1. NURSING MANAGEMENT OF PRE-TERM AND SMALL FOR DATES…..

2. Classification of high risk infants 1. Classification according to size. 2. Classification according to gestational age. 3. Classification according to mortality.

3. New born assessment  Transitional assessment first period of reactivity second period of reactivity  Behavioral assessment  Physical assessment  Reflexes

4. Classification according to size 1. Low birth weight infant. 2. Very low birth weight infant. 3. Extremely low birth weight infant. 4. Appropriate for gestational age. 5. Small for date (SFD) infant or 6. Small for gestational age (SGA) infant. 7. Intra uterine growth restriction. 8. Large for gestational age infant.

5. Classification according to GA 1. Premature infant (pre- term). 2. Full term infant. 3. Post mature infant (post- term).

6. Classification according to mortality 1. Live birth 2. Fetal death 3. Neonatal death 4. Perinatal mortality 5. Post natal death.

7. Pre-Term Definition. A baby born before 37 completed weeks of gestation calculating from the first day of last menstrual period is arbitrarily defined as pre0term baby.

8. ETIOLOGY FACTORS

9. SMOKING

10. Cervical incompetence

11. Fetal Stress

12. Face & Head

13. Skin & Subcutaneous

14. Genitals

15. Central nervous system

16. Respiratory System

18. Cardio vascular system

19. Gastro intestinal system

21. Initial assessment

22. APGAR Score

24. Clinical assessment

25. Intra uterine growth chart.

26. Immediate care clear the airway

31. PRE TERM CARE

32. Positioning of the baby.

33. Thermal comfort

34. Oxygen supply

37. Phototherapy

38. Polythene cover

39. Infection: closed port

40. Tactile stimulation

41. Nutrition : TPN Therapy

42. Nutritional line

43. Weight record

44. Kangaroo care

45. Umbilical cord care Eye care

46. Diaper care Hypoglycemic management

48. Mother’s Role…….

49. Partner’s support

50. Difference’s

51. Take home message There is no evidence in human biology which tells us so much about the past events and the future trajectory of life, as the weight and time of the infant at the time of birth. By: V.Ramalingaswami.