Neonatal resuscitation and care.doc

 PAGE \* MERGEFORMAT 9 Neonatal resuscitation and care In recent years, with the same production if the development of medicine, neonatal resuscitation technology is constantly improving, so the implementation of neonatal resuscitation staff requirements: 1. Must be familiar with neonatal hypoxic respiratory and circulatory physiology and pathology of suffocation, 2 . must be effective control and hypoxic neonatal resuscitation object .3 diagnosis of asphyxia. must be familiar with the various steps in neonatal resuscitation and the operation of the application of technology and drugs .4. must be familiar with information on the monitoring of newborns. First, neonatal asphyxia common cause of hypoxia (1) 1. Maternal disease: the early middle age (gt; 35 years), diabetes, hypertension, toxemia of pregnancy, anemia (hemoglobin lt;10g/100ml), immune and genetic disorders, infections, placental dysfunction (decreased estriol) abruption, antepartum hemorrhage, severe heart disease, low blood pressure, alcoholism and drug effects (adrenal cortex hormones, diuretics, antihypertensive drugs, magnesium sulfate, etc.) affect fetal growth and development. 2. Deliveries: The fetal abnormalities, forceps, to attract production and caesarean section, prolonged labor, intense uterine contractions (intrauterine pressuregt; 25-35mm Hg), long broken membranes, polyhydramnios, placental blood flow obstruction of gas exchange , and 1 to 3 hour delivery applications sedative and analgesic drugs, inhibition of fetal respiratory center. 3. Fetal factors: multiple gestation, meconium stained amniotic fluid is, premature birth, fetal growth retardation, the umbilical cord tied around the neck and prolapse, hypoxia and acidosis, inhalation of amniotic fluid and blood, intracranial hematoma, abnormal heart and lung damage and neonatal and so on. Second, neonatal resuscitation and the clinical estimate the object Neonatal asphyxia is the main cause