Neonatal Flashcards

1
Q

Define

Late feral loss

A

In utero death 22-23+6

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2
Q

Define

Stillbirth

A

Born >24 without signs of life

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3
Q

Define

Early neonatal death

A

Death of baby within 7 days of birth

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4
Q

Define

Late neonatal death

A

Death if a baby >7 &<28 days of birth

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5
Q

Define

Stillbirth rate

A

Number of stillbirths per 1000 total births (livebirths and stillbirths)

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6
Q

Define

Perinatal mortality rate U.K. and WHO

A

UK
Still births & early neonatal deaths per 1000 total births (livebirths and stillbirths)

WHO
Late fetal losses, stillbirths and early neonatal deaths per 1000 total births (livebirths and stillbirths)

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7
Q

Define

Neonatal mortality rate

A

The number of neonatal deaths per 1000 livebirths

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8
Q

pH and base deficit of what level significantly correlates with poor fetal outcome

A

pH <7

base excess >12

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9
Q

How soon does lactate need to measured from cord blood to avoid falsely high readings

A

Within 10min

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10
Q

What is the incidence of ischaemic encephalopathy (HIE)

A

2-7 per 10000 live births

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11
Q

Regarding the neonate

What are the features of grade 1 HIE

What is the risk of severe death or handicap

A
Irritability 
Hyper alert
Mild hypotonia 
Poor suckling
No seizure

1.6%

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12
Q

Regarding the neonate

What are the features of grade 2 HIE

What is the risk of severe death or handicap

A

Lethargy
Marked abnormalities in tone
Requires tube feeds
Seizures

24%

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13
Q

Regarding the neonate

What are the features of grade 3 HIE

What is the risk of severe death or handicap

A

Comatose
Severe hypotonia
Failure to maintain spontaneous respiration
Prolonged seizures

78%

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14
Q

Regarding the neonate

What is the imaging of choice following significant asphyxial insult at term

A

MRI

Excellent resolution and ability to predict outcome

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15
Q

What percentage of cerebral palsy is due to intrapartum asphyxia

A

10%

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16
Q

How many children are affected by cerebral palsy

A

1:500

17
Q

Regarding cord gasses

What is the usual difference between maternal and fetal pH

A

Fetal pH is usually 0.5 units lower

18
Q

What are the essential criteria for a diagnosis of ‘acute intrapartum asphyxia’

A

Arterial umbilical pH<7

Early onset severe encephalopathy in infant >34 weeks

Cerebral palsy of spastic quadriplegic or dyskinetic type

Exclusion of alternative cause