Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-g8jcs Total loading time: 0 Render date: 2024-12-06T09:13:27.162Z Has data issue: false hasContentIssue false

CHAPTER 16 - High-risk pregnancy and neonatal services

Published online by Cambridge University Press:  05 July 2014

Corelia Hagmann
Affiliation:
UCL Elizabeth Garrett Anderson Institute for Women’s Health
Jane Hawdon
Affiliation:
UCL Elizabeth Garrett Anderson Institute for Women’s Health
Tahir Mahmood
Affiliation:
Forth Park Hospital, Kilcaldy
Philip Owen
Affiliation:
Glasgow Royal Infirmary
Sabaratnam Arulkumaran
Affiliation:
St George’s University London
Charnjit Dhillon
Affiliation:
Royal College of Obstetricians and Gynaecologists, London
Get access

Summary

Understanding of the occurrence and severity of likely neonatal complications is important when planning antenatal care and birth, and in counselling parents. Babies of women with diabetes should remain with their mothers unless there is a clinical complication or there are abnormal clinical signs that warrant admission for intensive or special care. Combined maternal and fetal hypothyroidism is associated with abnormal neurodevelopmental outcome. The most severely affected babies have mental restriction and motor impairment. Babies of mothers with epilepsy have a two- to three-fold higher risk of congenital malformations, mainly associated with antiepileptic drugs. Clinical management of psychiatric illness during pregnancy and lactation encompasses an assessment of the risk of exposure of the mother and neonate to medication during pregnancy. Maternal bacterial infection may be associated with poor condition at birth and neonatal bacteraemia or meningitis with a risk of long-term neurological sequelae or even death.
Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Save book to Kindle

To save this book to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×