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Amniocentisis is
a test used to obtain information about a fetus and the probability
of having a genetic disorder. It involves passing a needle
through the abdominal wall under local anaesthetic. Ultrasound
is used to ensure that the needle is passed safely straight
through the abdominal wall and wall of the womb into the amniotic
fluid. A sample of fluid is then removed to be used to test
for any disorders. The results
may take 10-14 days as any cells from the body need to be
cultivated before they can be analysed.
SCBU(Special Care Baby Unit)
is a specialist part of the hospital staffed by a team of
doctors and nurses experienced in the care of sick and small
babies. Generally speaking your baby will be looked after
in this unit for the duration of his/her stay in hospital.
A good example of this is at North Cumbria
Acute Hospital.
Cesarean Section or C-section
is a surgical method of deliveriing babies through an abdominal
incision in the womb.
Clingfilm/Plastic wrap is
wound around the exomphalos when the baby is born, this is
to protect the wound and avoid dehydration and damage to the
wound. It also cuts down the chance of infection while the
baby is stabilised and a decision is made on the next step.
Cordocentesis is
the extraction of a blood sample from the umbilical cord.
This test can be carried out late in pregnancy, between 18
to 24 weeks. It is carried out in women who are at a higher
risk of chromosomal/genetic abnormalities.
Chromosome
A rod like structure present in the nucleus of all body cells
(with the exception of the red blood cells) which stores genetic
information. Normally, humans have 23 pairs, the unfertilised
ova and each sperm carrying a set of 23 chromosomes. On fertilisation
the chromosomes combine to give a total of 46 (23 pairs)
Primary Repair/Closure Depending
on the size of the exomphalos /omphaolcele/gastroschisis a
decision may be made to return the contents of thesac to the
abdomen in one opeartion and close the wound, this is a primary
reapair or closure.
NG tube or NGT or Nasogastrictube
is a long clear plastic tube inserted into the stomach via
the nose or mouth. It has a number of uses including: removal
of fluid and air from the stomach, to give medicine or food,
to take a sample of stomach fluids for analysis, removal of
blood or fluids from the stomach.
Spinal Block.
A spinal block is a single injection of local anaesthetic
given between two vertebrae in the lower spine. It is quicker
to perform than an epidural but the effect does not last as
long. Some hospitals offer it routinely instead of an epidural
for caesareans. Others reserve its use for situations where
there is not time to site an epidural and where a general
anaesthetic might be inadvisable.
TPN (Total Parental Nutrition)
provides complete artifical nutrition and bypasses the stomach,
delivering processed nutrients directly into the blood via
a thin tube. For short periods of time (1/2 weeks) this will
probably be done using veins, but for longer term an central
line may be used.
Ultrasound scans
are images of the internal organs created from sound waves.
The images are produced when the sound waves are directed
into the body then reflected back to a scanner that measures
them.
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