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Mohan

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    India
  1. It would have interesting to know the basis for diagnosing Mild HIE. Was it Sarnat and Sarnat or Thomson and any ABG criteria used
  2. we use a mixture of glycerine and normal saline in a ratio of 1:1 when required. IT has worked well for us.
  3. Great discussion. We are also in a low resource setting in Odisha ,India. We do not have a human milk bank. I have also had to use formula feeds even for some newborns in the wards because of documented borderline sugars. This is especially for prime gravidas and post LSCS mothers. The rationale being it is better to prevent hypoglycemia and its consequences and not be very strict about formula especially in the first 24 hrs. We always give formula after checking blood sugars. "Not enough Milk" is the most common complaint during post natal rounds. Any role of galactagogues and if so which ones in your experience. Any major difference between preterm formula and term formulas as their are cost implications No mother is allowed to buy any formula as per the IMS act. It is always hospital supply.
  4. Great initiative! Will contribute and learn
  5. Could anyone let us know the exact dose of MCT powder(as available here).Any role of oral Coconut oil which is rich in MCT especially in resource poor settings
  6. How does one manage skin of an ELBW baby and till what PMA should it continue
  7. Mohan posted a topic in Nutrition & Feeding
    Is there any role of DHA supplements in preterm babies especially ELBW
  8. Thanks for all your inputs. Good to know that there are no strict guidelines. Do you all heparinize these lines especially for ELBW and 25 weeke rs
  9. When an ELBW neonate is on Amino acid infusion what is the upper limit of blood Urea that must be considered before stopping or reducing the amino acid infusion
  10. How long can a Umbilical Artery line and an Umbilical Venous Line be used in an ELBW neonate when PICC line is not available. Various centers follow different protocols. Your views please
  11. We are frequently using this practice all over India with good results
  12. Outcome depends on cause. Just had a a preterm baby with sclerema due to hypothermia. He has recovered with appropriate treatment

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