Compared with full-term infants, more patience and careful care must be given when taking care of premature infants. How to nurse 35-week premature infants? What else should we pay attention to? Then read on, I hope you can get some inspiration from it.
First, keep the temperature of the premature fetus.
Maintaining the body temperature of premature infants is the key to nursing premature infants at 35 weeks. In fact, it is very important to keep warm whether it is a premature baby or a full-moon baby. Compared with full-moon infants, premature infants' body temperature center is not well developed, and there is less subcutaneous fat, which is easy to lead to hypothermia or neonatal scleredema, so it is particularly important to keep warm in the care of premature infants.
Generally, an incubator is used to maintain the temperature of the premature fetus, as long as it is weight.
Second, nutrition should be comprehensive.
The system of premature infants is weak, so all aspects of nutritional supplement should be paid attention to in the nursing of 35-week premature infants. Breast milk is the first choice for newborn's supplementary nutrition, because the nutrients contained in breast milk are most suitable for baby's digestion and absorption, and its bioavailability is high. Moreover, the immune proteins and immune cells contained in breast milk can reduce the infection rates of infantile diarrhea, respiratory tract and skin, and can better promote the growth and development of premature infants.
Experts suggest that premature infants who weigh more than 2000g and have good sucking and swallowing ability should be in close contact with their mothers at an early age to breastfeed, but they should pay attention to patting the baby's back during breastfeeding to prevent choking, spilling and vomiting.
For some babies with particularly weak sucking ability and swallowing reflex, doctors can make a stomach tube with a suitable length with silicone nylon tube and intubate it for nasal feeding. Generally, the gastric tube is inserted into the stomach first, then 2ml warm water is injected, and then the extruded breast milk is slowly injected with a syringe, but remember to pay attention to the operation method, insertion depth and precautions. After the sucking and swallowing ability of premature infants is restored, they can be fed normally. Pay attention to the amount of milk from less to more, divided into several times, the speed should be gentle, and change the position after feeding, so as not to cause the baby to vomit.
Three. Prevention and observation of diseases
The immune system of premature infants is not fully developed at birth, which is easy to cause other diseases, so the prevention and observation of diseases is very important, which is the premise to ensure the health of premature infants. Prevention and observation of diseases should do the following:
1. Premature infants should suck out mucus and amniotic fluid in the oral cavity and nasal cavity after birth to keep the respiratory tract unobstructed and win time and conditions for follow-up treatment.
2. Manage the respiratory system of premature infants. Premature infants have immature respiratory function and hypoplasia of respiratory muscles, and sometimes have dyspnea, cyanosis or apnea. Therefore, oxygen should be inhaled in time, and the concentration is about 30% ~ 40%, but care should be taken not to give oxygen at high concentration for a long time, so as not to cause lens fiber tissue proliferation and visual damage.
Prevention is better than cure, and children's infection should be put an end to. Usually, it is necessary to strengthen the care of the baby's navel, skin folds and buttocks, and strictly implement the isolation and disinfection system. Nurses should disinfect, wash their hands and wear masks before nursing to avoid iatrogenic infection.
4. Regular ultraviolet irradiation 1 ~ 2 hours to disinfect the living room, wipe the warm box with disinfectant every day, change and disinfect the items in the box once a week, keep the indoor air fresh, and ventilate twice a day, each time 10 ~ 15 minutes.
Fourth, the new mother's healthy psychology.
Nursing care of 35-week premature infants can not be ignored, and new mothers should maintain a healthy psychology. In reality, premature babies are unprepared at birth, and mothers are not fully prepared. When a baby is born, he will be anxious, nervous and even lose confidence. Therefore, family and friends should actively provide psychological care and guidance to the new mother, strengthen communication with the new mother, give guidance patiently, enthusiastically help solve the difficulties encountered by the new mother, and let the new mother establish confidence.
To do a good job in comprehensive and thoughtful care of 35-week premature infants, we need to learn a lot of parenting knowledge and maintain enough patience. Therefore, expectant mothers actually have a lot of things to do while expecting the baby to be born. Don't think that waiting for labor is just a waiting process. We must make all preparations to deal with all possible situations.