Pregnant Mum and Infecting Baby, congenital infections

Question 1

what infections do we screen in Mum antenatally?

-4

Answer 1

HIV
Hep B C
syphilis

Question 2

Baby infected in utero and has it at birth is what by definition?

Answer 2

congenital infection

Question 3

when is worse time for baby to be infected in utero?

Answer 3

1st trimester

Question 4

infection to baby poses what risks/complications to baby?

-3

Answer 4

IUGR
abortion
neonatal sepsis

Question 5

which antibody passes through placenta?

Answer 5

IgG

Question 6

which antibody gives baby some immune protection?

comes from mum

Answer 6

IgG

Question 7

main Congenital Infection In Babies you need to know about?

Answer 7

Group B streptococcus

Question 8

how many ladies are colonised by a non-pathogenic Group B streptococcus?

where is it in the women?

Answer 8

5-20%

vagina

Question 9

how can Group B streptococcus infect baby from mother’s vagina?

Answer 9

GBS goes through birth canal and infects baby

Question 10

Complications of a congenial Group B streptococcus infection?
-3

Answer 10

neonatal meningitis
pneumonia
sepsis

Question 11

untreated neonatal meningitis will lead to what irreversible complication?

Answer 11

brain damage

Question 12

Red Flags for a Neonatal Infections?

-3

Answer 12

Resp distress signs
Seizures
Any sign of shock

Question 13

shock signs?

-6

Answer 13

o	Cool and clammy 
o	Pale 	
o	↑capillary refill	
o	↓systolic BP
o	↑HR >
o	↓Urine Output

Question 14

suspect neonatal sepsis.

what bloods do you do?
-4

what is a +ve result/ what are you looking for in each one?

Answer 14

lactate - tells you hypoxia
blood cultures - which organism is it
FBC - high WBC
U+Es - high urea and creatinine

Question 15

define perinatal?

Answer 15

20weeks gestation to 7 days after birth

Question 16

define Neonatal?

Answer 16

28 days after birth