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

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

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

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.

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

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

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.

ETIOLOGY FACTORS

SMOKING

Cervical incompetence

Fetal Stress

Face & Head

Skin & Subcutaneous

Genitals

Central nervous system

Respiratory System

Cardio vascular system

Gastro intestinal system

Initial assessment

APGAR Score

Clinical assessment

Intra uterine growth chart.

Immediate care clear the airway

PRE TERM CARE

Positioning of the baby.

Thermal comfort

Oxygen supply

Phototherapy

Polythene cover

Infection: closed port

Tactile stimulation

Nutrition : TPN Therapy

Nutritional line

Weight record

Kangaroo care

Umbilical cord care Eye care

Diaper care Hypoglycemic management

Mother’s Role…….

Partner’s support

Difference’s

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.