Category: Newborn Care

About health of newborn children

Feeding preterm infants

Feeding preterm infants in the neonatal period is critical. This task is quite difficult, because these children reduced tolerance to food. In addition, infants with severe prematurity are not only unable to take the breast, but also to suck from a bottle or pipette due to the immaturity of the sucking reflex. The difficulty lies in the fact that, along with low stamina to food there is an increased need for it. Such a child with an initial weight of 1800 g doubles its weight to 3 months, and 6 months to triple it. The rapid growth of these children require a lot more protein and minerals.

Feeding preterm

If the child takes the breast, it is applied to the chest. Since children tire quickly sucking, they should be applied to the chest of 3 to 5 times a day, then finish feeding with expressed breast milk from a bottle with a spoon, a pipette. If a child can not suck, then it is fed with a spoon, a pipette or a catheter, which should be entered only through the mouth 6-7 times a day. At ‘feeding a premature baby should gradually move from one mode to the other, more natural, from spoons to the pipette, and then to the dummy. When you see a good sucking movements can be applied to the child’s chest.

With a lack of breast milk from the mother’s best doctors are Expressed donor breast milk, diluted yogurt, infant formula. With poor weight gain is usually a mixture of enriched protein preparations: 2-4% aqueous cream, rubbed a few times (1/2 – 1 teaspoon of the bottle). Give to drink boiled water, 5% glucose solution. Cream of wheat and vegetables (pureed) usually begin to 4 months of life. Porridge cooked first 5%-ing. Children with signs of exudative diathesis useful semolina tenderize not on the water, and the vegetable broth, and then add the milk and let boil 2-3.

Starting with a 5-month diet can be supplemented with egg yolk. The yolk is recommended to give boiled for
1/41/2 tsp (add to mush).

First feeding preterm infants can begin within 6-8 hours after birth.

AF Tours recommends a feeding scheme in the first week of life: the initial weight of the child up to 1000 g – 10-15 feedings per day, with a weight of a child from 1000 to 1500 g – 10-12 feedings per day, with a weight of 1500 – 2000 – 8-11 feedings and weighs 2,000-2,500 g – 7-8 feedings.

Search something else interesting:

Caring for premature babies

Environmental conditions and proper maintenance are important in preserving life premature baby. When properly organized care premature infants in the first days of life is well developed, and by the end of the first year of their weight increased by 5-7 times. First we need to monitor the condition of the premises in which the premature infant. Floor should be cleaned 3-4 times a day, room air 5-7 times. Under no circumstances should there be in a room where the new-born adults with symptoms of influenza, acute respiratory illness. For premature infants is equally dangerous as cooling and overheating. Temperature due to overheating, a child may rise to 37-38 °C, hypothermia – lowered to 35 °C. At home, to warm the child has to use conventional heaters. Hot water bottle filled halfway with hot water, tightly closed and placed near the child from the sides and legs. They have to change every 3-4 hours. Do not put a heating pad on the chest and abdomen of the child, it is very difficult to breath.

Care for premature babiesThe temperature in the room where the premature infant, shall be kept at 22-24 °C. Under the blanket thermometer should read 30-33 °C. Subsequently, the room temperature can be lowered to 20 °C. We must not forget that the ventilation, at a time when the open window, the child should be carried out of the room. Ordinary clothes, which are sold for infants, preterm baby will not do. For him to make a jacket with a hood, a cap put a layer of cotton wool, make vests with closed sleeves, boots made of cotton. In addition, the kit includes the child diaper flannelette diapers, blanket and envelope.

Often parents have a question: to what age should a specially warm premature babies? This question is answered the doctor [ru]. But, as a rule, a premature baby needs additional warming in the first month of life. Later it gradually unwrap: first remove the envelope, and then cease to wrap in a warm blanket, put hot water bottles, put on a jacket-hood.

Premature babies need to bathe at a water temperature 38-39 °C and an ambient temperature not lower than 23-24 °C. Duration swimming 4-5 minutes. Laundry, which is put on the child, and bed sheet must first be warm.
Walking in the fresh air, we can start with the 2nd month of life. First child endure for 5-10 minutes, long walks in the future gradually extend up to 2 h, 2 times a day. Walking in the cold season, allowed only after the child reaches the weight of 3 kg.

Premature babies shows exposure mercury-quartz lamp after the two-month-old, massage, giving vitamin A and C.

With proper care of their premature babies catch up with their peers by the end of the first year.

Premature babies

Child called premature if born before the end of fetal weight below 2500 g, and a body length of less than 45 cm Medical Statistics notes that there were many cases when it was possible to save the life of a child born weighing 900 and even 600 g.

Premature babies

With this weight and height functions of all premature infants are underdeveloped, so to extrauterine existence of a child is ill suited. Premature infants, along with general weakness broken thermotaxis. These children are equally fast temperature can rise to 40 °C or drop to 35 °C. The lower weight of the child, the more he pronounced instability of body temperature and its tendency to volatility. Breath-preterm infants surface, there is a tendency to asphyxia (suffocation). Due to the fact that the immunity of their sharply reduced, the most common disease in these children in the first months of life are respiratory tract infections.

The causes of prematurity may be a chronic inflammatory disease of female uterus and ovaries, multiple pregnancy, severe infectious diseases in pregnancy, mental or physical trauma. Has a definite value malnutrition of the mother during pregnancy, lack of in her diet of vitamins C, E and A.

Premature infants, except for a low weight and small stature, distinguished features such as the weak development of the subcutaneous fat, the skin is not elastic and newborn covered embryonic hair. Easily movable skull bones, small fontanelle is almost always open, large fontanelle due to displacement of the bones may be less than usual.

Clothes of the child on the first year of a life

The clothes of the child on the first year of a life should correspond not only to its growth, but also other physical data. For babies of the first months of a life diapers cotton (15-20 pieces) and flannel (5-6 pieces), gauze diapers (15-20 pieces) are necessary Some easy and flannel baby’s undershirts and in a smaller measure — kerchiefs and caps. From second month of a life the child requires toddlers (better with shoulder straps) which put on during wakefulness over a jacket used instead of a warm baby’s undershirt. It is very important not to muffle up the kid.

Baby clothing in 1 year

Houses at temperature 20-22 °С are not necessary to it a woollen cap, warm knitted jackets. If to the kid it is cold — his face turns pale, he starts to cry, when to it hot — integuments redden. It is possible to judge its condition more precisely, having felt a skin of a neck and arms above brushes. In a cold season of the child of the first months of a life for walk in the street or a dream on a balcony turn in cotton a blanket and, having put on a head a warm hat, put in a warm quilted envelope with which it is possible to replace with a blanket.

Revision of clothes of the child is required to 9-month’s age. Toddlers start to give way to stockings on elastic, not to hard elastic. Feet to the kid put on soft leather bootees. From 10-11 months when the child the walk part spends standing, the footwear which is not passing a moisture is required: leather bootees with a firm sole, shoes or boots of the corresponding size. For walks the warm jacket, outer clothing in the street are necessary. Are good knitted with napped or woollen suits, overalls. The coat during walk complicates movements of the kid. If the child has returned from walk not sweated, and arms and its feet remained warm, it is possible to consider, that he has been dressed correctly.

Processing of a skin of the newborn

The skin of the newborn is necessary for processing daily at a morning toilet and after each emiction or a defecation, and also after bathing. After intimate washing a skin of the kid dry applying by a matter to a body, and then inguinal and cluneal dermal cords grease with a cream or powder. In order to avoid damage of very gentle, easily vulnerable integuments of the newborn, all subjects adjoining to a skin, should be soft.

Skin of the newborn

To process a skin it is necessary only blotting movements. At a morning toilet the person of the child wash with boiled water; eyes process a weak solution of Furacilinum; nasal courses and external acoustical passages in the presence of crusts wipe the hard wadded wicks moistened in sterile vegetable oil; dermal cords wipe the cotton plugs moistened sterile vegetative or a liquid paraffin, a children’s cream, or slightly powder Talcum or a children’s dusting powder. In each separate case individual selection of agents is necessary. In case of occurrence of a boring an agent used for processing of a skin, it is necessary to wash off carefully with soap and to use another.

Hygiene of the newborn

In the house of the newborn it is necessary to be prepared for occurrence carefully. If it is not possible to make apartment face lifting general cleaning is obligatory. For normal development and creation of the best hygienic conditions, to the child, it is as though small was, in apartment own corner where its bed, a table with leaving subjects would take places, a bedside table with personal things is necessary. This place should be the most light, free from unnecessary for care of the child of things and subjects. That sunlight was less, parents often hang up dense curtains and curtains on windows. To do it it is not recommended — the sun for the child as it is necessary, as cleanliness of a premise, air, linen, ware.

Hygiene of the newborn

Before for the first time putting the child in a bed, it should be washed up well warm water with soap and further to wash weekly. The bed of the child should be equal, a mattress — rigid, not caving in under gravity of the kid (the bent position is very harmful to its not strong skeleton.). The pillow during first time is absolutely not necessary. It is possible to use small flat (not down) a small pillow later. A mattress on three quarters cover with an oilcloth, and from above a bed-sheet. It is not necessary to veil a bed a bed curtains or a curtain as it breaks ventilation of air and, besides, deprives of the child of light so necessary for it. In order to avoid diseases of a skin and infection with infectious diseases it is impossible to put the child in bed with other children or adults. It is necessary to remember, that healthy [ru] adult children can be carriers of bacteria which do not cause disease in them, but can be dangerous to children of early age. It is not recommended to use instead of a bed a low carriage, since. Rising at walking of adults the dust from a floor gets on the child, and in a dust microbes which can be dangerous to the newborn contain. Everything to what the child adjoins, should contain in the strict cleanliness.

Near to a cot put a low convenient locker which can simultaneously serve and table for swaddle, and a place where the linen of the child is stored. To a wall it is necessary to beat a shelf. In a case and on a regiment place the subjects necessary for care by the child: a tray for bathing; a jug for water; thermometers for measurement of a body temperature, water, a premise; a soft bast; scissors; a crest; children’s soap; a towel; the graduated small bottles; a heater; tank for a clyster; a jar with cotton wool; eyedroppers; boiled vaseline or vegetable oil; disinfectants, (manganese-manganese a potassium), baking soda. It is possible to take advantage also of specially completed first-aid set of mother and the child.

It is necessary to prepare necessary linen which should be stored on a regiment in a locker for a birth of the child. The dirty children’s linen should be stored separately from linen of adults in a bucket or a tank with a cover. To erase linen of the child also it is necessary separately. It is recommended to do washing so: to presoak linen in cold water, to wash off the soiled places, then within an hour to boil in soap water then to rinse at first in warm, and then some times in cold water. The linen is better for drying on air, and then to iron a hot iron from both parties.

The child, especially in the first month of a life, it is necessary to preserve against infections carefully. It is undesirable to kiss it on the person or arms, since. Microbes which are available for adults, can cause a serious infectious disease [ru] in the newborn. The organism of the child of the first month of a life is very acquisitive to infections, therefore it should be protected from dialogue with extraneous people: not to invite them in a room where there is a child, and not to visit with it.

The big danger to the child is represented by baby’s dummies which many mothers use. The healthy full child usually does not shout, if it is convenient to it to lay and if it dry. Gases or hard diaper can be the anxiety reason. It is necessary to find out the anxiety reason, instead of to give a baby’s dummy. If it is necessary to resort to a baby’s dummy it should be boiled (insufficiently only to wash a baby’s dummy boiled water) and to store in the boiled, pure closed glass or a glass jar.

The room where there is a child, should be kept clean and daily be cleaned. In no event it is impossible to sweep a floor with a dry brush or a broom, since. At such way of cleaning in air the dust which settles on the person of the kid, clothes, bed rises. At breath a dust, and with it and microbes, get to its lungs. Cleaning in a room where there is a child, should be only wet. It is recommended to wipe 2 times a day a floor a wet rag and to wipe a dust from furniture. To air a room it is necessary each 2 hours till 10-15 mines in the winter and it is obligatory before a night dream. In the summer of a window it is better to hold opened, but tightened by a grid from flies and mosquitoes. Optimum temperature of air in a room for children of the first months of a life — 20-22 °С. In hot heated room natural protective reactions and forces of the child quickly weaken, he easily catches a cold, feels chilly on air more likely. In a room of the child smoking unconditionally is forbidden, drying of children’s linen is not recommended also.