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Doctor insights on: Macrosomic Newborn

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Do breech babies carry congenital defects?

Do breech babies carry congenital defects?

Rarely: Rarely does this happen where babies have congenital defects that are severe enough that they either neurological impair the baby and prevent movement or simply get in the way of a baby being able to flip on its own. This is a rare cause of breech though. ...Read more

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Dr. Jeffrey Stevens
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Neonatal (Definition)

The term neonatal is generally used to describe events that occur with an infant within the first 30 days after birth.Some practitioners are looser with the definition & extend the ...Read more


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What causes neonatal jaundice in breastfed baby?

What causes neonatal jaundice in breastfed baby?

Depends,often normal: Mild jaundice is common & results from the baby's GI system just maturing & being able to excrete bilirubin. This happens when the liver becomes more functional during the first week or so of life. As the baby feeds, bilirubin leaves the body in the stool (hence yellow stools) & urine. If breastmilk is not yet in, more jaundice may occur. In other babies, it can be due to more serious conditions. ...Read more

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Who runs the newborn nursery== a neonatal nurse?

Who runs the newborn nursery== a neonatal nurse?

Pediatrician: Usually pediatrician and nursery nurse run the newborn nursery. Sometimes numerologist is involved. ...Read more

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Big baby, birth defects caused by diabetes? What defines macrosomia?

Big baby, birth defects caused by diabetes? What defines macrosomia?

Not just big.: Fetal macrosomia can be suspected by serial ultrasound in which the fetus exceeds the 90th percentile. This means that the baby is larger than 89% of the babies of same gestational age. Furthermore"macrocosmic" fetus are at a higher risk of shoulder dystocia (difficulty of delivering shoulders after the head is out) and hypoglycemia or dropping blood sugars shortly after delivery. ...Read more

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What percent of mothers with gestational diabetes deliver their babies prematurely?

What percent of mothers with gestational diabetes deliver their babies prematurely?

Depends On Control: There is no single digit answer you can apply to an individual patient. One brazillian study in 2011 found that 14% of 400 women delivered prematurely, but the rate really depends on how well the mother controls her disease, other issues like preeclampsia, and the reason for delivery (poor control can cause other problems for the mom/baby that could require a cesarean section before 38 weeks). ...Read more

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Can forceps delivery cause deafness in a newborn baby?

Can forceps delivery cause deafness in a newborn baby?

No: Forceps delivery can cause problems with the facial nerve, rarely. However, there is no concern for forceps delivery causing deafness. ...Read more

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Does fetal alcohol syndrome affect boy babies or girl babies more?

Does fetal alcohol syndrome affect boy babies or girl babies more?

No difference: Fetal alcohol syndrome (fas) affects both boys and girls. Fas and alcohol related neurodevelopmental disorder (arnd) are caused by prenatal exposure to alcohol and result in cognitive, learning, emotional, social, and behavioral problems in both genders of children. ...Read more

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Meaning of neonatal jaundice?

Jaundice : Physiologic neonatal jaundice is yellowing of the skin and whites of the eyes due to elevation of a breakdown product of old blood cells called bilirubin that builds up in newborns due to immaturity of liver enzymes. Pathologic neonatal jaundice can also result from various disease states. Phototherapy with special lights, or more aggressive therapy, may be needed to lower bilirubin to safe levels. ...Read more

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How does nursing differ in neonatal, newborn, and postnatal care?

How does nursing differ in neonatal, newborn, and postnatal care?

Breastfeeding : Nursing immediately after birth, baby receives colostrum rich in protein & antibodies. At this stage, baby is just learning to suck the correct way. After 3 days, transitional milk flows - rich in fat & lactose.After 7 days, mature milk comes in - largely water but also includes carbohydrates, proteins and fat. Baby sucks better, regains birth weight and continues further weight gain. ...Read more

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Are premature babies born with kidneys?

Are premature babies born with kidneys?

Yes : The kidneys develop in the first few weeks of fetal development. If a premature baby was born without kidneys then that would indicate another problem is present besides prematurity. ...Read more

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Does ivh only occur in preterm babies?

Does ivh only occur in preterm babies?

No, but more common: Intraventricular hemorrhage does not exclusively occur in preterm infants, although it is much more common in preterm infants as opposed to term infants. ...Read more

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Can an infant survive shaken baby syndrome?

Can an infant survive shaken baby syndrome?

Yes: Many fairly severe head injuries in children are recoverable. Current research suggests that the brain has remarkable ability to recover and is considered to be more and more "plastic" than we previously thought. ...Read more

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How common is periventricular leukomalacia in babies born full term?

How common is periventricular leukomalacia in babies born full term?

Uncommon: Very uncommon. Periventricular leukomalacia, or white matter pathology, represents some pathological process has occurred or is occurring. This would require an understanding of cause and perhaps an action plan wrt treatment, if possible. ...Read more

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Methemoglobinemia in infants?

Methemoglobinemia in infants?

G6PD defeciency: Two possible causes. Exposure to nitrates (rare in infants) or g6pd deficiency which can also cause methemoglobinemia in infants. Baby would need metabolic work-up and a good history of toxin exposures. ...Read more

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Baby born with inverted eyelashes?

Baby born with inverted eyelashes?

Entropion: A rare congenital defect, inversion of lid margin, results in discomfort and corneal damage because of the inward turning of eyelashes. ...Read more

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New Born babies with pacifier ?

New Born babies with pacifier
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Pacifiers: Yes please! Pacifiers are wonderful in my opinion. They satisfy babies need to suck, they sooth baby, they help mom and dad. They don't hurt teeth. Best of all there are studies which show a decreased incidence of sudden infant death with their use. This doctor and grandpa endorses them! ...Read more

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Is delivery of stillborn baby always vaginal?

Is delivery of stillborn baby always vaginal?

No.: When the timing of cessation of heartbeat is not certain, most will at least try to save the baby with an emergency c-section. ...Read more

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What type of nurse takes care of newborn babies?

What type of nurse takes care of newborn babies?

Nurses assigned: to the nursery take care of newborn babies. They maybe LPN's or RN's. Some may be cross trained from Labor and Delivery or OB nurses or pediatric nurses. ...Read more

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How rare is placenta abruption with polyhydramnios?

Less rare: Placental abruption is one of the increased risks associated with poly-hydramnios. Even then it is still fairly uncommon. ...Read more

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Will nursoy cause consipation in newborn baby?

Will nursoy cause consipation in newborn baby?

Newborn infants: vary in the type of stools they get with different formulas. Usually Nursoy is not a problem. Not all infants will have a BM daily, and it is common to grunt and strain, but if the stools are hard pellets, then a switch to a different, non soy formula may work. Be sure it is mixed right. Occasionally 5 ml of corn syrup in 1 oz of water may help. If infant has not stooled at all, see doctor. ...Read more

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Why is the case of dtga in newborns macrosomic?

Two not related: D-tga is not, to my knowledge, associated with syndromes that cause macrosomia. The d-tga is more likely to be isolated, with a separate, hopefully identifiable cause for the macrosomia (?Beckwith-wiedeman? Sotos syndrome?). ...Read more

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What is neonatal tetanus?

What is neonatal tetanus?

Affects babies <1mo: In cultures where tetanus immunization is not common, babies are born without any tetanus protection they would otherwise gain from their mother. If you add this to inconsistant hygene, unsterile tools used at delivery, or the application of dung(in some cultures) to speed the separation of the umbilical cord stump, these babies may acquire tetanus and die in the first month. ...Read more

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What is neonatal nursing?

Neonatal nurses: They are nurse who have extra training and experience to take care of newborns at the neonatal ICU. Those babies could be in the hospital due to prematurity, infections, congenital anomalies, depression or difficult transition around time of birth, etc ...Read more

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How common is neonatal tetanus?

How common is neonatal tetanus?

Depends on location: Neonatal tetanus is more common in situations where mom was never immunized or incompletely immunized leaving the baby without maternal protection at birth. Add that to the localized practices & problems result. Cutting the cord with a contaminated blade, or the application of dung ( practiced in some cultures) to speed cord stump separation & theres a good chance baby will get neonatal tetanus. ...Read more

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What tests are done on newborns?

What tests are done on newborns?

Depends on the state: Many states have either few or extensive tests on the newborn for treatable or significant conditions. In my state dozens are covered including phenylketonuria, sickle cell, thyroid and too many others to mention. Sometimes we check for anemia, blood sugar or infection, : blood tests for ABO reactions are common if mom is o+ and we commonly test for jaundice without drawing blood using a meter. ...Read more

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What tests are done on a newborn?

Varies: Depending on the status of the newborn (normal,premi, undersized, oversized,infant of diabetic,etc) the testing varies.With some, the basic testing includes metabolic screening for a variety of conditions.In my state, about 27 conditions are part of the screening.Other states vary. ...Read more

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Are newborns hard to take care of?

Are newborns hard to take care of?

Its tiring!: Newborns are not hard to take off - they only need a couple things. They need to eat often, sleep often and be cuddled lots. However, those things are very tiring to new parents, which can make it feel like the hardest job you have ever taken on. If you are feeling overwhelmed or stressed with your new one talk to your doctor. ...Read more

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How long can a newborn feed up to?

How long can a newborn feed up to?

You decide: Newborns get the majority of their feeding in the first 5-10 minutes of the feeding, and the rest of the time after that is just sucking/suckling time for pleasure and comfort. If you have time and nipples are not too sore, it's fie to let them do this a couple of times a day. If your nipples are very sore, or you are pressed for time, the 10 minutes is long enough to get the nutrition they need. ...Read more

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Can I take my newborn into public?

Can I take my newborn into public?

No: Newborns are more prone to infection so you wouldn't think of having someone with a "cold" or fever be around the baby in your house where you can control who visits. Therefore, for at least the first few weeks during seasons other than winter (when there's fewer infections around) and for longer during the winter season, no malls, supermarkets, airports & the like. Walks and drives are fine. ...Read more

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My newborn won't eat! please help?

My newborn won't eat! please help?

See your doctor: A baby who won't eat needs to be seen right away by a pediatrician or family practice doctor. ...Read more

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What is acute neonatal hydramnios?

About the fetus: When the fetus is developing their is too much fluid in the uterine sac for fetal development. ...Read more

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What causes newborn to be jittery?

What causes newborn to be jittery?

JITTERINESS;: Newborn are normally jittery for sometime, refluxes are brisk, jark with sound, light, simple movement like taping the bed, etc. This is due to immaturity of nervous system, incomplete myelinization of axons, immaturity of neurotransmitters in brain, etc. Other causes: birth asphyxia (less oxygen), insult/injury to brain, poor feeding with low blood glucose, low calcium, maternal drugs, etc. ...Read more

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My newborn won't eat. What can I do?

Call: Call your Pediatrician. Newborns can quickly become dehydrated. ...Read more

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Can I take my newborn out in public?

Can I take my newborn out in public?

It depends: Well, yes and no. In the first few months, it's best to avoid large groups of people so as to minimize your baby's exposure to infection. Your newborn's immune system is still immature and he is more susceptible to infection than an older child is. Even a cold in a toddler can cause serious breathing problems in an infant. It's still okay though (and good!) to take your baby for walks outside. ...Read more

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What is neonatal nurse practitioner?

What is neonatal nurse practitioner?

Just like it sounds: A nurse practitioner that specializes in neonatal medicine. ...Read more

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How much should a newborn be eating?

Depends: A brand newborn (1-3 days old) may eat only 1/2 ounce at a time, but a rule of thumb is 2.5 ounces per pound, per 24 hours. Divided into 8 -12 feedings. If the baby is breastfeeding it's harder to gauge, so we usually follow urine output instead -- at least 6 - 8 wet diapers / 24 hours. ...Read more

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How do I kniw if my newborn is sick ?

Fever, fussy: A newborn baby may have a fever (temp of 100.4 or higher) as a sign of illness. Irritability, poor feeding, poor sleep, or even lethargy could be a symptom. Severe cough or labored breathing could be due to a respiratory infection. Vomiting or diarrhea may be a sign of a gastrointestinal infection or food allergy. When in doubt, it's best to call your doctor if your baby is not acting him/herself. ...Read more

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Is my being heavy bad for my newborn?

Yes: If your weight is in the morbid-obesity zone, you have a high chance of dying or being disabled before your child reaches majority. I would say being orphaned is definitely an outcome you should take steps to protect your child from. ...Read more

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How can I get to know my newborn baby?

How can I get to know my newborn baby?

Typical behaviors: Over the next few weeks you will come to know your baby's personality and routine better than anyone. This is a good time to keep a journal and write down observations and or questions that you can bring to checkups. ...Read more

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Why do newborns wiggle around so much?

Spontaneous movement: The babies immature nervous has random muscle movements which maintain the size and tone of muscles long before the baby has any way to control them. It's sort of like a car running in neutral until they shift into gear. Muscles with no stimulation or movement shrink (think spinal cord injury or leg in a long cast).So the wiggles maintain basic muscle size until the kid learns haw to use them. ...Read more