10 questions that premature baby mothers wonder
Every year, approximately 150,000 premature babies are born. These babies who came to the early world, according to the babies born in time; respiratory and nervous system, hearing, vision, cognitive functions related to learning at a later age. Therefore premature baby care requires precision and care.
1. Is every premature baby premature?
One of the common misconceptions is that it is possible to determine whether the newborn baby is premature by weight. However, birth weight does not indicate whether the baby is premature or not. A baby weighing 2,000 grams is not premature, whereas a baby weighing 3,000 grams may be premature. Babies born before 37th week are called premature babies.
2. Do premature babies experience serious health problems?
In infants born before 37th week, disorders of vital organs and organ systems such as brain, liver, kidney, heart, lung, intestines may occur. Immediately after birth, with the first breath, the baby must adapt to a completely different system than the circulatory system in the womb. As the gestational age of premature babies gets smaller, problems in other organ systems, especially the respiratory system, are increasing. For this reason, it is important that the premature baby will be born in centers with neonatal intensive care units.
3. Should breastmilk be given to premature babies immediately?
Immune system expects to suck, swallow, breathe and coordination of all the baby born before maturity. In the premature baby, it is especially important that the first feeding is done with the first milk from the mother called colostrum. Breathing, bruising attacks, sucking, swallowing and breathing during feeding are common problems in the first days of the adaptation to the external environment where coordination is provided, sometimes lasting a few weeks. In premature infants, food escape from the stomach to the esophagus can cause slowing of heart beat and bruising attacks.
4. Why is heat loss more important in these babies?
Premature babies' skin thinness, subcutaneous fat tissue is very little because of the ability to produce heat. As soon as it is born, the heat loss will reach the extreme level when the first maintenance is done in a place where proper heat environment is not provided, without drying well. When the body temperature decreases, the body will consume more oxygen to produce heat. Increasing oxygen consumption for heat production on top of a premature baby who already has respiratory distress will increase the need for oxygen several times. This will lead to deoxygenation, cerebral hemorrhage and severe deterioration of organ systems. Therefore, in order to minimize heat loss in premature babies, the first interventions to be done immediately after birth should be done under a heat source, the skin should be dried carefully and the head where the most heat loss is experienced should be covered as soon as possible. Never bath before 24 hours.
5. Does premature babies also have jaundice?
Premature babies are redder than babies born at the time. This is due to the high blood cell count and the very thin skin. Jaundice in premature infants lasts longer than those born in time. Bilirubin released by the breakdown of large numbers of blood cells gives the skin and eye white a yellow color. Treatment of jaundice is provided by adequate nutrition and phototherapy.
6. What should be done to protect premature babies from infection?
Hand protection should be provided before touching these babies to prevent premature babies whose body defense functions are extremely weak to be protected from infections. For this reason, hand washing should be an indispensable habit in newborn units. The newborn unit should be ventilated with a ventilation system with a closed-circuit microbe filter. In order to protect a premature baby against pertussis, it is very important to vaccinate the mother and father who have the highest contact with the baby, especially with the application of a recently proposed cocoon strategy.
7. Does premature babies have blood pressure?
Another problem encountered in premature babies is brain hemorrhage and related complications. The blood-brain barrier, which prevents the direct reflection of changes in blood pressure in premature babies to the brain, is not fully mature in premature babies. Monitoring of blood pressure changes is important. The number and intensity of stimuli given by environmental light, sound and touch are reduced in addition to the necessary sedative medications in infants in intensive care. Premature infant is one of the most important principles in follow-up units with “Less hands, more eyes gözle.
8. Do premature babies have a higher risk of hearing and vision ?
Another problem encountered in premature babies is visual loss. Early detection of the disease makes treatment possible. Certain ophthalmologists are involved in such operations, dealing with network layer diseases of the eye. Low blood sugar, calcium and magnesium are other metabolic problems encountered in premature infants. For the treatment of the missing or intravenous or oral replacement is detected. Other conditions of hearing impairment and cerebral palsy are seen in infants receiving oxygen therapy with an assisted breathing device weighing less than 1000 g before the 30th week.
9. How is the premature baby going home?
It can be completely fed orally with breast milk or formula formula, tolerates its feeding, respiratory rate is 25-55 / min. infants who do not have any organ dysfunction requiring hospital treatment are included in the discharge plan. Mother education is given one-to-one. If the mother can feed her baby, if the baby does not develop a problem, if the baby is turned into a car seat, bruising, fainting and breathing symptoms can not be seen and can maintain the body temperature in the room air can now be sent home.
10. What are the points that the family should take care of in the care of the premature baby at home?
Daily poop number, urine amount, meal hours, meal quantities should be recorded in a table. Abnormal conditions should be recorded and shared with the doctor. It is recommended that the room temperature should be 23-25 degrees and in accordance with this temperature, the infant on the top, the coverall on top and the thin blanket on the bed, and lay in its own bed in a noiseless environment. In case of food rejection, inability to suck, continuous crying or no crying, being in a very loose position and when the limbs are moved when the legs are moved, bruising, frequent and difficult breathing, fever or low body temperature, visible doctor should be consulted urgently. Infants born under the age of 28 weeks are observed to be 3 years old and older premature babies are followed up until 2 years of age by observing their growth and development. After this age it is no longer necessary to look at the corrected age. He must have caught his peers.
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