Treatments for Craniosynostosis
Treatments for Craniosynostosis
The list of treatments mentioned in various sources
for Craniosynostosis
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Latest treatments for Craniosynostosis:
The following are some of the latest treatments for Craniosynostosis:
Discussion of treatments for Craniosynostosis:
Treatment for craniosynostosis generally consists of
surgery (usually performed early in life) to relieve increased
intracranial pressure, assure capacity of the skull to accommodate brain
growth, and improve the appearance of the head.
(Source: excerpt from
NINDS Craniosynostosis Information Page: NINDS)
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Book Excerpts: Treatment of Craniosynostosis
Treatments of Craniosynostosis: Online Medical Books
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Premature rupture of membranes:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment for PROM depends on fetal age and the risk of infection. In a term pregnancy, if spontaneous labor and vaginal delivery aren’t achieved within a relatively short time (usually within 24 hours after the membranes rupture), induction of labor with oxytocin is usually required; if induction fails, cesarean delivery is usually necessary. Cesarean hysterectomy is recommended with gross uterine infection.
Management of a preterm pregnancy of less than 34 weeks is controversial. However, with advances in technology, a conservative approach to PROM has now been proven effective. With a preterm pregnancy of 28 to 34 weeks, treatment includes hospitalization and observation for signs of infection (maternal leukocytosis or fever, and fetal tachycardia) while awaiting fetal maturation. If clinical status suggests infection, baseline cultures and sensitivity tests are appropriate. If these tests confirm infection, labor must be induced, followed by I.V. administration of antibiotics. A culture should also be made of gastric aspirate or a swabbing from the neonate’s ear because antibiotic therapy may be indicated for him as well. At such delivery, have resuscitative equipment available to treat neonatal distress.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Premature labor:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Treatment is intended to suppress premature labor when tests show immature fetal pulmonary development, cervical dilation is less than 1½"(4 cm), and the absence of factors that contraindicate continuation of pregnancy. Such treatment consists of bed rest and, when necessary, drug therapy, but neither has been proven beneficial in all patients.
The following pharmacologic agents can suppress premature labor for up to 48 hours:
❑ Beta-adrenergic stimulants (terbutaline, isoxsuprine, or ritodrine): Stimulation of the beta2-adrenergic receptors inhibits contractility of uterine smooth muscle. Adverse effects include maternal tachycardia and hypotension, and fetal tachycardia.
❑ Magnesium sulfate: Direct action on the myometrium relaxes the muscle. It also produces maternal adverse effects, such as drowsiness, slurred speech, flushing, decreased reflexes, decreased GI motility, and decreased respirations. Fetal and neonatal adverse effects may include central nervous system (CNS) depression, decreased respirations, and decreased sucking reflex.
Maternal factors that jeopardize the fetus, making premature delivery the lesser risk, include intrauterine infection, abruptio placentae, placental insufficiency, and severe preeclampsia. Among the fetal problems that become more perilous as pregnancy nears term are severe isoimmunization and congenital anomalies.
Ideally, treatment for active premature labor should take place in a regional perinatal intensive care center, where the staff is specially trained to handle this situation. In such settings, the neonate can remain close to his parents. (Community health care facilities commonly lack the equipment necessary for special neonatal care and transfer the neonate alone to a perinatal center.)
Treatment and delivery require an intensive team effort, focusing on:
❑ continuous assessment of the neonate’s health through fetal monitoring
❑ administration of antenatal steroids to assist fetal lung development, unless contraindicated
❑ maintenance of adequate hydration through I.V. fluids.
Prevention of premature labor requires good prenatal care, adequate nutrition, and proper rest. Insertion of a purse-string suture (cerclage) to reinforce an incompetent cervix at 14 to 18 weeks’gestation may prevent premature labor in patients with histories of this disorder. However, this can be dangerous if an incompetent cervix is misdiagnosed and premature labor is the true cause.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Premature rupture of the membranes:
Treatment
(Handbook of Diseases)
Treatment of PROM depends on fetal age and the risk of infection. In a full- term pregnancy, if spontaneous labor and vaginal delivery aren’t achieved within a relatively short time (usually within 24 hours after the membranes rupture), induction of labor with oxytocin is usually required; if induction fails, cesarean delivery is usually necessary. Cesarean hysterectomy is recommended if the patient is experiencing gross uterine infection.
Management of a preterm pregnancy of less than 34 weeks is controversial. However, with advances in technology, a conservative approach to PROM has now been proven effective.
With a preterm pregnancy of 28 to 34 weeks, treatment includes hospitalization and observation for signs of infection (maternal leukocytosis or fever and fetal tachycardia) while awaiting fetal maturation.
If clinical status suggests infection, baseline cultures and sensitivity tests are appropriate. If these tests confirm infection, labor must be induced, followed by I.V. administration of antibiotics. A culture should also be made of gastric aspirate or a swabbing from the neonate’s ear because antibiotic therapy may be indicated for the neonate as well. In such deliveries, have resuscitative equipment available to treat neonatal distress.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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