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What
Does A Premature Baby Look Like?
It depends on the gestational age that the baby is born at.
Preemies lack subcutaneous body fat and are usually very small with their heads largely out of proportion to the rest of their body. Depending on their gestational age, they may not have finger or toe nails and their ears appear to be paper-thin. Their skin colour is reddish and transparent. Their eyes remain closed for the first few days. The more premature the baby, the more noticeable these characteristics.
"Preemies look like little birds that fell out of their nest"
How Do Preemies Behave?
Each preemie is unique and different to the next, and each has different patterns of behavior. The smaller the preemie and the younger the gestational age at birth, the less physically active the baby will be. The behavior will also differ depending on the health of the baby, the complications that may be evident and what medication they are on.
Basic Needs From Birth to Full-Term
| Breathing |
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Your baby's lungs might be under developed and therefore the
baby would not be able to breathe on it's own.
The baby will
be incubated with a tube connected to a respirator, or one
of various other machines to help him breathe.
In some cases
the lungs are developed but the baby still struggles with
breathing on it's own as it can not take in enough oxygen to
fill the lungs. In such cases, the baby will be given extra
oxygen to help him. |
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Warmth |
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Because
premature babies lack body fat needed to maintain their body
temperature, they are placed inside incubators or radiant
warmers are used to keep the babies warm.
Incubators
considerable decrease the chance for infection as they
completely surround the preemie, also minimizing the loss of
water.
Radiant warmers are electrically warmed
beds open to the air. These are used when the medical staff
need frequent access to the baby for care. |
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Nutrition and Growth |
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Premature babies have special nutritional needs because
they grow at a faster rate than full-term babies and
their digestive systems are immature.
Neonatologists (paediatricians
who specialise in the care of newborns) measure their weight
in grams. Full-term babies usually weigh more than 2,500
grams (about 5 pounds, 8 ounces), whereas premature babies
weigh 500 to 2,500 grams.
Breast milk is an excellent source of nutrition, but premature infants are too immature to feed directly from the breast or bottle until they are 32 to 34 post-al weeks old. Most premature infants have to be fed slowly because of the risk of developing necrotizing enterocolitis
(NEC), an intestinal infection unique to preemies. Breast
milk can be pumped by the mother and fed to the premature
baby through a tube that goes from the baby's nose or mouth
into the stomach.
Breast milk has an advantage over formula
because it contains proteins that help fight infection and
promote growth. Special fortifiers may be added to breast
milk (or to formula if breast-feeding is not desired),
because premature infants have higher vitamin needs than
full-term infants. Some premature babies receive additional
vitamin supplements, too. The baby's blood chemicals and
minerals, such as blood glucose (sugar), salt, potassium,
calcium, phosphate, and magnesium, are monitored regularly and the baby's diet is adjusted to keep these substances
within a normal range.
Once baby is well, they start feeding
by breast or bottle. In the beginning one feeding will be
give via the NG tube and the next feeding via breast or
bottle. The amount of breast/bottle feedings will be
increased slowly until such time that all feeding can be
taken by breast/bottle.
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The premature baby face many obstacles. It organs need to
grow up to a mature stage, until such time the baby needs
help with the above. The baby is also prone to various
infections and other set backs, that could delay the
development of vital organs. If a baby contracts an
infection, it will use all the energy it has to fight the
infection, instead of using it to develop the organs.
As the baby grows and the organs mature, the baby will be
taken off machines that help him. The golden rule is that
babies should be able to go home once baby can breathe
on his own and have no more medication or machines helping
him with this function. This will be close to the due date.
Baby also need to be able to take all his feeds by
breast/bottle without having any problems, be at a
desirable weight (around 2kg), and be able to keep his own
temperature around 36.5ÂșC.
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