Premature
Infants
My
baby was born premature. Will she have any health problems as a result?
Premature
infants are not as fully developed as full-term babies. That is why they have
a somewhat higher risk for certain health problems.
Respiratory Distress
Syndrome (RDS)
What
It Is: RDS is a breathing problem caused by immature lungs. Premature
infants' lungs may lack a liquid substance called surfactant that gives fully
developed lungs the elastic qualities required for easy breathing. Without
surfactant, the lungs tend to collapse, forcing a tiny baby to work harder
to breathe.
Treatment:
Many infants will require a ventilator, or respirator, to breathe for them.
Artificial surfactants are now available and are very effective in treating
RDS. Many babies respond very well to this treatment. Lung problems in premature
infants usually improve within several days to several weeks.
Chronic Lung Disease/Bronchopulmonary
Dysplasia (BPD)
What
It Is: Babies who need oxygen for more than a month are described as having
bronchopulmonary dysplasia (BPD) or chronic lung disease. They may need oxygen
and other treatments for several weeks or months.
Treatment:
Babies often outgrow BPD as their lungs mature and grow, although some premature
infants continue to require oxygen when they go home.
Respiratory Syncytial
Virus (RSV)
What
It Is: RSV is the leading cause of lower respiratory tract illness in
infants and children. In the United States, RSV outbreaks usually occur between
October and May. Infants who get RSV may develop apnea (pauses in a baby's
breathing that last more than 15 seconds); bronchiolitis (an infection of
the small breathing tubes of the lungs); or long-term lung problems. Premature
infants and babies with BPD are at highest risk for complications from RSV
infection.
Prevention
and Treatment: RSV is very contagious. It can be spread in the hospital
or after babies are sent home. Make sure that family and friends who visit
your new baby do not have colds or other infections. Ask them to wash their
hands before touching your baby. There is no proven effective treatment for
RSV infection. As a result, your pediatrician may recommend medication to
prevent RSV infection if your baby is at very high risk for serious complications.
Retinopathy of Prematurity
(ROP)
What
It Is: ROP is an eye disease that occurs when part of the eye, called
the retina, has not fully developed.
Treatment:
Most cases of ROP are mild and will resolve without treatment. However, in
some cases ROP can result in serious vision problems. Severe cases of ROP
are often treated with surgery. Your pediatrician will talk to you about this
treatment if it is needed.
What
It Is: Apnea refers to pauses in your baby's breathing that last more
than 15 seconds. This is common in preterm babies. When apnea occurs, the
heart rate will often decrease as well. This is called bradycardia.
Treatment:
If your baby has apnea spells, your pediatrician may pre- scribe a medicine
to help regulate breathing. Your baby's heart and breathing will also be watched
by monitors. Most premature babies outgrow this before they go home. If your
baby does not, he may need a home apnea monitor.
What
It Is: Jaundice happens because a baby's liver has not matured enough
to completely filter a yellowish substance called bilirubin from the blood.
Newborns often produce more bilirubin than their livers can handle.
Treatment:
Most cases can be treated effectively by placing the baby under special lights.
During the treatment, most of the baby's skin is exposed and his eyes are
covered to protect them from the light.
Other Health Problems
Premature infants may
also develop other conditions such as anemia of prematurity (low blood cell
count) and heart murmurs. Heart murmurs are sounds that the flow of blood
makes as it goes through the heart. Your pediatrician and the other health
care professionals caring for your baby will keep you informed about your
baby's condition and progress.
Published online: 4/07
Source: Early Arrival: Information for Parents of Premature Infants
(Copyright © 1998 American Academy of Pediatrics)
Healthcare professionals
may order
this publication in multi-copy packs.
Parents can find more information on this topic in Caring for Your Baby
and Young Child: Birth to Age 5. To order a copy of this book visit the
AAP
Bookstore.
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The information contained
in this publication should not be used as a substitute for the medical care
and advice of your pediatrician. There may be variations in treatment that your
pediatrician may recommend based on individual facts and circumstances.
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