By Janet M Rennie
The 5th version of this hugely winning and well-regarded booklet maintains to supply these operating in neonatal in depth care devices with certain directions at the analysis and administration of universal neonatal difficulties. This version has been greatly up-to-date and revised, whereas conserving the heritage body structure, key references, and diagrams that made prior variations such a success.
Several new chapters were extra, together with the themes of fetal drugs, antenatal prognosis, and obstetrics for the neonatologist. utilizing a transparent, obtainable sort, this version good points 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 basic purposes for admitting a child to the extensive care ward.
A guide for Neonatal in depth Care provides helpful tips for trainees in pediatrics, neonatology, and neonatal nursing and types an invaluable ready-reference for the working towards pediatrician and nurse.
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Extra resources for A Manual of Neonatal Intensive Care Fifth Edition
Although the cord pH results are poor predictors of death or cerebral palsy, a normal paired cord gas result (with sufficient difference between the paired samples to show that two vessels were sampled) is strong evidence against intrapartum hypoxic ischaemia. 4. ■■ Mode of delivery Caesarean section The rising caesarean section rate in developed countries has been the subject of much debate. The current caesarean section rate in the UK is between 15% and 30% depending on the population served by the reporting unit.
Prelabour rupture of the membranes at term ■■ Immunological conditions ■■ Preterm membrane rupture Preterm premature rupture of the membranes (PPROM) complicates ~2% of pregnancies but is associated with 40% of preterm deliveries and can result in significant neonatal morbidity and mortality. The three causes of neonatal death associated with PPROM are prematurity, sepsis and pulmonary hypoplasia. PPROM is diagnosed on the basis of maternal history, evidence of liquor in the vagina and ultrasound evidence of oligohydramnios.
Deaths of babies in neonatal units often occur as a result of redirection of care from ‘preservation of life at all costs’ to a package of ‘comfort care’. This should not be considered as ‘withdrawal of care’. At the centre of all neonatal practice is the desire to deliver excellence in the care of newborn infants and appropriate support for their families. gov. uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/ DH_107845). This ‘toolkit’ includes a set of quality standards for neonatal care and sets standards for staffing and family-centred care, including advice on network clinical governance.