Neonatology Intro Lecture

Question 1

Neonate age for neonatology

Answer 1

• Once hit 4 weeks - seen by paeds
• Neonate technically first 28 days of life - usually 28 days post original due date

Question 2

Pre-term definitions

Answer 2

• Late - 34-36
• Moderate - 32-34
• Very - 28-32
• Extremely <28
• Post term - 42 weeks

Question 3

LBW, very LBW and extremely LBW

Answer 3

• Low - under 2.5kg
• Very - under 1.5kg
• Extremely - under 1kg

Question 4

Threshold of viability

Answer 4

• 22 weeks gestation

Question 5

Reasons for preterm birth

Answer 5

• Maternal medical conditions
• Older maternal age
• Social deprivation
• Black and asian population

Question 6

Ways to reduce preterm birth

Answer 6

Saving babies lives care bundle

Question 7

Who can help with transition from hopsital to home treatment?

Answer 7

• Home care service eg phototherapy at home etc

Question 8

Periprem interventions

Question 9

Problems of term babies

Answer 9

Respiratory:
* Meconium aspiration syndrome
* Congenital pneumonia
* Persistent pulmonary HTN

Sepsis
* GBC
* E-coli

Hypoxic ischaemic encephalopathy
* Lack of O2 to brain
* Manifest as reduce foetal movements
* Managed via therapeutic hypothermia

Question 10

Congenital anomalies of neonates

Answer 10

• Diaphragm defect - GI into lung
• Oesophageal atresia
• Gastroschesis
• Omphalocele