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What are the maternal serologies we do in Intrapartum / NICU? (
ABO
RH
ABSCREEN
GLUCOSEGDS
HIVSERO
HEPBSAG
HCVAB
RUBELLAIGG
VARICELLAIGG
CHLAMTRACHNA
NGONOTEST
SYPHILISANT
TSH
URINECX
What does each mean? part A
Test Meaning / What are we looking for? What is the result? How does it affect baby?
Test/ Serology
ABO
Meaning
Result
Effect on baby (to anticipate)
RH
ABSCREEN
GLUCOSEGDS
HIVSERO
HEPBSAG
HCVAB
RUBELLAIGG
VARICELLAIGG
CHLAMTRACHNA
NGONOTEST
SYPHILISANT
TSH
URINECX
What does AGA, what are the parameters and what does it impacts?
Why do we give Vit K, If we don’t, what should we anticipate?
What are the differences between the caput?
SUBGALEAL HEMORRHAGE
What do you know?
- It is rare and potentially life-threatening that is mostly associated with delivery by vacuum extraction but can occur with any mode of delivery.
develops when the large emissary veins connecting the dural sinuses and scalp veins rupture or are severed. Blood accumulates in the subgaleal (or "subaponeurotic") space which extends from the orbital ridges anteriorly to the nape of the neck posteriorly and to the level of the ears laterally. The clinical spectrum of SGH severity varies widely from mild asymptomatic to severe with developing hemorrhagic shock, coagulation defects and even death.
Risk factors includes vacuum extraction time greater than 20 minutes and/or greater than three (3) pulls and/or greater than two (2) cup detachments.
What do you see?
An increase in head circumference from initial measurement.
Diffuse fluctuating scalp swelling, scalp feels like "leather pouch filled with water", displaced earlobes, puffy eyelids
Pallor, poor perfusion, lethargy, poor feeding. Tachypnea, increase work of breathing or tachycardia (HR greater than 160 bpm). Apnea. Seizure.
What do you do?
Cephalohematoma
Caput succedaneum