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Repro > Small For Dates > Flashcards

Small For Dates Flashcards

1
Q

Reasons for small baby?

A

Pre-term delivery

Small for gestational age

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2
Q

What is preterm birth classified as?

A

Delivery between 24-36+6 weeks

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3
Q

Survival rate if baby born at 24 weeks?

A

20-30%

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4
Q

Survival rate if baby born at 32 weeks?

A

> 95%

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5
Q

Aetiology of pre term?

A

Infection
Overdistention - multiple , polyhydramnios
Placental abruption
Illness- pyelonephritis /UTI, appendicitis, pneumonia
Cervical incompetence
Idiopathic

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6
Q

Risk factors for pre term?

A 
Multiple
Uterine abnormalities 
Teens
Parity = 0 or >5
Ethnicity 
Poor SES 
Smoking
Drugs
BMI <20
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7
Q

What is considered small for gestational age?

A

Birthweight <10th centile

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8
Q

Small for gestational age known as?

A

Intra uterine growth restriction (IUGR)

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9
Q

Maternal factors for poor growth?

A

Lifestyle - smoking, alcohol, drugs
Weight and height
Age
Maternal disease

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10
Q

Fetal factors for poor growth ?

A

Infection
Congenital abnormalities
Chromosomal abnormalities

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11
Q

Placental factors for poor growth?

A

Infarcts
Abruption
Often secondary to hypertension.

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12
Q

Symmetrical IUGR?

A

Small head and small abdo

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13
Q

Asymmetrical IUGR?

A

Normal head and small abdo

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14
Q

Consequences of being growth restricted?

A 
Risk of hypoxia &amp;/or death 
Hypoglycaemia
Asphyxia
Hypothermia
Polycythaemia
Hyperbilirubinaemia
Abnormal neurodevelopment
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15
Q

How do you assess fetal wellbeing?

A 
Assessment of growth 
Cardiotocography 
Biophysical assessment 
U.S. - movement, tone, fetal breaking movements, liquor volume
Doppler ultrasound
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16
Q

Delivery too early could lead to…?

A

Iatrogenic prematurity

17
Q

Delivery too late could lead to..?

A

Perinatal asphyxia/ IUFD

Repro (39 decks)

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