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Dr. Madhavi Karki

Dr. Madhavi Karki. BIOPHYSICAL TEST : THE FIRST EXAM SHOULD CONFIRM THE CLINICAL ESTIMATION OF THE GESTATIONAL AGE. Fetal distress / death. Asphyxia & RDS. Hypoglycemia. Meconium aspiration syndrome. Hypothermia. Pulmonary hemorrhage. May have retarded growth .

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Dr. Madhavi Karki

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  1. Dr. Madhavi Karki

  2. BIOPHYSICAL TEST : THE FIRST EXAM SHOULD CONFIRM THE CLINICAL ESTIMATION OF THE GESTATIONAL AGE

  3. Fetal distress / death. • Asphyxia & RDS. • Hypoglycemia. • Meconium aspiration syndrome. • Hypothermia. • Pulmonary hemorrhage. • May have retarded growth . • May have cardiac disease, diabetes, in adulthood, if survives. • Long term complications Lower IQ, learning & behavior problems, major neurological handicap seizures, cerebral palsy, mental retardation

  4. Adequate bed rest. • Nutritional diet / iron, vitamins, calcium. • No smoking / alcohol allowed. • Aspirin in low dose (50 mg daily). • Ultrasound monitoring of fetus should be done every 4th wks. • Termination of pregnancy – beyond 37 week. • Before 37 week – conservative t/t to increase placental function till fetus becomes viable.

  5. Severe degree of IUGR – termination is to be done if lung maturation is achieved. - If lung maturation has not been achieved corticosteroid therapy (betnasol 12 mg i.m. 24 hrs apart – 2 doses given to reduce the risk of neonatal RDS) 9. CS – to be done in the case of preterm delivery & unfavorable cervix. 10. Baby should be shifted to intensive neonatal care unit.

  6. ETIOLOGY 1. Preeclampsia/ eclampsia 2. A.P.H. 3. Diabetes 4. Severe anemia 5. Hyperpyrexia/Malaria 6. TORCH infections 8. Fetal malformations 9. Rh-incompatibility 10.Iatrogenic

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