Neonatology for the Obstetricians Randhir Puri, SP Rathore
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Dr Malhotra Series
1Step by Step® Neonatology for the Obstetricians
2Dr Malhotra Series
Step by Step® Neonatology for the Obstetricians
Editors Randhir Puri MD WHO Fellowship (Materno-Fetal Medicine) Gynecologist, Military Hospital Belgaum, India SP Rathore MBBS DCH MNNF MIAP Narendra Malhotra Nursing Home Agra, India Guest Editor Moonis Faridi MD DCH MNAMS FIAP Series Editors Narendra Malhotra MD FICOG Jaideep Malhotra MD FICOG Foreword Rajeshwar Dayal
3Published by
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Jaypee Brothers Medical Publishers (P) Ltd
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Step by Step® Neonatology for the Obstetricians
© 2009, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
This book has been published in good faith that the material provided by editors is original. Every effort is made to ensure accuracy of material, but the publisher, printer and editors will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition: 2009
9788184485530
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Printed at Gopsons Papers Ltd, A-14, Sector 60, Noida 201 301, India
4
To Our Teachers—for Teaching Us
To Our Patients—for being Patient with Us
To Our Family—for Supporting Us
And To All Infants, Whom We Wish Good Health
5Foreword
It gives me immense pleasure to write this forward for this Step by Step series book on Neonatology. It is an excellent effort to guide medical practitioners and students about the day-to-day problems encountered. The practising obstetrician is many a times the first one to have a look at the newborn and in certain situations may have to do the initial resuscitation procedures.
This step by step book is meant to sensitize and orient the practising doctors to neonatology, which in itself is a separate subspecialty. The photographs are self-explanatory and the language of the chapters is simple to understand. I am confident that this book will serve the purpose for which it is intended and students, post-graduates, nurses, and practising obstetricians will immensely benefit.
Rajeshwar Dayal
md dnb siap mnams dch (london)
Professor and HOD
Department of Pediatrics
SN Medical College
Agra, India
6Preface
Obstetricians are the people who deal with neonate at the first instance in the delivery room. They are the ones, on whose acumen or ability depends the life of a neonate. Since there is no formal training in teaching curriculum for neonatology aspects of neonate, so with this aim an attempt has been made to bring about a guide to subspecialty of neonatology, from the point of view of an obstetrician.
This book deals with common problems faced by obstetricians, accoucheurs, nurses and paramedical staff. The conditions like Apnea, MAS, Seizures, etc. are the conditions that need immediate attention. Moreover, it is essential to know resuscitation of baby at birth.
The book has been divided into four parts:
i. Neonatology,
iia. Management protocols for common neonatal problems
iib. Procedures for NICU
iii. Essential equipment supplies
iv. Drugs
All topics are well covered in this book.
Authors sincerely hope that reader will benefit from this book!!
Randhir Puri
SP Rathore
7Acknowledgements
At the outset, we wish to thank our teachers, colleagues, patients for brining about the awareness and quest to do better, hence, the effort!
We wish to thank Colonel (Dr) Shanti Bhushan, Senior Advisor, Paediatrics and Neonatology, Military Hospital, Jallandhar, for his vision, guidance to initiate and sustain the effort.
We are indebted to Prof Rajeshwar Dayal, Head of Department of Paediatrics and Neonatology, SN Medical College, Agra, for going through manuscripts, suggesting changes and corrections. He has also encouraged us by writing the foreword for this book.
I have no words to thank Prof Moonis Faridi, Prof and HOD, Paediatrics and Neonatology, University College of Medical Sciences, New Delhi, my teacher and mentor for contributing the video on Neonatal Resuscitation, for just cause of spreading knowledge.
Dr Veena Chandra, MD (Obstetrics and Gynecology), became a force and reference point for checking the veracity of manuscripts and giving suggestions, which are valuable from an Obstetrician's view point.
The following gave us full cooperation to bring this book to present state in terms of proofreading, checking, providing photographs and bearing with us for their time. They are Dr Neharika Malhotra, Dr Anirudh Puri, Dr Samiksha Gupta, Dr Pallavi Jain and our families.8
We acknowledge Dr Kartik Bhagat and Dr Rachana for contributing video on Breast Crawl, their pioneering discovery.
Thanks to Mr Sunil Monga for providing us some pictures of the equipments.
At last, but surely not the least, we acknowledge our heartfelt thanks to our patients and neonates who become learning posts many a times, to make us do better, next and every time.