Downloaded 150 times
More Related Content
Similar to Complications of prematurity
Complications of prematurity
- 1. Complications of prematurity JessicaPeter Roscoe
- 2. Contents... ➢Classifying prematurity ➢Case study ➢Causes ➢Acutecomplications ➢Chronic complications ➢Prevention
- 3. Classifying prematurity... ➢Delivery priorto 36 weeks, 6 days ➢Incidence of 8-10% ➢Varies with socio-economic status
- 4. Considering a fictitiouscase...
- 5. ➢Daniel, 16 months ➢23+ 6 ➢Ten weeks in NICU ➢On permanent oxygen with bronchopulmonary dysplasia ➢Developmental delay - adjusted age
- 6. Causes/predictors... ➢ Family history/previous preterm(Daniel) ➢ Placental factors ➢ Cervical factors ➢ Social factors ➢ Maternal illness ➢ Fetal factors ➢ Idiopathic ➢ Iatrogenic
- 7. Acute complications ➢ Death(7.2% of live births are preterm, only 53% of these children survive) ➢ Neurological problems ➢ Infections ➢ Respiratory problems ➢ Gastrointestinal problems ➢ Haematological problems
- 8. Chronic complications ➢Cognitive -Learning disabilities ➢Respiratory - Bronchopulmonary dysplasia ➢Movement - cerebral palsy ➢Eyes - retinopathy of prematurity ➢Behavioural/psychological problems
- 9. Bronchopulmonary dysplasia ➢Iatrogenic chroniclung disease ➢Ventilation & supplementary oxygen ➢Arrested lung development ➢Mild, moderate, severe ➢Some may need tracheostomy ➢Recurrent infections/hospital admissions
- 10. Daniels X-ray ➢ Hyperinflation ➢Fibrosis ➢ Sometimes atelectasis ➢ Typically symptoms gradually resolve (severity dependent)
- 11. How do weprevent prematurity?
- 12. Prevention... ➢Antibiotics for infections ➢IVFlimits ➢Cervical cerclage
- 13.
Editor's Notes
- #2 I wanted to talk about something that might be relevant to our exams - some of this will be revision. So, complications of prematurity.
- #4 The earliest premature baby to survive was James Gill in 1987 - weighed 0.9 ounces at birth, born 21 weeks, 5 days.
- #6 Daniel, 16 months old. One of three children - his siblings 2 and 5 yo have severe disabilities. Born at 23 plus 6. Daniel is a good example of how babies can be born extremely prematurely yet still survive.
- #7 Social factors include maternal stress, smoking, substance abuse and there is a link with poverty.
- #8 The likelihood of survival increases by 9.5% for every week gestation after 24weeks. NEUROLOGICAL Problems - apnoea of prematurity, HIE, retinopathy, developmental delay, cerebral palsy INFECTIONS may be more severe as babys immune system is premature so they’re more susceptable to things like UTIs, pmeumonia. Respiratory problems - respiratory distress due to lack of surfactant. Gastrointestinal problems - premature babies are morelikely to get nec. enterocollitis and neonatal hypoglycaemia. HAEM PROBLEMS - anaemia of prematurity, neonatal jaundice - phototherapy disrupts bonding
- #10 I just wanted to add a slide in about BPD as this is Daniels main health issue.
- #13 Preventing pretermbirths is very difficult, things that are thought to help………… avoiding smoking, good nutrition,