Saving babies lives

Question 1

Percentage of deaths caused by preterm birth?

Answer 1

78%

Question 2

Compared to term babies how much more likely is a 37-38 weeker to have a nicu admission?

Answer 2

37-38 weeker is 2x more likely to have a NICU admission than term

Question 3

What is the risk of special education needs if born at 24 weeks?

Answer 3

50%

Question 4

If EFW <3rd centile and no other risk factors when should you aim for delivery?

Answer 4

37 weeks, no later than 37+6

Question 5

When should you aim to deliver an EFW between 3rd and 10th centile?

Answer 5

39 weeks to 39+6

Question 6

If reduced growth velocity but EFW >10th, when to deliver?

Answer 6

Aim to consider from 37 weeks unless other risk factors

Question 7

What gestation do you aim to be smoke free by?

Answer 7

15 weeks

Question 8

What is first line tocolysis?

Answer 8

Nifedipine

Question 9

What gestation range should steroids be offered at?

Answer 9

22 weeks and 33+6
Ideally 48 hours prior to birth

Question 10

What gestation range should mgs04 be offered

Answer 10

22 and 29+6

Question 11

What gestation range should mgs04 be considered

Answer 11

30 and 33+6

Question 12

What is the recommendation re maternal breast milk delivery post delivery?

Answer 12

Neonate should receive maternal breast milk within 6 hours of delivery. Expressing should be encouraged in the first 2 hours after birth

Question 13

Why is caffeine given to babies <30 weeks

Answer 13

Reduces the chance of death and disability
Should be started within 24 hrs

Question 14

Which percentage of births occur <37

Answer 14

8%

Question 15

What inc risk do diabetic mothers have in terms of perinatal death?

Answer 15

4-5x inc risk of perinatal death
(inc 2 fold in deprived women and 3 fold in poor control in third trimester)

Question 16

Does t1dm or t2dm hold a higher risk?

Answer 16

t2dm has a higher risk than t1dm in terms of perinatal risk

Question 17

What is the risk of fetal death with DKA?

Answer 17

160 in 1000