Author Archives: neonataltips

Tip 86: audiology 2

10% of babies who have neonatal bacterial meningitis will develop sensorineural hearing loss. They should be referred for early formal audiology assessment. Reference: Newborn Hearing Screen Programme Clinical Group, (June 2012). Newborn Hearing Screening and Assessment: Guidelines for surveillance and audiological … Continue reading

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Tip 84: VZIG 2

~50% neonates exposed to maternal chicken pox will become infected despite VZIG prophylaxis. In up to 2/3 of these, infections are mild or asymptomatic but rare fatal cases have been reported in the period four days before to two days after delivery. … Continue reading

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Tip 83: varicella zoster immunoglobulin (VZIG)

VZIG is recommended for infants whose mothers develop chickenpox (but not shingles) in the period seven days before to seven days after delivery. VZIG is also recommended for VZ antibody-negative infants exposed to chickenpox or shingles in the first seven days of … Continue reading

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Tip 82: supraventricular tachycardia (SVT)

Presentation varies from antenatal hydrops and tachycardia, neonatal heart failure within the first 12-24 hours, to being asymptomatic. The termination of SVT is usually easily achieved by vagal manoeuvres or intravenous adenosine. Unusually DC shock is needed, especially with evidence … Continue reading

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Tip 81: congenital varicella

With maternal Varicella Zoster Virus (VZV) primary infection (chicken pox) at <20/40, congenital varicella syndrome can occur which includes limb hypoplasia, microcephaly, cataracts, growth retardation and skin scarring. The mortality rate is high. In the late 2nd and 3rd trimesters … Continue reading

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February doctors’ changeover

Dear all, For those of you changing jobs today, I wish you all the best for safe travels, a nice welcome to your new team and a good start to the job. If you have found Neonatal Tips useful over … Continue reading

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Tip 80: hydrops fetalis

Hydrops fetalis is defined as the accumulation of abnormal fluid in at least two different fetal compartments (e.g. subcutaneous oedema, pleural effusion, pericardial effusion, ascites). Polyhydramnios is often associated. Reference: Désilets, V., Audibert, F., Wilson, R., Brock, J. A., Carroll, J., Cartier, L., … Continue reading

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