By Janet M Rennie
The 5th version of this hugely winning and well-regarded publication keeps to supply these operating in neonatal in depth care devices with exact directions at the prognosis and administration of universal neonatal difficulties. This variation has been commonly up to date and revised, whereas preserving the historical past body structure, key references, and diagrams that made earlier variations such a success.
Several new chapters were additional, together with the themes of fetal medication, antenatal prognosis, and obstetrics for the neonatologist. utilizing a transparent, obtainable variety, this variation 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 basic purposes for admitting a toddler to the in depth care ward.
A guide for Neonatal extensive Care provides precious tips for trainees in pediatrics, neonatology, and neonatal nursing and types an invaluable ready-reference for the training pediatrician and nurse.
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Additional info for A Manual of Neonatal Intensive Care Fifth Edition
Graves’ disease is the most common cause of hyperthyroidism in young women in the UK, being responsible for about 85% of cases. However, not all women with thyrotoxicosis have Graves’ disease, defined as hyperthyroidism caused by thyrotrophin receptor stimulating antibodies (TRAbs). Pregnancy outcome is worse in the presence of maternal thyroid disease, and 1–5% of neonates whose mothers have Graves’ disease develop hyperthyroidism as a result of transplacental passage of TRAbs. TRAb concentrations should be measured in early pregnancy in women with a history of Graves’ disease even if they have been effectively treated with surgery or radioiodine, and fetuses whose mothers have high levels should be monitored carefully, with particular reference to growth and fetal heart rate (FHR) estimation.
Amniocentesis Maternal–fetal medicine for the neonatologist Amniocentesis is used to obtain amniotic fluid, which contains fetal skin cells that can be analysed for their chromosome make-up. Amniocentesis can be performed via either the trans-abdominal or the vaginal route. When the procedure is used for diagnostic testing it is usually carried out at around 15–20 weeks of pregnancy, although it can be performed from 10 weeks. The test has a 1% risk of miscarriage. Fig. indd 22 6/3/13 9:12 PM Fetal blood can be obtained from the umbilical cord, with the needle guided by ultrasound, from the second trimester onwards.
Once fetal abnormality is excluded, a high AFP level is linked to adverse outcomes of pregnancy, including low birth weight and placental abruption. Interpretation is dependent on gestational age and the presence of a single fetus. uk/an Test, ideally, on day 5 NB: babies who missed the test can be tested up to one year (except CF offered up to 8 weeks) and sickle cell disease Newborn Blood Spot screens for MCADD, Cystic Fibrosis, PKU, Congenital Hypothyroidism +2 Newborn Hearing screen 1HZERUQ Fig.
A Manual of Neonatal Intensive Care Fifth Edition by Janet M Rennie