An early arrival

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Medicine Mind Map on An early arrival, created by ahmed alhabshi on 25/04/2019.
ahmed alhabshi
Mind Map by ahmed alhabshi, updated more than 1 year ago More Less
mahmoud eladl
Created by mahmoud eladl about 6 years ago
ahmed alhabshi
Copied by ahmed alhabshi about 5 years ago
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Resource summary

An early arrival
  1. Antenatal care
    1. Routine Investigations and Physical examinations
      1. Urine
        1. Asymptomatic bacteriuria
          1. proteinuria
            1. Glycosuria
            2. Blood Pressure
              1. Abdominal Examination
                1. Ultrasound
                  1. Anomaly Scan
                    1. done any time between 18 weeks and 20 weeks plus six days to check if the baby is developing normally and the location of the placenta.
                    2. High Vaginal Swab
                      1. taken at the first visit, at 30 weeks and before the birth.
                    3. Management of preterm labour
                      1. Goals of treatment
                        1. inhibit strength and frequencies of contractures
                          1. Mg sulfate (tocolytic)
                          2. optimize fetal status before preterm delivery
                            1. corticosteriods
                              1. intensive care and resuscication team
                                1. Group B strep. prophylaxis
                            2. Complications of prematurity
                              1. Short-term complications
                                1. Breathing problems
                                  1. Heart problems
                                    1. Brain problems
                                      1. Temperature control problems
                                        1. Gastrointestinal problems
                                          1. Blood problems
                                            1. Metabolism problems
                                              1. Immune system problems
                                              2. Long-term complications
                                                1. Cerebral palsy
                                                  1. Impaired learning
                                                    1. Vision problems
                                                      1. Hearing problems
                                                        1. Dental problems
                                                          1. Behavioral and psychological problems
                                                            1. Chronic health issues
                                                          2. Examination of the newborn
                                                            1. Baby Reflexes
                                                              1. Root Reflex
                                                                1. Suck Reflex
                                                                  1. Moro Reflex
                                                                    1. Tonic Neck Reflex
                                                                      1. Grasp Reflex
                                                                        1. Babinski Reflex
                                                                          1. Step Reflex
                                                                        2. Lactation
                                                                          1. Estrogen stimulates growth of the ductal system of the breasts
                                                                            1. growth hormone, prolactin, the adrenal glucocorticoids, and insulin → Protein metabolism
                                                                              1. Progesterone Is Required for Full Development of the Lobule-Alveolar System (final development).
                                                                              2. breastfeeding
                                                                                1. Advantages
                                                                                  1. babies
                                                                                    1. Stronger immune systems
                                                                                      1. Less diarrhea, constipation, gastroenteritis
                                                                                        1. Fewer colds and respiratory illnesses
                                                                                          1. Fewer ear infections
                                                                                            1. Better vision
                                                                                              1. Lower rates of infant mortality
                                                                                                1. Lower rates of SIDS
                                                                                                2. mothers
                                                                                                  1. faster weight loss after birth
                                                                                                    1. Stimulates the uterus to contract and return to normal size
                                                                                                      1. Physical/emotional bonding
                                                                                                        1. Lower risk of ovarian cancer
                                                                                                          1. Less osteoporosis with age
                                                                                                      2. Postnatal follow up
                                                                                                        1. For all mothers
                                                                                                          1. For all Newborns
                                                                                                          2. Pap smear
                                                                                                            1. a method of cervical screening used to detect potentially pre-cancerous and cancerous processes in the cervix
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