Prematurity Flashcards
1
Q
causes
A
GBS infec Gestational DM Perinatal infec Multiple babies Poor placental func Reduced growth rate and fetal health
2
Q
Acute complics
A
RDS Delayed PDA closure Intra ventricular haemorrhage Hypothermia NEC Jaundice Hypoglycaemia Immunocompromise
3
Q
Chronic complics
A
Chronic lung dis (bronchopulm dysplasia) Retinopathy of prematurity Periventricular leukomalacia More severe than normal physiologic anaemia at 8-12wk Reflux Hydrocephalus Dev delay and LD CP Hearing loss ASD, ADHD
4
Q
Prevention if hx or RFs
A
Progesterone supplems
Cervical cerclage
5
Q
RFs
A
Hx of preterm births Multiple babies Under 6 mnth btw pregnancies IVF conception Short cervix, or probs with uterus or placenta Smoking and drugs Infec of amniotic fluid or lower gential tract HTN, DM Under or overweight bef preg Sev stress Multiple misc or abortion Physical trauma
6
Q
symps
A
Small size Less fat Lanugo fine hair on most of body Low body temp Resp distress Lack reflexes eg swallow, so feeding diffics
