TY  - CHAP
M1  - Book, Section
TI  - The Birth of a Child
A1  - Iben, Sabine
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - Mary  and  Joe  are  expecting  their  first  baby.  The  pregnancy  has  been  without  complications;  routine  prenatal  screens  and  ultrasounds  have  been  negative  including  the  screen  for  Mary’s  Group  B  Streptococcal  (GBS)  status,  the  Quad  screen  for  fetal  anomalies  and  cystic  fibrosis  carrier  status.  Mary  is  happy  to  report  strong  fetal  movements.  One  week  before  her  due  date  Mary  experiences  strong  contractions.  She  is  admitted  in  active  labor,  membranes  rupture  spontaneously  within  2  hours  after  arrival  in  the  hospital.  Labor  progresses  uneventfully,  pain  relief  is  provided  by  epidural  anesthesia.  Ten  hours  later  a  vigorous  baby  girl  is  born.  The  only  intervention  provided  for  resuscitation  is  drying  followed  by  skin-to-skin  placement  on  mother’s  chest  for  bonding.  Initial  physiologic  cyanosis  is  resolved  by  5  minutes  of  life  (Figure  4-1).  APGAR  scores  of  8  at  1  min  and  9  at  5  min  are  assigned.  Her  weight  shows  that  she  is  appropriate  for  gestational  age.  Erythromycin  eye  ointment  is  applied  to  both  eyes  for  prophylaxis  of  ophthalmia  neonatorum,  an  injection  of  Vitamin  K  intramuscularly  is  given  for  prophylaxis  of  hemorrhagic  disease  of  the  newborn.  Mary  chooses  to  breastfeed  that  is  initiated  shortly  after  delivery  with  the  aid  of  a  lactation  consultant.  Over  the  next  couple  of  days,  the  newborn  is  breastfeeding  about  10  times  a  day,  voiding  several  times  a  day  and  has  passed  her  first  meconium  stool  by  14  hours  of  life.  On  day  of  life  #  2  she  has  lost  6  percent  of  her  birthweight  and  appears  mildly  jaundiced.  A  bilirubin  level  shows  a  value  within  the  physiologic  range.  She  is  discharged  at  about  50  hours  of  life  with  her  mother  and  a  follow-up  visit  with  her  pediatrician  is  arranged  for  2  days  after  discharge.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114868850
ER  -