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Appreciating Complex Midwifery Care > Preterm And Low Birth Weight > Flashcards

Flashcards in Preterm And Low Birth Weight Deck (23)
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1
Q

What are corticosteroids?

A

Steroids GIVEN to the Mother to help the

development of the fetus lungs @34 wks

2
Q

What is magnesium sulphate used for

A

Given to mum to help the brain development of the fetus, it prevents cerabal palsy. Given @LESS than 30wks

3
Q

What to do in antenatal care ?

A
  • Transfer for appropriate care if safe
  • Corticosteroids given if LESS than 34 wks
  • Give Magnesium sulphate of less than 30wks
  • Effective communication with parents and appropriate healthcare professionals
  • Tour of NEONATAL INTENSIVE CARE UNIT
4
Q

What can cause Premature delivery?

A
  • Smoking
  • Drinking alcohol
  • Stress
  • Substance abuse
  • low or high maternal age
  • infection
  • previous premature birth
  • high blood pressure
  • multiple birth
  • maternal illness/injury
  • 25% no identified cause
5
Q

What is considered as preterm?

A

<37/40wks

6
Q

What is considered as very Preterm?

A

29-34/40 wks

7
Q

What is considered as moderate prematurity?

A

35-37/40wks

8
Q

What is considered as extremely preterm?

A

24-28/40wks

9
Q

What can premature babies suffer from?

A
  • poor breathing and circulation
  • poor nutrition
  • Imbalanced blood sugars
  • infection
  • Jaundice
  • intolerance of handling
  • skin integrity
  • ventricular haemorrhage
  • retinopathy
10
Q

What are possible causes for low birth weight?

A
  • Placental Failure
  • congenital infection
  • chromosome abnormality
  • Substance abuse
  • Malnourished mother
  • Asymmetric IUGR
11
Q

What can be considered as Low Birth Weight?

A

<2500g

12
Q

What is considered as very Low Birth Weight?

A

<1500g

13
Q

What is considered as extremely Low Birth Weight?

A

<1000g

14
Q

Low Birth Weight babies…

A
  • May be born term/Preterm
  • weight is below 10th percentile for gestation
  • Have difficulty with Tempreture control
  • Low blood sugars
  • Feeding
  • polychthima
  • organ failure
15
Q

When do babies suffer from respiratory distress syndrome?

A
  • predominately occurs in premature babies
  • babies delivered by LSCS
  • Monozytogtic TWINS
  • lack of surfactant
16
Q

Signs of increased work breathing?

A
  • Tachypnoea
  • Apnoea
  • Resscation
  • Grunting
  • nasal flaring
  • Dusky/cynosed
17
Q

What is a thermo neutral Environment?

A

An environment that encourages the Minimum metabolic rate and oxygen consumption to maintain a normal body temperature.

18
Q

What is the normal temperature for the baby?

A

36.7-37.3

19
Q

What is would u see physically in an Symetrical IUGR baby?

A

SMALL HEAD AND SMALL BODY

20
Q

What would you physically see in an Asymmetrical IUGR baby?

A

NORMAL HEAD AND SMALL ABDOMEN

21
Q

Name 6 clinical features

A
  • poor breast bud formation
  • Thin umbilical cord
  • Absence of buccal fat (old man look)
  • Long finger nails
  • large head
  • small Abdomen
  • Loose, dry and east peel able skin
22
Q

Why do preterm and Low Birth Weight babies get cold?

A
  • Larger surface area
  • low subcutaneous Fat
  • low Brown fat
  • low body water content
  • ineffective positioning ability
  • poor response to cold stress
  • unable to maintain peripheral vasoconstriction
23
Q

Name 5 strategies to prevent cold stress?

A
  1. Warm room
  2. Dry baby
  3. Skin to Skin
  4. Early feeding
  5. Monitoring of temperature