Neonatal Medicine
Neonatal Jaundice
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Introduction
Learning Outcomes
Background
Every baby gets...
The Apgar test
Physiological Changes at Birth
Changes at Birth
Before Delivery
After Delivery
Failure of Adaptation
Vitamin K
The Newborn Baby Check
The Newborn Baby Check
Baby Check Video
Explaining the baby check
Cephalohaematoma
Caput
Blue spot
Erythema Toxicum
Neonatal Gynaecomastia
Withdrawal bleeding/discharge
Growth & Nutrition
Plotting Growth
Using Growth Charts
Neonatal & Close Monitoring Chart
Feeding
Feeding & Prematurity
Neonatal Jaundice
Bilirubin Metabolism
Early jaundice
Prolonged Jaundice
Group B Streptococcus
Group B Streptococcus
Screening
When to screen
Screening in Pregnancy
Universal Hearing Screen
Newborn Blood spot Screening
What goes wrong?
What goes wrong?
What systems are affected by prematurity?
Longterm Outcomes
Assessment
Self-assessment
Question 1
Question 2
Question 3
Question 4
Question 5
Question 6
Question 7
Conclusion & Evaluation
Wrapping Up
Evaluation
Early jaundice
Physiological Jaundice is very common with almost all neonates affected
This is jaundice arising after 24 hours and resolving with 14 days (21 in premature infants)
It may require treatment with phototherapy
Jaundice may be more severe in: preterm infants, sepsis, severe heamolysis (due to Rh-incompatibility, ABO incompatability, G6PD deficiency, spherocytosis) and bruising (cephalohaematoma or subgaleal haemorrhage)</li>
In a child felt to be clinically jaundiced, the level should be checked and plotted on a gestationally appropriate chart (
NICE Guideline on Jaundice
)
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