Flashcards in Small and preterm baby Deck (16)
Definition of low birthweight, very low and extremely low birthweight?
Low - under 2.5 kg
Very low - under 1.5
Extremely low - under 1
Definition of preterm, very preterm and extremely preterm baby?
Preterm - under 37 weeks
Very preterm - under 32 weeks
Extremely preterm - under 28 weeks
Definition of small for gestational age (SGA)?
Birthweight under 10th centile of gestational age
4 main categories for causes of SGA baby?
Name 3 maternal causes of a SGA baby
Environmental - malnutrition, smoking
Comorbid disease - PE, HT, renal disorders, medications
Name 3 foetal causes of a SGA baby
Name 3 placental causes of a SGA baby
Name 5 causes of a preterm birth
Idiopathic/unexplained (preterm labour +/- PROM)
Indicated preterm delivery (due to maternal or foetal compromise)
Name 8 consequences of being born SGA or premature. Which is worse, SGA or prematurity, in terms of severity of consequences)
Respiratory distress, apnoea
Prematurity worse than SGA
What are the 3 key elements to managing a preterm newborn?
Keep it pink, warm and sweet
Name 3 causes of respiratory distress in a preterm newborn
Hilar-membrane disease (insufficient surfactant)
Name 4 ways of delivering O2 to a newborn in respiratory distress. What is one complication of giving too much oxygen? What SaO2 is aimed for?
Complication of too much O2 - retinopathy of prematurity. Aim for SaO2 88 - 92%
What temperature do you aim to keep a newborn at?
36.8 +/- 0.3 C
What blood sugar do you aim for in a premature neonate?
What are the main causes of mortality to extremely premature vs very premature neonates?
Extremely prem - Hilmar-Membrane disease, sepsis, NEC, malformations
Very prem - Sepsis and malformations