Stages |
Site of Infection |
Prenatal |
Antenatal steroid, tocolitic agents
(intensive discussion with obstetrician and neonatologist) |
At delivery |
Non-traumatic, minimal handling (CS is exceptional) Deliver with intact fetal membrane and umbilical cord |
After birth |
Promote placental-fetal transfusion (cord milking)
Prevention infection (prophylactic anti-fungus drugs)
Steroid to stabilize blood pressure
UV catheter for 5-7days to avoid excess handling
Bio-protection by Colostrums, Priming intestine
Meticulous follow up and support |
Ethical consideration |
Viability limit, Do-not-resuscitate order Escape from eugenic thought |
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