Doctor insights on:
Does Premature Delivery Cause Bronchiolitis
Very premature is a condition in which a baby is delivered between 28 and 31 weeks' gestation. Depending on how premature, how sick, and how lucky or unlucky a baby is, he can get brain problems, cerebral palsy, blindness, deafness, developmental problems, learning disabilities, severe lung diseases, infection and loss of some intestines, etc... Babies who are only moderately premature usually ...Read more
Immature lungs: The lungs of premature babies have not had time to develop, so they do not function as well as a full-term baby’s lungs. Many times, babies with bronchopulmonary dysplasia (BPD) are born with respiratory distress syndrome (RDS). Their lungs are usually not able to make enough surfactant (a liquid that coats the lungs) to help keep them open so oxygen can flow through and help them breathe. ...Read moreSee 2 more doctor answers
It varies: Near the end of the 2nd trimester, certain areas of the fetal brain are particularly susceptible to drops in oxygen/ low blood flow, which can be caused by maternal conditions that necessitate early delivery for the safety of the mother or because fetal well-being is found to be compromised. Ob's get those babies out asap & neonatologists try to prevent further hypoxia, but the die may be cast. ...Read more
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. ...Read moreSee 3 more doctor answers
Autoimmune reaction: Most premataure ovarian failure are genetic or auto-immune related. A viral infection may trigger an auto-immune reaction destroying the follicles in ovaries. ...Read more
Bleeding and Cntrxns: Previa: Placenta overlies the cervix/birth canal. Gr 1 means placenta is close, Gr 4 means it's directly overlying/blocking the baby's exit -- high chance of preterm labor & bleeding; you'd need a C/S at 36-37wks. More common in woman w/ hx of C/S & smoking. Not much you can do but wait. If dx'ed early, the uterus still grows/stretches and a placenta can migrate away even in 3rd tri. Follow w/ US. ...Read moreSee 1 more doctor answer
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. ...Read moreSee 2 more doctor answers
RSV: In most infants, RSV manifests as a non-specific viral uri. A proportion of infants progress to lower respiratory disease caused by inflammatory shedding of damaged cells into the lumen of the rspiratory tact and edema resulting in creased resistance to airflow. The pt will have cough , wheezing, and increased work of breathing . Some pts need oxygen, IV fluids and deep suctioniing. ...Read more
Does respiratory distress syndrome only occur in premature babies or can it happen in older children too?
Specialized coating: Surfactant is one of the last things for a fetus to produce, like paint for your rooms, you get everything else built before the finish work.Prematurity can delay production.The material works on the walls of the air pockets in the lungs to keep them partially open when you exhale.Without the coating, these air pockets empty like a balloon & take excessive force to reopen.That gives respiratory pbs. ...Read more
Multiple factors: Multiple factors determine the recovery from hypoxia in neonates with pneumonia. Premature neonates are at greatest risk due to underlying prematurity related lung disease. Other factors include maternal fever or chorioamnionitis, premature rupture of membranes, sepsis, duration of mechanical ventilation, nosocomial infections, congenital heart disease etc. Discuss with your neonatologist. ...Read more
Does high anxiety or hypertension of mother during labour/delivery cause otism or related disorders like hyperactivity to the newborn baby?
No: Anxiety and hypertension do effect baby.Their related stress hormones can speed up lung maturity and indirectly reduce the babies birth weight by a few ounces.Add appears to have lose genetic influences and studies point to small gene mutations that may exist prior to conception as a cause of some autism.I would forget these issues for now and work to get through pregnancy as healthy as possible. ...Read moreSee 1 more doctor answer
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