Aim: Knowledge, attitude and practices of parents of children who suffer febrile convulsions are limited leading to unnecessary anxiety and apprehension.

Settings and Design: Prospective questionnaire based study in a tertiary care centre carried over a period of one year.

Subjects and Methods: 32 parents of consecutive children presenting with febrile convulsion were enrolled.

Statistical Analysis Used: Chi-square test.

Results: 23 parents (71.9%) could not recognise the convulsion; 87.5% (28) did not carry out any intervention prior to getting the child to the hospital. The commonest immediate effect of the convulsion on the parents was fear of death (n= 25, 78.1%) followed by fear of future development of epilepsy (n= 21, 65%), fear of recurrence (n=20, 62.5%) and fear of brain damage (n=14, 43.75%). Before the onset of seizure, only 3 parents (9.3%) knew that high grade fever can cause seizure in children and the remaining 29 (91%) were unaware of any such relationship between fever and seizure onset. Predominant long term concerns of parents included fear of future development of epilepsy (n=21, 65%), fear of recurrence (n=20, 62.5%) and fear of brain damage (n=14, 43.75%). On enquiring further, 23 (72%) parents were not worried about their other unaffected child, remaining 9(28%) were worried mostly about occurrence of epilepsy in healthy sibling of the affected child. Of the total of 32 parents interviewed, 28(87.5%) did not have any thermometer at home. Amongst the remaining 5 (12.5%) who were having thermometer, only 3 knew how to use it properly. Only 1 parent knew how to measure temperature by axillary method and remaining 2 were using temperature by oral placement of thermometer. None of the parents knew about normal temperature.

Conclusions: The parental fear of fever and febrile convulsion is a major problem with serious negative consequences affecting daily familial life.

1. Patterson JL, Carapetian SA, Hageman JR, Kelley KR. Febrile seizures. Pediatr Ann. 2013 Dec;42(12):249–54.
2. Huang YY, Li G, Sun LS. Epidemiology and Resource Utilization of Simple Febrile Seizure-associated Hospitalizations in the United States, 2003-2012. J Neurosurg Anesthesiol. 2019 Jan;31(1):144–50.
3. Smith DK, Sadler KP, Benedum M. Febrile Seizures: Risks, Evaluation, and Prognosis. Am Fam Physician. 2019 Apr 1;99(7):445–50.
4. Rutter N, Metcalfe DH. Febrile convulsions--what do parents do? Br Med J. 1978 Nov 11;2(6148):1345–6.
5. García Peñas JJ. [Evaluation of a child with a first unprovoked seizure]. Medicina (Mex). 2018;78 Suppl 2:6–11.
6. Baumer JH, David TJ, Valentine SJ, Roberts JE, Hughes BR. Many parents think their child is dying when having a first febrile convulsion. Dev Med Child Neurol. 1981 Aug;23(4):462–4.
7. Kramer MS, Naimark L, Leduc DG. Parental fever phobia and its correlates. Pediatrics. 1985 Jun;75(6):1110–3.
8. Sharma R. Revised Kuppuswamy’s Socioeconomic Status Scale: Explained and Updated. Indian Pediatr. 2017 Oct 15;54(10):867–70.
9. Balslev T. Parental reactions to a child’s first febrile convulsion. A follow-up investigation. Acta Paediatr Scand. 1991 Apr;80(4):466–9.
10. Kürügöl NZ, Tütüncüoglu S, Tekgül H. The family attitudes towards febrile convulsions. Indian J Pediatr. 1995 Feb;62(1):69–75.
11. van Stuijvenberg M, de Vos S, Tjiang GC, Steyerberg EW, Derksen-Lubsen G, Moll HA. Parents’ fear regarding fever and febrile seizures. Acta Paediatr Oslo Nor 1992. 1999 Jun;88(6):618–22.
12. Huang MC, Liu CC, Huang CC. Effects of an educational program on parents with febrile convulsive children. Pediatr Neurol. 1998 Feb;18(2):150–5.

Dr Arnav Shandil, MD

Civil Hospital Theog, Distt Shimla, H.P. India