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What does a
premature baby look like?
Depending on the
gestational age born...
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.

Duvan
2 days old
-
"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 have 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 |

Your babies lungs might be under developed and therefore
the baby would not be able to breath 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 breath. In some cases the lungs are developed
but the baby still struggle 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
give extra oxygen to help him.
 | Warmth |

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.
 | Nutrition and Growth |
Premature babies have special nutritional needs because they grow at
a faster rate than full-term babies and their digestive systems are
immature.
Neonatologists (pediatricians who specialize 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.
 | What are premature babies fed? |
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-conceptional 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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General |
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 will most of the time 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, and
be at a desirable weight (around 2 kg), and be able to keep his own
temperature around 36.5ºC.
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