By Bernard Valman, Roslyn Thomas
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Gastroschisis is a more extensive midline abdominal defect which is often associated with chromosomal anomalies such as trisomy 13 or 18. Surgical closure of the defect is indicated if the infant does not have other life-threatening symptoms. 6). The diagnosis of oesophageal atresia is confirmed by attempting to pass a tube down the oesophagus. The tube should have a relatively wide lumen (FG 10), must be stiff enough to prevent coiling in the upper oesophageal pouch, and should have a radio-opaque line so that the position can be checked by a chest radiograph.
These may be difficult to manage and may be followed by cerebral palsy at a later date if the episodes are prolonged. The various forms of treatment include stimulation of a limb during attacks or prophylaxis with oral caffeine or continuous positive airways pressure. Further reading Rennie JM. (2005) Robertson’s Textbook of Neonatology, 4th edn. Churchill Livingstone, Edinburgh. 1). In most cases there is probably a hairline fracture of the underlying cranial bone, which may be difficult to demonstrate but is unimportant since it affects only the outer table of the skull.
Children may be disturbed by the emotional distress of the parents and this may cause behavioural or sleep problems. Further reading support. 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. 23). CHAPTER 8 Dislocated and Dislocatable Hip in the Newborn OVER VI EW • Clinical testing for stability of the hips is an important part of the routine neonatal examination which is best done at around 24 hours of age.
ABC of the First Year, 6th Edition (ABC Series) by Bernard Valman, Roslyn Thomas
Categories: Nonfiction 3