The survival rate of premature infants at 33 weeks was 48 hours, and there were no complications. As we all know, if you want to be healthy, you should pay attention to many things and taboos, because without health, there is nothing, especially pregnant people. Let's share the 48-hour complication-free survival rate of 33-week premature infants.
The survival rate of premature infants at 33 weeks is 48 hours without complications 1 The survival rate of premature infants born at 33 weeks in China is very high. Most babies weigh between 1.4 ~ 2.3 kg and look thinner than full-term babies. Some babies can breathe spontaneously, and many babies' breathing problems can be solved by supplementing oxygen.
Some babies have been able to feed with breast milk or formula milk, but most babies with dyspnea need nasal feeding tube. Compared with premature infants with small gestational age, infants born at this time are less likely to have severe disabilities caused by premature delivery, but the risk of learning and behavior disorders is still higher than that of full-term infants.
Precautions for premature infants
Premature babies must pay attention to keep warm when they are born, handle them gently and move quickly. Catch cold often causes irreparable complications, and the delivery room temperature must be kept at around 25℃.
In order to prevent suffocation, it is best not to use anesthetics and sedatives that affect the respiratory center of the fetus during childbirth. When the fetal head is delivered, the mucus in the fetal mouth and nasal cavity is squeezed out first. Those who have not been cleaned up can be cleaned up with sterile straws when all the fetuses are delivered, and tracheal intubation is used if necessary. Don't wipe your mouth with gauze to avoid scratching the mucosa and promoting infection. People who have difficulty breathing or cyanosis should receive oxygen in time.
After the umbilical cord is cut, gently wipe off the excess fetal fat at the folds such as neck, armpit and groin with sterilized vegetable oil gauze, and then wrap it with cloth. After the treatment, transfer to the incubator of premature infants with adjusted temperature as soon as possible. The standard of cure is that premature infants are generally in good condition, suck well, weigh about 2300g, and have no nutritional deficiency symptoms such as anemia. When the indoor temperature is 265438 0 ~ 24℃, you can leave the hospital.
Pregnant mothers need to pay attention to diet and living environment in the early stage of pregnancy. If the diet is abnormal for a long time, it will lead to the possibility of premature birth. Premature babies are in poor health and need to be very careful when taking care of them. Once they feel unwell, they need to be sent to a doctor for examination.
The 33-week survival rate of premature infants was 48 hours without complications. 2 healthy exercise to prevent cerebral palsy in premature infants
Lateral symmetrical posture. Let the child lie on his side on the bed and keep his upper limbs and hands in the middle of his torso. This posture can control abnormal asymmetric posture and abnormal extensor tension.
3-4 months prone head training. Continue to train children to lie prone and look up.
Turn over. Use toys to induce children to turn over. When helping a child turn over, one hand can hold the child's hand, and the other hand can gently turn over to the opposite side on their shoulders. Practice at least 7-8 times a day.
Balance training. Put the child on his back on the bed sheet, and both parents grab both ends of the bed sheet and swing it from side to side. 2-4 times a day.
Hand-mouth coordination training. When lying on the back, let the child grasp his feet with both hands and put them in his mouth to practice the coordinated movements of hands, mouth and eyes.
Grasping training. Put the toy in the midline position, induce the child's upper limbs to stretch forward, and separate the fingers for grasping. 7-8 times a day.
May-June sitting training. The child's lower limbs are separated, the trunk leans forward, and the upper limbs are supported in front. You can also practice leaning. Practice 5-6 times a day, each time 10 minutes.
Climb down. Parents can use toys to Doby them in front, and the back can lean on the soles of their children's feet to help them move forward. 5- 10 minutes each time, 7-8 times a day.
Family nursing care of premature infants
Premature babies need to be more careful when breastfeeding because they are not full-term and cannot get enough nutrition in their mothers. Parents should carefully breast-feed their babies, pay attention to keeping them warm, and at the same time prevent outsiders from touching their babies to avoid being infected with foreign germs. The baby's room should be kept quiet and clean.
1, keep warm.
The indoor temperature should be kept at 20-25℃, the bed temperature should be kept at 30-32℃, and the room should be ventilated frequently. Change the diaper quickly before the baby catches a cold. Don't take a bath when you weigh less than 2 or 5 kilograms. You can wipe the wrinkles on your baby's neck, armpits and thighs with cooking oil every 2-3 days. If you weigh more than 3 kg, you can take a bath like a healthy newborn by taking 100 ml each time.
2. Feed carefully
Premature babies gain weight quickly, and nutrition supply should be timely, preferably breastfeeding. When I was in hospital, my mother milked the milk and fed it by the nurse. When I got home, I could feed it directly. The amount of milk can be determined according to the child's weight. Generally speaking, you need150-180ml per kilogram of body weight every day, and a 2.5kg baby can feed 350-450ml per day. The frequency of breast-feeding is 7-9 times a day or breast-feeding as needed.
3. Prevention of infection
It's best not to let anyone else into the room of the premature baby except the person who takes care of the baby, let alone show the baby to foreign relatives and neighbors. People who take care of children should wear clean clothes and wash their hands when breastfeeding or doing other things.
Step 4 keep it secret
Premature babies' rooms should be kept quiet and clean, and entering premature babies' rooms should be very quiet. Changing diapers and feeding should be very gentle and fast, and you should not make loud noises or make other harsh sounds, so as not to scare your baby.
The 33-week survival rate of premature infants was 48 hours without complications. 3 Do premature babies have defects when they grow up?
Whether there are defects is determined by the diseases found during pregnancy and hospitalization. Generally, the younger the gestational age, the higher the probability of defects when they grow up. If it is only 25 weeks, it is likely that you will have chronic lung disease or brain development problems when you grow up. However, premature infants with a gestational age of 36 weeks are called full-term infants. No serious complications were found during hospitalization, and he grew into a normal child.
For infants under 32 weeks or very low birth weight, premature infants under 1.5kg or even under 1kg, because they are faced with many life-and-death crises, their hearts, lungs and brains may not jump over at any link. Under the heavy blow, their nervous system development is indeed facing more and more difficulties. Generally mature premature infants, with adequate nutritional intake after birth, will gradually narrow the gap with full-term infants.
Premature babies are live-born babies born before 37 weeks of gestation. Premature infants are not fully developed and all indicators are not perfect. Generally, the skin is thin and tender, and the tissue has high water content. Poor resistance and unstable thermoregulation. Premature infants breathe quickly and shallowly, and their ability to attract and swallow is weak. Because the liver is immature, the liver function is incomplete and the coagulation mechanism is imperfect, it is easy to bleed. All indicators are abnormal, and half of premature babies will have defects when they grow up.
1, late premature infants: refers to premature infants born after 34 weeks, whose organ development is relatively good, and the probability of various defects when they grow up is very small;
2. Early premature infants: refers to premature infants born before 34 weeks. The maturity of organ development at birth is relatively poor, and the incidence of complications is high. When they grow up, the probability of mental, motor and intellectual disorders is higher than that of other newborns.
Early premature infants should be followed up for a long time after discharge, and a follow-up file card should be established. 1 follow-up should be conducted every month in the first half of the year and every two months in the second half. Follow-up evaluation should last until early childhood. Through follow-up, we can find the early developmental defects of premature infants, treat them in time, and reduce the recurrence of late defects. Advocate regular follow-up, early detection, early treatment and early recovery.
Sequela of premature infants
Babies may have cerebral palsy. Premature infants are most prone to brain injury and then cerebral palsy. Mental retardation, epilepsy and hearing impairment also belong to disabled cerebral palsy. Cerebral palsy is also a common sequela of premature infants when they grow up. It is mainly caused by brain injury in premature infants. If brain damage cannot be cured, it will cause cerebral palsy. Cerebral palsy is a lifelong disease, which seriously affects the daily life of patients. Therefore, pregnant women must take measures to prevent premature delivery during pregnancy, so as to minimize the risk of premature delivery.
The baby's eyes and lungs will also have problems. Premature infants may cause various complications after birth and must be treated with oxygen and ventilator. At the same time, taking treatment may also harm immature retinal angiogenesis and immature bronchi and lungs. It's both therapeutic and harmful. Baby's vision will not only be affected, but also need to rely on oxygen for a long time. Respiratory tract interference is also prone to occur after discharge, requiring repeated hospitalization.
The risk of cardiovascular disease and type II diabetes in premature infants is also relatively high. Premature babies need breastfeeding, and breast milk fortifiers can be used. Although efforts are made to supplement the baby with adequate nutrition, even if some babies reach puberty, their sound length, weight or head circumference are different from those of full-term babies, and the risk of cardiovascular disease and type II diabetes is relatively high.
Low IQ is the most common sequela of premature infants when they grow up. Because premature babies were born less than a month ago, when their brains were not fully developed, most premature babies had lower IQ than ordinary people. Moreover, the social skills of premature babies are worse than their peers, which is the result of immature brain development. Premature infants with low IQ are generally born between 28 weeks and 33 weeks of pregnancy. If a premature baby is born at or after 34 weeks of pregnancy, the sequelae of low IQ are very rare.