The “Three Points” of Premature Infant Care
As the saying goes, October conceives.
“Melon is ripe” is the natural perfection.
However, in clinical practice, a considerable number of newborns are reported in advance.
According to statistics, the premature birth rate in Guangdong Province is as high as 9%, which is slightly higher than the national level. This situation has attracted the attention of neonatal specialists.
Yang Jie, director of the neonatal department of the Guangdong Provincial Maternal and Child Health Hospital, said that pregnant women are experiencing mental stress, high blood pressure, diabetes and other diseases during pregnancy, and unknown infections are the reasons for the increase in premature babies.
The viability of premature babies is low, and home care is very important.
Nearly 10% of preterm births are caused by high mental stress. Children born before 37 weeks of gestation and children with a birth weight less than 2500g are called “premature babies.”
According to statistics, in recent years, the proportion of premature babies has increased significantly.
According to the national large sample epidemiological survey data, premature babies nationwide accounted for about 7 births in 2002.
7%, rising to 8.
The latest survey shows that the incidence of preterm birth in Guangdong Province is about 9%, which is higher than the national level.
There are about 100 premature babies in Guangdong Maternal and Child Health Hospital every month.
Most of these premature babies are born at 28-30 weeks.
Director Yang Jie said that this is related to the current mental stress of pregnant women, suffering from basic diseases and susceptibility to infection.
Yang Jie said that recently they delivered a pair of twins who were only 24 weeks pregnant, and each newborn weighed less than 500 grams.
It is worth noting that twins and multiple births in IVF are prone to premature birth, so do not artificially “make” twins.
Premature babies are born with inadequate birth and home care is important. Premature babies are difficult to adapt to sudden changes in the extrauterine environment due to immature organs in the whole body, and are prone to various complications and even death.
Yang Jie said that, in general, with the help of medical staff and parents, premature babies must go through the three barriers: first pass: keep warm premature babies are basically in the warm box when they are born.
Because of premature birth, the baby’s body temperature is underdeveloped.
Only give him or her a warm environment to ensure that it is always at a moderate temperature.
At this temperature, the body consumes the least amount of oxygen, has the least amount of evaporation and heat dissipation, and has the lowest metabolism.
Wait until the child’s weight is up to the outside temperature to get out of the incubator.
Yang Jie said, however, many premature babies return to home after being discharged from the hospital, often because of poor thermal insulation measures, resulting in colds and fevers and fever.
Experts recommend: Because premature babies are very sensitive to temperature, parents should pay attention to keeping the child’s body temperature and indoor temperature after discharge, not too cold or overheating. In summer, the indoor temperature is maintained at 26-28 ℃, and in winter it isIt is advisable to keep the indoor temperature around 24 ° C.
Such temperatures not only help premature babies to “catch up” their growth, but also reduce their chances of infection.
The second hurdle: cleaning After returning home for premature babies, it is best to take a bath every day even if you don’t sweat.
But many parents are afraid to bathe their children because they are afraid of their cold.
Therefore, it is often found that premature babies who do not pay attention to cleanliness, erosion of the neck, thighs and other skin wrinkles.
Yang Jie believes that premature babies have immature skin development and are susceptible to infection. Bathing him is not only a simple health problem, but also an important way to prevent baby skin infections.
Experts recommend: Give your baby a bath, preferably one hour after feeding.
The indoor temperature should be appropriate when taking a shower, especially in winter, the indoor temperature should generally be maintained between 26-28 ° C.
The water temperature is controlled at about 40 ° C, and the mother can test the water temperature with the inside of her wrist.
When taking a bath, be careful not to get your baby’s belly button wet. If it gets wet, disinfect it with alcohol, then wipe it with a cotton swab, and keep the umbilical clean and dry to prevent infection.
The third hurdle: feeding babies, due to weak sucking power, poor swallowing function, and small stomach capacity in premature babies, can easily cause choking and choking. In addition, various digestive enzymes are insufficient, and digestion and absorption are also poor.
Therefore, after being discharged home from the hospital, scientific feeding is important.
When preparing formula, parents should not be too thick or too thin.
The temperature should also be moderate, and the mother can drop the prepared milk on the back of the hand as the standard is not hot.Feeding should be slow to prevent the baby from eating too fast and causing breastfeeding.
Experts suggest that the baby bottle should be boiled and disinfected regularly, and the room should be opened regularly for ventilation to ensure fresh air.
Because the child’s immune system is low, avoiding initial infection and respiratory infections is the key to improving the survival rate of preterm infants.