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Birth Complications

This article provides an overview of birth complications that can occur between preterm
and low birth weight or other birth defects and their effects on fetal development

Birth complications from low birth weight are one of the top factors that influence
neonatal mortality. Mortality begins to rise rapidly when premature babies are at a weight
of less than 2500g which means that birth weight of less than 10th (or 5th) percentile for
gestational age can have birth weight less than 2500g and gestational age greater than or
equal to 37 weeks; and birth weight less than 2 standard deviations below the mean value
for gestation age (Als, Lawhon, Duffy, McAnulty, Grossman, Blickman, 1994). Birth
complications can be influenced by two major processes: duration of gestation and
intrauterine growth rate thus short gestation period or intrauterine growth retardation
(IUGR) which means that birth weight is less than 10th (or 5th) percentile for gestational
age (Kramer, 1987). There are a multitude of complications, which can arise as a result
of low birth weight complications such as complications as repetitive hospital stays,
difficulties in self regulation, motor system complications, mental and psychomotor
disorders (Als, Lawhon, Duffy, McAnulty, Grossman, Blickman, 285). Many of the
medical and neurological effects of birth complications can be reduced and managed with
the appropriate medical treatments and interventions.

Discuss some of the consequences of caring for these infants.

Mothers experience psychosocial distress as a result of their children being born


with birth complications. Psychological distress symptoms are normal while parenting
stress remained greater, plus severity of maternal depression (Singer, Salvator, Guo,
Collin, Lilien, Baley, 1999). Unfortunately but consequently, mothers are affected by the
experience and knowledge of their child’s medical risk status, plus the education of what
may have lead up to the birth complications that their children are experiencing.

Discuss your recommendations for interventions.

Primarily, the most important form of intervention is prenatal care. Mothers must be well
informed of how their actions can directly impact their child. In the event that
preconception or delivery education is not sufficient enough to prevent birth
complications then the second step should be to pursue or administer such as regular
vaginal and/or public exams, additional oxygen, artificial, rupture of membranes, fetal
monitoring (women specialists, 2012). A mother will benefit from having a strong
support system, which includes physicians, nurse practitioners’, physical assistants
(Women specialists, 2012), along with family, friends education and utilizing the clinical
recommendations of which are prescribed.

References:
Als, Heidelise, Als., Lawhon, Gretchen., Duffy, Frank H., McAnulty, Gloria B.,
Grossman, Rita Gibes., Blickman, Johan. (1994). Individualized Developmental Care for
the Very Low-Birth-Weight Preterm Infant Medical and Neurofunctional Effects. Vol
272 (11). 853-858. Retrieved from
http://jama.jamanetwork.com/article.aspx?articleid=379258

M.S. Kramer, (1987). Determinants of low weight: methodological assessment and meta-
analysis. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2491072/?page=2

Singer, Lynn T., Salvator, Ann., Guo, Shenyang., Collin, Marc., Lilien, Lawrence.,
Baley, Jill. (1999) Maternal Psychological Distress and Parenting Styress After the Birth
of a Very Low-Birth-Weight Infant. Vol 281(9). 799-805. Retrieved from
http://jama.jamanetwork.com/article.aspx?articleid=188947

Women’s Specialists of New Mexico. (2012). Labor and Birth


Procedure/Interventions/Complications. Retrieved from
http://www.wsnm.org/Images/PDFForms/Labor.and.Birth.Procedures.pdf