Preterm infant Flashcards
What is classed as preterm?
<37 weeks
What is classes as extremely pre term?
23-27 weeks
What is classes as very pre term?
27-31
What puts you at risk of having a pre term baby?
>2 previous pre term babys - risk = 70% abnormally shaped uterus - 19% smoking, alcohol, illicit drugs poor nutrition, chronic conditions - high BP, diabetes IVF
What problems do pre term babies have when they are born?
temperature control
feeding/nutrition
sepsis
diseases due to system immaturity
What is reccomended for pre term babies nutrition?
breast feeding to pass on passive immunity
they have an immature metabolic pathway and fewer reserves
What is early onset neonatal sepsis?
aquired bacteria before and during delivery
What is late onset neonatal sepsis?
aquired bacteria after delivery - hospital or community
What pathogens cause early onset neonatal sepsis?
group B strep
gram negatives
What pathogens cause late onset neonatal sepsis?
gram negatives
coagulase -ve staph
staph aureus
How is neonatal sepsis managed?
simple antibiotics
Who is most susceptible to respiratory distress syndrome?
75% of infants born before 29 weeks
10% after 32
What is RDS?
surfactant deficiency and structural immaturity
can also cause alveolar damage
How does RDS present?
respiratory distress
tachypnoea - grunting, intercostal recess, nasal flaring, cyanosis
What is the time period of RDS?
gradual worsening then peak at 2-4 days
