HELP FOR YOU

1. MISS. KALYANI R. SAUDAGAR

2. DEFINITION
• “High risk newborn can be defined as a newborn, regardless of
birth weight, size or gestational age who has a greater than
average chance of morbidity especially within the first 28 days of
life”.

3. IDENTIFICATION
• Birth weight less than 2.5kg
• Twins
• Birth order 5 and more
• Artificial feeding
• Infection

4. GOALS
• Perinatal prevention
• Resuscitation and stabilization
• Evaluate and manage
• Monitoring and therapeutic modalities
• Family centered care

5. ASSESSMENT
• Initial assessment
• apgar scoring

6. Clinical assessment

7. • Transitional assessmentfirst period of reactivitysecond period of
reactivity
• Behavioral assessment
• Physical assessment
• Reflexes

8. Post mature infant
• Infants born of a gestation that extends beyond 42weeks as
calculated from the mothers last menstrual period.

9. Predisposing factors
• Pregnancy between the age of 15-19 yrs
• Elderly women
• Wrong dates
• Multiple pregnancy
• Fetal anomalies
• Hereditary

10. Clinical manifestation
• Absence of vernix caseosa
• Loose skin and little subcutaneous fat
• Absence of lanugo
• Abundent hair on the head and long nails
• Skin is wrinkles, cracked and peeling
• Umbilical cord is thin

11. Diagnostic evaluation
• History collection
• Fetal movement recording
• Electronic fetal monitoring
• Ultrasonograpy
• Biophysical profile
• Doppler flow study

12. management

14. Thank
you