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Preterm Anthropometric Measurements. Anthropometric measurements should not be examined using a regular percentile growth chart. Being only at an estimated 31 weeks AOG, a percentile growth chart with reference data for preterm neonates should be used.
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Preterm Anthropometric Measurements • Anthropometric measurements should not be examined using a regular percentile growth chart. • Being only at an estimated 31 weeks AOG, a percentile growth chart with reference data for preterm neonates should be used. • Length (44 cm), weight (1800 g) and head circumference (30 cm) were plotted in the Lubchenco chart • All of the values lie between the 50th and 90th percentile. • The patient was appropriate for gestational age (AGA)
The Mother prior to delivery • MA’s mother is a single 21 year old primigravid • higher risk for various complications. • Young primigravids have higher rates of anemia, pregnancy-associated hypertension, and eclampsia • Irregular prenatal check-ups prior to delivery. • Prevented her for from being able to perform some preventive variables such as: • health education, prenatal care, nutrition, social support, risk identification, and obstetric care could have effectively reduced perinatal and neonatal morbidity hence mortality. • If the mother would have had regular prenatal check-ups, the ultrasounds would have monitored if MA was well.
Conditions of the Mother • Noted to have hypertension • The mother could have had gestational (pregnancy-induced) hypertension without significant proteinuria. • Also called mild pre-eclampsia, this normally influences the blood flow to the placenta and therefore would have threatened the normal development of the neonate. • Had taken her medications erratically. • Also, if her hypertension is continued to be mismanaged, it might develop in to chronic hypertension as opposed to only transient hypertension of pregnancy.
