NEONATAL RESUSCITATION
(FIRST AID TO JUST
BORN BABY FOR COMMON MAN)
All new
borns usually
11) Cry well at birth
22) Pink in colour
33) Body movements & reflexes present
44) Normal breathing / Heart – beats.
But about 5%
don’t have any of these or all of these. Such babies need help to cry & to breathe
within 5-10 minutes of birth. Otherwise there will not be enough blood
circulation to brain which will result in damage to brain (cerebral palsy /
spastic child / mental retardation – permanent).
In order to
prevent such eventuality, these babies should be handled by an experienced new
born baby specialist & bring about normally in 5-10 minutes. Note the time
factor.
Apgar Score:
The five points mentioned above are assessed by a scoring system for prognostic
guidance each carry 2marks. A total of 10 marks out of 10 should achieved in
5-10 minutes after birth.
This method
was devised by a doctor by name Apgar. Hence the name.
A score
below 7 is not compatible for a normal state. Any baby with less scoring will
suffer from various deficiencies in mental faculties like low academic
performance in later life.
Cerebral
palsy (Spastic Child)
This is due
to low Apgar score at birth. The baby is usually blue & does not cry due to
various reasons like:-
11) Metabolic Disturbance
22) Maternal Conditions like spinal
anaesthesia
33) Cord around neck
44) Congenital problems, etc.
These babies will suffer from:-
11) Stiff body
22) Stiffness of all 4 extrimities
33) May throw fits often (they are often
referred to as vegetable) all due to brain damage at birth.
Little’s disease 200 yrs back, Children of well to do families with these
problem went to an orthopaedic surgeon by name Dr.Little (UK) who after seeing
lot of cases declared that this is due to inadequate obstetric care during
delivery & is preventable (by appropriate neonatal resuscitation) So an
orthopaedic surgeon discovered the cause of cerebral palsy & not by an
obstetrician or physician or general surgeon thanks to Dr.Little.
The Author has devised new technique by which almost 100% success rate
can be achieved in neonatal resuscitation.
DR.P.SELVARAJ
MD.,DCH.,FRSH (LONDON)
Email –
id of author:-
Consultant –
Child specialist
Consultant –
General Medicine (Adult)
Velammal
Family Clinic
TVS Colony 1st
main road,
Annanagar
West Extn,
Chennai –
600 101.
Ph. No.
7299005901
Please
visit my blog:-
drpselvaraj.blogspot.com
Look for
neonatal resuscitation & Aggressive neonatal resuscitation
Special
Neonatal resuscitation training can be given to staff nurses at Velammal
hospital.
For further
details
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