4.classification of Newborn
4.classification of Newborn
Dr.Abdikarim Awale
Classification of newborn
SGA / IUGR
• SGA is based on physical evaluation of an
infant at birth, usually by a pediatrician or
neonatologist.
• IUGR is a prenatal diagnosis to describe
a fetus who fails to reach in utero growth
potential, often diagnosed by the
obstetrician.
Causes of SGA/IUGR
3200
APPROPRIATE FOR DATE
2800
2400
10th percentile
2000
1200
SGA
• Physical characteristics
– Emaciated look.
– Loose folds of skin.
– Lack of subcutaneous tissue.
– Head bigger than chest by >3cm.
LBW Identification: SGA
Birth asphyxia
Meconium aspiration syndrome
Hypothermia
Hypoglycemia
Infections
Polycythemia
LBW: Issues in delivery
• SUB-CATEGORIES OF
PREMATURE INFANTS:
I. Extremely Preterm (<28 Weeks)
II. Very Preterm (28 To <32 Weeks)
III. Moderate to late preterm (32 to 36
weeks and 6 days).
Classification according to GA
• Low maternal
weight • acute systemic
• Teenage / multiple disease
pregnancy • Induced premature
• Previous preterm delivery
baby • Majority unknown
• cervical
incompetence
• Antepartum
hemorrhage
Prematurity Identification
Prematurity
• Date of LMP
• Physical features
– Breast nodule
– Genitalia
– Sole creases
– Ear cartilage / recoil
Identification: Preterm LBW
Breast nodule
Preterm Term
Preterm Term
Identification: Preterm LBW
Male genitalia
Preterm
Preterm Term
Term
Identification: Preterm LBW
Female genitalia
Preterm Term
Identification: Preterm LBW
Sole creases
Preterm Term
Identification: Preterm LBW
Ear Cartilage
Preterm Term
Preterm : Problems
1. Live birth
2. Stillborn/Fetal death
3. Neonatal death
4. Perinatal mortality
5. Post natal death.
CONT…
• Live birth: is the complete expulsion or
extraction from its mother of a product of
conception, irrespective of the duration of
the pregnancy, which, after such
separation, breathes or shows any other
evidence of life, such as beating of the
heart, pulsation of the umbilical cord, or
definite movement of voluntary muscles is
considered live born.
CONT…
• Stillborn/Fetal death: refers to a dead
born fetus . Intrauterine death occurs either
before onset of labour (Antepartum death) or
during labour (intrapartum death).
• Neonatal death: is defined as
a death during the first 28 days of life.
• Perinatal mortality: Fetal deaths after 24
completed weeks of gestation
and death before 7 completed days.
CONT…
• POSTNEONATAL MORTALITY RATE :
is the number of resident newborns
dying between 29 and 364 days of life.
Or as the number of infant deaths occurring
between 29 days and 1 year of life.
Classification according to post
natal Age