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Premature Infant
Alternate Names : Preemie, Preterm Infant
Premature Infant Treatment
When premature labor develops and cannot be stopped by medical intervention, plans for appropriate management of a premature baby and the mother are made, which may involve transport of the mother to a center with facilities to care for premature infants, i.e. a neonatal intensive care unit (NICU). In some cases, steroids may be given to the mother in order to facilitate lung maturity in the premature infant.
To assure support of the respiratory and cardiac systems and anticipate other common problems associated with prematurity, immediate evaluation and, if necessary, resuscitation takes place after delivery. The infant will be admitted to or transported to a high-risk nursery with personnel trained in the care of premature infants.
The infant is placed under a warmer or in an isolette with controlled temperatures where careful observation and care can be given.
Feeding may be administered by inserting a tube into the stomach, since infants are usually unable to coordinate sucking and swallowing before 34 weeks gestation. Intravenous feeding may be indicated in extremely premature infants.
Depending on the degree of prematurity, the infant may not start breathing after birth, or respiratory efforts may be inadequate to expand the chest and deliver oxygen to the infant's body. In such cases, a breathing tube is inserted into the infant's trachea, and artificial breathing is delivered by a respirator. Supplemental oxygen is given. (See respiratory distress syndrome.)
Nursery care is needed until the infant is able to take oral feedings, maintain body temperature, and achieve a body weight of about 5 pounds. However, other problems may complicate treatment, especially for very small infants, which could prolong the hospital stay.
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Definition Premature Infant Overview, Causes, & Risk Factors Premature Infant Symptoms & Signs Premature Infant Prevention Premature Infant Diagnosis & Tests Premature Infant Treatment Premature Infant Prognosis Premature Infant Complications Premature Infant Support Groups Calling Your Health Care Provider
Topics that might be of interest to you Diseases & Conditions
Anemia Bronchopulmonary Dysplasia Diabetes Heart Disease Hypoglycemia Intrauterine Growth Restriction IRDS (Infant Respiratory Distress Syndrome) Kidney Disease Necrotizing Enterocolitis Preeclampsia Retinopathy of Prematurity
Tests & Exams
Bilirubin Blood Gases Chest X-Ray Glucose Test Protein - Urine Serum Calcium
Other Topics
Breathing - Slowed or Stopped Breathing Difficulties - First Aid Central Nervous System Delayed Growth Gestational Age High Blood Pressure Intravenous Jaundice - Yellow Skin Poor Feeding in Infants Respiratory Scrotum
Review Date : 12/22/2002
Reviewed By : Philip L. Graham III, M.D., F.A.A.P., Department of Pediatrics, Children's Hospital of New York, Columbia University, New York, NY. Review provided by VeriMed Healthcare Network.
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