpoint slide show saved as PDF (22 slides), produced by practitioners at Harborview Medical Center/University of Washington, 2007; about infant overfeeding in immigrant families, with focus on Somali families. Considers factors leading to overfeeding, guidance for prenatal and postpartum education, and information about Somali cultural experience.
Cultural Influences on Infant Feeding Practices
Link to Journal article from Pediatrics in Review (Authors: Pak-Gorstein, Haq, Graham), used with permission.
Failure to Thrive and Oral Aversion in Immigrant Infants and Toddlers
Summary report of a quality improvement project carried out to determine if there were common patterns found in the history and presentation of non-organic failure to thrive among Somali infants and if underlying cultural factors might be influencing this condition.
“My baby refuses to eat!”: Overfeeding of Somali Infants
Article describing a pattern of overfeeding Somali infants leading to conditions such as refusal to eat, oral aversion, failure to thrive; includes recommendations for clinically effective intervention and prevention.
Oromo Immigrants and Breast Feeding Information for American Health Care Providers
Information about Oromo practices and beliefs about breastfeeding.
Somali Knowledge, Attitude and Practice Study: Infant and Young Child Feeding and Health Seeking Practices
PDF (102 pages) Report of a study conducted to enhance understanding of the contribution of poor child care practices to malnutrition (both acute and chronic) and subsequently to provide key recommendations for simple and effective responses.
Breastfeeding in Ramadhan
Information about how to maintain a good milk supply while fasting during Ramadhan.


Information related to dermatology issues in children.

Clinical Pearl: Circular Burn Scarring on Asian and African Patients
A short clinical pearl about patterned circular scars on the skin of Asian and African patients.
Clinical Pearl: Skin Decorations in East African Patients
A short clinical pearl about the use of henna as skin decoration.
Skin-Lightening Practices and Mercury Exposure in the Somali Community
Article from Clinical and Health Affairs (July 2013) by Amira Adawe and Charles Oberg, MD, MPH
The Influence of Culture and Pigment on Skin Conditions in Children
Images of common skin conditions in children with dark skin and from different cultural backgrounds. Although focused on children, many variations of skin conditions in individuals with dark skin, applies to both children and adults.

Developmental Screening

Vietnamese Family Autism Advisory Board
The Vietnamese Family Autism Advisory Board (VFAAB) is a coalition of families, community members based in Seattle WA to support families of children with developmental delay in the Vietnamese community. The Board seeks to be a resource to families and community members, assisting people to connect to therapeutic and support services across the care system and educating the community about autism and developmental delay.
Developmental Screening with Recent Immigrant and Refugee Children: A Preliminary Report
Article about developmental screening of immigrant and refugee children with information about developmental screening, literature review, qualitative findings, recommendations and discussion.
The Survey of Wellbeing of Young Children (SWYC)
This site has a comprehensive screening instrument for children under 5 years of age. The survey was written to be simple to answer, short, and easy to read. The entire instrument requires 15 minutes or less to complete and is straightforward to score and interpret. It has been translated into Spanish, Burmese, Nepali and Portuguese.

Peripartum/Perinatal Care

Information about issues around childbirth for both mother and baby.

Somali Health Board Perinatal Youtube video
This is a short video produced by the Centers for Medicare and Medicaid Services (CMS) on behalf of the Somali Health Board (SHB- Seattle), promoting the work done by SHB Perinatal Committee. SHB partnered with Columbia Public Health, UW Medicine and Seattle King County Public Health to advocate and promote Centering Pregnancy culturally specific for Somali women throughout King County.
Somali Perinatal Preference: A Summary for Providers
2 page PDF. Summary information gleaned from focus group discussions with Somali women, includes recommendations for OB providers about Somali women's preferences for education and approaches to care during prenatal period and labor/delivery.
Cambodian Postpartum Practices
Article about postpartum traditions in Cambodian culture.
Perinatal Profile for Patients from Somalia
Information to help providers become familiar with the cultural values and historical experiences of women from Somalia and their families, as it pertains to obstetrical outcomes and providing culturally appropriate care.
Peripartum and Infant Care Issues and Practices among Refugee Groups in Seattle
Some traditional practices around pregnancy and infant care in Southeast Asian and East African groups in Seattle.
Post-partum Practices among Vietnamese and Chinese Patients brochure
A 2 page brochure format about the post-partum practice of a "sitting month" among Vietnamese and Chinese patients.
Postpartum Practices among Chinese and Vietnamese Women poster
A 1 page poster, PDF, about a research project on the traditional practice of "sitting month".
Cambodian Perinatal Culture-Bound Syndromes: Providing Care to Cambodian Women with Toas
Information about postpartum period sor sai kchey, which alludes to a period of fragile health lasting from one to three months after childbirth during which many traditional postpartum practices are followed. There are strong beliefs about the importance of adhering to these practices and that failure to do so may lead to chronic symptoms called toas that can be temporary or lifelong.

Pediatric Clinical Pearls

Brief clinical insights around pediatric topics and issues in the care of refugee and immigrant children.

Abstract: Developmental Screening with Recent Immigrant and Refugee Children: A Preliminary Report
Clinical Pearl: Infant Sleep Position in Immigrant Ethnic Groups
A short clinical pearl about the positions in which infants from different ethnic groups are placed to sleep.
Clinical Pearl: Uvulectomy
A short clinical pearl on a tradition surgery, uvulectomy, performed in some African and middle eastern countries.

Pediatric Refugee Health Screening Topics

Information related to health screening topics for pediatric populations.

New Immigrant Children: Screening and Treatment Guidelines
This 2-page document describes two components of medical screening of immigrant children new to the Harborview Child and Teen clinic: Preventive Health Interventions and Screening Lab Work
Approach to Medical Assessment and Screening for New Refugee and Immigrant Children
15-pages; Guidelines on how to approach health assessment and disease screening in immigrant children newly arrived to the US and/or new to our Child and Teen Clinic. Describes health assessments prior to immigration, and approaches to post-arrival domestic medical screening. Includes specific evidenced-based and cultural considerations related to five components of the medical screen: Medical and Travel History; Physical examination; Screening Laboratory tests; Preventive Health interventions, such as immunizations, well-child care, and nutrition counseling; and Social Work consultation
Parasite Summary Tables
A 3-page table presenting information about parasites, consequence if left untreated, clinical diagnosis and treatment. Also includes a review of studies on parasite infections among immigrant /refugee children.
Lead Poisoning Prevention in Newly Arrived Refugee Children: Resources
CDC Toolkit with training resources and information for health care and refugee service providers regarding prevention of lead poisoning in refugee children.
Living in an Immigrant Family in America: How Fear and Toxic Stress are Affecting Daily Life, Well-Being, & Health
A Dec 13, 2017 news release from Kaiser Family Foundation about how increased fears around being an immigrant are having significant negative effects on children.
CDC Recommendations for Lead Poisoning Prevention in Newly Arrived Refugee Children
2 page PDF with CDC recommendations about Primary Prevention of Elevated Blood Lead Levels, Identification of Children with Elevated Blood Lead Levels, Early Post-arrival Evaluation and Therapy, and Health Education/Outreach for lead poisoning prevention in newly arrived refugee children.

Journal Articles

Cultural Influences on Infant Feeding Practices
Link to Journal article from Pediatrics in Review (Authors: Pak-Gorstein, Haq, Graham), used with permission.
Delayed Bottle Weaning and Iron Deficiency in Southeast Asian Toddlers
Article reprinted with permission from Western Journal of Medicine. By Elinor A. Graham, MD, MPH, et al. West J Med, July 1997; 167:10-14.