Neonatal/Perinatal medicine Flashcards
What can be given to a mother who is expected to give birth to a preterm baby to help with neonatal respiratory distress syndrome?
Glucocorticoid therapy
What do you call it when a baby isnt suppling sufficient oxygen to their body and brain?
Hypoxic-Ischaemic Encephalopathy
What are the main causes of Hypoxic-Ischaemic Encephalopathy?
Mother
Failure of gas exchange from placenta
Flaiure of blood flow from placenta
Lack of maternal perfusion
Baby
Compromised fetus
Failue of cardiorespiratory adaptaion at birth
What are the features of mild Hypoxic-Ischaemic encephalopathy?
Child is irritable, responds ecessivaly to stimulation
Hyperventilation
hypertonia
poor feeding
Unhappy baby
What are the features of moderate Hypoxic-Ischaemic encephalopathy?
Hypotonic
No feeding
Seizures
What are the features of Severe Hypoxic-Ischaemic encephalopathy?
No normal movements or response to pain
Hypotonia or hypertonia
Seizures
How do you treat Hypoxic ischaemic Encephalopathy?
Resp support
Anti-convulsants
fluid restrict if kindeys fucked
Treat hypotension
Monitor blood glucose
Cool baby to 33 degress
What is caput succedaneum?
Bruising and oedema of presenting part, resolves in days
What causes a chignon?
Oedema and brusing from ventous delivery
What nerve roots are involved in an Erb plasy?
C5, C6
