1 / 19

Dr. Madhavi Karki

Dr. Madhavi Karki. BIOPHYSICAL TEST : THE FIRST EXAM SHOULD CONFIRM THE CLINICAL ESTIMATION OF THE GESTATIONAL AGE. Fetal distress / death. Asphyxia & RDS. Hypoglycemia. Meconium aspiration syndrome. Hypothermia. Pulmonary hemorrhage. May have retarded growth .

tekli
Télécharger la présentation

Dr. Madhavi Karki

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Dr. Madhavi Karki

  2. BIOPHYSICAL TEST : THE FIRST EXAM SHOULD CONFIRM THE CLINICAL ESTIMATION OF THE GESTATIONAL AGE

  3. Fetal distress / death. • Asphyxia & RDS. • Hypoglycemia. • Meconium aspiration syndrome. • Hypothermia. • Pulmonary hemorrhage. • May have retarded growth . • May have cardiac disease, diabetes, in adulthood, if survives. • Long term complications Lower IQ, learning & behavior problems, major neurological handicap seizures, cerebral palsy, mental retardation

  4. Adequate bed rest. • Nutritional diet / iron, vitamins, calcium. • No smoking / alcohol allowed. • Aspirin in low dose (50 mg daily). • Ultrasound monitoring of fetus should be done every 4th wks. • Termination of pregnancy – beyond 37 week. • Before 37 week – conservative t/t to increase placental function till fetus becomes viable.

  5. Severe degree of IUGR – termination is to be done if lung maturation is achieved. - If lung maturation has not been achieved corticosteroid therapy (betnasol 12 mg i.m. 24 hrs apart – 2 doses given to reduce the risk of neonatal RDS) 9. CS – to be done in the case of preterm delivery & unfavorable cervix. 10. Baby should be shifted to intensive neonatal care unit.

  6. ETIOLOGY 1. Preeclampsia/ eclampsia 2. A.P.H. 3. Diabetes 4. Severe anemia 5. Hyperpyrexia/Malaria 6. TORCH infections 8. Fetal malformations 9. Rh-incompatibility 10.Iatrogenic

More Related