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Optimal Gestation Weight: Understanding and Promoting Best Practice

Explore the impacts of gestational weight on fetal growth and maternal health. Learn about risk assessment, standardizing fundal height measurements, and referral criteria. Gain insights into fetal growth parameters and antenatal detection methods. Discover the significance of saving babies' lives through the NHS England Care Bundle.

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Optimal Gestation Weight: Understanding and Promoting Best Practice

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  1. GROW Gestation Related Optimal Weight Julie Verity/Jackie Cotton

  2. Aims • Promote best practice • Understand risk assessment at booking • Standardise fundal height measurement • Expand awareness of referral criteria

  3. Historic parameters of normal growth • Average size baby at birth……3.5kg • Small for gestational age……..2.5kg • Large for gestational age……...4.5kg • Does gestation or the size of the mother matter?

  4. Antenatal Detection • Using population standards to asses fetal growth in the 3rd trimester will miss most cases of SGA • Population standards group all women together and predict they will all have the same size baby.

  5. Fetal growth restrictionassociations • Stillbirth • Neonatal deaths • SIDS • Perinatal morbidity • Cerebral palsy • Effects in later life

  6. Standardising Practise • Intra observer variation • Inter observer variation • Bladder volume • Tape measure • Frequency of assessment

  7. NHS England – Saving Babies Lives Reducing stillbirth and Early Neonatal Death Care Bundle • Element 1 – Smoking cessation • Element 2 – Fetal Growth Restriction • Element 3 – Fetal movement • Element 4 – Fetal monitoring in labour

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