By Grenville Fox
Now in its moment version, the Oxford guide of Neonatology is the fundamental simple advisor for all healthcare execs keen on the care of newborns. available, useful, and up-to-date with the most recent proof, this can be a key source designed to be used on the cot-side. utilizing tips from the Royal collage of Paediatrics and baby health and wellbeing and together with the freshest great guidance, the second one variation of this guide makes use of broad diagrams and an easy-to-use structure to hide strong communique perform, neonatal emergencies and technical tactics. totally up-to-date and revised with multiplied sections overlaying healing hypothermia and developmental care among different advances within the box, the Oxford guide of Neonatology is a helpful and updated advisor to a quickly evolving box. Taking a worthy family-centred method of neonatal care, this is often the fundamental source for all healthcare pros operating with newborns, from the undergraduate clinical pupil to the general practitioner at the ward
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Extra resources for Oxford Handbook of Neonatology
Umbilical cord prolapse Obstetric emergency, usually managed by emergency Caesarean section, due to high risk of cord compression or vascular spasm l risk of fetal hypoxia ischaemia. Risk i with: • Multiple birth • Polyhydramnios • PPROM • Malpresentation (breech, transverse lie). 15 16 16 Chapter 1 Antenatal care, obstetrics, & fetal medicine Problems during labour and birth Malpresentation • Breech presentation: • incidence 73% at term • external cephalic version ld incidence of vaginal breech or elective Caesarean section.
13 14 14 Chapter 1 Antenatal care, obstetrics, & fetal medicine Preterm labour and other obstetric complications Preterm labour Onset of labour <37 weeks gestation. Causes/associations include: • Idiopathic (780% cases) • Polyhydramnios • PPROM • Chorioamnionitis • APH • Cervical incompetence • Low socio-economic status. g. for multiple pregnancy or onset of preterm labour >1 week after the initial course) • Magnesium sulfate: given to women at risk of early preterm birth reduces the risk of cerebral palsy in surviving babies.
Midwifery and obstetric staff who attend all births should be trained in basic life support of newborn babies and neonatal unit staff should be trained in advanced life support. Births that neonatal unit staff should attend At least one member of the neonatal unit team, competent in resuscitation of the newborn, should attend high-risk births. Opinion regarding what defines ‘high-risk’ varies and so recommendations differ from unit to unit. g. congenital myotonia, myasthenia gravis). Resuscitation guidelines Fig.