Nursing of premature children at home

Content

  • Temperature baby mode
  • baby Clothing
  • baby Bathing
  • baby Walking
  • baby Immunizations
  • Medical surveillance baby



  • Temperature baby mode

    Primarily in homea premature baby is necessary to create the optimum temperature. The air temperature in the room should be 22-250S. Every 3 hours is necessary for 15-20 minutes to ventilate the room. Directly next to the child (under the covers) should maintain the temperature of 28-320S. Often there is a need for additional heating of the newborn. For this purpose it is convenient to use a rubber hot-water bottles. The water temperature should be in the warmers 60-650S.

    Electric heaters and blankets to heatnewborns should not be used. Depending on the degree of prematurity and temperature conditions in the room can use 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 at a distance from the child's palm. For continuous monitoring of the temperature under the covers next to the baby can put a thermometer. No way (to avoid burns) can not lay a heating pad under the baby or put it on top (it is difficult to breath). Change should be warmer and a half to two hours alternately, so that even for a short time do not leave your baby without a heat source.

    But the face of the newborn is required to beleave open (not covering him with a blanket). By the end of the first month the child begins to yourself "hold" of the body temperature and will be phased out by artificial heating. a premature baby's body temperature should be measured in the morning and evening. On the recommendations of a doctor - often, sometimes every swaddling. This should be done without undressing the baby.


    baby Clothing

    Nursing of premature children at homeBaby born weighing more than 2 kg,We need to coddle. His dress as well as others (full-term) babies. Pipsqueak with a weight of less than 2 kg need a lot more things. The most appropriate clothing for them is a knitted cap, knitted blouse with a hood and sleeves sewn diaper and sliders. Clad in this way the child should be wrapped in a flannel blanket, put in an envelope and wool flannel blanket on top to hide.

    By the end of the first month should be graduallyrefuse the envelope and blankets. You can not embarrass the child's breathing tight swaddling. To breathe evenly all parts of the lungs of the newborn, it is necessary to move regularly from one side to the other.


    baby Bathing

    Babies with birth weight less than 1500 gfirst 2-3 weeks of the house should not bathe. The rest of the newborns with low birth weight is worth the wait with taking a bath 7-10 days. In the first 3 months of life, premature babies are bathed in boiled water. The water temperature in the bath should be 38 degrees, and in the room where the bathing - 25 degrees.


    baby Walking

    On the walks should be very careful: extreme changes in temperature can adversely affect the baby's health. Premature babies born weighing more than 1500 g, can be taken for a walk starting at 2 weeks of age (during the warmer months when the air temperature 25-26 degrees). The first trip of short duration - only 10-15 minutes. Then, while staying in the fresh air gradually (by adding 20 minutes) is adjusted to 1-1.5 hours. In autumn and spring (at an air temperature up to 10 degrees) can walk only with infants under the age of 1-1.5 months, weighing at least 2500 when the temperature 8-10 degrees below walk with premature babies only when they reach the age of 2 months and a body weight of 2800-3000


    baby Immunizations

    Calendar of vaccination in preterm infants is strictlyindividual. If the child is healthy and has a birth weight more than 2000, its vaccination calendar will not differ from full-term infants. Infants born weighing less than 2,000 g, the BCG vaccination in the hospital is not carried out. It is made when the body weight of the newborn 2500 Babies born weighing less than 1500 g, grafted only at the end of the first year of life, and that in view of health.


    Medical surveillance baby

    For children born prematurely, at the placeresidence set dispensary observation to 7 years of life. Mandatory periodic consultations of experts, especially a neurologist. At the age of 1-2 weeks and then held rickets prevention: UV radiation-kvartsevanie, adding to the food by prescription of vitamin D, massage, tempering.

    During the first two years of premature babyIt should be under the supervision of a cardiologist. At 2, 4, 6 and 12 months of life is necessary to conduct elektrokadiografii (ECG), which allows to evaluate the work of the heart muscle. Ultrasound examination of the heart (echocardiography - echocardiogram) reveals the anatomical defects and other heart defects. Echocardiography is desirable to carry out in 2, 6, 12 and 24 months of age.

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