By Geoffrey Chamberlain, Margery Morgan
(BMJ ebook) textual content has been up to date all through and redesigned within the present ABC layout. Covers association of care, general antenatal administration, fetal well being, paintings in being pregnant, raised blood strain, preterm exertions, a number of being pregnant, audit of beginning, and extra. past version: c1993. Softcover.
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37 ABC of the First Year characteristic pneumatocoeles, which are air filled spaces. Complications are pneumothorax and empyema. In osteomyelitis there are often no specific signs, just an ill infant who will not feed. Reluctance to move a limb and crying when the limb is moved or touched are valuable localising signs, but swelling at the site of the lesion is a late sign. A radioisotope scan may show changes at an early stage of neonatal osteomyelitis and later a radiograph of the limb may show a soft tissue swelling or a raised and thickened periosteum.
11 Hydronephrosis. 3 Antibiotics for specific infections Staphylococcus Streptococcus Flucloxacillin Benzylpenicillin(IV) E. coli: Septicaemia Meningitis Gentamicin Cefotaxime Paediatric HIV Perinatal transmission of HIV from an infected mother to her infant can now be reduced to Ͻ5% by preventive measures taken during pregnancy and the perinatal period. It is recommended that all mothers should be encouraged to have an HIV screening test as part of their routine antenatal screening. It is now known that infants are most at risk of becoming infected with HIV during vaginal delivery, when they swallow maternal secretions containing the virus, and later during breastfeeding.
Parents should be encouraged to see the infant’s body as this will help the grieving process. Discussion with the parents will determine who is best to help with their grieving. The family doctor and health visitor should be informed of the death immediately. The family doctor should explain the results of the necropsy to the parents or arrange for a paediatrician to do this. Brothers and sisters of the infant who has died will need reassurance that they will not die and are in a safe and loving environment.
ABC First Year by Geoffrey Chamberlain, Margery Morgan