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A 30-year-old member asked:

why does ivh mainly happen in premature babies?

3 doctor answers9 doctors weighed in
Dr. Andrew Nordine
Pediatrics 20 years experience
Yes: The reason for this is at least two fold. First, their brain blood vessels are fragile and still developing. Second, their brain blood vessels do not regulate blood pressure very well. Thus, fragile premature blood vessels see large fluctuations in blood pressure (particuarly with serious illness) that cause damage and even rupture. After 32 weeks gestation, these problems abate significantly.
Dr. Jason Adler
Pediatric Critical Care 24 years experience
Anatomy changes: As fetuses mature, the anatomy of an area in the brain called the germinal matrix changes. That area is rich in blood vessels called capillaries that are susceptible to injury in premature babies, but in term babies this area regresses and becomes less prone to bleeding.
Dr. James Ferguson
Pediatrics 46 years experience
Uterus best incubatr: Premi babies are by definition not ready for the outside world. When they are delivered & staff scrambles to assist their breathing and support a weak blood pressure, shifts in blood flow & blood pressure strain the immature vessels of the brain & they may leak to form an ivh. As the baby "ripens"the vessels strengthen & their need for support also drops.Ivh can happen then but seldom does.

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A 23-year-old member asked:

What are the therapeutic options to aid the development of premature babies?

3 doctor answers5 doctors weighed in
Dr. Scott J. Wolfson
Pediatrics 22 years experience
Steroids are used.: During development in the womb one of the most crucial stages is the development of functioning lungs. If a baby is going to be born before 36 weeks, steroids are often used to boost the lung function by stimulating the cells to make surfactant, which enables the lungs to work better sooner.
A 43-year-old member asked:

What is the survival rate of premature babies?

2 doctor answers2 doctors weighed in
Dr. Padmavati Garvey
A Verified Doctor answered
A US doctor answered Learn more
10-99 %: It really depends on how premature they are. With every week they stay inside the mom, their stay in the intensive care unit goes down by several weeks and their survival rates rise significantly.
A 41-year-old member asked:

Does nec only happen to premature babies?

4 doctor answers10 doctors weighed in
Dr. Robert Kwok
Pediatrics 33 years experience
No: Necrotizing enterocolitis (nec) is a serious intestinal problem that occurs in some premature babies. Nec can happen, but is much less common, in full-term babies. In nec, a combination of decreased blood flow to the intestines plus infection of the intestines with bacteria, leads to severe damage to parts of the intestines. Surgical removal of some damaged intestines must be done in some cases.
A 41-year-old member asked:

Can some of the premature babies be affected by drugs given their moms?

1 doctor answer2 doctors weighed in
Dr. Shalabh Bansal
Pediatrics 13 years experience
Yes: Fetuses, at any stage of development, can be affected by compounds ingested by the mother. However, not all drugs are harmful to the fetus. For example, if you do go into premature labor, the OB will give you steroids to mature the premature baby's lungs. Also, once babies are born, if mother is breastfeeding, drugs can be transmitted to the infant through the milk. However, not all drugs are bad.
A 48-year-old female asked:

What is the effective cure for colds in premature babies?

2 doctor answers4 doctors weighed in
Dr. Boris Ripa
Pediatrics 36 years experience
Clean the nose: First, because babyes are nose breathing. Tylrnol for fever. Humidifayer also helps.

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