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Post Mature Infants

Post Mature Infants. Islamic University Nursing College . Definition . Infants born after completed 42 weeks gestation, calculated from the last menstrual period. ( 294 days) After 42 weeks gestation infant considered as post mature regardless of infants weight.

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Post Mature Infants

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  1. Post Mature Infants Islamic University Nursing College

  2. Definition • Infants born after completed 42 weeks gestation, calculated from the last menstrual period. ( 294 days) • After 42 weeks gestation infant considered as post mature regardless of infants weight. • Incidence: 12% of all births.

  3. Etiology • Exact cause unknown. • Predisposing factors: • Primigravida. • High parity. • History of previous prolonged pregnancies.

  4. Altered Physiology • Post mature may suffered from: • Intrauterine malnutrition. • Hypoxia. • Placental dysfunction. • The longer gestation the more sever problem.

  5. Clinical Manifestations • Wasted physical appearance. • Little subcutaneous fat. • Long thin appearance. • Long fingernails and toenails. • Minimum vernixcaseosa. • Abundant scalp hair. • Skin frequently cracked & desquamating parchment like pale skin. • Absence of lanugo hair.

  6. Diagnostic evaluation • General appearance. • Gestational age. • APGAR score. • Blood gases. • Complications: • Meconium aspiration. • Hypoglycemia, hypocalcemia & polycythemia. • Pulmonary hemorrhage, pneumonia & pneumthorax.

  7. Complications • Meconium aspiration. • Hypoglycemia. • Hypocalcaemia. • Polycythemia. • Pulmonary hemorrhage. • Pneumonia. • Pneumothorax.

  8. Normal value of blood gases

  9. Thank You

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