UNIVERSIDAD DE MANILA

A.J. Villegas St. Mehan Garden, Ermita, Manila

College of Health and Sciences
Department of Nursing

Premature Infant of 28 to 29 weeks: A Case Study

SUBMITTED BY:

GROUP 1

Patigdas, Jawillen O.

Sandiego, Jeissilyn Joy N.

Sulbiano, Maridel H.

SUBMITTED TO:

Ms. Clarisse Agno RN, MAN

 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health and Sciences
Department of Nursing

Introduction
Definition
The length of a normal pregnancy or gestation is considered to be 40 weeks (280 days) from the
date of conception. Infants born before 37 weeks gestation are considered premature and may be
at risk for complications. Advances in medical technology have made it possible for infants born
as young as 23 weeks gestational age (17 weeks premature) to survive.

Risk Factors
Often, the specific cause of premature birth isn't clear. Many factors may increase the risk of
premature birth, however, including:
Having a previous premature birth
Problems with the uterus, cervix or placenta
Smoking cigarettes or using illicit drugs
Poor nutrition
Some infections, particularly of the amniotic fluid and lower genital tract
Some chronic conditions, such as high blood pressure and diabetes
Stressful life events, such as the death of a loved one or domestic violence
For unknown reasons, black women are more likely to experience premature birth than are
women of other races. But premature birth can happen to anyone. In fact, many women who
have a premature birth have no known risk factors.

Epidemiology
According to World Health Organization, more than 60% of preterm births occur in Africa
and South Asia, but preterm birth is truly a global problem. In the lower-income countries, on
average, 12% of babies are born too early compared with 9% in higher-income countries.
Within countries, poorer families are at higher risk.
The 10 countries with the greatest number of preterm births
India: 3 519 100
China: 1 172 300
Nigeria: 773 600
Pakistan: 748 100
Indonesia: 675 700
The United States of America: 517 400
Bangladesh: 424 100
The Philippines: 348 900
The Democratic Republic of the Congo: 341 400
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health and Sciences
Department of Nursing

Brazil: 279 300

Patient`s Profile
Name: Baby Boy R

Address: Area A Parola Tondo

Date of Birth: January 5, 2017

Time of Birth: 1:43pm

Nationality: Filipino

Religion: Roman Catholic

Name of Father: M, M

Name of Mother: A, R

History of Present`s Illness

Baby boy R delivered via spontaneous delivery in Gat. Andres Bonifacio Memorial Medical
Center on January 5, 2017 at exactly 1:43 pm. Baby boy R was admitted to Neonatal Intensive
Care Unit (NICU) due to prematurity of 28-29 weeks, after delivery Baby boy R was cyanotic,
tachycardic, grunting, weak cry, poor in movement, APGAR score of 7 in 1 minute and 8 in 5
minutes and also have a low Ballard score in maturity rating of 10.

Immunization
Vitamin K 0.01ml was given at left vastus lateralis intramascularly and hepatitis B vaccine
0.05ml was given at right vastus lateralis via intramascular.
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health and Sciences
Department of Nursing

Physical Assessment:
Dry skin
Dry oral mucosa
Poor in movement
Anthropometric Measurement:
Head Circumference: 26 cm
Chest Circumference: 24 cm
Abdominal Circumference: 23 cm
Height: 33 cm
Weight: 1.1 kgs.

LABORATORY NORMAL ANALYSIS AND

RESULTS
EXAMINATION VALUES INTERPRETATION
CBC Complete January 9, January
January 5, 2017 Decreasing white blood
Blood Count is 2017 16, 2017
WBC cell count (leukopenia)
determining whether
4.6-10mg x means a decrease in
specific blood levels 34.8 21.5
109/L 14.8 disease-fighting cells
are higher or lower
(leukocytes) in the blood.
than normal or can be
useful in the diagnosis A high hematocrit with a
of such diseases as Hematocrit 0.562 0.564 0.548 high RBC count and high
leukemia, anemia and 0.370-0.540/L hemoglobin
infection. indicates polycythemia
A slight decrease in
Hemoglobin 196 192 189 hemoglobin does not
120-180gm/l necessarily indicate an
illness. Some people adapt
to slightly low hemoglobin
count.
Neutrophils reduces the
Neutrophils 0.72 0.60 0.40 body's ability to fight off
0.60-0.70% bacterial infections.
Increasing in number of
Lymphocytes 0.25 0.34 0.54 lymphocytes indicates that
0.20-0.40% the body needs more
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health and Sciences
Department of Nursing

protection to fight off

infection.

Monocytes 0.03 0.03 0.02 NORMAL

0-0.07%

Eosinophils 0.03 0.03 0.02 NORMAL

0-0.05%

Platelet 322 278 205 NORMAL

150-450x109/dL
 UNIVERSIDAD DE MANILA
A.J. Villegas St. Mehan Garden, Ermita, Manila
College of Health and Sciences
Department of Nursing