GA: Gestational age
GA: General anaesthesia
In biology, GA is an abbreviation for gestational age. The gestational age determines how far along a pregnancy is. It is used to calculate how long it takes from the start of a pregnancy to the birth of a child.
The baby grows and develops in the mother’s womb during the gestational period.
Gestational age can be established before or after delivery.
Before delivery, your doctor will use an ultrasound to assess the baby's head, abdomen, and thigh bone size. This shows how well the kid is developing in the womb.
After delivery, gestational age can be determined by examining the baby's weight, length, head size, vital signs, reflexes, muscle tone, posture, and skin and hair condition.
If the infant's gestational age results after delivery matches the calendar age, the newborn is considered to be Appropriate for Gestational age (AGA). AGA newborns had lower rates of problems and mortality for their gestational age than big babies.
The major techniques for calculating gestational age, according to the American College of Obstetricians and Gynecologists, are:
Directly estimating the number of days from the start of the last menstrual cycle.
Early obstetric ultrasonography compares the size of an embryo or foetus to that of a reference group of known gestational age pregnancies (such as estimated from previous menstrual cycles) and utilises the mean gestational age of other embryos or foetuses of the same size. If the gestational age derived from an early ultrasound differs from the one calculated directly from the previous menstrual period, the gestational age calculated from the early ultrasound is still utilised for the rest of the pregnancy.
The fertilisation or conceptional age (also known as embryonic age and later foetal age) is the time between fertilisation and conception. It normally happens within a day after ovulation, on average 14.6 days following the start of the last menstruation period (LMP). This period is also very variable, with a 95% prediction interval of ovulation ranging from 9 to 20 days after menstruation even for a typical woman with a mean LMP-to-ovulation latency of 14.6 days. The 95% prediction interval of the LMP-to-ovulation delay in a reference group of all women is 8.2 to 20.5 days.
Because of the ambiguity in which the menstrual cycle gave rise to the pregnancy, the real variability between gestational age as determined from the commencement of the last menstrual period (without the use of any extra technique specified in the preceding section) is significantly bigger. Menstruation, for example, may be sparse enough to provide the erroneous impression that earlier menstruation caused the pregnancy, thus resulting in an estimated gestational age that is roughly one month too big. Furthermore, vaginal bleeding occurs in 15-25% of first-trimester pregnancies and may be misinterpreted as menstruation, resulting in incorrect gestational age estimation.
General anaesthesia is a medically induced loss of consciousness that leaves the patient unarousable even to painful stimuli. This effect is produced by delivering general anaesthetic medicines by intravenous or inhalation, which are frequently combined with an analgesic and neuromuscular blocking agent. Spontaneous breathing is frequently insufficient, and intervention is frequently required to preserve the airway. General anaesthesia is often administered in an operating room to allow for surgical operations that would otherwise be too unpleasant for the patient.
General anaesthesia serves several functions and is often used in practically all surgical operations. The following objectives should be included in adequate surgical anaesthesia:
Hypnosis/Unconsciousness (loss of awareness) (loss of awareness)
Analgesia (lack of responsiveness to pain) (loss of response to pain)
Amnesia (loss of memory) (loss of memory)
Immobility (lack of motor responses) (loss of motor reflexes)
Paralysis (skeletal muscle relaxation and normal muscle relaxation) (skeletal muscle relaxation and normal muscle relaxation)
General anaesthetics' biological mechanism of action is poorly known. Theories must explain how anaesthesia works in animals and plants. Anaesthetics have several sites of action and influence the central nervous system (CNS) on various levels to produce unconsciousness. The functioning of CNS components such as the cerebral cortex, thalamus, reticular activating system, and spinal cord are frequently disrupted or altered during general anaesthesia.
In an intensive care unit or emergency department it is used to allow for endotracheal intubation and mechanical breathing in critically sick patients.
Current ideas on the anaesthetized state identify not just target areas in the CNS, but also neuronal networks and arousal circuits associated with unconsciousness, and some anaesthetics may be capable of activating particular sleep-active regions.
The monitoring techniques for General anaesthesia are:
Continuous electrocardiography (ECG or EKG)
Blood pressure monitoring
Agent concentration measurement
Gestational age is used for:
Prenatal development events typically occur at certain gestational ages. As a result, the gestational timing of foetal toxin exposure, foetal medication exposure, or vertically transmitted illness can be utilised to forecast probable foetal repercussions.
Estimated delivery date
Prenatal care scheduling
Foetal viability estimation
General anaesthesia is often administered in an operating room or in a specialised anaesthetic room next to the operating room. General anaesthesia can also be administered in other settings, such as an endoscopic suite, critical care unit, radiology or cardiology department, emergency department, ambulance, or at the site of a catastrophe if patient extrication is impossible or impracticable.