By Geoffrey Chamberlain, Margery Morgan

(BMJ publication) textual content has been up to date all through and redesigned within the present ABC layout. Covers association of care, general antenatal administration, fetal well being, paintings in being pregnant, raised blood strain, preterm hard work, a number of being pregnant, audit of delivery, and extra. past version: c1993. Softcover.

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Examination of the hips should be performed more than 15 hours after birth because few ligamentous clicks will be found. (a) NORMAL α у 60° α Fem head Ultrasound in screening If ultrasound screening is undertaken in every infant before leaving hospital, imaging facilities will be required seven days a week. Twenty percent of hips may be considered abnormal and the majority will resolve to normal within four weeks. Selective screening with ultrasound of infants with a clinical hip abnormality or risk factors for congenital dislocated hip (breech delivery, positive family history, or foot deformity) reduces the screened population and allows treatment options to be delayed and targeted effectively.

There may be a family history of the condition; the anomaly is more common in girls and after the extended breech position in utero. There is a higher incidence in some countries, such as Italy and the former Yugoslavia. The best time to examine the infant’s hips is between the ages of 12 and 36 hours, 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 her back with the sheet spread completely flat.

T. Polio Hib Meningo C Measles, Mumps, Rubella (MMR) Date given Please use ball point pen and press firmly. Batch number Signature Treatment in full centre code Immunisations Further comments on consultation sheets: YES/NO Routine examination of the newborn Parents must also be told that because the death is of unknown cause the coroner will have to be told as a matter of routine and that there will be a necropsy. If the parents want to see the infant’s body (and they should be asked), the infant is clothed and a doctor or nurse should be present to answer questions and provide support.

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