PEDS/NEONATES: Asphyxia

A hypoxic and/or acidotic insult to the fetus or newborn due to lack of O2 and/or perfusion of body organs

Asphyxia

name 3 maternal factors causing asphyxia

-PROM

-Abrupto Placentae

-Placenta previa

what does PROM stand for?

Premature Rupture of Membranes (PROM)

what the water breaks before 37 weeks

Preterm Premature Rupture of Membrane (PPROM)

what is the main risk factor of PROM?

maternal infection of uterus, cervix, or vagina

premature separation of the placenta from the uterus

abruptio placentae

name four potential causes of abruptio placentae

-Cigarettes

-Alcohol

-Cocaine

-Short umbilical cord

maternal ages at higher risk of abruptio placentae

over 35 years; under 20 years

True or False: Abruptio placentae shows a fetal mortality rate of 50%

True

What is a maternal clinical indication of abruptio placentae?

vaginal bleeding

when the placenta partially or totally covers the opening in the mothers cervix

placenta previa

name 2 intrapartum factors of asphyxia

-Cord Compression

-Prolapsed umbilical cord

When the umbilical cord drops through the birth canal before the baby. The cord can then become trapped against the baby's body during delivery.

Prolapsed umbilical cord

True or False: Prolapsed umbilical cords present a great danger to the fetus and may even result in a stillborn.

True

When an umbilical cord gets knotted or wrapped around an infants neck

cord compression

True or False: Failure to treat cord compression fast enough can lead to a lack of nutrients and oxygen resulting brain damage, cerebral palsy, autism, or fetal death.

True