Tuesday, April 29, 2008

Notes 1

4 day old; unbooked/concealed pregnancy; both parents IVDUs known to social work; NAS on oramorph
reading: associations with maternal drug use: defects including cardiac (esp cocaine), abdominal wall (these associated with SGA baby/placental insufficiency); polycythaemia and increased risk of neonatal thrombosis;
7 month old; bronchiolitis. Both parents smokers.
reading: associations of paediatric respiratory disease with maternal (fewer data available on fathers) smoking; increased incidence of URTI and LRTI including otitis media, pneumonia; risk factor for asthma development

[note confounding factors: J Am Board Fam Pract 14(5):330-334, 2001 - mothers who smoked during pregnancy likely to be younger, and have smaller babies of shorter gestational age; I'd guess they would be of a lower social class also.]

Note the former baby's future does not look particularly bright. But that is another story for another time.

Chatted with Prof I met at conference - advice on how to proceed re: getting into some Proper research. Also with sensible consultant on for Receiving this week, which makes a big difference. Am liking work more this week.

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