By Janet M Rennie
The 5th variation of this hugely winning and well-regarded publication keeps to supply these operating in neonatal extensive care devices with special directions at the analysis and administration of universal neonatal difficulties. This version has been largely up-to-date and revised, whereas conserving the history body structure, key references, and diagrams that made past variants 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, available sort, this variation beneficial properties discussions of evidence-based drugs and the advent of extra easy-to-digest lists. The textual content has been made extra across the world appropriate, 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 child to the extensive care ward.
A handbook for Neonatal in depth Care provides worthy assistance for trainees in pediatrics, neonatology, and neonatal nursing and varieties an invaluable ready-reference for the training pediatrician and nurse.
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Additional resources for A Manual of Neonatal Intensive Care Fifth Edition
The old criteria of more than a 20% discrepancy in weight and at least a 5 g/dL difference in haemoglobin in samesex twins have been abandoned. Diagnosis now depends on finding polyhydramnios, cardiac hypertrophy and sometimes hydrops in the recipient twin; the donor twin develops oligohydramnios and can become a ‘stuck’ twin. The diagnosis of TTTS, particularly before 26 weeks, is very serious and there is a high risk of demise of one twin, with brain damage in the survivor. Current options include serial amniodrainage and laser ablation of the anastomotic vessels, of which the latter has been shown to have a better outcome in comparative studies.
5 multiples of the median) are present in maternal serum at 15–22 weeks of pregnancy when the fetus has an open neural tube defect. 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.
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. Lithium can be teratogenic and cause neonatal toxicity Rheumatoid arthritis Aspirin can cause neonatal bleeding, and possibility of high levels of morphine acquired via breast milk in babies whose mothers are slow metabolizers of codeine Systemic lupus erythematosus High miscarriage rate, and anti-Ro antibodies can cause fetal heart block Thrombocytopenia – idiopathic thrombocytopenic purpura Usually no serious effect on the fetus, which may have a low platelet count (for neonatal alloimmune thrombocytopenic purpura see Chapter 23) Thrombophilia and thromboembolic disease Common cause of maternal death and morbidity.
A Manual of Neonatal Intensive Care Fifth Edition by Janet M Rennie