Prematurity-An Overview

Prematurity-An Overview - Description

. Murila FV. Prematurity. GA < 259 days (37 weeks). 15 million every year worldwide. More than 1 in 10 babies are born preterm. • Over 1 million children die each year due to complications of preterm birth. . ID: 371805 Download Presentation

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Prematurity-An Overview

. Murila FV. Prematurity. GA < 259 days (37 weeks). 15 million every year worldwide. More than 1 in 10 babies are born preterm. • Over 1 million children die each year due to complications of preterm birth. .

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Prematurity-An Overview




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Presentation on theme: "Prematurity-An Overview"— Presentation transcript:

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Prematurity-An Overview

Murila FV

Slide2

Prematurity

GA < 259 days (37 weeks)

15 million every year worldwide

More than 1 in 10 babies are born preterm

• Over 1 million children die each year due to complications of preterm birth.

Rates of preterm birth are rising in almost all countries

Slide3

CLASSIFICATIONS

BIRTH WEIGHTBorderline LBW 2000-2499g Mild LBW 1500-1999g Very LBW 1000-1499gExtremely LBW <1000g

PREMATURITY

Borderline preterm 34-36wks

Mildly Preterm 32-34 wks

Very preterm 28-32 wks

Extremely preterm <28wks

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Causes of Under 5 Mortality in Kenya

(WHO, Kenya Country Fact Sheet, 2006)

Slide7

Why

are 4 million newborn dying in the world?

Source: Lawn JE, Cousens SN, Zupan J Lancet 2005. based on cause specific mortality data and estimates for 192 countries

Slide8

Leading causes of mortality in NBU 2010

Number

Prematurity

648

Respiratory distress syndrome

257

Neonatal sepsis

206

Asphyxia

138

Total number of deaths

913

Slide9

Early Complications; Mx

RESPIRATORY DISTRESS SYNDROME Due to Immature Lungs Mx -O2 supplementation -Intravenous Fluids -Antibiotics CPAP VentilatorMETABOLIC DERRANGEMENTSHypoglycemiaAcid base imbalancesElectrolyte AbnormalitiesNEONATAL INFECTIONPrevention-strict hand washing policyGITNEC

CARDIOVASCULAR ANOMALIES

-Dehydration

Monitoring and replacement

-PDA of pre-maturity

Prostaglandin inhibitors

INTRA-VENTRICULAR BLEEDS

-

Stringent management of respiratory and cardiovascular complications

ASPHYXIA

-

Effective resuscitation at birth

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Later Complications

INTERMEDIATEAnaemia of Pre-maturity Iron, folate and Vit ARickets of Prematurity Vitamin D and CalciumPost-Haemorrhagic Hydrocephalus V-P shunting Retinopathy of prematurity laser therapy

LATE

Mental & physical development delay

Rehabilitation

Failure to thrive

Nutritional support

Increased morbidity and mortality

Slide11

Late Complications

ADHD

Intellectual

problems (arithmetics, solving problems, cognitive functions)

Short term memory

Coordination

problems

Behavioral

problems (shy,

delinquency

)

Slide12

Prevention of mortality

50% of babies born at 32 weeks die

75% of premature babies could be saved with feasible, cost-effective care , such as warmth, breastfeeding support, basic care for infections and breathing difficulties.

Further reductions are possible through intensive neonatal care.

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