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Term
-Small for date
-Appropriate for
date
Post term
Clinical manifestations
Management
Adequate resuscitation, temperature regulation, oxygen
therapy
Fluid and electrolyte balance, adequate nutrition
Management of hyperbilirubinemia, infection treatment with
appropriate antibiotics
NURSING MANAGEMENT
1.Care at birth
Suitable place of delivery 'in-utero' transfer to a place optimum
facilities if a LBW delivery is anticipated.
Prevention of hypothermia
Effecient resuscitation.
2. Appropriate place of care
Birth weight > 1800 g: Home care, if the baby is otherwise well.
Birth weight 1500-1800 g; Secondary level newborn unit
Birth weight < 1500 g: Tertiary level newborn care (or intensive
care)
3. Thermal protection
Delay bathing.
Maternal contact.
Kangaroo mother care.
Warm room.
External heat source (incubator, radiant warmer)
4. Fluids and feeds
Intravenous fluids for very small babies and those who are sick.
Expressed breast milk with gavage or katori spoon.
Direct breastfeeding.
5. Monitoring and early detection of complications
Weight and other clinical signs.
Electronic monitoring
Biochemical monitoring
6. Appropriate management of specific complications
Newborn babies keep themselves warm by active metabolism in
the brown fat stores.,
IMMUNIZATION :Administer 0 day vaccines on the day of
discharge The dose is not reduced in preterm babies
FAMILY SUPPORT :Family should be constantly informed and
involved in care of baby The frightened seen of NICU should be
demystified
Complications
Meconium aspiration syndrome, neonatal asphyxia,
respiratory distress syndrome,
Hyperbilirubinemia,