Caesarean section wound care and pain relief
Chapter 3. Caesarean section wound care and pain relief Chapter Contents Introduction41 Immediate care after caesarean section42 Wound infection following caesarean section42 Pain relief in the immediate postoperative period50 Summary…
Perineal pain and dyspareunia
Chapter 2. Perineal pain and dyspareunia CHAPTER CONTENTS Introduction19 Summary of the evidence used in this guideline34 What to do35 Summary guideline37 INTRODUCTION The majority of women who have a…
34: Orthopaedic conditions
Neonatal orthopaedic conditions Developmental dysplasia of the hip This condition was previously known as congenital dislocation of the hip; however, not all cases are present at birth and the hips…
36: Respiratory conditions
Asthma Establishing the diagnosis and pattern of asthma The two main components of asthma pathology include: Airway inflammation. Reactive airways (bronchoconstriction). The important clinical features are: Wheeze. Shortness of breath….
32: Neonatal conditions
Routine care The vast majority of deliveries are uncomplicated and do not require medical intervention. The baby will start breathing spontaneously and will be kept adequately warm by being swaddled…
3: Procedures
Venepuncture Sites Cubital fossa. Dorsum of the hand. Others, as dictated by availability or necessity. Suggested analgesia Topical local anaesthetic, e.g. amethocaine or EMLA (lignocaine [lidocaine], prilocaine), can be used…
28: Gynaecological conditions
Prepubescent problems Vaginal discharge Most newborn girls have some mucoid white vaginal discharge. This is normal and disappears by about 3 months of age. Vulvovaginitis This is the most common…
26: Eye conditions
Important principles Eye examination: – Always test and record vision as the first part of any eye examination. – In infants, observe following and other visual behaviour and listen to…
21: Cardiac conditions
When to investigate a murmur Background At least 50% of school-age children have a systolic cardiac murmur with no structural or physiological cardiac problem. Chest radiograph (CXR) and electrocardiogram (ECG)…