logging in or signing up birth asphyxia jeethu Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1916 Category: Entertainment License: All Rights Reserved Like it (0) Dislike it (0) Added: December 18, 2012 This Presentation is Public Favorites: 1 Presentation Description nursing care Comments Posting comment... By: docaksood (13 month(s) ago) Dear Jeethu, pl allow me to download your presentation"Newborn Care". My mail id is:email@example.com Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript BIRTH ASPHYXIA : BIRTH ASPHYXIAIntroduction : Introduction Birth asphyxia is a leading cause of neonatal mortality & morbidity .It is also important cause of developmental delay & Neurological problems both term & preterm newborn. Approximately 5 t0 10% neonates experience asphyxia a t birth.Meaning : Meaning Birth asphyxia, also called asphyxia neonatorum, is the inability of an infant to establish regular respiration Following birth.Definition : Definition Birth asphyxia is the non establishment of satisfactory pulmonary respiration at birth. It is failure of initiation & maintenance of spontaneous respiration with hypoxia, hypoventilation , hypercapnia, hypo perfusion, & metabolic acidosis.Etiological factor : Etiological factor Approximately 90% of asphyxia events occur as a result of placental insufficiency due to ante partum & intrapartum factors. Postnatal factors account for the remaining. Ante partum Intrapartum PostpartumAnte partum: Ante partum placental insufficiency due to Pre-eclampsia Hypertension Anemia Diabetes Mellitus Post maturity Other factor include ante partum hemorrhage mal presentation Multifetal pregnancyPowerPoint Presentation: poor fetal growth maternal systemic diseases maternal drug therapy (eg.lithum) poly or oligohydromnios placental malformation vascular anomalies of the cord congenital anomalies of the fetus.Intra partum : Intra partum Emergency CS Instrumental delivery Abnormal position Premature labour Precipitous labour Prolonged rupture of membranes Prolonged labour > 24 hrs Prolonged 2 nd stage of labourPowerPoint Presentation: Fetal bradycardia Non-reassuring fetal heart rate pattern General anaesthesia Narcotics administered within 4 hours of delivery Meconium stained liquor Prolapsed cord Abruptio placenta Placenta previaPOST NATAL FACTOR: POST NATAL FACTOR pulmonary, cardio vascular & neurological abnormalities of the neonate AspirationCLINICAL FEATURES: CLINICAL FEATURES Clinical manifestations depends upon the etiology, intensity, duration of oxygen lack, plasma carbon dioxide level & acidosis. There are 2 stages Asphyxia livida or stage of cyanosis, primarily due to respiratory failure with apgar score 4 to 6. Asphyxia pallida or stage of shock due to combined respiratory & vasomotor failure with apgar score 0- 3.MANAGEMENT : MANAGEMENTCOMPLICATION : COMPLICATION BRAIN: hypoxic- ischemic encephalopathy intracranial hemorrhage convulsion HEART: hypoxic cardiomyopathy cardiac dysrrhythmias congestive cardiac failure. shockPowerPoint Presentation: LUNGS: meconium aspiration syndrome hyaline membrane disease pulmonary hemorrhage pneumonia KIDNEYS: Hematuria renal failure renal vein thrombosis GASTR0 INTESTINAL: necrotizing entrocolitis paralytic ileus & obstructionPowerPoint Presentation: HEMATOLOGIC : DIC, hyperbilirubinemia and sepsis ENDOCRINE: Adrenal hemorrhage IMMUNOLOGIC: septicemiaPROGNOSIS : PROGNOSIS It is depends upon associated factors, maturity of the baby, duration & intensity of hypoxia & acidosis & initiation of resuscitative measures in the delivery room. Subsequent competent care & available facilities also influence the out come following birth asphyxiaNURSING DIAGNOSIS : NURSING DIAGNOSIS Ineffective Airway Clearance R/T Aspiration Meconium & mucus Impaired breathing pattern r/t immaturity of the lungs Impaired thermoregulation (hypothermia) r/t immature thermoregulatory state of neonates Risk for complication r/t loss of oxygen supply to the vital organPREVENTIVE MEASURES : PREVENTIVE MEASURES Intensive antenatal care Intranatal assessment of fetal hypoxia Careful use & intelligent use of anesthetic agents & depressant drugs in labor Care of neonates at birth Special attention to avoidance of preterm delivery Care of pre term & low birth wt baby You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.