 | | FACTORS THAT
PLACE INFANT AT RISK
A.
GENETIC DISORDERS
-
Chromosomal Disorders
-
Single
Gene Disorders
-
Multifactorial Genetic
Disorders
B. MATERNAL FACTORS
-
Family history of mental
retardation
-
Maternal history of premature
births
-
Repeated
miscarriages
-
Cervical
incompetence
-
Stillbirth
-
Placental
abnormalities
-
Intrauterine growth
retardation
-
Blood group
problems
-
Unexplained fetal or neonatal
deaths
-
Genetic
disease
-
Chromosomal
disorders
-
Age: less than 16 or more than 36
years
-
Infections during the first trimester (Rubella, flu)
-
Toxemia of pregnancy
-
Threatened spontaneous abortion during 2nd or 3rd
trimester
-
Maternal
diabetes
-
Mental retardation
B. SOCIAL AND
PSYCHOLOGICAL FACTORS
-
With lower incomes the potential for nutritional problems arise
-
Also lack of or infrequent prenatal care
-
Maternal psychological status (unwanted pregnancy)
-
Psychiatric disorder
C.
FACTORS RELATED TO LABOR AND DELIVERY
-
Length of labor + 18
hours primagravida + 8 hours in multigravida,
(these are "prolonged"
-
Uncontrolled delivery
-
Abnormal presentation (breech)
-
Prolonged forceps application
-
History of fetal distress
-
Cesarean deliver can be risk factor
D. NEONATAL
SYNDROME
-
Birth weight and gestation
age
-
Hyperbilirubinemia: serious conditions can develop in the presence of elevated
bilirubin levels (jaundice)
-
Meconium (staining)
can contribute to respiratory difficulties
-
Central nervous system disorders
-
Hypertonia
-
Asymmetry of
tone
-
Abnormal head size
-
Convulsions
-
Excess irritability
-
Abnormal head size
-
Respiratory distress
-
Gastrointestinal difficulties
-
Poor sucking or swallowing
-
Congenital abnormalities
-
Apgar score or 6 or less
E. POSTNATAL
CONDITIONS AND SYNDROMES
-
Serious injury or illness
-
Clinical manifestation or a previously unrecognized anomaly
-
Inattention to sound or visual stimuli
-
Delayed pattern or overall development in motor, social, speech, language, or adaptive behaviors
-
General failure to thrive and develop normally
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