It is not difficult for babies to raise premature babies, listen to what experts say

Recently, the obstetrics of the Central Hospital of Jinan City received a triplet pregnant woman who had exceeded 32 weeks of pregnancy. The pregnant woman's fetal membrane was broken when admission. Director Bi Meirong, the newborn department, rushed to the hospital immediately after receiving the notice, formed a newborn recovery team with doctors Xing Xuexue, Dr. Li Shuwei, and duty nurses with the newborn ward. Life protection. In the operating room, a trilogy was given in cesarean section, 1950g of the eldest daughter, 1700g of the second daughter, and 1340g of the three women. Director Bi Meirong led the newborn medical staff to start a preliminary recovery in the operating room. Transfer to the neonatal department to continue treatment. After active treatment and refined care, the three little guys are currently stable.

Having said that, most of the premature babies parents have a series of troubles while feeling happiness for the arrival of new life. For premature babies, many parents want to know why they are birth premature? Babies are so small, can they survive? What can parents do when they are hospitalized? When can parents do? Listen to what Bi Meirong, director of the newborn department of Jinan Central Hospital.

In recent years, with the changes in my country's fertility policy, the advancement of obstetric diagnosis and treatment technology, and the application of the auxiliary reproductive technology, the incidence of prenatal babies has increased year by year. Babies born on the normal due date are 40 weeks of fetal age. Medically, a baby born before 37 weeks of pregnancy is called premature babies. The smaller age, the lower the weight, and the less mature development. Especially the premature babies with a 32 -week or birth weight <32 weeks or birth weight <1500g, facing greater challenges.

At present, the birth rate of premature babies in my country is about 8%, ranking second in the world. Although in recent years, with the development of siege medicine and neonatal medicine, more and more premature babies have survived, but these babies who should have grown up in the warm uterus of the mother still have to go through a series of The "level" can be discharged from the hospital smoothly and reunited with parents.

In order to help Bao Da Bao's confidence, let's talk about those things about premature babies.

Why is it premature?

Once a premature birth, the first reaction of many mothers is "Is it because I did something wrong?" As the baby was sent to NICU for hospitalization, under the loss, anxiety, and worry of the separation of the mother and baby, the mothers fell deeply into deep Self -blame.

In fact, premature birth is a very complicated problem, which can cause many reasons for premature birth. There are mainly the following aspects: 1. Mother's reproductive factors, such as premature birth history, mother age (the premature babbling rate of pregnant women under 20 or less than 35 years old); mothers' lifestyle, such as physical activity, too tired, emotional fluctuations, spiritual spirit, spiritual spirit, spiritual spirit, spiritual spirit, spiritual spirit, spiritual spirit, spiritual spirit, spirit Excessive tension, material abuse or smoking, excessive drinking is also closely related to premature birth. 2. Mother's disease, such as hyperthyroidism, hypertension, diabetes, certain infections, etc. Some even some viruses and bacteria that are only hidden can cause premature birth. 3. Twin or multi -fetal pregnancy: Due to excessive stretching of the uterus, the childbirth is the most commonly caused, and the premature birth rate is 10 to 15 times that of general pregnancy. Early premature placenta and placenta are severe complications at the end of pregnancy, which can cause internal and external bleeding in the uterus, ending pregnancy in advance, causing premature birth, and endangering the life of pregnant women. 4. Fetal factors, such as congenital abnormalities, limited growth, fetal infection, and fetal distress. Of course, there is a small part that cannot be found for any reason. It can be seen that as long as the mother follows good living habits, does not smoke and drink, checks on time, occasionally visiting a street, eating a hot pot, and drinking a drink.

Can the baby be so young, can you survive?

The beginning mentioned that the younger the age, the lower the weight, and the less mature development, the relatively small premature babies in the hospitalization time. There are special definitions in medicine, such Known as "super premature babies", the birth weight of less than 1000g is called "ultra -low birth weight".

As a cure center for critical neonatics in Jinan City, the neonatal department of our hospital has supported the growth and development of advanced domestic equipment and technology to promote the growth and development of premature babies. Premature babies cannot breathe by themselves. They can use various ventilator (such as innovation, non -invasive, frequent frequency, high frequency, etc.). If you ca n’t eat milk by yourself, you can use vein nutrition, and by establishing umbilical vein, central vein and other infusion channels, you can avoid repeated puncture and reduce the stimulus to premature babies. Can't maintain your body temperature, you can use the insulation box, etc. In addition, due to the low immunity of premature babies and prone to infection, we regularly disinfect and wipe the environment of the environment of the environment of the environment of air, object watches, heating boxes, and beds; before contacting premature babies, to wash and disinfect, reduce the risk of infection. In addition, a series of measures are adopted to reduce light stimulation and noise interference.

In addition to maintaining the most basic life signs, we also pay attention to the nerve behavior and emotional support of premature babies, such as bird nest care, creating a comfortable environment similar to the uterus, continuing the mother environment, eliminating tension, and improving the safety of the baby. Meet the psychological needs of the baby. Secondly, the baby's touch and massage is made every day to promote the healthy development of physical and mental and mental and mental health. In addition, for babies who have poor milk power, we regularly massage oral massage, exercise the ability to suck the mouth, and so on. In addition, for some of the diseases, in accordance with the relevant provisions of the department, we let the mother or Bao dad take the bed toilet kangaroos as much as possible.

Of course, during the diagnosis and treatment, some premature babies, especially the age and weight of the fetus, are not all smooth in the treatment process, and various complications also make us a headache for neonatal doctors. Common complications such as infection, intracranial hemorrhage, poor bronchial lung development, necrotic small intestinal colitis, etc. also occur from time to time. All these complications will extend the baby's hospitalization time, and even increase the chance of the mortality and sequelae of premature babies, but parents Don't worry too much, most complications can still be treated. At present, according to my country's overall treatment level, more than 85%of premature babies weighing 1,000 ~ 1500g of birth can survive, and the survival rate of 1,500 ~ 2500g of birth has reached 95%. What can parents do in the hospital?

Due to the particularity of NICU, it is not possible to open to parents at any time. Most of the time, parents can only communicate with the doctor verbally and cannot go directly to the bed with the baby. Under such circumstances, what can parents do for their babies?

Baoma must learn to adjust her emotions, eat well, and make milk. It is necessary to know that breast milk has a lot of benefits for premature babies. It can not only provide nutrition, but also help babies improve immunity, resist the invasion of germs, reduce the occurrence of necrotic small intestinal colon, and even help the development of the brain. Moms can squeeze milk and store them in the refrigerator freeze room. Bao Da is responsible for sending breast milk to the hospital regularly, adding diapers, wet towels for the baby, and conveying the baby's condition. In addition, you can also join the premature infant parent group in the ward to chat with other parents and encourage each other.

When can I take my baby home?

For premature babies to be discharged smoothly, they need to meet certain standards. First, the respiratory function is stable. Autonomous breathing is good. In the last 1 week, there is no breathing, and the breathing and heart rate are stable. Second, the body temperature is stable. The temperature of the premature babies is stable after the heating box, at least 24 hours. In addition, weight gain is satisfied. The baby's weight reaches about 2kg, and the weight has increased steadily by 20 ~ 30g every day in recent weeks. In addition, the mouth is well fed well. Regardless of whether the bottle is fed or the mother feeds it, the baby can eat the prescribed milk volume every meal, and there will be no cough or dyspnea when eating milk. If your baby passes well, you can go home.

Reporter: Qiu Tian

Edit: Wang Jing

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