Infant Journal
for neonatal and paediatric healthcare professionals

Establishing a neonatal telemedicine service in Liverpool

Fauzia Paize
Consultant Neonatologist, Liverpool Women’s Hospital

Simon Minford
Advanced Paediatric Nurse Practitioner and Clinical Innovation Consultant, Alder Hey Children’s Hospital

Joanne Minford
Consultant Paediatric and Neonatal Surgeon, Alder Hey Children’s Hospital

Christopher Dewhurst
Consultant Neonatologist, Liverpool Women’s Hospital

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fetal deprivation; intrauterine growth restriction; multi-organ failure; hypoxia
Key points
  1. IUGR as a consequence of substrate deficiency causes multi-organ failure often with ‘brain sparing’.
  2. The term fetal deprivation sequence (FDS) is suggested to describe the typical presentation of these affected babies.
  3. Diagnostic criteria for FDS have been defined to help rationalise investigations and management, and guide follow-up of these affected babies.

Also published in Infant:

Congenital enterovirus infection case series: early recognition can improve outcome
Congenital enterovirus infection is caused by a group of single stranded RNA viruses transmitted vertically from an infectious mother; symptoms can begin in utero or in the immediate neonatal period. Symptoms can be mild but when occurring in the first two weeks of life, can be more severe and life threatening. We present a case series of five neonates with congenital enterovirus infection. Three of the infants developed severe infection requiring intensive care, one of whom died of multi-organ failure. A high index of suspicion is required as early treatment may be lifesaving.