Cerebral palsy Flashcards
what is cerebral palsy?
cerebral palsy is an umbrella term that includes the disorder of motor function caused due to a non progressive damage to the developing brain.
or insult to growing brain (in simple language)
duration of development of spinal cord & brain
8 weeks to 5 years
why not sensory affect?
becoz usually the damage is caused in the prefrontal & frontol parietal lobe where homun culus there
Etiology
Prenatal
- consanguinity (1 degree ,first cousin ,2nd degree someone relatives ,3rd degree
- trauma
- malnutrition
- infection TORCH
toxoplasmosis, rubella ,cytomegalovirus, herpes simplex, and HIV.
5.stress- physical & mental
Antenatal
- placenta previa
- abruption placenta
- breech position
- RH incompatibility
- prolonged second stage of labor
- birth asphyxia
TORCH
toxoplasmosis, rubella cytomegalovirus, herpes simplex, and HIV.
presentation of baby
cephalic presentation.
what is breach position?!
Right before birth, most babies are in a headfirst position in the mother’s uterus . Sometimes, the baby is in a bottom-first (or feet-first) position. This is called a breech birth or breech baby
erythroblastosis fetalis
Erythroblastosis fetalis is hemolytic anemia in the fetus (or neonate, as erythroblastosis neonatorum) caused by transplacental transmission of maternal antibodies to fetal red blood cells. The disorder usually results from incompatibility between maternal and fetal blood groups, often Rho(D) antigens.
What happens when mother is Rh positive and baby is Rh-negative?
If the mother is Rh-negative, her immune system treats Rh-positive fetal cells as if they were a foreign substance. The mother’s body makes antibodies against the fetal blood cells. These antibodies may cross back through the placenta into the developing baby. They destroy the baby’s circulating red blood cells.
what is birth asphyxia
Asphyxia (as-FIX-ee-uh) means lack of oxygen and blood flow to the brain. Birth asphyxia happens when a baby’s brain and other organs do not get enough oxygen and nutrients before, during or right after birth. This can happen without anyone knowing. Without oxygen and nutrients, cells cannot work properly.
What is the cause of asphyxia?
Asphyxia can be caused by injury to or obstruction of breathing passageways, as in strangulation or the aspiration of food (choking) or large quantities of fluid (near-drowning or drowning).
or baby cannot cry immediately after birth
can be happen in adult too
reason for birth aphyxia
Cord around the neck
meconium factor
what is meconium ?
Meconium is a thick, green, tar-like substance that lines your baby’s intestines during pregnancy. Typically this substance is not released in your baby’s bowel movements until after birth. However, sometimes a baby will have a bowel movement prior to birth, excreting the meconium into the amniotic fluid.
ischemia?
reduce blood flow lead to necrosis of the tissue
normal birth wt of baby?
2.5 kg to 4 kg