Small Or Preterm Baby Flashcards
Low birthweight is?
Extremely low birth weight?
Very low birthweight is?
Preterm?
Very preterm
Extremely preterm
What is small for gestational age?
Birthweight that is
Reasons for small gestational age?
Environmental
CHD/THN/renal
Illicit DRugs
Edwards syndrome is?
T18 - small, rocker bottom feet, overlapping fingers, heart defects
Small for gestational age placental reasons?
Twin-twin transfusion
Preeclampsia
Placental vascular thrombosis/infarction
Placental insufficiency.
General cause of preterm birth?
Idiopathic. Main reason.
Cervical incompetence Multiple pregnancy Uterine anomalies Ante partum haemorrhage Fetus not growing well.
IUGR cause?
Abdo circumference
Small for gestational age vs. preterm, preterm will be more at risk for everything except?
Hypoglycaemia
NEC?
Necrotizing Enterocolitis
What to do when 30weeker unexpected birth?
Pink : O2 sats
Warm: blankets
Sweet: maintain blood sugar
How to warm baby without incubator?
Heat up normal saline bags, wrap in towel, build a fort
What is Hyaline membrane disease? HMD?
Airways fill up with pink substance due to surfactant deficiency
Causes of respiratory distress in preterm?
HMD
Pneumonia
Wet lung
How to deliver 02
Nasal prongs/face mask
Incubator
Nasal CPAP/HF
ETT + positive pressure
O2 sats in preterm should be?
88-92%
>95 in term babies
Temp for preterm?
36.8 degrees. Per Axilla (PA)
Reduce loses (glad bag)
Evaporation, convection, radiation, conduction
Nutrition for preterm? BGL
BGL >2.5mmol/l
10% dextrose
Enteral breast milk
Why do preterm babies die?
28-36 weeks reason babies die?
Malformation
Sepsis
Why improved survival in preterm?
Improved surfactants
NICUs
In utero transfers
Impairments for preterm?
CP
Blindness
Deafness
Developmental delay (intelligence testing at age7)
