The goal of initial care after delivery is to ensure optimal conditions for postnatal adaptation and perform initial neonatal examination: bonding (mother – newborn) => important for lactation and neurodevelopment breastfeeding (suck reflex) prevent heat loss care for the umbilical cord temperature measurement birth weight (and length) Crede procedure (preventing gonococcal conjunctivitis) medical documentation and newborn ID…
Postnatal adaptation is a complex process that involves multiple adaptive changes within several organ systems. For successful transition from intrauterine to extrauterine environment, relatively rapid conversion to air breathing and blood flow changes (especially in pulmonary vascular system) must occur simultaneously. Spontaneous breathing causes water in lungs to be resorbed into blood and lymphatic vessels,…
Disorders of sex development (DSD) were previously called intersex, incidence is approximately 1:5000 of live births. DSD encompass inadequate production of sex hormones, inappropriate hormonal functioning and gonad developmental anomalies. There is an increased risk of other associated anomalies and gonadal tumors. The patients may require surgery or hormone replacement therapy. Apart from clinical examination and imaging…
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