Saturday, March 1, 2014

BABY LOSS IN NICU

The concept of NICU is to help neonates in problem.Some of them are preventable.some are congenitalAmong the preventable causes all are managable by an experienced neonatologist during resusitation Hence prevention is more important than getting sad &depressed latter.A bad resusitation for baby loss in twins/trplets.For congenital problem like RDS there are some set protoclos But the result is often negative Some doctors put mothers on steroids to hasten lung maturity in anticipation of RDS .They are often successful
Some of the manageble causes are 1)neonatal apnic spells 2)meconium aspiration 3)cord around neck
4)convulsions 5)post anaesthetic effect .6)CPD 7) breach .8)low apgar score at birth.Mother should fix pediatrician prior to delivery.ALL MOTHERS SHOULD ANTICIPATE THE WORST &be prepared toface  IF IT OCCURS This does not mean youhave  negative thoughts but never have positive thoughts only.Husband &mother are best supportersA premature delivery is often possible to postpone by many techniques.One of the best is cervical suturing,.Apsychiatric counselling may be required in some.