Neonates with intrauterine growth retardation

If a newborn baby shows signs of developmental delay, it will have a very serious impact. There are many reasons that lead to developmental delay in newborns. Some children are diagnosed with developmental delay before they are even born. This situation is bound to be worrying for new parents, and the solution naturally becomes the most concerned thing. So, what should we do with newborns with intrauterine growth retardation? Let’s take a look at the coping methods below.

Pregnant women should pay attention to get more rest, improve their living habits, avoid excessive fatigue and body movement, and try to lie on their left side when resting. Family members should pay attention to giving pregnant women more nutrition, especially foods rich in high protein and fat, to increase the body fat content of pregnant women.

2. Oxygen

If necessary, oxygen can be inhaled in stages, once every 2-3 days, for one hour each time.

3. Cooperate with doctors for drug treatment

(1) Shuchuanling. Oral administration, 3-7 days as a course of treatment, 2.4 mg each time.

(2) Low molecular weight dextran. Add Danshen injection and 5% glucose solution, intravenously drip or infuse, for 7 days as a course of treatment.

(3) Compound amino acid solution. 100ml of compound amino acid solution, intravenous injection.

4. Strengthen supervision

(1) Observe fetal movement. The fetus should be observed every three days. Doctors, family members and pregnant women themselves should pay attention to the fetal movements. If there are any abnormalities, seek medical diagnosis in time.

(2) Fetal monitoring. NST should be performed at least once a week. If the result is unresponsive, OCT should be performed instead. A positive OCT result indicates that the situation is very dangerous and termination of pregnancy may be considered.

(3) Ultrasonic monitoring. Once a week, the amniotic fluid index and the maximum depth of the amniotic fluid pool were observed by ultrasound.

(4) Urine E3 determination. Once a week, the E/C ratio measurement can be used as an alternative.

(1) Effective treatment

If the pregnant woman's condition improves after prenatal treatment and conditioning, and there are no problems with fetal growth and placental function, the pregnant woman can continue her pregnancy until the due date, but the treatment must be effective within the due date.

(2) Ineffective treatment

If the fetus's physical development and placental function still show abnormalities after treatment, the mother can be injected with drugs such as prednisone and dexamethasone about an hour before delivery to help promote the fetus's cardiopulmonary maturity, after which the pregnancy can be ended quickly.

(3) Immediate cesarean section

a. NST non-reactive type, CST result is positive.

bB ultrasound showed that the amount of amniotic fluid was too little and the amniotic fluid was stained with meconium of degree II or above.

c. If the mother has other high-risk complications or obstetric abnormalities.

(1) Antenatal preparation. Before delivery, medical staff should prepare emergency measures.

(2) Intubation and cleaning of dirt. After the baby is born, medical staff must immediately perform tracheal intubation, clean the respiratory tract, and remove all impurities such as amniotic fluid and meconium to prevent the occurrence of respiratory distress syndrome.

(3) Keep warm. Place the baby in an incubator and keep the baby warm.

(4) Supplement nutrition. Feed your baby glucose water or milk as early as possible to supplement nutrition.