1 / 14

Clinical Coding Seminar 28th October 2007

Clinical Coding Seminar 28th October 2007. Maternal conditions affecting the neonate. Issues of prematurity (<37weeks): Cervical incompetence – difficulties with diagnosis management issues outcomes ↑PNMR midtrimester M/C preterm delivery Chorioamnionitis.

Download Presentation

Clinical Coding Seminar 28th October 2007

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. Clinical Coding Seminar 28th October 2007

  2. Maternal conditions affecting the neonate • Issues of prematurity (<37weeks): • Cervical incompetence – difficulties with diagnosis management issues outcomes ↑PNMR midtrimester M/C preterm delivery Chorioamnionitis

  3. Maternal conditions affecting the neonate • Issues of prematurity (contd): • Preterm rupture membranes (PROM)

  4. Maternal conditions affecting the neonate • Issues of prematurity (contd): • Preterm rupture membranes (PROM) Definition Diagnosis Consequences ↑PNMR PTL Chorioamnionitis hypoplastic lungs limb deformities Perinatal morbidity

  5. Maternal conditions affecting the neonate • Issues of liquor volume • (physiology of liquor formation) • Oligohydramnios - association with fetal anomalies PROM (diag) placental dysfunction (IUGR) - outcomes ↑PNMR infection PTL IUFD Hypoplastic lungs limb problems

  6. Maternal conditions affecting the neonate • Issues of liquor volume (contd) • Polyhydramnios - association with fetal anomalies multiple pregnancies diabetes - outcomes ↑PNMR PTL cord presentation/prolapse unstable fetal lie compound presentations metabolic issues (DM)

  7. Maternal conditions affecting the neonate • Placental issues • Position - pl.previa → APH, IUGR, prematurity • Morphology - pl.accreta/increta/percreta → IUGR • Function - Insufficiency → IUGR Transfusion syndrome Separation • Cord issues • Cord (funic) presentation/ Cord prolapse polyhydramnios, unstable lie/high PP malpresentations • Vellamentousinsertion

  8. Haemolytic disease of the newborn • Definition - breakdown RBCs → anaemia → reduced O2 capacity • Causes: Rhesus incompatibility ABO incompatibility Other (anti Kell, Duffy etc) ie, isoimmunisation • Outcomes: in utero – hydrops fetalis ex utero - anaemia kernicterus

  9. Birth Injuries • Operative vaginal delivery • Large baby • Maternal exhaustion • poor application/technique/choice • Macrosomia → shoulder dystocia • May not be associated with excessive force • (demonstration)

  10. Birth Injuries • Head - intracerebral – extra/subdural haem scalp – lacerations, haematoma facial nerve • Neck/spine – brachial plexus (Erb’s Palsy) • Other skeletal - # clavicle # humerus # femur

  11. Thank you

More Related