NURSING MANAGEMENT OF PRE-TERM AND SMALL FOR DATES….. Classification of high risk infants 1. Classification according to size. 2. Classification according to gestational age. 3. Classification according to mortality. New born assessment Transitional assessment first period of reactivity second period of reactivity Behavioral assessment Physical assessment Reflexes Classification according to size 1. Low birth weight infant. 2. Very low birth weight infant. 3. Extremely low birth weight infant. 4. Appropriate for gestational age. 5. Small for date (SFD) infant or 6. Small for gestational age (SGA) infant. 7. Intra uterine growth restriction. 8. Large for gestational age infant. Classification according to GA 1. Premature infant (preterm). 2. Full term infant. 3. Post mature infant (postterm). Classification according to mortality 1. Live birth 2. Fetal death 3. Neonatal death 4. Perinatal mortality 5. Post natal death. Pre-Term Definition. A baby born before 37 completed weeks of gestation calculating from the first day of last menstrual period is arbitrarily defined as pre0term baby. ETIOLOGY FACTORS SMOKING Cervical incompetence Fetal Stress Face & Head Skin & Subcutaneous Genitals Central nervous system Respiratory System Cardio vascular system Gastro intestinal system Initial assessment APGAR Score Clinical assessment Intra uterine growth chart. Immediate care clear the airway PRE TERM CARE Positioning of the baby. Thermal comfort Oxygen supply Phototherapy Polythene cover Infection: closed port Tactile stimulation Nutrition :TPN Therapy Nutritional line Weight record Kangaroo care Umbilical cord care Eye care Diaper care Hypoglycemic management Mother’s Role……. Partner’s support Difference’s Take home message There is no evidence in human biology which tells us so much about the past events and the future trajectory of life, as the weight and time of the infant at the time of birth. By: V.Ramalingaswami.