Criteria for discharged from hospital with premature babies

Premature babies often experience some health problems. Therefore, the baby will be raised and monitored at the hospital for some time. And when certain standards of physical condition and health are reached, premature babies can be discharged from the hospital.

1. What is premature birth?

Premature birth is a child born before 37 weeks of gestation or before 259 days from the first day of the mother's last period. About 12% of all babies are born prematurely. The week of gestation will be rounded. For example, babies born at 28 weeks 4 days are counted as premature birth 28 weeks or in more detail 28 4/7 weeks. Babies born before 28 weeks are extremely premature months; from 28 – less than 34 weeks is premature months, from 34 – less than 37 weeks are premature babies.

The risk factor for premature birth may be derived from the mother or from the fetus and app its app its appendix. Causes from the mother include: Open uterus, short cervical, history of cervical mucosa, vagitis, urinary tract inflammation, periodatal inflammation, uterine fibroids, congenital uterine malformations, a history of premature birth,… Causes from the baby and the subseed include multiple pregnancies, post-fertilization pregnancy, amniotic infections, young ruptured amniotic fluid, delayed pregnancy, defective pregnancy, forward vegetables, young peeling vegetables, multiple amniotic fluids,…

Because they are born before the time when the bodies in the body are functionally as well as surgically perfected, premature babies face many risks, complications and difficulties in nutrition. The child's genitals are ingested, prone to cold, vulnerable, susceptible to infection and have many other serious, prolonged health problems such as:

  • Respiratory: Respiratory failure (weak breathing), apnea, ionated lungs, chronic lung disease;
  • Cardiovascular: Arterial tubes, slow heart rate, unstable blood pressure;
  • Digestion: Unable to feed, difficulty eating, ingestion, necrotizing enteritis;
  • Kidneys: Inmed adulthood;
  • Blood, transformation: Easy anemia should often require blood transfusions, jaundice;
  • Nerves: Cerebral hemorrhage, premature brain pathology, convulsions;
  • Eyes: Premature retinopathy.

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Premature babies may be at increased risk

2. Care and monitoring of premature babies at the hospital

Premature babies can develop as well as full-month babies if they follow the principles of care such as:

  • Respiratory monitoring and oxygen therapy: Premature babies are at risk of respiratory failure due to surfactant deficiency, prone to apnea attacks. If the child is not closely monitored and detected early for handling, the child is at risk of death. Clinical symptoms characteristic of respiratory failure usually appear within 4 hours after birth including rapid breathing, moaning, chest concave breathing or inter-rib muscle contraction, cyanosis. Therefore, it is necessary to monitor and support breathing for premature babies;
  • Prevention of hypothermia: Premature babies under 2kg should be cared for by the kangaroo method (placing the baby in contact with the skin adjacent to the skin on the mother's chest or caregiver) as soon as they are born, continuously throughout the day and night. The goal of this method is to prevent hypothermia, keeping the central temperature of the baby's body at 36 – 37 degrees Celsius, warm and pink legs. If kangaroo care is not possible, it is recommended to use an incubator for the baby;
  • Nutritional attention: The majority of premature babies are still capable of direct breastfeeding. If the baby cannot be breastfed, feed the premature babies by milking the baby with a glass and inserting it with a spoon. For children can not eat with a spoon like choke, can not swallow,… it is necessary to feed through gastric sonde. Breastfeeding is recommended. Mothers who do not have milk or are contrained to breastfeeding can use milk from the breast milk bank if available. Formula milk is used only when the above methods are not possible. At the same time, it is necessary to monitor the amount of milk per day the baby can feed to calculate the correct amount of translation according to the needs of the child. In particular, it is necessary to provide daily micro-factors when the child is well tolerated breast milk;
  • Ensure erile environments: The surroundings of premature babies must ensure the principle of ericatic. Adults should limit contact with the child if it is not necessary, perform hand hygiene during contact, examine and perform procedures on the baby. Stop feeding veins when the baby is suckling up as soon as possible to avoid infection.

3. Criteria for discharged from hospital with premature babies

Premature babies are discharged from hospital when basic requirements are met to ensure stable health and avoid possible problems. Important criteria include:

  • Pink skin, capable of breastfeeding or eating enough milk without respiratory failure;
  • Gain 10-15g of body weight per day for 3 consecutive days;
  • Stable temperature with room temperature;
  • The child does not have severe apnea and bradycardia for 5 days;
  • The mother or nurturer is instructed and capable of taking care of the child himself;
  • Re-examination should be made once a month for the first 3 months. Then re-examine every 3 months in the first year.

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It is recommended to make regular check-up appointments for children

4. Care for premature babies at home

After being discharged from the hospital, premature babies should be carefully cared for at home with the following important notes:

  • Keep your surroundings clean: Premature babies are susceptible to infection, so parents need to clean their baby's room daily with disinfectants such as Dettol or Savlon; do not let people with fever, colds, coughs, or infections come into contact with the baby; ask contact with the child to wash their hands, disinfect, wear a mask, and wear clean clothing;
  • Personal hygiene and massage for babies: Use massage oils suitable for children's skin (coconut oil is recommended); bathe your child daily with sponges with boiled water to warm them; moisturizing oil should be applied to the child 2 times a day in the cold; take care of your child with kangaroo method to keep your body warm, stabilize your breathing, help your child sleep well and develop both mentally and physically;
  • Room temperature adjustment: Keep your child's room temperature steady. In the cold season it is recommended to keep the room warm with a heater (pay attention to place the heater at least 2m away from the baby car). In the hot season it is necessary to ensure that the young room is cool and breathable;
  • Breastfeeding: It is recommended to breastfeed directly. If your child has foam or swallowing problems, they can use supportive tools to give them milk. Parents should breastfeed their baby every 2-3 hours, the amount of milk is guaranteed at the doctor's suggestion. Do not breastfeed when the baby is asleep, but need to wake the baby up to breastfeed. When breastfeeding, the mother should slightly raise the baby's head higher than the abdomen to avoid milk movement. At the same time, it is recommended to burp the baby after each feeding by patting the baby on the back;
  • See a doctor: Re-examine on time or take the child to see a doctor when abnormal and uns controlled conditions such as fever, jaundice, vomiting repeatedly, rapid breathing concave chest, abdominal distension, red navel, liquid pepper,… At the same time, it is recommended to take the child for vaccination according to the specified schedule. Babies should also be monitored and evaluated weekly for weight gain and milk tolerance until the weight reaches 3kg and full gestational age.

Parents should be especially careful when caring for premature babies. If the above advice is followed, the baby will develop as well intellectually and physically as a full-month baby.

Share99 International Health Hub has successfully received and treated many premature babies, especially premature babies(premature babies born prematurely at 24 weeks weighing only 600grams)

Treatment and healthcare of premature babies is one of the extremely complex techniques, high risk. At Share99 International Health Hub, premature births are organized in collaboration with many specialties: obstetrics department, anesthesisied department and especially the newborn department, pediatrics department. This reduces risks and increases the effectiveness of treatment for health problems that premature babies may experience.

As a result, the technique of treating premature babies at Share99 has achieved extremely positive effects, saving the lives of many hopeless premature births.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • What weeks of gestation are babies born prematurely?
  • Understanding the needs of premature babies
  • Life-protection journey for premature babies born prematurely at 26 weeks, 800 grams

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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