Professional Documents
Culture Documents
in Newborn Infants
RinawatiRohsiswatmo
SubBag.Neonatologi
IlmuKesehatanAnak(IKA)
FKUIRSCM
Cord Hb concentration :
* Term infants : 17 g/dl (14 20 g/dl)
* Preterm infants : 14 g/dl (13 18 gl/dl)
HB concentration :
* Delayed clamping of the cord.
* Holding the infant below the level of the
placenta at birth.
B.
Investigation
Full blood count and film.
Blood group and coombs test.
Maternal kleihauer test.
Coagulation screen.
Cranial USG.
Exclude red cell abnormalities.
Serum bilirubin.
Management
Look for the underlying cause.
Acute blood loss and shock : rapid
resuscitation, give blood of group O.
Rhesus negative or blood harvested from
placenta at once.
Maintain the airway and if necessary give
oxygen.
Clinical Features
Apnoeic attacks.
Tachy cardia.
Poor feeding.
Poor weight gain.
O2 requirements
in O2 dependent infants.
Investigations
Full blood count, film and reticulocyte
count.
Serum bilirubin (total and conjugated).
Coagulation screen (if actively bleeding).
Serum bioten, copper and zinc (periorel
dermatitis).
Check stools for occult blood.
Management
Transfuse with PRC if symptomatic to raise
the Hb to 12 14 g/dl ( Ht > 45% ).
Volume of PRC to be transfused =
desired rise in Hb x weight in kg x 4
Bleeding Disorders
Etiology
Management
F F P 1020 ml/kg.
Platelet concentrates 1020 ml/kg.
Cryoprecipitate (~ factor VIII)