Neonatology Book

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Newborn History

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  1. See Also
    1. Newborn Exam
    2. Newborn Resuscitation
    3. Neonatal Distress Causes
  2. Family History
    1. Metabolic Disorders
    2. Hemophilia
    3. Cystic Fibrosis
    4. Polycystic Kidneys
    5. History Perinatal Deaths
  3. Maternal History
    1. Maternal Age
    2. Blood Type and history of blood group sensitization
    3. Transfusions
    4. Bleeding Disorders
    5. Chronic Maternal Illness
    6. Diabetes Mellitus
    7. Hypertension
    8. Renal or Cardiac Disease
    9. Sexually Transmitted Disease (e.g. Genital Herpes)
    10. Infertility
    11. Recent Infections or Exposures
  4. Current Pregnancy
    1. Probable Gestational Age
    2. Quickening (16-18 wks)
    3. Fetal Heart Tones heard with fetoscope (18-20 wks)
    4. Ultrasound results
      1. Confirms dates?
      2. Amniocentesis
      3. Polyhydramnios or Oligohydramnios
    5. Lung maturity labs
      1. L/S ratio
    6. Pregnancy Induced Hypertension (Preeclampsia)
    7. Second or Third Trimester Bleeding
    8. Trauma
    9. Infection
    10. Surgery
    11. Glucocorticoids
    12. Labor suppressant
    13. Antibiotics
  5. Labor and Delivery
    1. Presentation (Breech or other abnormal presentation)
    2. Onset of Labor
    3. Rupture of Membranes
      1. Premature Rupture of Membranes
      2. Prolonged Rupture of Membranes >18 hours
    4. Duration of Labor
      1. Prolonged labor: >24 hours
      2. Prolonged second stage of labor: >24 hours
    5. Fever
    6. Fetal Monitoring
      1. Fetal Bradycardia
      2. Non-reassuring Fetal Heart Rate tracing
    7. Amniotic Fluid
      1. Blood or Meconium in fluid
      2. Amniotic Fluid Volume
    8. Analgesic (e.g. Narcotics within 4 hours of delivery)
    9. Anesthesia (e.g. general anesthesia)
    10. Maternal Oxygenation and Perfusion
    11. Method of Delivery
    12. Initial Delivery Room Assessment
      1. Shock
      2. Asphyxia
      3. Trauma
      4. Anomalies
      5. Fever, Hypothermia or other signs of Infection
    13. APGAR Scores
    14. Resuscitation
    15. Placental Exam
    16. Other complications
      1. Prolapsed Cord
      2. Abruptio Placentae
      3. Placenta Previa
  6. Previous Pregnancies and Outcomes
    1. Abortions
    2. Fetal demise
    3. Neonatal deaths
    4. Preterm delivery or postterm delivery
    5. Malformations
    6. Respiratory Distress Syndrome
    7. Jaundice
    8. Apnea
  7. Maternal Drug History
    1. Medications
      1. Lithium
      2. Magnesium
      3. Beta Blocker
    2. Substance Abuse
    3. Alcohol Abuse
    4. Tobacco abuse

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