Postnatal Care/Jaundice Newborn NICE Flashcards
Risk of maternal death during pregnancy and 6 weeks postnatally?
- Black women
- Mixed ethnicity
- Asian
- White
- Black 34/100,000 - 4 x higher
- Mixed ethnicity 25/100,000 3 x higher
- Asian women 15/100,000 2 x higher
- White 8/100,000
Neonatal mortality rate white vs black/asian women
White 17/10,000
Black/asian 25/10,000
50% greater
When does the MW home visit occur?
Within 36 hrs
What does 1st health visitor?
D7-14
What % of baby develop jaundice in 1st week go live?
60% term
80% preterm
What % of breastfed babies will be jaundice at 1 month>
10%
Is jaundice in 1st 24 hours normal?
No should have serum bilirubin measured (within 2 hours)
For which babies must have serum bilirubin instead of transcutaenmous bilirubinometer
1st 24hrs of life
<35 weeks
Treatment for high bilirubin
phototherapy
IVIG - if rhesus haemolytic disease ABO
Exchange transfusion - very high
Ab in labour for GBS risk, no pen allergy, no chorio
IV Ben Pen
Ab in labour for GBS risk, non severe pen allergy, no chorio
Cephalosporin e.g. cefotaxime
Ab in labour for GBS risk, severe pen allergy, no chorio
Vancomycin
Ab in labour for GBS risk, no pen allergy, has chorio
IV Ben Pen + Gent
Ab in labour for GBS risk, non severe pen allergy, has chorio
Cephalosporin + Metronidazole
Ab in labour for GBS risk, severe pen allergy, has chorio
Vancomycin + Gent + Met
Risk factors for EONGBS
Suspected/confirmed infection of another baby in multiple preg
Invasive Group B strep in previous baby or maternal group B strep colonisation in current pregnancy
Pre term labour < 37/40
>18 PPROM
>24 PROM
Intraprtum fever >39
Clinical Dx chorio
What Abx used for 1st chose for suspected early onset infection in neonate?
IV benzene + gent
