Premature Infant

In: Science

Submitted By RBaweja
Words 739
Pages 3
Presenter: Robin Baweja MD PGY-3

Topic: Care of the Premature Infant

Date: March 2, 2010
Introduction:
Prematurity is defined as birth that occurs before 37 completed weeks of gestation. It is associated with 1/3 of all infant deaths in the US. Associated with diseases such as CP, vision impairment and hearing impairment. Complications of prematurity are the underlying reasons for the higher rate of infant mortality and morbidity. There are both short-term complications and long-term sequelae in patients that survive and are discharged from the NICU

Key Definitions of Premature Infants: Defined as GA or weight
Late Preterm Birth – GA between 34 and less than 37 weeks

Very Preterm Birth – GA less than 32 weeks

Extremely Preterm Birth – GA at or below 25 weeks

Low Birth Weight – BW less than 2500 grams

Very Low Birth Weight – BW less than 1500 grams

Extremely Low Birth Weight – BW less than 1000 grams

Short term complications of Prematurity: NICU based

Respiratory Distress

PDA

Bronchopulmonary Dysplasia

Late Onset Sepsis

Grade III – IV Intraventricular Hemorrhage

Necrotizing Enterocolitis

Periventricular Leukomalacia

ROP

Long Term Complications of Prematurity: Outpatient Based

Neurodevelopmental Disabilities – impaired cognitive skills, motor deficits, sensory impairments, vision and hearing losses, behavioral problems.

Chronic Health Issues – RSV, asthma, feeding intolerance, surgical issues, poor weight gain, small head circumference, Strabismus, Umbilical Hernia, BPD, Apnea of prematurity, SIDS, GER, Anemia of prematurity, amblyopia, CP, Hydrocephalus, Inguinal Hernias

Care for the Prematurity Infant:

Although most NICU graduates are discharged from the NICU when their adjusted gestational age is near or at term, they differ in their medical needs…...

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