Indeed, premature babies are a little more difficult to care for. But, Child Health and Diseases Specialist Contact Alper directly's suggestions will be able to get through these days easily.
What are the conditions for a premature baby to be discharged from the hospital?
Premature infants may be discharged when they meet 3-4 conditions. No matter how small he was born; if the breathing problem has disappeared, it can be discharged from the incubator if it can maintain its own temperature so cold that it cannot get cold and can be fed by absorbing it enough to grow itself. Premature babies can do all of these skills at an average age of 34-35 weeks.
What should be a feeding scheme after the baby comes home? What amount of breast milk or formula should be given?
A premature baby should be fed at home every 3 hours or, if hungry, earlier. If we have breastmilk, we give breastmilk, otherwise we will give you premature formula. We also support breast milk with breast milk booster. What is important here is to gain an average of 20-30 grams per day. 1 week after discharge, we do weight control. Taking an average of 150-200 grams per week indicates that it can be fed enough.
In order to have a clear idea of the health of the premature baby, should the criteria of birth or weight be taken by the mother and father?
Pregnancy is more important. Because babies born under 30 weeks are the most risky group and one-tenth of these babies may develop permanent problems. However, if the pregnancy week is over 30 but her weight is less than 1000 gr, then there may be some risks.
How should the mother and father give medicines that the premature baby should use at home? Is it appropriate to mix with milk?
As a general principle, we prefer to drop the vitamins and iron drops that should be used at home directly into the mouth. Mixing it with milk can reduce its effects.
How long should a premature baby sleep?
Although each newborn can sleep for an average of 14-16 hours per day, there may be individual differences. Premature babies can sleep a little longer in their first week.
When and how to wash?
We recommend that premature babies are washed every 2-3 days. This period should be at least two per week. When washing premature babies, care should be taken and washed gently compared to babies born in time.
How often should I change the diaper? Is it harmful to use rash cream, powder, wet wipes?
They should be changed frequently. Each feeding should be checked before and after and replaced if dirty. Rash cream can be applied 3-4 times a day for protective purposes. I do not recommend powder and wet wipes. Bottom cleaning with boiled clean water soaked cotton is better suited to minimize irritation.
How to deposit?
The recommended sleeping position for premature babies around the world, such as children born in time, is the supine position. Since beş sudden cradle death syndrome ”is seen more frequently in premature infants, care should be paid to the lying position. In addition, the baby should be laid on a hard bed, soft protectors around the crib should not be used, pillows should not be used, soft toys such as teddy bear should not be placed in the crib. The blanket to be covered should be thin and preferably perforated and soft and thick quilts should not be used. All of these precautions are taken so that the baby cannot raise his head and save himself in case of danger, so that the mouth and nose are closed and prevent breathing.
How many degrees should the room temperature be?
For premature infants, the room temperature in the first month should be approximately 34-35 degrees. However, each baby may have a different temperature range, which makes it more comfortable. Therefore, if the baby's face, ears and nose get cold at the current temperature, a temperature can be increased. It is also best to control the baby's body temperature, especially in very young babies. Body temperature is most easily measured by a degree in the armpit and is ideal to be 36.5-37 degrees. It is cold below 36.5 and warmed above 37.5.
How long should the quarantine status continue?
It's not a quarantine situation, but we pay more attention to things. For example, before touching, embracing, feeding or preparing the baby, we should wash our hands with soapy water. If a member of the household is suffering from a flu infection, they should wear a mask when they are at home, even if they are not approaching the baby. We do not want them to leave the house for 1.5-2 months after being discharged and to have crowded meetings within the house between these months.
Are there any points to consider in your clothing?
Generally, families tend to dress their babies in layers, whether premature or not. We don't want that. If the room temperature is appropriate, a body, a coverall and a thin blanket with one or two layers are enough. However, the baby's temperature should be well controlled in the early days.
Are there any tests that should be done after going home? If so, what are these tests?
Premature babies undergo a series of tests according to the duration of pregnancy. Some of these may continue after discharge. In particular, the eye examination should be performed according to the advice of the hearing screening test doctor. Premature infants have more anemia and lack of minerals in the bone and should be followed up with blood tests.