INDS 211 Lecture Notes - Lecture 30: Low Birth Weight, Placental Insufficiency, Preterm Birth
2 Jan 2019
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Average weight for a term infant: 3500 g. Late preterm (near term): 34 - 36 6/7 weeks. 90th percentile or 2sds above average for that age) 10th percentile or 2sds below average for that age) By us (most sensitive in first trimester) Implies a process that limits the fetus from achieving it"s full growth potential (may or may not be sga) Can be classified as symmetric or asymmetric (depending on head circumference) Maternal: age, prior preterm birth, chronic illness, clotting disorder. Case presentation: you are the medical student on call. You are given the case of an imminent vaginal delivery of a 32. Pregnancy was unremarkable, except that mom ruptured her membranes 2 days ago and contractions have progressed since. Stabilization in first 24 hours includes looking out for: hypothermia, dehydration, respiratory distress. Loss of heat energy as electromagnetic radiation to colder surroundings. Needed in the process of non- shivering thermogenesis.
