Evaluation and Management At Birth
At birth, the bladder mucosa is exposed and is quite sensitive. The umbilical cord should be tied with a 2-0 silk suture rather than a clamp to prevent trauma to the delicate mucosa. In addition, the bladder should be covered with a non-adherent film (Plastic Wrap) to prevent sticking of the bladder to diapers or clothing. With each diaper change the plastic wrap should be removed and the bladder irrigated with sterile saline and a clean wrap should be placed. The child should then be transferred to a tertiary care pediatric hospital for management of their bladder exstrophy.
Read more about this topic: Bladder Exstrophy
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“Evaluation is creation: hear it, you creators! Evaluating is itself the most valuable treasure of all that we value. It is only through evaluation that value exists: and without evaluation the nut of existence would be hollow. Hear it, you creators!”
—Friedrich Nietzsche (1844–1900)
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“...the Hebrew women are not like the Egyptian women; for they are vigorous and give birth before the midwife comes to them.”
—Bible: Hebrew, Exodus 1:19.
Egyptian midwives to Pharaoh.