e-ISSN: 2413-9289
Excellence in Medical Education
الاثنين 11 ذو القعدة 1442
Monday 21st June 2021
Current Issue:
Volume 13 - Issue 1, Jan - Mar 2021
Archives Instructions for Authors Manuscript Submission Review Process Instructions for Reviewer Ahead of Printing Article Tracking
IMJ is recognized by;

- Higher Education Commision of Pakistan (HEC)
- Pakistan Medical & Dental Council (PMDC)

IMJ is Covered by;
- Directory of Open Access scholarly Resources (ROAD)
- Index Copernicus International (IC Journals Master List)
- Index Medicus for the Eastern Mediterranean Region (IMEMR)
- PakMediNet
- BiblioMed
Analysis of Parental refusal of Lumbar puncture in children with Febrile Convulsions
Arslan Anwar, Imran Mahmood Khan, Sajid Hussain Sherazi, Nuzhat Yasmeen, Muhammad Waqas Ashfaq, Anum Shah
Published on:
Journal Reference:
Volume 13 - Issue 1     Jan - Mar 2021
Download Abstract:


Objective: To assess the frequency and different factors leading to parental refusal of lumbar puncture in children with febrile convulsions.

Study Design: Descriptive Cross-sectional study.

Place and Duration:  Pediatric Ward of Children Hospital, Pakistan Institute of Medical Sciences, Islamabad for one year from 1st January, 2017 to 1st January, 2018.

Methodology:  Parents of children of both genders with first episode of febrile convulsion from 1 month to 12 years age and planned for lumber puncture were interviewed for their response to lumbar puncture. If parents refused lumbar puncture, then close ended questions were asked regarding fear of paralysis, backache, walking problems, spasticity and death. In addition, parents’ demographic details to assess the correlation with different factors responsible for refusal were also assessed.

Results: Among a total ninety-five children admitted and planned for lumber puncture, 41% parents refused the procedure. The most frequent reason was fear of paralysis (36%) followed by fear of pain (26%), fear of subsequent walking problem (18%), fear of death (15%) and fear of spasticity (5%). Rate of refusal was significantly higher in parents with lower level of education and who had previous knowledge about the procedure (P<0.05).

Conclusion: Poor knowledge of parents about importance of lumbar puncture procedure and its complications lead them to its refusal especially in those who have lower level of education and previous knowledge of this procedure.

Keywords:  Children, Febrile convulsions, Febrile seizures, Lumbar puncture, Parent concerns, Refusal to procedure

How to Cite This:

Anwar A, Khan IM, Sherazi SH, Yasmeen N, Waqas Ashfaq MW, Shah A. Analysis of parental refusal of lumbar puncture in children with febrile convulsions. Isra Med J. 2021; 13(1): 20-23.

This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.