According to the American Association of Premature Infants (AAPI), over 400,000 babies are born prematurely or at a low birth weight. As a result of being born early they are more likely to require high-technology intensive and specialized care in the hospital and follow-up care as infants and children. As a result, many have chronic medical problems and developmental problems. Some of the problems consist of respiratory distress, feeding issues, language delays and several other problems.
As a mother of a premature infant, I know these issues are a major concern when the baby is born and the stress that it can put on the families. In order to be able to deal with the situation effectively you have to
…show more content…
Sometimes, they may seem healthy and are progressing well and then they could have a turn for the worse without any warning signs at all. For a parent, this can be very stressful and overwhelming all at the same time.
When a preemie is able to breathe on its own and its body can regulate the heart and body temperature on its own the child has a great chance of going home. This can take weeks and it can even take months, it depends on the baby and how healthy it is when it is born.
Going home is just the beginning of taking care of this very special individual. Some may go home without any worries and then there are some that are still having trouble with breathing. This is called apnea and when a baby has apnea they are monitored continuously until the baby’s lungs regulate the breathing. Some are sent home with oxygen to assist them with their breathing and some are sent home on monitors to make sure they are breathing correctly.
As a result of being born prematurely there are numerous doctors visits and then specialists that have to be seen to make sure that some of the medications given didn’t affect any of the baby’s internal organs following the arrival to their new home. For instance, a baby that gets too much oxygen at birth can have trouble with their eyes. This is when a retinopathy of prematurity
Premature babies sometimes have apnea. It may happen together with a slow heart rate. Respiratory distress syndrome or RDS is a breathing problem most common in babies born before 34 weeks of pregnancy.” Babies with RDS don’t have a protein called surfactant that keeps small air sacs in the lungs from collapsing. “Intraventricular hemorrhage or IVH is bleeding in the brain. It usually happens near the ventricles in the center of the brain. A ventricles is a space in the brain that’s filled with fluid. Patent ductus ateriosus or PDA is a heart problem that happens in the connection between two major blood vessels near the heart. If the ductus do not close properly after birth, a baby can have breathing problems or heart failure. Heart failure is when enough blood can’t get pumped into the heart causing it to shut down. Necrotizing enter colitis (NEC) is a problem with a baby’s intestines. It causes feeding problems, a swollen belly and diarrhea. It sometimes happens 2 to 3 weeks after a premature bay has been born. Retinopathy of prematurity (ROP) is an abnormal growth of blood vessels in the eye. ROP can lead to vision loss. Jaundice is when a baby's eyes and skin look yellow. A baby has jaundice when his liver isn't fully developed or isn't working well. Anemia is when a baby doesn’t have enough healthy red blood cells to carry oxygen to the rest of the body. Bronchopulmonary dysplasia (BPD) is a lung condition that can develop in premature babies as well as babies who have treatment with a breathing machine. Babies with BPD sometimes develop fluid in the lungs, scarring and lung damage. Premature babies often have trouble fighting off germs because their immune systems are not fully formed. Infections that may affect a premature baby include pneumonia, a lung infection; sepsis, a blood infection; and meningitis, an infection in the fluid around the brain and
Did you ever consider everything that has to go exactly right for a baby to be born with out any birth defects, prematurity, or low birth weight? The answer is a lot, and according to the March of Dimes more then 460,000 babies are born prematurely every year in the United States alone (March of Dimes website). Recently, this statistic hit closer to home when a close friend of mine gave birth to her first child. At five months she was informed that her baby would be born prematurely with a hole in its diaphragm, a birth defect that could mean life or death. When the time came to deliver, the doctors performed a caesarean section. With the help of supporting organizations and
Babies born earlier, such as 25 weeks will need medical support in order to survive and are usually placed in incubator – designed to keep baby worm and free from infection. Premature babies are at a higher risk of developing, sight problems or learning difficulties.
Having a baby in the NICU is scary and the days can seem endless. But thankfully for many babies, there’s a happy ending, and after days, weeks, or months it’s time to go home! As a preemie parent, time to go home is both exciting and terrifying!
Kayla and I met on the morning of her discharge while she was finishing packing up her belongings. At this time, I completed her final set of vital signs and began to talk with her about going home. As I spoke about this topic, I noticed that Kayla was becoming slightly stressed as her voice sounded a little shaky and she was increasingly restless. I then proceeded to interpret why she could be feeling this way to which I realized that as Kayla has yet to be more than one hospital zone away from her son and the Neonatal Intensive Care Unit (NICU), she was likely feeling quite uneasy about going home. Like any mother with a sick child, she did not want to leave her son’s side during this tough time and by being discharged, Kayla may have felt that a part of her would no longer be with him.
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
Being a doctor in the neonatal intensive care unit means planning their care around choices of the parents, not necessarily what’s best for the infant. With that being said, any procedure or operation done on the infant at this point in life can have major effects on the infants life in the future. It is crucial that the neonatologist let parents weigh their options, not only deciding what is best for the
According to the World Health Organization (WHO, 2016), preterm birth are the birth that happened before 37 ended weeks of pregnancy and is one of the number reason of newborn deaths and the second prominent cause of deaths in children below five. The preterm babies have chances of an amplified risk of illness, disability and death. In the first weeks, the complications of premature birth may include: breathing problems, heart problems, brain problems, temperature control problems, gastrointestinal problems, blood problems, metabolism problems, immune system problems. Long-term complications includes cerebral palsy, impaired cognitive skills, vision problem, hearing problems, dental problems, behavioral and psychological problems, chronic health issues.
This assignment describes my own reflective experience while caring for a sick neonate with Respiratory Distress Syndrome (RDS) in the neonatal unit. This has enabled me to explore the meaning and significance of my clinical practice and to recognise the complexities within it. The experience raises a number of issues frequently encountered in daily nursing practice. Within this assignment, I will be discussing a particular pre term baby with RDS and critically analyse the use of nasal continuous positive airways pressure (NCPAP) and surfactant therapy and possible effects on baby’s outcome. Pseudonyms will be used to maintain patient confidentiality in order to keep in with the nursing and midwifery council code of conduct. (NMC 2004)The
While others do make it and are very healthy. Some infants have to stay in the neonatal unit while their parents gets discharged, but their parents are allowed to come back and spend time with their child during the day. The gestation age of the Neonatal Unit ranges from 23 to 42 weeks (Carter). It is very common for twins to be placed in the neonatal until because they are normally both small. Infants who are born early, and are placed in the neonatal unit are right where they need to be. When infants are born early more than likely the infants need that extra attention and care that is provided there. The doctors work around the clock to make sure the infants are taken care of properly. Infants in the neonatal until have more stress placed on them because they are so small. The infants have to be placed on different machines depending on their issue. Some of the infants need help breathing or maybe even need extra fluid. Also some infants may have to have vaccines attached to them that give them the food that is needed to survive. It is critical that only parents and siblings enter the unit. The infants are so small and some in such critical condition that they don’t need the extra germs from other people entering the unit. Depending on the unit some places do not even allow siblings to enter the
In the United States, the Department of Health and Human Services works tirelessly in order to improve the conditions for newborn infants. Their goal is to provide essential human services, as well as protect the health for all Americans. Specifically, the area of infant health focuses on the period of rapid development from birth to one year age. The factors that contribute to infant health is not only attributed to the child, but also extends to the health of the mother and their family support system as well. This area of healthcare is extremely important because it ensures the future health of the next generation. Infant health has many external factors, such as social, economic, and biological, that influence the well-being of the
Socioeconomic conditions also played a role in my preterm birth, because I live with someone who smoked cigarettes and also used illicit drugs from time to time. As a result I delivered a baby girl at 24 weeks gestation which is 16 weeks premature and was just two weeks beyond the point of viability. My child weighed 1 lb. 8 oz. and was 12 inches long. The psychological effects after the birth of my child were even more devastating. Knowing that the situation could have been prevented has always weighed heavy on my mind as my child battle with many issues due to her prematurity. These issues resulted in the use of oxygen, and apnea monitor, and also a feeding tube. In the beginning there were many developmental delays such as, she did call until she was one years old and she did not walk until she was two years old. Though those were the short term effects, there are also long-term effects such as lack of confidence and attention deficit disorder. Vision problems are another long- term effect that my daughter suffered from preterm birth. In many cases, the retina will detach from the eye causing blindness around the actual due date. Fortunately for me and my daughter we were able to avoid the detachment but we still have to deal with the vision problems caused by early delivery.
The World Health Organization (WHO) states that, in 2015, “4.5 million (75% of all under-five deaths) occurred within the first year of life,” displaying a shocking incidence of infants who do not make it to their first birthday in one year (2016). The mortality rate varies depending on the area of the world. Many of these deaths occurred in the “WHO African Region”; in contrast, the rate of infant deaths in Europe was far less (WHO, 2016). However, there has been a remarkable improvement over time. The WHO goes on to say that, globally,
Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily
Preterm Birth is one of the most important and interesting topics to any prospective parent. One of the reasons is because it happens so often and unexpectedly. Preterm Birth has become a personal interest in research simply because it has made a tremendous impact in my life. Having a Preterm Birth has taught me lots of things, such as, to grow as a person and as a mother, to see things from a different perspective, to get up, continue with my life, and perhaps to learn how to say “good bye” to a little one without even saying “hello.” For all the reasons above, there are some questions I would like to address: Why do preterm births happen and how can it be prevented? What kind of help is offered to parents and family members who go through the process of having a preterm birth? How effective and relevant is that help?