What Mothers of Premature Babies Need to Know
November is Prematurity Awareness Month, so we wanted to take some time to address this maternal and infant health crisis that affects nearly 400,000 babies each year. Fortunately, the survival rate for premature babies born after 28 weeks who weigh over two pounds, three ounces is very high. Further, the majority of premature babies who are born after the thirtieth week will typically only have very minimal long-term health or development issues. For preterm babies born before twenty-eight weeks, however, tend to experience more complications, and require support in a neonatal intensive care unit. When it comes to caring for a premature baby, we’ve detailed some of the main differences and possible health issues that may arise.
Main Differences Between Preemies and Full-Term Babies
Physical Differences
While the average full-term baby weighs about 7 pounds at birth, premature babies can weigh about 5 pounds or less. Since they haven’t had a chance to fully develop, it’s likely that they won’t have much fat, making their skin seem thinner, features sharper, and their head a bit larger than normal.
Behavioral Difference
Due to the immaturity of the respiratory system, a premature baby may experience difficulty breathing which makes it so they cry softly, or not at all.
· Possible Health Issues
· Respiratory Distress Syndrome
Because a premature baby’s lungs haven’t had time to develop yet, they may experience a breathing disorder called respiratory distress syndrome. This disorder typically occurs because the baby’s lungs lack surfactant, a liquid substance that allows the lungs to remain expanded, making it easier to breathe. Artificial surfactants and ventilators can help treat babies with this condition.
Chronic Lung Disease/Bronchopulmonary Dysplasia (BPD)
Premature babies that require oxygen for several weeks or months are typically categorized as having chronic lung disease, or BPD. This condition is generally uncommon, and most babies with BPD outgrow is as their lungs and respiratory systems mature.
Apnea and Bradycardia
Apnea is a temporary pause in breathing that is common among premature babies. Occasionally accompanying apnea is bradycardia, a condition in which the heart rate suddenly declines. Fortunately, most infants outgrow both of these conditions.
Retinopathy of Prematurity (ROP)
Retinopathy of prematurity occurs when the retina hasn’t fully developed. Though many cases resolve themselves, some may require treatments such as laser eye surgery.
Jaundice
Jaundice occurs when the chemical build-up of bilirubin accumulates in the baby’s blood, causing a yellowish tint in the skin.
When it comes to the development of premature babies, the milestones are likely going to be different than those of a full-term baby. Immediately after delivery, your baby may need extra help in feeding or adapting. It’s important to note that the stages of development vary for each individual baby, and development itself is not a race.
At Aashirwad Clinic and Sonography Center of Dr. Meenakshi Surve Pawar OB/GYN, we have a comprehensive list of gynecological and obstetric services that will ensure that you get the best care possible in all stages of life.
Dr. Meenakshi Surve Pawar
MS (OBGYN), MBBS, DNB (OBGYN), FICS (UK), FPAI, FMAS
Sr. Consultant (Obstetrician and Gynecologist)
Aashirwad Clinic and Sonography Center
Website: https://www.aashirwadclinic.net
Contact: +91-7499357236
Address: Aashirwad Clinic and Sonography Center, Sham Heights, First Floor, Shop No. 103, Old Jakat Naka, Chinchwad, Pune - 411033
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