Download e-book for iPad: ABC of preterm birth by William McGuire, Peter W. Fowlie

By William McGuire, Peter W. Fowlie

ISBN-10: 0727917633

ISBN-13: 9780727917638

Preterm delivery is an incredible problem in perinatal health and wellbeing care. so much perinatal deaths happen in preterm babies, and preterm beginning is a crucial probability issue for neurological harm, together with cerebral palsy. This ABC covers all of the most modern details in this complicated and multidisciplinary region from obstetric concerns to fast care of preterm babies, respiration problems, and the way to supply help to the fogeys and family of the preterm infant.

With its transparent rationalization and lots of illustrations, normal practitioners, clinical scholars, paediatricians beginning their postgraduate education, nurses, and midwives will locate ABC of Preterm Birth a great reference

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Extra info for ABC of preterm birth

Sample text

Laboratory signs include: x Abnormal white blood cell count x Unexplained metabolic acidosis x Hyperglycaemia. Good management includes the early investigation of suspected infection (a chest x ray is needed if pneumonia is suspected), and microbiological culture of blood, urine, and cerebrospinal fluid if meningitis is suspected. Coagulase negative staphylococci are skin commensals and may contaminate samples that have been taken inappropriately. Conversely, blood samples that are of insufficient volume may give falsely reassuring negative results on culture.

ABC of preterm birth Inhaled corticosteroids Little evidence exists to support the use of nebulised corticosteroids for preterm infants with evolving or established respiratory distress syndrome, although their use in ventilated infants with chronic lung disease may allow earlier extubation. Diuretics for chronic lung disease Diuretics are often used to treat infants with chronic lung disease because they reduce pulmonary oedema, decrease oxygen requirements, and improve lung compliance. Diuretics, however, also cause electrolyte disturbances, bone loss, and nephrocalcinosis.

Necrotising enterocolitis A major concern with the introduction of enteral feeds (especially to very preterm, growth restricted, or sick infants) is that the additional physiological strain on the immature gastrointestinal tract may predispose to the development of necrotising enterocolitis. The risk of necrotising enterocolitis is inversely related to gestational age and birth weight. The incidence is 5-10% in very low birth weight infants. The mortality rate is reported consistently as greater than 20%.

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ABC of preterm birth by William McGuire, Peter W. Fowlie

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