ABC of the First Year, 6th Edition (ABC Series) - download pdf or read online

By Bernard Valman, Roslyn Thomas

ISBN-10: 1405180374

ISBN-13: 9781405180375

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Extra info for ABC of the First Year, 6th Edition (ABC Series)

Sample text

In some cases autopsy discloses an unsuspected congenital abnormality or rapidly fatal infection. But usually there is no evidence of severe disease, though there might be slight reddening of the tracheal mucosa. Parents often blame themselves and may worry that the infant suffocated as a result of neglect. They should be told that their feelings of guilt are a natural reaction and the doctor should explain to them, and to anyone who was looking after the baby when death occurred, that cot death is a well recognized, but poorly understood condition and that no one is to blame for the infant’s death.

The value of an obturator before operative closure of the palate is controversial. If an obturator is needed, it should be made and fitted within 24 hours of birth. Despite excellent operative results, these children are prone to recurrent otitis media and problems with speech development. Infants born to a family with a parent or sibling with cleft lip and palate, and those born to mothers who have epilepsy, have a higher risk of cleft lip and palate. 5). About 30% of preterm infants who have received mechanical ventilation have an umbilical hernia.

The best time to examine the infant’s hips is between 24 and 36 hours after birth, as the tendency to provoke regurgitation is less and there is less ligamentous laxity by that time. The examiner’s hands should be warm and the infant should be placed on their back with the sheet spread completely flat. The infant should be fully relaxed and this may be encouraged by putting an empty sterile feeding teat in their mouth if necessary. The gentle abduction test, followed by Barlow’s test, should be carried out in all cases.

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ABC of the First Year, 6th Edition (ABC Series) by Bernard Valman, Roslyn Thomas


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