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GROW Gestation Related Optimal Weight

GROW Gestation Related Optimal Weight. Julie Verity/Jackie Cotton. Aims. Promote best practice Understand risk assessment at booking Standardise fundal height measurement Expand awareness of referral criteria. Historic parameters of normal growth. Average size baby at birth……3.5kg

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GROW Gestation Related Optimal Weight

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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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