Discharge and follow up of preterm baby

Discharge and follow up of preterm baby: 

Discharge and follow up of preterm baby Screening tests Nutritional supplementation Immunization Anthropological parameters Caretaker or mother should be taught about How to feed the baby How to give medication How to keep baby warm .(KMC ) About danger signals

PowerPoint Presentation: 

Danger sign :- Difficulty in feeding Movement only when stimulated Temperature <35.5*c or >37.5*c Respiratory rate >60 breath / min Sever chest indrawing Convulsion Follow up with in 7 days

GROWTH MONITORING OF LOW BIRTH WEIGHT BABY : 

GROWTH MONITORING OF LOW BIRTH WEIGHT BABY Used in assessment of - Nutritional status Adequacy of breast feeding Inadequacy of weight gain

PowerPoint Presentation: 

GROWTH CHART- visible display of physical growth and development of baby. Anthropometrical parameters used- Length Weight Head circumference Compared with reference standard Any growth faltering is diagnosed at earliest Types – Intrauterine Postnatal

PowerPoint Presentation: 

Postnatal growth chart – wright’s and Eherenkranz ’ chart . These are more realistic and shows the initial weight loss during Ist 2 wks . As the baby reach term gestation age the WHO growth charts are used .

CAUSE OF INADEQUTE WEIGHT GAIN : 

CAUSE OF INADEQUTE WEIGHT GAIN INADEQUATE INTAKE – BREASTFED INFANT INCORRECT FEEDING PRACTICE LESS FREQUENT BREASTFEEDING NOT FEEDING IN NIGHT HOURS INFANT ON SPOON OR PALADAI FEEDS INCORRECT METHOD INCORRECT MEASUREMENT INFREQUENT FEED NOT FORTIFYING MILK

2. INCREASED DEMAND : 

2. INCREASED DEMAND ILLNESS SUCH AS HYPOTHERMIA OR COLD STRESS. BRONCHOPULMONARY DYSPLASIA . DRUGS AS CORTICOSTEROIDS .

MANAGEMENT OF INADEQUATE WEIGHT GAIN : 

MANAGEMENT OF INADEQUATE WEIGHT GAIN COUNCELLING OF MOTHER EXPLAINING THE FREQUENCY AND TIMING OF BOTH BREASTFEEDING AND PALADAI FEEDING . GIVING EXPRESSES BREAST MILK BY SPOON OR PALADAI FEED AFTER BREASTFEEDING . PROPER DEMONSTRATION OF EXPRESSION OF BREASTMILK OR PALADAI FEED FORTIFICATION OF BREASTMILK INCREASE CALORIE CONTENT OF MILK INCREASE MILK VOLUME TO 200ml/kg/day.

THANK YOU: 

THANK YOU