Management of LBW babies - Prematurity and SGA

takes time for maturity 2 complications regarding each system 3. complications with time

reliable nicu where there is an experienced person ready Dexa and beta methasone in antenatal care only one dose (since more can cause CNA problems) but need atleats a day or two before delivery for it to work

However magnesium sulphate can be given to woman presenting with preterm labour and this no need to wait. Deliver wihtout compication - ideall LSCS Hypothermic ⇒ hypoglcemia ⇒ all sorts of problems

without tube ventiation, ventiating with tubes CPAP, PPV. Different modes available must need to know just that need support. If cant suck then need expressed feeding ⇒ must sometimes cant swallow even If cant do enteral feedig, then need parenteral nutrition ⇒ gradually transfer from enteral to parenteral "principles of management" Keep the numbers right at the optimum level MUST WRITE COMPLICATIOS OF PREMATURE BABIES AND WORK OUT STRATEGIES OF MANAGEMENT

Constiotuoonall meaning parents and genetic

Work out causes of IUGR ⇒ assignment

shape 2. weight, length and ofc 3. when insult 4 causes

Poor internal stores of glycogen

Aspiration syndromes include all conditions in which foreign substances are inhaled into the lungs

Assignment ⇒ write down the complications of SGA babies symmetrical and assymteriical

inclduing identification and growth problems and early intervention

Prograames to reduce maternal anemia and improve nutritional status

After sabakimg go through the lecture and see whether theres anything to add from the actual lecture did!! cause that was different

Early feeding and frequnet because no glycogen stores

This lecture is important for Obs as well

A velamentous cord insertion is when a fetus' umbilical cord abnormally inserts on the edge of the placenta along the chorioamniotic membranes, causing fetal blood vessels to travel unprotected from the placenta until they come together and reach the protection of the umbilical cord.

All from sga and prematurity complications plus 1. necotizing enterocolitis

Mamgamen5 of iugr 1. Who are at risk 2 determine gesttaional age 3.identify iugr 4 find the cause 5 treat rhe cause 6 general mamagemnt 7 timing of delivery 8 fetal monitoring

Added from standard treatment protocols

check the standard treatment protocols for guidelines for the other management stuff like 1. Management of hypoglycemia in newborns and 2 Management of RDS in infants and other conditions to get an idea for the exams! Go trhough the full book later and add . Its like a summary of lectures done.