Avtor/Urednik		Babnik, Janez
Naslov		Učinkoviti ukrepi takoj po rojstvu: nedonošenčki pod 28. tedni gestacijske starosti in od 28. do 32. tedna
Prevedeni naslov		Effective care immediately after birth: preterms newborns under 28 weeks and from 28 weeks to 32 weeks of gestation
Tip		članek
Vir		In: Novak-Antolič Ž, editor. Prezgodnji porod in nedonošenček. Zbornik prispevkov 8. Novakovi dnevi z mednarodno udeležbo; 2001 maj 31-jun 2; Maribor. Ljubljana: Slovensko zdravniško društvo, Združenje za perinatalno medicino,
Leto izdaje		2001
Obseg		str. 100-11
Jezik		slo
Abstrakt		Background. Modern obstetric science enables us to plan children even before conception, to constantly watch over their development, as well as to correctly and in due time choose the method and time of labour and delivery, thus providing the majority of children with an optimum beginning of life. Perinatal and neonatal mortality are significant indicators of this health-care level. Nowadays, the newborn mortality depends on the development level of neonatal intensive therapy and care units (nicu). More than two thirds of places in NICU are intended for premature babies, particularly the smallest ones. While the majority of aduls survive less than a year following intensive therapy, the newborns and even premature babies have their whole lives in front of them. The quality of their future lives depends on many factors: genetic, social and health-related. The last group includes diseases during pregnancy, labour and delivery, diseases of newborns, intensive therapy methods and complications, as well as on procedures in delivery unit. Procedures in delivery room include primary care for the newborn and resuscitation. In the first few minutes after birth the newborn has to become adapted to living outside uterus. All organic system need to adapt, but the most important is the adaptation of breathing, blood circulation, and body temperature. A premature baby adapts more slowly than a baby born at term. The reason is in the lack of surfactant, rapid heat loss because of immature skin and large body surface, insufficiently developed brown fat, immature neural system, and immature hormonal response to labour and delivery-induced stress. Conclusions. Even before a premature baby is born we need to know some facts which will be of help in decision-making after delivery. (Abstract truncated at 2000 characters).
Deskriptorji		INFANT, PREMATURE INFANT, LOW BIRTH WEIGHT INFANT MORTALITY INTENSIVE CARE UNITS, NEONATAL RESUSCITATION INFANT, NEWBORN PULMONARY SURFACTANTS OXYGEN INHALATION THERAPY