Transition and Stabilization of the Newborn.ppt

Transition and Stabilization of the Newborn Letha Nix RNC How long should it take to transition from intrauterine life to extrauterine life? A.) 1-2 hours B.) 2-3 hours C.) 3-6 hours D.) 6-12 hours D.) 6-12 hours A newborn can take up to 12 hours to transition from placental support to extrauterine support. Definition Transition is a process of physiologic change in the newborn infant that begins in utero as the child prepares for transition from intrauterine placental support to extrauterine self-maintenance. Objectives Identify primary features of fetal and newborn circulation. Identify physiologic changes during transition to extrauterine life. Identify routine care considerations for a newborn during the transition period. Identify signs and symptoms of common problems during transition period. Discuss methods for parental support. Transition begins before delivery Depending on…. Gestational age placenta health/condition maternal health Any limitations to major organs physical defects/anomalies Transitional begins before delivery The infant prepares by… Fetal breathing (producing surfactant at 34 weeks) storing glycogen in the liver producing catecholamines depositing brown fat Transition begins before delivery During Labor… placenta stress hormones Review: Placental Circulation Exchanges O2 and CO2 by simple diffusion Eliminates waste products Does the work of the lungs in utero Uterine venous blood has PCO2=38 mmHg PO2=40-50 mmHg pH=7.36 Review: Fetal Circulation One Umbilical Vein-oxygenated blood Two Umbilical Arteries-deoxygenated blood Three Fetal Shunts… Ductus Venosus- hepatic system Foramen Ovale- between right left atrium Ductus Arteriosus- vein connects pulmonary artery to descending aorta Fetal Circulation Foramen Ovale Shunt Right atrium Left atrium Right Ventricle Fetal Circulation Ductus Arteriosus Shunt Unsaturated blood Pulmonary Artery Aorta Fetal Circulation Fetal Lungs Fluid filled Resistant