ABSTRACT
This chapter focuses on the importance of obtaining a detailed, accurate and factual history before undertaking the newborn infant physical examination. The aim of antenatal care is to monitor the health of the mother and fetus, screen for potential abnormalities, and provide information and education to the mother and family in preparation for parenthood. Retrieving a comprehensive intrapartum history will highlight potential risk factors for the newborn, promote vigilance for potential abnormalities and prepare practitioners for parental concerns and questions. Taking account of the intrapartum journey also affords the opportunity to verify appropriate newborn aftercare, investigations and referral. Colonised mothers are offered intrapartum antibiotic prophylaxis (IAP) to reduce the incidence of EOGBS disease. A Cochrane review identified reduced incidence of EOGBS with IAP in colonised mothers; the numbers of deaths were too small to assess the impact on mortality. Check intrapartum documentation for: preterm birth, prolonged rupture of the membranes, pyrexia or suspected maternal intrapartum infection.
