This document defines and describes small for gestational age (SGA), large for gestational age (LGA), and appropriate for gestational age (AGA) babies. SGA is defined as birth weight below the 10th percentile, and can be malnourished SGA with proportional growth restriction, hypoplastic SGA with decreased cell number and organ growth, or mixed. LGA is above the 90th percentile and is associated with maternal diabetes, genetics, and excessive weight gain. AGA is between the 10th-90th percentiles and considered normal size. The document outlines causes, features, and management considerations for SGA and LGA newborns.
Cord prolapse is a frightening and life-threatening event that occurs in labor. Rapid identification and immediate appropriate response may well save the life of a neonate. Therefore, clinicians should be knowledgeable in its recognition and management.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
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Arkab khan
Cord prolapse is a frightening and life-threatening event that occurs in labor. Rapid identification and immediate appropriate response may well save the life of a neonate. Therefore, clinicians should be knowledgeable in its recognition and management.
This ppt is made by Mr. arkab khan pathan under guidance of Mrs. RAKHI GOAR. this ppt contain the detail and all the lecture notes of HEG.
THANK YOU.
Arkab khan
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9. Malnourished SGA
Commonest type of SGA
Asymmetric IUGR
2/3 rd of IUGR
malnourishment during latter part of
gestation – placental dysfunction
(uteroplacental insufficiency)
11. LONG,THIN & MARASMIC
Head Circumference,brain unaffected
Internal organs,liver grossly shrunken
HC > CC by 3cm
Loose skin folds
Ponderal index ( g/cm3) < 2
12. ONLY DECREASE IN CELL SIZE, CELL NUMBER
NORMAL
GROWTH POTENTIAL (+)
NUTRITIONAL REHABILITATION
NEONATAL PROGNOSIS - BETTER
13. Hypoplastic SGA
Symmetric IUGR
1/3 rd of IUGR
Growth retardation in early pregnancy a/w
intrauterine infection
genetic defects,
chromosomal aberrations
Incidence of anomalies 10 – 20 times higher
14. FEATURES OF HYPOPLASTIC SGA
o
o
o
o
o
DECREASE IN CELL NUMBER
ALL ORGANS AFFECTED,INCLUDING BRAIN
ALL PARAMETERS ARE PROPORTIONATELY SMALL
PONDERAL INDEX - NORMAL
POOR PROGNOSIS
PERMANENT PHYSICAL & MENTAL RETARDATION
15.
16. MIXED SGA
ADVERSE FACTORS DURING BOTH EARLY & MID PREGNANCY
NEITHER OBVIOUS MALNOURISHED,NOR GROSSLY
HYPOPLASTIC
DECREASE IN BOTH CELL SIZE AND COUNT
23. THOSE 3 LETTER WORDS!!
•
•
•
•
•
•
RDS
ROP
IVH
PDA
NEC
BPD
24. MANAGEMENT OF SGA
•
•
•
•
•
Emergency CS – fetal distress
Screening for cong.malformations
Early and adequate breast feeding (NGT/IVF)
Correct hypoglycemia,hypocalcemia,polycythemia
Control infections,temperature regulation
39. Marshall Smith Syndrome
craniofacial characteristics:
large forehead,
hypertelorism,
micrognathia,
long philtrum
Advanced maturation of carpal bones
44. AGA
Appropriate for gestational age
(AGA) describes a fetus or newborn
infant whose size is within the
normal range for his or
her gestational age
45. • AGA:
Appropriate for Gestational Age;
birthweight b/w 10th & 90th percentile
An appropriate for gestational age full-term
infant is heavier than 2500 grams and lighter
than about 4000 grams