By Janet M Rennie
The 5th variation of this hugely profitable and well-regarded ebook maintains to supply these operating in neonatal extensive care devices with certain directions at the prognosis and administration of universal neonatal difficulties. This variation has been broadly up-to-date and revised, whereas preserving the historical past body structure, key references, and diagrams that made earlier variants such a success.
Several new chapters were extra, together with the themes of fetal drugs, antenatal prognosis, and obstetrics for the neonatologist. utilizing a transparent, obtainable type, this version beneficial properties discussions of evidence-based medication and the creation of extra easy-to-digest lists. The textual content has been made extra across the world acceptable, together with a re-focus of the bankruptcy on association of neonatal care clear of UK-specific admission standards and extra in the direction of common purposes for admitting a toddler to the in depth care ward.
A guide for Neonatal extensive Care provides useful counsel for trainees in pediatrics, neonatology, and neonatal nursing and kinds an invaluable ready-reference for the practising pediatrician and nurse.
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Extra info for A Manual of Neonatal Intensive Care Fifth Edition
PPROM is diagnosed on the basis of maternal history, evidence of liquor in the vagina and ultrasound evidence of oligohydramnios. After diagnosis and the exclusion of infection the management is usually expectant; the mother has careful monitoring to look for signs of infection and delivery is planned for after 34 weeks, as below this the risks of prematurity are greater than those of the most common complication, chorioamnionitis. Maternal administration of oral erythromycin is associated with delayed delivery and decreased respiratory, cerebral and infective morbidity, and oral erythromycin is now routinely given to women with PPROM.
Possible link between crack cocaine and fetal stroke; for management of neonatal abstinence syndrome see Chapter 28 Epilepsy Need for additional folate in mothers taking antiepileptic drugs which are folate antagonists. 1 (Continued) Maternal condition Effect on fetus and neonate Hypertension Risk of placental insufficiency, labetalol can cause neonatal hypotension and hypoglycaemia Liver disease Risk of stillbirth in cholestasis, acute fatty liver of pregnancy. Hepatitis B carriage requires appropriate vaccination of the baby (Chapter 16) Myasthenia gravis Anticholinesterase antibodies can cause transient neonatal myasthenia Psychiatric disease Maternal selective serotonin reuptake inhibitors can cause a neonatal withdrawal syndrome, and antipsychotics can cause extrapyramidal reactions in babies.
A good example is the presence of a small deletion of chromosome 15q, which has a different effect depending upon which chromosome 15 is deleted. If the deletion occurs on the chromosome inherited from a child’s normal father, the child will develop Prader–Willi syndrome. If the deletion occurs on the chromosome inherited from a child’s normal mother, the child will develop a completely different clinical condition, Angelman syndrome. Other conditions that show imprinting effects include Russell– Silver syndrome, Beckwith–Wiedemann syndrome, and the rare condition of transient neonatal diabetes mellitus.