Doctor insights on:
At What Age Is Circumcision Done On Preemie
Size of penis: Circumcision is done based on the size of the newborn penis. The appropriate size is estimated based upon the circumference of the glans. For a correct fit, the edge of the bell should reach the frenulum and minimally extend over the corona, slightly stretching the preputial skin. ...Read more
Any newborn infant with a gestational age of less 37 weeks- since most pregnancies other than in vitro fertilization cannot determine exact dates of conception, several methods such as early ultrasound, last menstrual period, and the Ballard gestational assessment can ...Read more
Depends on variables: This procedure, if desired, can be delayed until the kid is stable enough to consider discharge to home care. It can be done around the time of discharge by the method preferred by the physician doing the procedure. I usually do it the day prior to scheduled discharge. In some cases, other issues like a hypospadias might require a delay until much older, when corrective surgery can be scheduled. ...Read more
My preemie has been through enough for the last month. Why should I get him circumcised in the hospital?
Yes: If you plan or had planned on circumcision, have it done in the hospital, rather than separate visit to the Dr. Don't worry, you will suffer more from the circumcision than he, who will feel only momentary pain. Many Drs refuse to do office circumcisions and condemn the baby to wait 6 months and then have it done under general anesthesia. Have them use LMX anesthetic cream & sweetease to suck on. ...Read more
Couple of weeks: Depending on your infants condition it is usually scheduled in a week or two after the first one. ...Read more
Does the corrected age always have to be factored in for assessing development of preemie babies? (35 weeks)
Yes and No: Sorry for the confusing answer, but especially with those babies we call late preterm (after 34 weeks but before 37 weeks), development often is not very affected unless there were a lot of compounding problems with the birth. So if I was doc for a big, fat healthy 35 weeker, I would not always correct. More important s to follow closely over time and are they making appropriate progress. ...Read more
For a preemie if it was 2 months old but 4 weeks early is the risk for sids go by their age from when they are born or their original due date?
My preemie 24wk 6days, is now 33wks gestation, what will her adjusted age be when she reaches her due date? Would it be "newborn"
Already born: Your child will have 2 ages for a while, the chronological age, actual age since birth, and the corrected or adjusted age, in other words the age if the child was born at full term, 40 weeks, so in your case simply subtract 15 weeks from your child's chronological age to get her corrected age, she won't be a newborn any more, the newborn period is the first four weeks of life regardless, ...Read more
Trial and error: You need to figure this out through trial and error. Search online and read the blogs. Then bring your baby and see which bottles and nipples are closest fitting to your baby. You will need to try a few until you find one that works. ...Read more
See below: Despite of being a preemie, the child's care giver should be told any pertinent health information. Such as, allergies, medications, and chronic health problems. ...Read more
Neonatal issues: It depends on what you call constipation and the baby's age. Usually in the first days of life the baby will have very frequent bowel movements. As the baby grows older it can create a pattern and not necessarily have stools every day especially if they are breastfed. Constipation at that age is considered to be hard stools. If there is bm at least once a week and soft it is ok. F/u with pcp on this. ...Read more
Nursing Staff: Nicu nurses are some of the best you'll find. Highly dedicated & exceptionally well trained, they also have a lot invested in your premie. Still, they have different comfort levels & different personalities, good days and bad days. Show your appreciation for the nursing staff and maintain a good rapport. They can become your best nicu advocates and they'll help you reach your breastfeed goals. ...Read more
Often yes: Premature infants often may need a blood transfusion. Sources of blood are banked blood, or donated for your infant. Mom may not be able to donate for several months after delivery due to the loss during delivery, but dad or friends can donate if they have compatible blood. Of note banked blood is statistically safer than directed donation, because family may feel pressure, even if risk factors. ...Read more
10 minutes each: Pumping up to 10 minutes each breast is a good place to start. It really depends on how long your baby nurses. Pump until your breast feels empty, then pump the other side. Excessive pumping may make you sore. Pay attention to your body you don't fatigue yourself. ...Read more
Feels good so do it: Am assuming that you are an expectant mother with risk of premature completeion of pregnancy. Masturbation should be safe unless you experience any uterine contractions when you achieve orgasm. Uterine contractions would be a contraindiaction. No problem if you aren't pregnant. ...Read more
Might be delayed:
Each baby reaches the developmental milestones at their own pace. Preemies can lag behind infants of the same age, but often catch up within the first to second year of life.
Every baby's developmental curve is different. Remember, it's not a race. Enjoy each stage as it happens. ...Read more
Talk about it...: These feelings can be normal. I recommend that you discuss your feelings openly with your partner, family & friends. Often talking about your feelings helps. If that isn't making you feel better talk to your md. Mom's of premature babies often feel guilty about the early birth - even when they did nothing wrong. If symptoms persist talk to your md and be screened for possible postpartum depression. ...Read more
My son just turned 9 mos old and only weighs 16 lb, 26 in long. He was a 1 mo preemie. Do I need to beef up his diet?
Ask his pediatrician: You need to check with his pediatrician to see if he is following his growth curve appropriately, as well as what if any supplement is needed, and if any other testing needs to be done. ...Read more
I am I preemie teen 17 yrs old, my weight is 55kg and height 1, 81 cm is it healthy cuz I am skinny, hard gainer too.
See Dr., then eat...: If one is truly underweight (based on height, family background, and body type), a Dr. Can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon, ... Better fats: olive oil, peanuts, almonds, tofu, ... ...Read more
Is it common for preemie babies to have low apgar scores? (35wks+ 3 days)? Or can they have a good score even though they were early?
Premmies: Premature infants can have hi or low apgar scores, depends on the cause of prematurity. Ex if mom's cervix dilates early then the apgar score may be normal. Or if there is a medical condition affecting the fetus, like placenta tear, then the score could be low, in which case the baby needs help to fix the causes (oxygen, or blood, or pressure breathes, etc) with quicker recovery better than slow. ...Read more
For a 31-week preemie with no complications and normal development as of 2-years-old, how likely are future problems due to prematurity?
Very unlikely: A 31-weeker who had no complications and has been normal to age two years, can be looked upon as a normal person just like the full term kids. We are all human, so there is no perfect child. Any future problems are likely due to being a human, and not due to being a 31-weeker. ...Read more
I gave my two months old preemie one drop of formula milk prepared 5 hours ago. But she spitted up after 5 minutes (nothing unusual).will she be ok?
Spoiled milk?: Generally speaking, if milk is left out at room temperature for over an hour, you should discard the milk. However, I do not feel that one drop of milk should cause any significant harm to your baby. Watch out for vomiting or diarrhea or fever. If your baby displays any of these symptoms, call your pediatrician for further advice. ...Read more
Premies and X-rays: Any x-ray is one too many in a baby. But with premies, sometimes you have no choice. Lately the medical community has been more aware of the radiation from x-rays and most radiology facilities use the lowest radiation setting they can. You should talk to the radiologists who perform the x-ryas and they can tell you what setings they use. ...Read more
Retinal oxygen baby: Retinopathy in the premie baby has been studied extensively over the past two decades and great strides have been made in prevention and/or treatment. Most neonatal care centers have the knowledge, proper monitoring equipment and dedicated trained professionls to help. Carefully following these children after discharge is still a very big challenge as the risk to their vision is not short term. ...Read more