1. FREQUENTLY ASKED QUESTIONS(FAQ) BY DR S N PANJAWANI Consultant pediatrician and neonatologist Dixit hospital. FREQUENTLY ASKED QUESTIONS(FAQ) BY DR S N PANJAWANI Consultant pediatrician and neonatologist Dixit hospital.

2.  Definition- Full term, Vertex presentation born after completed 37 weeks,2.5kg birth Wt. Early diagnosis of congenital malformation. 1. Polyhydramnios 2. Oligohydramnios 3. Single umbilical artery 4. Gross external cong.anamolies.

3.  Vitals  Weight  Head circumference  Color  Breathing  Limbs  LEVELS OF NICU CARE- 3 Levels.  Vitals  Weight  Head circumference  Color  Breathing  Limbs  LEVELS OF NICU CARE- 3 Levels.

4.  Start within ½ hr in normal delivery and 4 hrs in caesarian delivery.  If not possible expressed barest milk- good for 4-6 hrs at room temp.,12 hrs in refrigerator.  If not other mothers milk  If not formula milk 1. How to prepare? 2. How to give? 3. How much to give?

5.  Delayed till second day.  In babies Wt <2kg only sponging  Bath in PT babies after cord falls.  Warm water,not more than 3 min.  Clean the genitals last.  Avoid daily bath in winter.  Talcum powder not necessary.

6.  Yes  Oil that suits the baby  After 2-3 weeks  Olive oil, coconut oil  Avoid mustard oil.

7.  Falls in 7-10 days.  Not to touch with unclean hands  Can apply Neosporin powder, ethyl alcohol  No dressing

8.  Don’t apply kajal  Instillation of colostrum decreases the chances of conjunctivitis.  Eye drops only if eyes are sticky.

9.  Dress should be loose  Soft,cotton  Open from front or behind  No plastic nappies.  Thick,soft,absorba nt material nappies.  BCG,OPV AND HEP. B at birth.  Regular vaccination.  Ask doctor about new vaccines.  Do not avoid for the risk Of minor adverse effects.

10.  Bleeding from any site  Jaundice  Not passing stool in first 24 hrs and urine in first 48 hrs.  Poor feeding.  Apnea  Excess crying  Seizures  Cyanosis and difficulty in breathing.

11.  Multi vitamin drops including Vit D in all babies till 6 months of age.  Calcium  Iron drops started after 3-4 weeks.  Simyl MCT oil and HMF sachets for pre term/LBW babies.

12. 1. Vomiting-Normal if spits 2-3 times, small quantity. -Up right position,Burping,anti emetic drops 2.Constpation- Up to 7 days normal. -Can give glucose water. 3.Diarrhea- What is normal. -If exclusive breast feed- Reassurance

13.  See the Quantity,Frequency,Color,Smell. 4.-Jaundice- Abnormal if in first 24 hrs. -Mild yellowish-sclera-normal. -Consult immediately when in doubt. 5.Hiccough,Sneezing,Yawning- Normal, Physiological. 6.Dehydration fever-More in summer. -Frequent feeding, no excess wrapping. 7.Superficial infections-Conjunctivitis -Pustules -Umbilical sepsis

14. 8.Excess crying-Mostly due to colic. 9.Evening colic-Cuddling,kissing,taking to a drive,patting,prone positioning. -Anti spasmodic drops, Application of Hing,ajwaine to umbilical area. 10.Breath holding spells 11.Choking episode 12.Excess sleepiness.

15.  Mastitis neonatorum  Vaginal bleeding, discharge  Caput succedaneum  Cephalohematoma  Cradle cap-coconut oil application  Flat head  Extended legs in breech delivery

16.  Watering from eyes- Eye massage, drops  Umbilical hernia-Common salt application  Nappy rash-Coconut oil, cream  Erythema toxicum-Disappear by 4-5 days.  Peeling of skin-Liquid paraffine,olive oil  Cutis marmorata  Millia  Stork bites  Mongolian spots  Sub conjunctival haemorrage.

17.  Epstain pearls on palate  Succing callosities  Congenital teeth-Requires removal if interfere with feeding  Tongue tie  Phimosis  Congenital hydrocele- Wait till 3 months  Hymenal tags  Sacral dimple  Prominent xyphisternum  Umbilical hernia  Bowed legs.

21. NEONATAL TEETHCUTIS MARMORATA

22. CRADLE CAPCAPUT SUCCIDENUM

23. DIPER RASHDIPER DERMATITIS

24. ON BUTTUCKSON BACK

25. PHIMOSISSACRAL DIMPLE

26. STORK BITES SUB CONJUNCTIVAL HAEMORRAGE

27. UMBILICAL GRANULOMA PROMINENT XYPHISTERNUM