Home care for the premature baby

Features of home care for premature baby

Temperature range

First of all, at home premature baby must create an optimum temperature. The temperature of the room should be 22-250C. After every 3 hours necessary for 15-20 minutes aired. Directly outside the Child (under the covers) should keep the temperature 28-320C. Often there is a need for additional heating of the newborn. For this purpose it is convenient to use a rubber hot-water bottle. Temperature water warmers should be 60-650S.

Electric blankets and heating pads to warm newborn can not be used. Depending on the degree of prematurity and temperature conditions in the room can be used from one to three heaters. Wrapped in swaddling clothes, towels or special bags, hot water bottles placed in the legs (under the covers) and sides (the blanket). Lay them on the palm of your hand away from the child. For continuous monitoring of the temperature under the covers next to a toddler can put a thermometer. In no case (to avoid burns) can not lay a heating pad under the baby or put it on top (it is difficult to breath.) Heating pads should be changed through half or two hours alternately, so that even for a short time not to leave the baby without a source of heat.

But the face of the newborn necessarily be left open (not covering him with a blanket). By the end of the first month baby start their own "hold" body temperature and could be phased out gradually from artificial heat. The body temperature of a premature baby should be measured in the morning and evening. On the recommendations of the doctor — often, sometimes every swaddling. This should be done without stripping baby.

Clothes

Baby, born weighing more than 2 kg, do not coddle. His dress as well as others (full-term) infants. Bits and pieces with a weight of less than 2-x kg requires a lot more things. The most suitable clothes for them is a knitted cap, knitted sweater with a hood and sleeves sewn diaper and sliders. Dressed in such a way a child should be wrapped in flannel blanket, put in an envelope and wool flannel blanket on top to hide.

By the end of the first month to be phased out of the envelope and blankets. You can not embarrass tight swaddling a baby's breath. To breathe evenly all parts of the lungs newborn, it is necessary to regularly shift from one side to the other.

Bathing

Babies with birth weight less than 1500 g in the first 2-3 weeks at home should not bathe. The rest is a newborn with low birth weight is worth the wait with taking a bath 7-10 days. In the first 3 months of life, premature infants bathed in boiled water. Temperature water bath must be 38 degrees, in the room where the bathing — 25 degrees.

Walking

On the walks should be very careful: extreme changes in temperature can adversely affect the health of the baby. Premature babies born weighing more than 1500 g, can be taken on a walk from2 week age (in the warmer months, when the air temperature 25-26 degrees). The first walk of short duration — 10-15 minutes. Then stay in the fresh air gradually (adding 20 minutes) was adjusted to 1-1.5 hours. In autumn and spring (when the air temperature up to 10 degrees), you can walk only with infants aged 1-1.5 months with a body weight of at least 2500 when air temperature is below 10.8 degrees to walk with premature babies can be only when they reach the age 2-x months, the body weight of 2800-3000

Immunizations

Immunization schedule in premature infants is strictly individual. If baby healthy and has a birth weight of more than 2000 g, its vaccination calendar will not differ from full-term infants. Babies born weighing less than 2,000 g, BCG vaccination is not carried out in the hospital. It is made when the body weight of newborn in 2500 Children born weighing less than 1,500 g, imparted only at the end of the first year of life, and that given the state of health.

Medical supervision

For children born prematurely, the community established medical check-up to 7 years of life. Mandatory periodic consultations with specialists, primarily neurologist. At the age of 1-2 weeks and is conducted on prevention of rickets: ultraviolet kvartsevanie-irradiation, adding to the food on prescription vitamin D, massage, hardening.

During the first two years aborted baby should be under the supervision of a cardiologist. At 2, 4, 6 and 12 months of age must hold elektrokadiografii (ECG), allowing to evaluate the work of the heart muscle. Cardiac ultrasound (echocardiography — echocardiogram) reveals defects and other anatomical defects of the heart. Echocardiogram is desirable to 2, 6, 12 and 24 months of age.

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