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Doctor insights on: Breathing Spells And Bradys How Long Will Last With A Preemie Baby

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Breathing spells and bradys . How long will last with a preemie baby ?

Breathing spells and bradys . How long will last with a preemie baby ?

34 weeks: Every baby is different, but most stop having apnea and bradycardia events (stopping breathing and low heart rates) around 34 weeks corrected gestational age, however sometimes this can be delayed. Gastric reflux can contribute to continued bradycardia and desaturations beyond this point. ...Read more

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Dr. Cindy Juster
260 doctors shared insights

Premature Baby (Definition)

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


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Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Airway dilation, what's the chance of needing a trach? now has leak around her breathing tube. 24wk 6 day preemie girl. 1lb 6.2oz @birth 3lb 9.4 oz

Air leak: Some degree of air leak is OK so long as there is adequate ventilation. It is preferable not to do a tracheostomy because very small size of baby . The neonatologist can elect to change to bigger size tube if ventilation becomes ineffective. ...Read more

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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?

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

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Does the corrected age always have to be factored in for assessing development of preemie babies? (35 weeks)

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

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What is the largest number of x-rays preemie babies receive?

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

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I had blood transfusions as an infant because i was a preemie what are the chances of me developing a blood clot in pregnancy? No history blood disor

I had blood transfusions as an infant because i was a preemie what are the chances of me developing a blood clot in pregnancy? No history blood disor

Unrelated : Blood transfusions have not been reported or known to cause blood clots however the pregnancy itself is a well known risk factor for blood clots. During pregnancy, risk differs from one woman to another depending on prior history of blood clots or other familial risk factors. If concerned, ask your doctor. ...Read more

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Side effects of CT scan for preemie infant include radiation and learning disabilities?

Side effects of CT scan for preemie infant include radiation and learning disabilities?

Doubt connection: Any learning disabilities suffered by a premi that survives most likely represent factors that precipitated premature delivery & the need for resuscitation & intensive care, not the ct scan. Last year my patient, "littlest angel" (14oz @ birth) graduated from the honors program at baylor in 3 yrs.It didn't slow her down. She never got real tall but she is quite a survivor. ...Read more

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What sort of problem is a premature baby's "pausing" during breathing?

What sort of problem is a premature baby's "pausing" during breathing?

Variable issue: After birth, a baby must learn how fast/how deep to breathe to get needed oxygen in various levels of activity from quiet sleep to full fussy behavior. Premi's are less capable in figureing out the cycles, often forgetting to breathe when needed.Although brief pauses are nl, long pauses can lead to low o2 brain injury.Drs use monitors & various meds to manage the premi problem until it resolves. ...Read more

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What is the definition or description of: Premature baby "pauses" in breathing?

What is the definition or description of: Premature baby "pauses" in breathing?

Apnea of prematurity: Apnea is a term for breathing pauses more than 20 seconds. It can occur in full-term babies, but is more greater, the more the baby is premature. Apnea may be followed by bradycardia, which is a decreased heart rate. When breathing slows, the heart rate also slows. ...Read more

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What are the symptoms of premature baby "pauses" in breathing?

What are the symptoms of premature baby "pauses" in breathing?

Apnea: Apnea is stopping breathing for about 15 seconds but premature babies do periodic breathing also(slow than fast then slow). The more premature the more likely to have some apnea. They do grow out of this. ...Read more

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What is the treatment for premature baby "pauses" in breathing?

What is the treatment for premature baby "pauses" in breathing?

Periodic breathing: Pauses in breathing in the neonates are called "periodic breathing". It occurs in 80% of full term and 100% of preterm babies. These pauses are usually brief ( 3 seconds). If they are brief and are not associated with changes in color (cyanosis or pallor) or a drop in heart rate, then it does not require treatment and resolve with time ( by 44 weeks post-conception). ...Read more

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My premature baby, born at 32 weeks and now 4 weeks old, has just come home from the nicu. We notice she stops breathing while burping.

My premature baby, born at 32 weeks and now 4 weeks old, has just come home from the nicu. We notice she stops breathing while burping.

Mgt/workup: Premature infants are developing their pattern of breathing, and it is not uncommon to have short pauses. If there is a pause longer than 15 seconds or any distress/color change, an apnea test can be useful in determining the cause. If there is a pattern during sleep, observe your daughter for pauses, and discuss with your PCP. Note any upper airway noise or movement of her arms/legs. ...Read more

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Gave birth to preemie baby on sept 13th the last few days have had a fever of 102.5 what should I do? I am worried

Gave birth to preemie baby on sept 13th the last few days  have had a fever of 102.5 what should I do? I  am worried

See MD: Go see your obstetrician or go to your emergency room and get checked out. You have some type of postpartum infection and need to get checked out. ...Read more

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How long do babies have without breathing before they develop hie?

How long do babies have without breathing before they develop hie?

Seconds to Breathe: It is difficult to say precisely which infants develop hypoxic-ischemic encephalopathy (hie) and to what degree of severity. We do know, however, that effective breathing (ventilation and oxygenation) should be initiated within seconds of delivery and well-established by one minute of life. If not, there are clear steps for intervention, outlined in the neonatal resuscitation program (nrp). ...Read more

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Infant case: difficulty breathing, chocking, not feeding well, fever last week, sleepy, whistle noise when breathing no secretion. What could it be?

Infant case: difficulty breathing, chocking, not feeding well, fever last week, sleepy, whistle noise when breathing no secretion. What could it be?

Bronchiolitis: Have your baby checked. Most of bronchiolitis in infants requires supportive cares. However, if infant's oxygen saturation runs below 92 percent or infant became dehydrated from inadequate feeding, hospitalization will be necessary. ...Read more

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How long does a preemie stay in the icu?

How long does a preemie stay in the icu?

Depends: Depends how premature the baby is and what other complications arise. Some infants, even if they are premature do not require ICU stays. ...Read more

Breathing (Definition)

Breathing is the way we take in oxygen and expel carbon dioxide (co2) through out lungs. When our lungs expand we take fresh air in that contains oxygen and then when our lungs ...Read more