Remember the rules of care for premature infants
Remember the rules of care for premature infants
All babies born before 37 weeks of pregnancy are premature babies.
Premature babies are not yet mature, weigh more than 2500 grams, and even weigh more than 2500 grams, and their organs and tissues are not as mature as those of term babies.
Premature babies’ “immature” “consequences” doctors pointed out that, in general, all organs of premature babies are immature, especially the brain, lungs, kidneys and large intestine . Immature brains: cause brain developmentSlower, slenderness caused him to reduce IQ and poor social ability.
Because the brain is immature, it can also cause Cerebral Palsy, affecting IQ.
Intestinal immaturity: If immature, it is susceptible to bacterial infections.
Bacteria growing in the intestine can cause the intestine to rupture, and then the bacteria will run into other parts of the baby’s body, which may cause the baby to die.
Lungs: They are susceptible to lung-related diseases, and some diseases can’t even be serious throughout their lives.
In addition, his breathing problems, such as the sudden stop of breathing during infancy.
Eyes: There is a problem with the eye mask and cataracts.
Skin: Redness, swelling, ulcers, and fewer problems.
The doctor continued: “Nevertheless, it depends on how early the premature baby is born.
If the baby lands on the 26th week, he has a high probability of having the above problems.
If the baby is born within the 28th to the 33rd week, the chances of the above problems are relatively small.
Then, if the baby is born at week 34 or later, the problem will occur because his physical development is close to the maturity of a full-term baby.
“Let premature babies” catch up “with full-term babies. Therefore, premature babies must strengthen nutrition, actively prevent disease, and carefully and patiently care as follows:
At room temperature at 24 ℃?
26 ℃, humidity is 55%?
65%, put an evaporable water basin indoors, the air is clean and fresh.
Clothing is required to be soft, warm, and light, with a double hot water bottle outside the small quilt to avoid previous inspections and movements for premature infants.
Measure body temperature once every 6 hours and keep it constant at 36 ℃?
37 ° C.
Give oxygen when premature infants have bruising or have difficulty breathing after milk.
In addition, the position of premature infants is supine, without pillows.
2) Various vitamin supplements.
As premature babies grow fast and have insufficient reserves, vitamins A, B, C, E, K, calcium, magnesium, zinc, copper, iron, etc. should also be added one to two weeks after birth, preferably with breast milk.Colostrum has a high content of various essential elements, proteins, fatty acids, and antibodies, which are just right for premature babies who are growing fast.
If breast milk is insufficient, use premature infant milk powder.
3) Prevent infection.
Avoid or keep idle people out of the premature baby room.
Wash hands before anyone (mother and health care provider) comes into contact with premature babies.
When touching children, adults’ hands should be warm. Do not kiss or touch them casually.
Supplies for premature babies need to be disinfected, cleaned, and table tops kept tidy.
The mother or accompanying person must wear a mask when they have a cold. In case of diarrhea, they must wash their hands frequently or change personnel for nursing.
Also, if the ability permits, when the parents are less than one year old, it is best to go to the hospital’s pediatric health clinic once a month, and after two years old, they can go to the pediatrician for two to three months to get a check.
How do I take good care of my premature baby at home after being discharged?
Due to the lack of sucking energy, the patient should be patient and uncomfortable. Generally, it takes 30-40 minutes for one feeding at the beginning of discharge.
For the first two or three years of the baby who has just returned home, the feeding amount of each meal does not need to be increased when it is maintained in the hospital. It is gradually increased after adapting to the environment at home, because the impact of environmental changes on young children is quiteLarge, especially gastrointestinal function.
Feeding less frequently and intermittently (drawing the bottle out of the mouth for one minute to allow the baby to breathe smoothly for about ten seconds before continuing to feed) can reduce the occurrence of vomiting and breathing pressure.
Can be fed milk powder for premature infants to promote digestion and increase nutrient absorption.
Premature babies are also very sensitive to temperature and changes, so attention should be paid to maintaining body temperature and temperature stability to avoid causing disease.
Regularly return to the hospital for follow-up inspection and treatment: such as audio-visual, jaundice, cardiopulmonary, digestion and digestion, and receive vaccination.
Keep in close contact with your neonatal doctor. The brakes are always available for inquiries.
Skilled first aid for infants, such as spitting, smoking, and cyanosis in case of need.
Other must pay attention to 1.
When playing with premature babies, move slowly and lightly. Don’t often surround him with new toys and new faces.
Do not over-stimulate premature babies.
Pay attention to the reaction of the premature baby. If he turns his head or stops looking at you, it means he is “enough”. At this time, stop playing with him.
Pay attention to indoor temperature, because the mechanism of regulating temperature in premature babies is not perfect, there is no layer of subcutaneous insulation for him, heat loss is very fast, so insulation is very important.
It is dark and quiet at night. Premature babies may not be used to it. You can turn on the night lights and play baby-raising music to help premature babies adapt to the environment.
Premature babies like to be wrapped in crickets. Pay attention that crickets must be soft and non-irritating, and the head must not be wrapped.
Premature infants have a poorly developed respiratory system and are highly sensitive to air. Therefore, the baby room must be clean and non-smoking.
The color of baby bedding and interior furniture should not be too bright, so as not to overstimulate premature babies.
If premature babies can suck, let him suckle, this can help him develop oral mobility skills, but also give him a sense of security.
The most important point is: pay attention to your child’s special needs.
The general rules are not necessarily perfectly suited to his needs.
You must “listen to him” and don’t impose it on him.
Prerequisites for parents with premature babies at home: Development evaluation doctors recommend that parents who have premature babies at home should pay attention to observation from the time of birth to understand the movements and intellectual development of premature babies. Armor can seek medical treatment when problems arise, causing timelyRehabilitation to minimize injuries.
However, parents must keep in mind that the mental development of premature babies must be evaluated in terms of correction age (corrected month age = month age after birth-(40-gestational week at birth) / 4).
For example: a baby with only 32 weeks of gestational age, transferred for 3 months, his corrected month age = 3- (40-32) / 4 = 1 month.
At this time, the child’s height, weight and head circumference can be compared with the one month old in the normal infant growth curve table.
Corrected for age at the age of 24 months (2 years).
(Chen Xiaoyun) The development status of premature babies should be as follows: correction age 4 months old: head can be fixed.
Correction age 6 months: can turn over.
Correction age is 9 months old: there will be.