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Mohan

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Mohan last won the day on September 30 2020

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  • First name
    Parthasarathy
  • Last name
    Lall
  • Gender
    Male
  • Occupation
    Pediatrician
  • Affiliation
    Aastha Mother and Childcare Hospital
  • Location
    Rourkela

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  1. We are frequently using this practice all over India with good results
  2. Outcome depends on cause. Just had a a preterm baby with sclerema due to hypothermia. He has recovered with appropriate treatment
  3. Any insights into my questions. At least let us know the practice you all are following
  4. Just a thought. Since these solutions(3% saline and Sod Bicarb) are hyperosmolar can they increase the risk of NNEC
  5. We talk to the Obstetrician before delivery and find out if there are no contraindication for DCC. If so we plan for 3 minutes for DCC in term babies. For a vaginal delivery after delivery the baby is placed on the mother's abdomen and covered and monitored. Sometimes the placenta is delivered before 3 minutes and presently we are cutting the cord then though this is controversial. If for some reason the cord has to be cut early then only milking is done. For LSCS we keep the baby on the OT table and follow the same procedure. All attending Pediatricians in our hospital are aware of the contraindications and follow it. In fact in our delivery notes we have made a column for DCC time and reasons for not doing DCC which they fill up. For preterms we do DCC for 1 minute and strictly no milking
  6. I am practicing on an exclusive mother and child care hospital in a resource poor setting in Western Odisha India where we get a lot of babies with birth asphyxia. For the last 4 yrs we have been using a low cost device called Mira Cradle which uses phase change material in a a polyurethane cradle. We have found it to be very effective in maintaining the requisite temperature for 72 hrs without use of electricity. This has resulted in favorable out comes especially in babies with moderate encephalopathy
  7. Dear Rianne, Thanks a lot for the interesting insight into DCC and the referenced article. I do agree the placental blood volume will be helpful to the neonate. But how will blood flow into the neonate after the placenta has been delivered? One study suggested that the placenta be collected in a sterile bag(if delivered before 3 minutes) and taken along with the baby. If so where will the placenta be kept? On the same matress as the baby or should it be suspended at a higher level for gravity to allow the placental blood to flow into the neonate? Any studies on this and the practical methods of doing this? Mohan
  8. Is there any point in delaying clamping the cord after the placenta has been delivered which sometimes happens before 3 minutes, the time recommended for term babies in the webnar Also neither AAP nor WHO or Gynecological societies mention 3 minutes as the recommended time as yet. So can there be medico legal issues
  9. Is there any point in doing DCC after the placenta has been separated and delivered
  10. Can we diagnose PPHN fairly confidently by this procedure to start Sidenafil
  11. Thought provoking article. In my practice we often discharge babies on caffeine and continue till at least 38 weeks PMA
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