Premature Babies
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My Story of False Diagnosis of Missed Miscarriage (Absent Heartbeat)
I want to share the story of my pregnancy that was declared a missed miscarriage, but now I am the proud mother of a 9-month-old. Maybe my story will give people hope, if they suffer from the same.
During the 4th week of my pregnancy, I did a beta hCG. Being a doctor, I preferred a more accurate method than a home pregnancy test. Also my curiosity made us do a beta hcg. It was 186 – a confirmed pregnancy! As we had done IUI, I was pretty sure about my dates. I made a call to my gynaecologist, and scheduled an appointment for the 5th week.
We went for the check-up at the scheduled time. The doctor did a vaginal sonography. He could not find a gestational sac. So, he asked us to do a repeat hCG. It came to 1500. hCG is a marker of a healthy pregnancy. During a very early pregnancy, if it is getting doubled in 48 days, then the pregnancy is healthy.
We went for a checkup again after 3 days. Again, he performed a vaginal scan, and could not find a sac. He suspected a tubal pregnancy, and suggested surgery. My husband and I were not convinced, so we thought of doing sonograms with a radiologist.
We went to a radiologist the very next day, and by God’s grace, there was a sac. There was no implantation in the tubes. I was very happy. But, happiness does not last long. We had the next USG in 10 days, to check the viability of the pregnancy and to check the foetus heart beat. The day came, and we were very excited to see the tiny heart beating. But, we were shocked when the radiologist said that the baby did not have any cardiac activity (no heartbeat). I could not help crying.
We could not accept it. We went for a second opinion. That doctor asked for a hCG blood test again. She said if it’s increasing, then we can wait, but if not, we must do an abortion ASAP. The report gave us some hope, as the hCG level had increased. She prescribed me hCG 5000 injections once a week for 2 weeks, and to repeat use.
That was the longest 15 days of our life. I tried to be optimistic, but sometimes, I would burst into tears thinking that I might be carrying a dead foetus.
After a long wait, the day came. We went for a USG during the 8th week of pregnancy, with the least hope of a positive result. But, God had planned our happiness, which had no bar when the radiologist touched the probe on my abdomen, and there was a moving dot (heartbeat) on the screen. He said there was cardiac activity, and also it was a healthy pregnancy, though the dates were off by a week. That was not a thing to worry about for us at that moment, as we got what we never expected.
That tiny miracle is 9 months old now. If this happened with us, it could happen with you, too. So, please believe in your motherly instinct. Never lose hope till the end. The doctor too can be wrong. Always seek a 2nd opinion before aborting.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her.
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How Feeding Tubes Help Premature Babies
One of the difficulties parents with premature babies face is feeding difficulties. As the babies struggle with muscle strength and coordination needed to suckle, they will have to be put on a feeding tube to receive adequate nutrition. While the decision to tube feed is not an easy one, they are the safest way to give your baby the essential nutrition it requires to develop. Continue reading to know all about tube feeding baby, how it is done, and whether your baby can benefit from it.
What Is a Feeding Tube?
The feeding tube, also known as a gavage tube is a flexible pipe-like device used to give nutrition to infants who cannot feed on their own. It is typically used for premature babies and infants with other conditions such as oral inversion, failure to thrive, and a number of neurological problems. The tube can be inserted and removed for each feeding or left in place as an indwelling for multiple feedings.
Types of Feeding Tubes
There are three main types of feeding tubes for infants and children:
1. Gastrostomy tubes
The gastrostomy tube is a feeding tube that goes through the abdominal directly into the stomach. They are short and also called G-tubes or PEG tubes.
2. Nasogastric tubes
The nasogastric tube, or NG tubes they are also called, are thin and flexible tubes that are inserted through the nose to go into the oesophagus (food pipe) and the stomach.
3. Orogastric tubes
The orogastric tubes are basically the same as NG tubes, except that they are inserted through the mouth instead of the nostrils. They can also be used to remove air bubbles from the baby’s stomach.
When Does an Infant Need Feeding Tube?
There are a number of reasons why a baby would need a feeding tube. They are as follows:
Lack of strength or muscle coordination to breastfeed or drink from a bottle
Weak ability to suck or weak swallowing reflex
Irregular weight patterns or lack of weight gain
Gastrointestinal defects or abdominal defects
Respiratory problems
Electrolyte imbalance or elimination problems
Deciding the Best Feeding Tube Type for Your Baby
Your doctor will consult with you before deciding the type of gavage tube to be used on your baby. The decision is based on multiple factors such as the nature of the problem and the length of time the tube needs to stay.
NG Tube
NG tubes are often the first option babies will be given as it is easier to use and effective. The tube also comes in variations inserted through the nasal passage that reach different parts of the gastrointestinal tract such as the jejunum or small intestine.
Pros
NG tubes are easy to insert and can be done at the hospital or your home.
They don’t require any kind of surgery and can be removed easily too.
They are ideal to address short-term feeding problems.
Cons
Feeding tube in the nose can irritate the nasal walls when used over a long period of time.
They have to be replaced every week or two.
NG tubes can cause reflux problem.
Since they are taped to the skin on the face, the tape can irritate the skin.
G-Tube
G–tubes are preferred when the baby has to be tube-fed for a long period of time. They need to be placed in position by a pediatric surgeon directly into the stomach through the abdomen.
Pros
G tubes stay in place without needing tapes.
They need to be replaced only once in three months.
The tube is private and hides well under the clothes.
Cons
The insertion of the tube is a surgical procedure.
It can have complications such as infection and stomach irritation.
The tube has to be replaced quickly if it comes out else the hole begins to close.
The tube leaves a small long-term scar in the abdomen.
The Procedure for Inserting a Feeding Tube in the Infant’s Nose or Mouth
The procedure of insertion is mostly done by nurses, except in special cases when it is performed by a doctor. The nurse begins by measuring the ng tube length from the baby’s nose to the stomach to get the right-sized tube to go inside. Sterile water or a water-based lubricant is used to lubricate the tip of the tube. Carefully the tube is inserted into the baby’s nose or mouth so that it will pass into the food pipe.
Once inside the tube is checked for correct placement by injecting a small amount of air into the pipe and listening to it as it enters the stomach. The purpose is to check whether the tube has entered the stomach or the lungs. For further confirmation, a small amount of liquid is drawn from the tube to check for the pH value with a sample testing strip. For an exact confirmation, an x-ray imaging might be done to check for the position of the pipe.
The inserted tube is secured to the baby’s nose with a sticky tape for feeding. If the baby is allergic to the tape or has a skin condition, a pectin barrier is used to help with the adhesion without damaging the skin. The tube may also be secured internally using a special cloth tape that goes behind the nasal bone.
If the tube is securely inserted, the baby can be fed breast milk, infant formula, or even medicine by using a syringe to inject the contents in or using an infusion pump. The gavage feeding will be capped off or removed once the feeding is complete.
Gastric Residual
Gastric residual refers to leftover food from a previous feeding that remains in the stomach at the start of the next feeding. In preemies who have a G-tube or an NG tube, gastric residuals are occasionally checked, it is done more frequently if the doctor suspects that the feeds are not well tolerated by the baby or is not going as expected.
In such a case, the doctor or the nurse will use a syringe to gently pull out some of the stomach’s contents for analysis. If the residuals look healthy visually, it will be injected back into the stomach after the air is discarded. Bloody or green colored residuals are often a sign of infection and will be reported to the doctor.
Risks Associated With the Usage of Feeding Tube
There are very few risks associated with ng tube feeding. The major factor is that the procedure is uncomfortable for the baby no matter how well it is done. Here are the risks that were commonly seen in hospitals:
Since the tube can be displaced with the baby’s movement, it could lead to minute tears and slight nasal bleeding.
The tube obstructs a significant part of the nasal passageway and causes nasal congestion.
The presence of the tube can cause nasal infections.
Feeding through an orogastric tube at home brings a few other risks such as:
Tube misplacement and the associated damage is more likely at home than at the hospital.
A misplaced tube can lead to pneumonia and breathing difficulties.
Lung infections and respiratory arrest with wrongly placed tubes.
Breathlessness or even cardiac arrest with wrong tube positioning.
It is common for new parents to feel a sense of anxiety to watch their premature baby being fed through a tube. However, it is quite a safe and very effective way of ensuring the baby gets all the nutrients. The doctor would decide removing ng tube date once the baby is strong enough to feed by themselves. Feeding should be continued as long as it is prescribed by the doctor and care should be taken to insert the tube properly when feeding at home.
Also Read:
Preterm Babies and Their Sleep Pattern
Health Problems for Premature Infants
Tips for Taking Care of Premature Baby at Home
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Strong & Supportive Quotes About Premature Babies for Parents
Parents eagerly await the arrival of their baby after months of eager anticipation. However, some babies enter the world prematurely. For parents facing the uncertainty and challenges of NICU life, the experience can be emotionally taxing. It’s a time when they lean heavily on the support of their loved ones.
Sharing NICU baby quotes can serve as a meaningful gesture, offering solace, encouragement, and a reminder that they’re not alone in their journey. These words of comfort can provide a glimmer of hope during difficult days, reminding parents that their strength and resilience will see them through. So, whether it’s heartfelt messages or simple premature baby quotes, every expression of love and support goes a long way in helping parents navigate the NICU journey with courage and optimism.
Inspirational Quotes That Will Bring Comfort to the Parents of Premature Babies
Welcoming a premature baby into the world can be a challenging and emotionally taxing experience for parents. During these uncertain times, finding comfort and inspiration can make a significant difference in their journey through the Neonatal Intensive Care Unit (NICU). These preemie quotes and sayings serve as reminders of resilience, love, and the remarkable journey of parenthood, providing solace and support during difficult days in the NICU.
“Always remember, you are braver than you believe, stronger than you seem and smarter than you think.” – A. A. Milne
“You never know how strong you are until being strong is your only choice.” – Bob Marley
“Don’t be afraid of your fears. They’re not there to scare you. They’re there to let you know that something is worth it.” – C. Joyce Bell
“Nothing is impossible, the word itself says, ‘I’m possible!’” – Audrey Hepburn
“Don’t let fear steal your joy. Even in the darkest of times — find joy.” – Amy, Preemie Mum
“Challenges are what make life interesting and overcoming them is what makes life meaningful.” – Joshua J. Marine
“If you look at what you have in life, you’ll always have more. If you look at what you don’t have in life, you’ll never have enough.” – Oprah Winfrey
“You can do the impossible because you’ve been through the unimaginable.” – Christina Rasmussen
“What lies behind us and what lies ahead of us are tiny matters compared to what lies within us.” – Ralph Waldo Emerson
“Be strong and courageous. Do not be afraid; do not be discouraged, for the Lord your God will be with you wherever you go.” – Joshua 1:9
“Don’t give up. I believe in you all. A person’s a person, no matter how small.” – Dr. Seuss
“Being a preemie mom means ignoring the statistics because you know preemies are capable of amazing feats. great strength, astonishing endurance and never-ending determination.” – Premature Babies and Beyond
“What do all preemies have in common? Courage, strength, heroism, determination, tenacity, perseverance, endurance, bravery, spirit, spunk, and adorability!” – Premature Babies and Beyond
“And once the storm is over, you won’t remember how you made it through, how you managed to survive. You won’t even be sure, in fact, whether the storm is really over. But one thing is certain. When you come out of the storm, you won’t be the same person who walked in. That’s what this storm’s all about.” – Preemie Support and Awareness
“A baby is born with the need to be loved. A preemie or sick newborn is born with the need to fight on. An angel is born and leaves a footprint upon many hearts. No matter how small, no matter how big, no matter the birth, no matter the place, each baby needs the very same thing… Love, warmth, comfort and a sweet embrace.” – L’il Aussie Prems Foundation
“We all have a fighter in us. Preemies just have a little bit more.” – Preemie Support and Awareness
“Once you have a premature baby, you enter a world you never knew existed. The surprising result is that you will meet a group of people you will never forget for the rest of your life.” – Rebecca LaClair, NICU Nurse
“And though she is but little, she is fierce.” – Shakespeare
“A premature baby may look tiny and fragile to touch but don’t underestimate the courage, strength and determination of a baby born too soon.” – Presents for Preemies
“Sometimes the smallest things take up the most room in your heart.” – Winnie the Pooh
“These tiny babies are fighters, resilient, and often achieve the impossible! Stay strong and believe in your baby’s determination to survive.” – Rachel Corbin, Preemie Mum
“Caring for a preemie child is physically and emotionally exhausting, but great things come from great struggle. Stay strong and stay positive.” – Ashley and Michael Piche, Preemie Parents
“Live in the moment and celebrate each and every tiny milestone, because all of those tiny things are going to add up to the biggest milestone of all- taking your baby home.” – Jenny Taylor, Preemie Mum
“From the most fragile of beginnings, I learned the depths of grace, courage, determination, faith, perseverance, resilience- and love.” premature baby with dad
“NICU babies are true survivors. They show us the power of faith and prayer and of the human spirit. They are the embodiment of perseverance.” – Amidst the Chaos
FAQs
1. Why do people use quotes about premature babies?
People use quotes about premature babies to offer support, comfort, and encouragement to parents facing the challenges of caring for a premature infant. These quotes provide emotional strength and solidarity during a difficult time.
2. Can quotes about premature babies be used to raise awareness about premature birth?
Yes, quotes about premature babies can be instrumental in raising awareness about premature birth. They help shed light on the realities and struggles of premature infants and their families, fostering understanding and empathy within communities.
3. Can preemie quotes be used in baby showers or celebrations?
Preemie baby quotes can certainly be used in baby showers or celebrations. They serve as poignant reminders of the resilience and strength of premature babies and their families. Including these quotes in such occasions can help honor the journey of parenthood and celebrate the arrival of a precious new life, regardless of its timing.
Premature baby quotes may not heal the hearts of the parents who are going through such a difficult time. However, they can bring about some hope and courage to keep moving forward, especially when they hear from other parents who have been through the same difficult experience. Remember that you can always offer to do more to show your support, but a few kind and loving words and quotes will help parents remember that they are not alone.
Also Read:
Infection in Premature Babies
Premature Babies Development Concerns
Common Health Problems of Premature Babies
Working Ways to Help Premature Baby Gain Weight
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Important Car Seat Safety Measures for Preemie Babies
Parents who are looking for preemie baby car seats will need to be extra careful. Once you get the correct type of car seat and learn how to position your baby the right way, you will be able to safely take your baby along with you when you are travelling in the car.
What Kind of Car Seat is Right for Premature Babies?
Here are two options that work best for preemie babies:
1. An Infant Carrier
An infant carrier always comes with a handle and has a base which you can safely secure in your car. These are used for infants only.
2. A Convertible Car Seat
These can be used from infancy through to toddlerhood, so it is a great way to save money. You will have to undergo a car seat test in NICU first.
Tips for Positioning Your Premature Baby in the Car Seat Rightly
Once you have settled on the right type of car seat for your child, you will need to learn the best way to position your baby. This is an extremely important step. Please understand that if your baby is very small, then you will need to see a professional to help you figure out the safest way to position your child. Here are the different options for you:
1. Harness and Strap Tightness
The crotch and shoulder straps should be set to the smallest option. It should look taut and should not bunch up when you try to pinch it together. The clip for the chest should reach your baby’s mid-chest. This will be around the area of the armpit.
2. Positioning Aids
Certain car seats come with extra padding that will help to keep your baby in the right position for travel. However, some of them do not. Refrain from using anything in place of them and do not buy anything separately. If you want to get something separate, you should take it along with the car seat to be tested in the NICU.
3. Fit
If your baby still does not fit snugly into the car seat, despite the positioning aids as well as the straps being set at their smallest setting, your physical therapist will need to show you how to supplement something else to make up for it. Do not try to come up with your own ways to help your baby fit in properly. Always follow the advice of your medical team to ensure your baby’s safety.
4. Placement in the Car
The middle of the back seat of your car is the ideal spot for you to place your car seat. Never place the car seat in the front seat, as the airbags are a serious danger to your baby. You should also always have an adult sit at the back with your child.
Is a Rear Facing Car Seat Safer for Infants?
Rear-facing car seats are the best option for your baby. This is because the chances of them retaining any type of severe head or neck injury are greatly reduced. Car seats, like seat belts, are designed to make sure that any force from an accident will spread over the body and reduce more serious injury to the vitals. If your baby is forward-facing, the head will get pulled forward if you even have to brake suddenly. This will end up putting a lot of stress on the child’s neck. When rear-facing, everything moves together and your baby is eventually protected by the shell of the car seat when it faces the rear. There will be no stress on your baby at all in this instance.
Things to Do for making Preemies Breathe Easily in a Baby Car Seat
Some preemie babies may have a bit of trouble breathing at first. This makes it difficult for them to breathe well in the half-recline position that they are in when in a car seat. Here are a few ways in which you can help to ensure that your preemie does not have any trouble breathing when in the car seat:
1. Wait an Hour After Meals
This is very important, especially if your little one happens to have reflux. Waiting for one hour before getting in the car will allow your child time to digest the meal, and breathe easier as your baby will not feel the need to regurgitate.
2. Avoid Long Car Rides
This is extremely important during the first few months. Car rides should not go over an hour. The shorter they are, the better it is for your child. If the long trip is unavoidable, make sure you take breaks every 45 minutes.
3. Adult Supervision
It is always best to have an adult present at the back with your child to make sure there is no slouching.
Testing Car Seat for Premature Babies- Why and How?
The preemie car seat test is done when you are still in the hospital in the NICU. This is often conducted one week prior to when you are going to head home. You will need to bring in the car seat that you have chosen for your baby. The medical team conducting the test will have your child sit in the car seat for 90 minutes to 120 minutes. Sometimes they will ask you how long the drive home is. If it is longer than 120 minutes, your baby will need to sit in the car seat for the length of time it takes to reach home.
Your baby’s vitals will be monitored during the test (breathing, level of oxygen and heart rate). If everything remains stable, your baby has passed. If not, you will need to try with a different car seat.
There are times when the doctor will ask you to provide your baby with a car bed rather than a car seat. This often happens when your baby is having trouble breathing or has irregular heart rate when placed in a semi-inclined position.
Important Guidelines for Preemie Car Seat Safety
Here are a few things that you should keep in mind when you are going to travel in the car with your preemie:
Use a car seat that has been approved by the medical team who did the car seat test in NICU. Do not make any alterations or additions.
Make sure to prevent your baby from slumping. The best way is to sit at the back with your child and adjust his or her position.
Make sure that your preemie baby car seat has some distance between the lower harness strap to the bottom of the seat. This should be at least ten inches.
Make sure that you position your baby where the back is pressed up against the backrest of the car seat.
Ensure you have rolled or folded blankets on both sides to prevent the head from shifting too much. This will provide some much-needed preemie car seat head support and will reduce the strain on the neck.
When positioning your preemie car seat, insert it at a 45-degree angle.
Never keep your preemie car seat bed in the front seat.
Make sure to never leave your baby unattended when in a car seat.
Bringing your new baby home is always an exciting event, but as preemie babies are far more delicate than the average newborn, you will need to take precautions differently. Remember that while all newborn children are delicate, your preemie baby is more so.
Also Read:
Different Types of Car Seats and Restraints
Rear-Facing Car Seat for Your Kid
Right Age for Your Child to Face Forward in a Car Seat
Read more
The Story of a Late Preterm Baby Boy Who Added Colours to Our Life
I hope you all know what a premature baby means. But everyone may not be aware of this term – “late preterm”. Even I was not aware of it, till 5th June, 2020. This was the day when I was introduced to this new term and a new world.
The very early morning of June 5th added a new colour to my nagging life, in the form of a little one with rosy lips and dimpled chin, weighing 2.700 kg. He came into our life much earlier than we expected. The doctors named him as a late preterm baby. He was normal in all the senses, but was still taken away for 24 hours of observation.
Despite all the pain I suffered, I was very eager to see the little handsome champ. As soon as I opened my eyes, I searched for him. But the people in white coats informed me about the situation. My hubby and I counted each arm of the hanging clock, waiting to welcome him to our world of love. The very next day, we were introduced to the world of responsibilities. His little gestures, sleep, and every other thing added a big curve to our faces.
However, being a preterm baby has its cons. His bilirubin was in negative characters, which had us worried. He was soon taken for phototherapy for 48 hours. That destroyed our dreams for the day. Every two hours he came to us like a guest, sucked 2 to 3 mouthfuls of milk, and went away to his comfort zone.
Finally, the day of the discharge came, which was most awaited. We rushed him to our sweet home. Now, he is a few months old, and all the issues about his health are resolved, and he is a little champ.
This little one made a drastic change to my hubby and me. I self-shifted into being a responsible mom, as did my better half.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her.
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Baby Born at 35 Weeks: Causes, Risks and Care Tips
After your pregnancy, bringing your little one home is the next exciting step in your life. However, due to various reasons, sometimes your baby may be born earlier than what is deemed ‘normal’. Your baby may be born at 35 weeks. Babies born before 37 weeks of pregnancy are termed premature (1). As these babies aren’t fully developed, certain measures need to be taken for their survival. Don’t worry, as these babies, too, can lead a very fulfilling and healthy life. There can be many reasons for premature childbirth, which may be linked to the baby or the mother. So, is a baby born at 35 weeks healthy? But first, let’s understand what causes premature childbirth and what it means to have a 35-week-old baby.
What Does a Baby Look Like at 35 Weeks?
A baby born at 35 weeks is called a late preterm infant and usually looks like a normal newborn (2). Being 5 weeks early, their skin still looks normal, however, their internal organs are still developing.
What Happens When Your Baby Is Born at 35 Weeks?
Your baby will be considered to be a late-term premie and hence would be more stable than those born earlier. Unless your baby needs to be in the NICU, you should have enough skin-to-skin to help you bond with your little one (3).
What Are the Causes of Childbirth at 35 Weeks?
Giving birth at 35 weeks is not rare, but also not usual. Some reasons why a premature delivery at 35 weeks may happen are (1) (4):
The mother carrying twins or triplets
A short or weakened cervix that starts dilating early
The uterus has a septum or is small in size
Placental abruption or separation
The mother consumes drugs, alcohol, and cigarettes during pregnancy
Premature rupture of the membranes
Preeclampsia
History of preterm delivery
Birth defects of the mother’s uterus
Poor nutrition before or during pregnancy
Infection
Complications Faced By Babies Born at 35 Weeks
Some complications that premature babies face are:
1. Jaundice
In premature babies, certain organs remain underdeveloped. One of these is the spleen. It cannot process the red blood cells as effectively as it should. This poses the risk of jaundice. If left untreated, jaundice starts affecting the brain and leads to further complications.
2. Infections
Premature babies don’t receive antibodies from their mother. This makes it difficult for them to battle harmful bacteria and viruses. Additionally, they also have lower body weight. If medical procedures are conducted, the risk of infections only increases.
3. Feeding Problems
Although sucking and swallowing are reflexes, a premature baby may fail to carry them out properly.
4. Breathing Problems
The lungs remain underdeveloped (5) and lack a lubricant covering their tissues called surfactant. This lubricant is essential since it prevents the tissues from sticking to each other when they expand and contract while breathing. Weak lung muscles lead to painful respiration.
5. Issues With Weight Gain
Premature infants weigh less than 2 kgs at birth. Low birth weight in addition to feeding problems could result in issues with weight gain.
6. Unsteady Body Temperature
The ideal body weight and percentage of body fat are essential to keep the baby safe by keeping the internal heat levels at the right temperature. The absence of fat leads to hypothermia and makes incubators or warm electric beds necessary.
Risk Factors for a Baby Born at 35 Weeks
At 35 weeks, there are some risk factors and signs that you need to be aware of. Here are some factors of a baby born at 35 weeks (6):
Respiratory distress
Low levels of blood sugar
Difficulty with feeding
Apnea
Yellowing of the skin and whites of their eyes
Seizures
Hypothermia
An increased rate of hospital visits post-initial discharge
Temperature instability
Hyperbilirubinemia
Treatment for Preemies Born at 35 Weeks
Healthcare specialists will provide treatment in the following ways:
1. Use Alarms and Baby Monitors
Doctors will keep the baby under observation and monitor his vitals, including blood pressure, temperature, oxygen, breathing rhythm, and so on. Any dissonance is linked to an alarm that can inform the doctors to take corrective action immediately.
2. Provide Respiratory Support
If the infant is breathing well and needs additional oxygen, this is provided via nasal prongs. If the oxygen levels are drastically low, a BiPAP machine is used. This forces air into the baby’s lungs every time he breathes. If the baby’s lungs fail to function properly due to a lack of surfactant, he will be put on a ventilator.
3. Use UV Radiation
If the premature infant contracts jaundice, UV light rays are used. These rays mimic the functioning of the liver and break down red blood cells. Additional fluids might be supplied to take care of any toxins that might be produced.
4. Supply Food Via a Tube
If the baby isn’t feeding properly, make use of a tube that directly enters the baby’s stomach. This makes sure the breast milk or formula reaches the baby properly and is digested well to help him gain weight rapidly.
5. Promote Skin-to-Skin Contact
Incubators and electric beds keep the body temperature steady. However, skin-to-skin contact with the mother reassures the baby and strengthens the bonding between the two. Kangaroo mother care is highly recommended as soon as the preterm baby’s health is stable (7).
How to Take Care of Your Premature Baby at Home
Premature babies require more attention and care, especially at home. Here are some useful tips:
Refrain from taking the baby outside in winter.
Follow a strict feeding schedule to promote weight gain.
Let your baby sleep in your room.
Understand the procedure of administering CPR to an infant.
Don’t hesitate to ask questions to the hospital staff or your doctor.
Does a 35-Week Born Baby Have to Stay in NICU?
Not all 35-week-born babies have to stay in the NICU. It depends on the condition of the baby and the mother. Some hospitals prefer keeping the baby in the NICU, whilst others prefer keeping the baby with the mother.
What Is the Survival Rate of a Baby Born at 35 Weeks?
99% of all babies born at 35 weeks survive. So, there’s nothing to worry about.
Can a Baby Born at 35 Weeks Be Healthy?
The short answer is yes! A baby born at 35 weeks can lead a healthy and fulfilling life, just like any other full-term baby.
FAQs
1. Is the baby fully developed at 35 weeks?
A 35-week-old baby may look similar to a full-term baby, but their organs are still immature in terms of strength and functioning. While most babies pick up the speed, about 7% of babies born between 35 and 36 weeks of gestation require short-term oxygen support (8). They may require a short hospital stay so that doctors can evaluate the condition of the baby.
2. What is the long-term impact of babies born at 35 weeks?
Some of the long-term effects of a preemie at 35 weeks may include developmental delays, respiratory problems, mental health problems like anxiety and depression, and a higher risk for learning difficulties, such as attention deficit hyperactivity disorder (ADHD). However, that is not necessary with all babies born at 35 weeks. Most babies grow up to be healthy (9) (10).
3. How common is premature birth?
About 1 in every 10 births includes a premature birth. The rate os premature birth increases as women become pregnant late, after the age of 35, or if they have an IVF (11).
Although a baby born at 35 weeks resembles a full-term one, he’s still premature and needs the right support to grow. Having the right information makes sure your baby is healthy and happy!
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How to Make Your Premature Baby Gain Weight?
A premature baby, also called a preemie, needs to overcome several obstacles to become healthy. As the mother or the caregiver, you must be extra careful and ensure your baby gets optimum nourishment. Adequate weight gain is crucial for their overall health and development, as it helps them build strength and resilience. While premature babies may face unique obstacles compared to full-term infants, there are various strategies and approaches parents can employ to support their little one’s weight gain journey. However, before you decide on a weight-gain plan for your baby, let’s look at what a premature baby is and how much such a baby weighs.
Who Is a Premature Baby?
A baby born before 37 weeks of gestation is considered a premature baby (7).
How Much Weight Do Premature Babies Generally Gain?
Monitoring preterm weight gain is crucial for ensuring the healthy development of premature infants. Three kg is the approximate birth weight for full-term babies. The premature baby’s weight gain per day depends on when the baby is born. The earlier the delivery is, the less the baby will weigh. Premature babies usually have a birth weight of less than 2.3 kg (5).
Extremely low birth weight in babies can pose a severe risk to their survival. More than 90% of preemies weighing 800 gm or more can survive due to medical advancements. These days, around 60% of premature babies weighing more than 500 gm survive (3).
All newborns follow a pattern as far as weight gain is concerned. They usually lose some weight during the initial few days. This weight loss could be due to a variety of factors. Babies who have just been delivered might have retained some fluids if the doctor administered a hormone drip to the mother to speed up labour. In such a case, the baby looks chubby after birth but will eventually lose weight. If your baby loses more than 10% of his weight, it might be a matter of concern, and you should consult the doctor. The doctor will look at factors like feeding and excretion to understand why this is happening.
There is no weight loss after the fifth day of birth. Ideally, babies take 14 days to return to their birth weight, but some might take more time. After this, babies start gaining weight. They gain around 112-200 grams every week, and this continues until they turn four months old. The weight gain in premature babies is usually lesser. Tiny infants gain as low as five grams daily, which goes up to 20 grams daily for large preemies.
How to Calculate the Age of a Premature Baby?
To find out if your premature baby’s weight is average, you need to find the age of your premature baby. The actual age will be different from his date of delivery since he was born prematurely.
Subtract the number of weeks he is premature from the present week (6). This means if your baby is nine weeks old and arrived two weeks earlier, you will need to check whether he is reaching the milestones meant for a seven-week-old rather than a nine-week-old.
Premature Baby Weight Chart
Gestational Age (weeks)
Average Weight (grams)
Average Weight (ounces)
Average Length (centimetres)
Average Length (inches)
Average Head Circumference (centimetres)
Average Head Circumference (inches)
23
584
20.6
29.9
11.8
20.9
8.2
24
651
23
31.1
12.2
21.8
8.6
25
737
26
32.3
12.7
22.7
8.9
26
827
29.2
33.6
13.2
23.6
9.3
27
936
33
35
13.8
24.5
9.6
28
1061
37.4
36.5
14.4
25.5
10
29
1204
42.5
38
15
26.5
10.4
30
1373
48.4
39.5
15.6
27.5
10.8
31
1546
54.5
41
16.1
28.4
11.2
32
1731
61.1
42.3
16.7
29.3
11.5
33
1956
69
43.7
17.2
30.2
11.9
34
2187
77.1
45
17.7
31.1
12.2
35
2413
85.1
46.2
18.2
31.9
12.6
36
2664
94
47.4
18.7
32.7
12.9
37
2937
103.6
48.5
19.1
33.3
13.1
38
3173
111.9
49.5
19.5
33.7
13.3
39
3338
117.7
50.2
19.8
34
13.4
40
3454
121.8
50.8
20
34.3
13.5
41
3530
124.5
51.3
20.2
34.5
13.6
Please note: The measurements given here are averages, and healthy babies may be larger or smaller.
When Do Premature Babies Begin to Gain Weight?
“How to make a premature baby gain weight fast?” Many parents ask their paediatricians this question. The weight gain of preemies depends on many factors. One of the most important is when the baby is born. They start gaining weight a few days after their birth.
Nourishing Your Premature Baby
Breastfeeding is one of the most important things you can do to promote healthy weight gain in your baby. Mother’s milk is the best way to build a premature baby’s strength and health. It will also help prevent all kinds of infections (4).
Colostrum is the first milk your breasts produce, and this is where your baby’s feeding should start. Colostrum is full of nutrients, and it offers all the nourishment that your baby needs at this time (12).
Preemies need to be fed according to a schedule, not on demand. Keep track of when you feed your baby, and try to feed him at regular intervals. This will help your baby get vital nutrients at the right time. Talk to your doctor about how often you need to feed your baby. Your doctor might ask you to feed your baby every two to three hours, and you need to do that even at the cost of your baby’s sleep (1).
When your baby turns four to five months old, the doctor will tell you when and how to introduce solid foods.
How to Feed Your Preemie in the Initial Weeks?
A neonatal paediatrician will analyse your baby’s condition and decide the best way to feed him during the initial weeks. Some of how preemies are fed are:
1. Feeding With IV (Intravenous Lines)
The nutrients and fluids are sent via an IV line into the preemie’s leg, arm, or head (2). This is the preferred method if the baby is very premature, has breathing problems, has not fully developed lungs, or has a premature digestive system.
2. Oral and Nasal Feeding
Nasal feeding or gavage feeding involves sending the mother’s milk or formula directly to the baby’s stomach via a tube through the nose or mouth. It is suggested for babies with weak hearts or lungs and coordination problems.
3. Umbilical Catheter
This is a painless way to feed your baby, where the doctor places a tube inside your baby’s umbilical cord (13). Chances of infection are high, so this is recommended only in the most critical cases.
4. Feeding Through Breast and Bottle
When the baby can suck and swallow, the medical team will help you attempt breastfeeding (9).
5. Central Line Feeding
An IV line is inserted in your baby’s vein, and this line delivers the required nutrients to your baby.
6. Fortified Breast Milk or Formula
In some cases, premature infants may require additional calories and nutrients to support their growth and development. Your doctor may recommend supplementing breast milk with a special fortifier or providing formula to boost calorie intake (11).
Baby Tending Tips to Help Your Infant Thrive
Skin-to-skin contact is essential, as this helps babies gain weight, keeps them warm, regulates their heartbeat and breathing rate, ensures proper sleep, and increases the chances of breastfeeding (8).
Massaging can also help your baby gain weight (10).
Ensure you attend even a doctor’s appointment, as checking your baby’s weight regularly is critical.
Cuddle your baby, give him attention, and keep him happy.
FAQs
1. What is considered the average weight gain for a premature baby?
Premature babies typically have a different growth trajectory compared to full-term infants. On average, premature babies may gain around 15-30 grams (0.5-1 ounce) daily during their initial weeks in the neonatal intensive care unit (NICU).
2. How can I tell if my premature baby is gaining enough weight?
Monitoring your premature baby’s weight gain is essential for assessing their growth and development. Your doctor will regularly measure your baby’s weight, length, and head circumference to track their progress. Additionally, paying attention to your baby’s feeding patterns, diaper output, and overall demeanour can provide valuable clues about their nutritional intake and well-being.
3. Should I be concerned if my premature baby isn’t gaining weight as quickly as expected?
While premature babies may initially gain weight at a slower pace than full-term infants, persistent weight gain issues could signal underlying health concerns that need to be addressed. Factors such as inadequate calorie intake, feeding difficulties, medical conditions, or developmental issues could contribute to slow weight gain in preemies.
Premature babies are fragile and require care in a controlled environment. The good news is that their chances of survival are high, and weight gain further increases them. The above tips will help you ensure weight gain for your preemie.
References/Resources:
1. Caring for a Premature Baby: Feeding; UnityPoint Health; https://www.unitypoint.org/news-and-articles/caring-for-a-premature-baby-feeding
2. Feeding your premature baby in hospital; Tommy’s; https://www.tommys.org/pregnancy-information/premature-birth/feeding-your-premature-baby-in-the-hospital
3. Low Birth Weight; University of Rochester Medical Center; https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=90&contentid=p02382
4. Breastfeeding your premature baby; NHS; https://www.nhs.uk/conditions/baby/breastfeeding-and-bottle-feeding/breastfeeding/premature-baby/
5. Caring for a Premature Baby: What Parents Need to Know; American Academy of Pediatrics; https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/Caring-For-A-Premature-Baby.aspx
6. Your Preemie’s Growth & Developmental Milestones; American Academy of Pediatrics; https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/Preemie-Milestones.aspx
7. Preemie; American Academy of Pediatrics; https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/default.aspx
8. Skin-to-Skin Contact: How Kangaroo Care Benefits Your Baby; American Academy of Pediatrics; https://www.healthychildren.org/English/ages-stages/baby/preemie/Pages/About-Skin-to-Skin-Care.aspx
9. 5 Ways to Help Your Premature Baby Thrive; Academy Park Pediatrics; https://www.academyparkpeds.com/post/5-ways-to-help-your-premature-baby-thrive
10. Abraeile. M, Rasooly. A. S, Farshi. M. R, Malakouti. J; Effect of olive oil massage on weight gain in preterm infants: A randomized controlled clinical trial; The Nigerian Medical journal; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4924397/
11. Feeding your premature baby at home; Tommy’s; https://www.tommys.org/pregnancy-information/premature-birth/taking-your-baby-home/feeding-your-premature-baby-home
12. Providing Breast Milk for Premature and Ill Newborns; American Academy of Pediatrics; https://www.healthychildren.org/English/ages-stages/baby/breastfeeding/Pages/Providing-Breastmilk-for-Premature-and-Ill-Newborns.aspx
13. D’Andrea. V, Prontera. G, Rubortone. S. A, Pezza. L, et al.; Umbilical Venous Catheter Update: A Narrative Review Including Ultrasound and Training; Frontiers in Pediatrics; https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8841780/
Also Read:
Preterm Labour and Birth
Premature Baby Health Problems
Premature Babies Development Concerns
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How to Take Care of a Preterm Baby at Home
The most beautiful gift God gives to a parent is a child. when your child is born preterm and he survives, a parent feels more blessed. Premies are the real fighters.In NICU, the baby gets all the facilities, and treatment but when the doctor allows your baby to get discharged, parents don’t know how to take care of the premie properly.
What Precautions Need to Be Taken
Hygiene
The very first thing is hygiene because preterm babies are more prone to infection.
Clean the room where the baby stays daily with Dettol or Savlon water.
Do not allow people with fever, cold, cough or viral infection to enter the room.
Whenever you have visitors, tell them to wash their hands and sterilise them.
The mother should always sterilise her hands before touching the baby.
The caretaker should be given a mask so that any foul smell does not cause any infection to the baby.
Cleaning and Massaging
Use massage oil which is suitable to the baby, mostly coconut oil is recommended for preemies.
Sponge bathe the baby daily with boiled warm water.
If possible, the mother should massage the baby because mother’s touch develops bonding and helps the baby gain weight.
In winters, two times oiling is preferred.
Give kangaroo care to your baby.
Temperature
In winters, the room should be warm preferably with a room heater.
Room heaters should be placed at least 6 feet away from the baby.
In summers, keep the room cool with coolers or AC.
Feeding
Feed the baby every 2-3 hours.
Feed as much quantity as the doctor has prescribed.
Do not feed while while he is sleeping . Wake him up by tickling his feet or rubbing behind his ears.
Feed him holding his head upside.
Burp the baby after every feed and while sleeping, his head should be up so keep a cotton cloth (may be 1-2 inch) below his head till chest so that he doesn’t vomit.
Preemies may not feed directly due to latching problem so use katori and spoon method but try to feed your baby directly so that after some time, he will start direct breastfeeding.
You can use breast pump to extract the milk and feed your baby. But note that all the parts should be sterilised properly and after every use.
Doctor’s Visit
Don’t miss any appointments with the doctor.
Call the doctor in case of an uncontrollable situation.
Go for regular vaccination.
Disclaimer: The views, opinions and positions (including content in any form) expressed within this post are those of the author alone. The accuracy, completeness and validity of any statements made within this article are not guaranteed. We accept no liability for any errors, omissions or representations. The responsibility for intellectual property rights of this content rests with the author and any liability with regards to infringement of intellectual property rights remains with him/her.
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Health Concerns of Late Preterm Babies That You Should Know
A normal pregnancy lasts for about 40 weeks where the baby is fully formed and born. However, there are a high number of cases where the infants are born just after 37 weeks of gestation. This is known as preterm or premature birth. While the cause for preterm birth is not known, there are numerous risk factors that contribute to it. A few are high blood pressure, diabetes, more than one baby in the womb, both extremes of being overweight and underweight, vaginal infections, and smoking. Medically induced labour is not recommended before 39 weeks unless there are other medical reasons. Given proper care and treatment, over 75% of preterm babies survive and live a normal life.
What is a Late Preterm Baby?
Late preterm babies are those born anywhere from 34 to 37 weeks of gestation. Although they are treated as normal, they are usually much smaller in size. Recent research has shown that preterm babies require unique and special care to meet the challenges. Late preterm infant risks and complications start to decrease from the 37th week and are almost completely relieved by the 39th week of gestation.
Health Challenges that Late Preterm Babies Might Face and How to Cope with Them
The care that preterm infants get is to ensure the child grows without any medical issues. Since they are in the womb for 34-37 weeks, they might have trouble with the temperature outside the womb and breathing. They have to work harder than a normal pregnancy infant to live. However, even infants that are late preterm are born healthy with no complications. Here are the health challenges that late preterm babies face and tips on how you can cope with them:
Immediately After Birth
The first few hours after birth is when the preterm infants face the most trouble as they adjust to life outside the uterus. Here are some of the complications prematurely born infants face immediately after birth.
Respiratory Problems
It may be mild or severe or even include conditions like transient tachypnea, pulmonary hypertension, and respiratory distress syndrome warranting respiratory support for a few days.
What You Can Do
Preterm infants are extremely fragile and not completely developed. They are kept in incubators which have similar conditions as available in the womb. Once the baby is developed and can breathe and adjust to his surroundings, he will be taken out of the incubator. Take turns with your partner to be with your baby and monitor him. If the baby has been discharged, monitor him constantly and be vigilant for signs of transient tachypnea and respiratory distress.
Hypoglycemia
This condition may occur as these babies do not have enough glycogen stored in them as full-term babies.
What You Can Do
Hypoglycemia can occur at any time without any warning. Preterm babies need to be constantly supervised for 48 gestation weeks until they start growing and are not at risk of this condition.
Lack of Thermoregulation
Preterm babies usually do not have adequate fat stored in them as full-term babies and so, contract cold easily. They burn more calories to stay warm, making the hypoglycemia worse.
What You Can Do
Preterm babies are kept in the hospital and monitored for a few weeks. Make sure the baby is kept in ideal surroundings at the right temperature.
In the First Week
Preterm infants continue to face challenges in adjusting to the world outside. There are a high number of re-admissions of late preterm babies even after being discharged only at 48 weeks. Here are some of the most common medical issues premature infants face in the first weeks.
Jaundice
Some late preterm babies that have jaundice may need clinical treatment.
What You Can Do
Preterm babies are not immune to fight diseases like jaundice. Jaundice can be prevented by initiating breastfeeding immediately after the baby is born. Frequently feeding the baby will make him strong enough to fight jaundice. You can also expose the baby to early morning sunlight after consulting with your paediatrician. This helps reduce the risk of jaundice. Babies with a serious jaundice condition will need to be kept under a special blue-green light in the hospital that lowers the bilirubin levels.
Sepsis
As the immune system of late preterm babies is not fully developed, they are a high risk of contracting infections. Neonatal sepsis is a blood infection that occurs in an infant younger than 90 days old. Preterm infants may require antibiotic therapy and even blood tests to ensure they are safe from infections of any kind.
What You Can Do
As preterm babies are weaker, they require twice the care as compared to full-term babies. They need to be kept in the Intensive Care Unit in the hospital where tests are constantly taken. They are monitored in sterile conditions to minimize the chances of an infection. You will need to constantly monitor your baby for signs of any infection.
After the First Week
After the first week, late preemies face these challenges
Challenges with Feeding
Later preterm baby feeding can be a struggle as they get exhausted easily and so, usually, do not have the strength to consume breast milk or formula to gain weight. This can lead to dehydration and loss of weight.
What You Can Do
Breastfeeding must be done immediately and frequently after the baby is born. Preterm babies need more attention when it comes to feeding and sleep to become healthy faster. You can even consult your doctor to find alternate solutions to feed the baby.
Rate of Growth
Premature infants take a lot more time to grow in the first few months when compared to full-term infants. Since late preterm babies development is slow, it might even impact brain development. However, as the child grows older, with good care, they grow at a faster pace and lead a normal life.
What You Can Do
Preterm babies are not as fully developed and so, additional care must be given to them. Along with focusing on food intake, paying more attention to the baby can help them learn and catch up faster. This is, however, necessary only in a few cases.
While caring for a late preterm baby may seem overwhelming at first, it is important to remember that the infant is still developing. The baby requires additional care and support in the first few months to grow into a strong and healthy child.
Also Read:
What is Micro Premature Baby?
When to Start Weaning a Premature Baby?
Developmental Milestones of Premature Baby
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Infection in Premature Baby – Signs, Diagnosis and Treatment
Premature babies are born with an immature immune system, which leaves them susceptible to infections, both internal and external. They may get infections from their mother or through external sources. Since their immune function is lower than term babies, it increases their chances of getting an infection.
Types of Infections That Are Common in Preemies
Premature babies are prone to several infections that may come directly from the mother or through external sources. Some of the common types of infections in preemies are blood infection or sepsis, lung infection in a premature baby that usually manifests as pneumonia, infection of the fluid around the brain or meningitis, and urinary tract infection or UTI.
Staph infection in premature babies can also be caused when the bacteria on the skin enters into the body and forms abscesses.
Why Are Premature Babies so Vulnerable?
Preemies receive a lower antibody count than term babies which contributes to their immature immune system. Since antibodies are the body’s primary defence against infections, the lack of them in preemies puts them at high risk of infection.
Also, premature babies often need intravenous lines, intubation tubes, catheters, etc., to assist with their development. These external pieces of equipment may introduce bacteria, fungi, and viruses into the baby’s system, causing infection.
Possible Signs of Infection in Preterm Baby
A preterm baby with infection may exhibit the followings signs:
Listlessness or lack of activity
Reduced or poor feedings
Body temperature fluctuations (below 36 °C or above 37.8°C)
Slow heart rate
Yellow skin (jaundice), pale skin, spots, rashes
Diarrhoea or vomiting
Poor muscle tone
Apnoea, rapid breathing
Bad odour from the infected area
Low blood pressure
Possible seizures in case of meningitis
How Is Infection in Premature Baby Diagnosed?
Fluid samples like blood, spinal fluid, or urine will be obtained to culture it in a laboratory to check for evidence of bacteria in the fluids. White blood cell count in your baby’s blood will also be measured to check if there is an unnatural change in the count. Significant increases or decreases and rise in the number of young white blood cells can indicate an infection.
How to Treat Infection in Preemies?
Your baby will be treated based on the type of infection he has contracted. Bacterial infections are treated with antibiotics. Your baby may be given more than one antibiotic as no single antibiotic can control all infections. Fungal infections may be treated with anti-fungal medications and viral infections may involve treatment with different drugs based on the type of virus, along with supportive nutrition or isolation.
Can There Be Permanent Problems From Infection?
Most bacterial infections can be effectively treated with antibiotics and pose no long-term harm to the baby. However, if your baby suffers from meningitis which is severe, he may have some permanent brain damage. Meningitis needs to be treated early to avoid serious complications. Preemies with low blood pressure issues for an extended period of time may also face some heart problems and brain damage due to lack of blood circulation to the organs.
Preemies are very delicate and a lot of care and caution is advised while handling them. Doctors will generally urge you to maintain hygiene and wash your hands before and after touching them to protect them from external infections. If you or any other members in the family have an infection, do not touch the baby until you’re clear of it.
Also Read:
Common Health Problems of Premature Babies
When and How to Wean a Premature Baby
Tips on Taking Care of Premature Baby at Home
Read more
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