Author Archives: neonataltips

Tip 21a: maternal diabetes

~5% of all pregnancies involve women with diabetes. Nearly 90% of these are due to gestational diabetes. Reference: National Institute for Health and Care Excellence (2015).  Diabetes in pregnancy: management of diabetes and its complications from preconception to the postnatal period. … Continue reading

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Tip 20: ADEPT

ADEPT is the Abnormal Doppler Enteral Prescription Trial (2012, 404 babies). The main finding was that there was no benefit to delayed initiation of feeds (5 – 6 days of age) vs. early initiation of feeds (24 – 48h age) in … Continue reading

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Tip 19b: congenital rubella syndrome

In the presence of maternal infection, transmission is ~50% in the first month of pregnancy, reducing to 10% in the third month of pregnancy. Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.

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Tip 19a: congenital rubella syndrome

The classical trial of congenital rubella syndrome consists of: cataracts, deafness and congenital heart defects (especially pulmonary stenosis). Other features include: microcephaly, developmental delay, jaundice, thrombocytopenia and osteitis. Reference: Rennie & Roberton’s Textbook of Neonatology, 5th Ed, 2005. London: Churchill.

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Tip 18: blood pressure

As a rough guide, the 5th centile mean arterial blood pressure (mmHg) of a preterm infant is equal to the gestational age in weeks. The 50th centile is +10mmHg. The 95th centile is another +10mmHg. Reference: Rennie & Roberton’s Textbook … Continue reading

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Tip 17b: antenatal steroids

Treatment with antenatal corticosteroids in preterm babies is associated with an overall reduction in: perinatal death (RR 0.72, 95% CI 0.58 to 0.89) neonatal death (RR 0.69, 95% CI 0.59 to 0.81) RDS (RR 0.66, 95% CI 0.56 to 0.77) intraventricular haemorrhage (RR … Continue reading

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August Changeover

Thinking of you all today as you either start a new job or work hard to care for your patients while the newbies have induction. Please email me any feedback and tell incomers to neonatal medicine about Neonatal Tips! All … Continue reading

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