As far as i am aware there have been studies on long term neurological outcome ( no significant benefit) in babies who received prophylactic ibuprofen . There was non significant decrease in incidence of severe IVH.
Maternal serology for CMV. and avidity. If avidity low, it indicates recent infection in mother . PRBC transfusion ( non leuco depleted) and breast milk are the most common causes of postnatal CMV infection. Congenital CMV can be diagnosed in first 2 weeks of life. After that not possible to distinguish between congenital / postnatal CMV infection.
yes, it can be a H-type TOF, which can be diagnosed by endoscopy.
D/D : Pierre-Robin syndrome, neuromuscular disorders e.g. spinal muscular atrophy, trisomy 18, other disorders involving inco-ordination of sucking& swallowing