Prematurity Flashcards
1
Q
Associations
A
Social deprivation Smoking, alcohol and drugs Overweight or underweight mother Maternal co-morbidities Multiple pregnancy
2
Q
Management before birth
A
Prophylaxis in women with a history of preterm birth or short cervical length:
- Vaginal progesterone pessary to discourage labour
- Cervical cerclage
When pre-term labour is suspected/confirmed:
- Tocolysis with nifedipine
- Corticosteroids (if <35 w)
- IV magnesium sulphate (if <34w)
- Delayed cord clamping or cord milking at birth
3
Q
Potential early life issues
A
RDS Hypothermia Hypoglycaemia Neonatal jaundice NEC Poor feeding Retinopathy of prematurity
4
Q
Long term effects
A
Chronic lung disease of prematurity
Learning/behavioural difficulties
Cerebral palsy
Hearing/visual impairment
