Flashcards in Preterm And Low Birth Weight Deck (23)
What are corticosteroids?
Steroids GIVEN to the Mother to help the
development of the fetus lungs @34 wks
What is magnesium sulphate used for
Given to mum to help the brain development of the fetus, it prevents cerabal palsy. Given @LESS than 30wks
What to do in antenatal care ?
- 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
What can cause Premature delivery?
- Drinking alcohol
- Substance abuse
- low or high maternal age
-previous premature birth
-high blood pressure
- 25% no identified cause
What is considered as preterm?
What is considered as very Preterm?
What is considered as moderate prematurity?
What is considered as extremely preterm?
What can premature babies suffer from?
- poor breathing and circulation
- poor nutrition
- Imbalanced blood sugars
- intolerance of handling
- ventricular haemorrhage
What are possible causes for low birth weight?
- Placental Failure
- congenital infection
- chromosome abnormality
- Substance abuse
- Malnourished mother
What can be considered as Low Birth Weight?
What is considered as very Low Birth Weight?
What is considered as extremely Low Birth Weight?
Low Birth Weight babies...
- May be born term/Preterm
- weight is below 10th percentile for gestation
- Have difficulty with Tempreture control
- Low blood sugars
- organ failure
When do babies suffer from respiratory distress syndrome?
- predominately occurs in premature babies
-babies delivered by LSCS
- Monozytogtic TWINS
-lack of surfactant
Signs of increased work breathing?
- nasal flaring
What is a thermo neutral Environment?
An environment that encourages the Minimum metabolic rate and oxygen consumption to maintain a normal body temperature.
What is the normal temperature for the baby?
What is would u see physically in an Symetrical IUGR baby?
SMALL HEAD AND SMALL BODY
What would you physically see in an Asymmetrical IUGR baby?
NORMAL HEAD AND SMALL ABDOMEN
Name 6 clinical features
- poor breast bud formation
- Thin umbilical cord
-Absence of buccal fat (old man look)
- Long finger nails
- small Abdomen
-Loose, dry and east peel able skin
Why do preterm and Low Birth Weight babies get cold?
- 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