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perinatal care

Q: Should very prem babies be given CPR?

21 Feb, 10 | by Bob Phillips

So it’s all ethical stuff at the moment. Does the following question reach a point where evidence no longer has a role?

“A premature baby born at 24 weeks gestational age is admitted to the neonatal unit having been born apnoeic, floppy, blue and without a heart rate. After cardio-pulmonary resuscitation (CPR) with adrenaline in the delivery room, a heart rate was noted. Is CPR in these infants inappropriate? What is the chance of survival and risk of disability?

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HPV – do infected mothers need caesarean section?

7 Jul, 09 | by Bob Phillips

It’s an interesting question, and one which may not concern us in the next twenty years (if vaccination programmes are effective and maintained). But until we can eradicate HPV, what should we recommend to mothers who are infected?

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Q: Tongue tie division for breastfeeding?

2 Apr, 09 | by Bob Phillips

Cute baby with tongue tieHave you (yet) had a parent ask for a referral for tongue tie division to assist with a poorly feeding baby? What is the right answer to this question; more…

Q: How long do you wait to clamp a cord?

7 Dec, 08 | by Bob Phillips

Too many red cellsWhen I was doing neonates, it was considered good practice to get little babies spliced away from their Mother, given oxygen to breathe and wrapped up warm, all pretty damn quickly. I keep hearing rumours from my neonatally biased friends that perhaps there are other, better ways of doing things.

So – how long do you advise waiting until clamping the umbilical cord after delivery? Two, three minutes (where the baby can chill & develop polycythaemia?) or as little time as it takes you to get hold of a clamp (so the child can be deprived of the last few teaspoons of good fetal blood?).

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Latest from Archives of Disease in Childhood

Latest from Archives of Disease in Childhood