Download PDF by Sunil Sinha, Lawrence Miall, Luke Jardine: Essential Neonatal Medicine : Includes Desktop Edition.

By Sunil Sinha, Lawrence Miall, Luke Jardine

ISBN-10: 1118286480

ISBN-13: 9781118286487

Crucial Neonatal medication combines the intensity and breadth of a textbook with the readability and potency of a studying consolidator. offering a great reference for trainee medical professionals, neonatal nurses and midwives, this complete color variation has been broadly up-to-date with more than a few new illustrations, scientific assistance, cross-references to Wiley name Nursing the Neonate (2010, 9781405149747), and end-of-chapter summaries  Read more...

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Additional info for Essential Neonatal Medicine : Includes Desktop Edition.

Example text

Obstetric Issues Relating to Neonatal Care In women with early proteinuria, the diagnosis of PET tends to be made if there has been a doubling of proteinuria in 24 hours. Whilst this diagnosis may not prompt delivery, it may prompt admission for observation related to an increased risk of abruption and stillbirth with PET, which is not present with essential hypertension or PIH. Additional therapeutic measures include: • Daily CTGs • Prophylactic dose of low molecular weight heparin (LMWH) • Thromboembolic compression stockings • High dose antenatal steroids if Ͻ 34–36 weeks gestation • Plan for delivery in the thirty-eighth week of pregnancy A plan for the birth should also be established and discussed with the woman.

If delivery seems likely to occur between 24 and 34 weeks, there is clear evidence supporting the giving of antenatal corticosteroids for maturation of the foetal lungs. g. for IUGR), steroids should be given as a matter of course and the timing of delivery planned appropriately. In a spontaneous preterm labour, this presents a problem. It has therefore become a relatively common practice to give tocolytic agents for 48 hours to allow steroids time to become effective. Nifedipine and atosiban are now recommended for use and have little adverse effect on the foetus when used in this way.

4% VLBW neonates. Obstetric cholestasis Maternal diagnosis and management Obstetric cholestasis (OC) is a pregnancy specific condition which can result in a poor perinatal outcome and requires increased foetal surveillance once it has been diagnosed. Women usually present in the third trimester of pregnancy complaining of pruritus and specifically pruritus on the palms of the hands and soles of the feet. With this history, the following investigations are carried out: • Renal function • Liver function • Bile acids If the liver function tests are abnormal then further investigations are carried out to exclude common liver conditions.

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Essential Neonatal Medicine : Includes Desktop Edition. by Sunil Sinha, Lawrence Miall, Luke Jardine


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