Abstract

Most neonatal surgical problems are rare. For example, gastroschisis and tracheo-oesophageal fistula, two of the most common reasons for admission to a surgical neonatal unit, occur only once per 3000-5000 live births? Despite the advances in antenatal ultrasound, the majority of surgical problems present clinically after birth and so the initial management of a surgical neonate needs to be within the ability of paediatricians, and obstetricians. Fortunately, the acute care of a neonate with a surgically correctable problem follows a small number of simple guidelines. explained. Depending on local geography, the majority of surgical neonatal problems benefit from delivery in the regional centre. With the possible exception of gastroschisis and a large sacrococcygeal teratoma, most babies can be allowed to deliver vaginally at term. It there is any suggestion that there might be respiratory distress, an experienced paediatrician should be present at the birth.

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