Download A Manual of Neonatal Intensive Care Fifth Edition by Janet M Rennie PDF

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 broadly up-to-date and revised, whereas holding the heritage body structure, key references, and diagrams that made prior versions such a success.

Several new chapters were additional, together with the topics of fetal drugs, antenatal prognosis, and obstetrics for the neonatologist. utilizing a transparent, obtainable kind, this version beneficial properties discussions of evidence-based medication and the advent of extra easy-to-digest lists. The textual content has been made extra the world over 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 normal purposes for admitting a child to the extensive care ward.

A handbook for Neonatal extensive Care provides important tips for trainees in pediatrics, neonatology, and neonatal nursing and types 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

Example text

The current caesarean section rate in the UK is between 15% and 30% depending on the population served by the reporting unit. The indications for an elective caesarean section include breech presentation and previous caesarean section. Many caesarean sections are emergency operations performed in the first or second stage of labour for indications such as suspected fetal compromise or failure to progress. 4 Normal umbilical blood gas results; range derived from mean and two standard deviations (from Pomerance 2004) Instrumental delivery The ventouse is the currently favoured method for assisted vaginal delivery, with approximately 8% of babies being delivered this way in the UK.

Nuffield Council on Bioethics (2006) Critical care decisions in fetal and neonatal medicine: ethical issues. org. Rennie JM, Leigh, B (2008) The legal framework for end-of-life decisions in the UK. Seminars in Fetal and Neonatal Medicine, 13(5): 296–300. indd 19 6/3/13 9:12 PM 4 Maternal–fetal medicine for the neonatologist Key points ■■ ■■ ■■ Babies whose mothers were hypothyroid as a result of auto-antibody disease should be reviewed at around 2 weeks of age, with thyroid function tests, because they are at risk of thyrotoxicosis.

During the transition to postnatal life the fluid in the lungs must be reabsorbed, gas exchange must transfer to the lungs, and the fetal circulation must change to that of the neonate. In the fetal lung the functional residual capacity (FRC) is maintained by lung liquid which is secreted by type II pneumocytes. This liquid is essential for prenatal growth and development of the respiratory system. In the late stages of a normal pregnancy, increasing glucocorticoid levels prepare the fetal lung, by increasing compliance, stimulation of surfactant production and preparation for lung liquid reabsorption.

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