Doctor insights on:
Predict When Your Baby Will Be Born
Lot of things: There is a long list of potential causes for premature births, starting with teenage of mother, poor antenatal care, poor health or maternal medical conditions, drug use and other obstetric issues. ...Read more
Depends on Healthy:
3 wks and above are not even classified as early.
10 weeks early and above the outcomes are good with lower risks of prolonged ventilator needs and can generally go home within a month of due date.
Every 2 weeks earlier, the risks of deathbad outsomes go up and length of stay goes up.
Edge of viability (not counting good outcome) is 16-17 weeks early.
It happends: If a babies nervous system has been exposed to addictive substances during the later stages of pregnancy, they will generally undergo a withdrawal process similar to that of an addict after birth. This can be very dramatic, with high pitched crying & a hyper reactive nervous system for days or weeks after birth. Pediatricians and neonatologists will often medicate the child for comfort during this. ...Read more
Yes and no: They received immune factors from their mother during pregnancy that acheive higher/lb amounts than mother has herself. They can also receive IgA in breast milk that acts to preven germs from attaching to babies insides and causing infections. Yet this is temporary and will fade over 2-3mo. Their system does not hold on to stimulation by shots well, so many doses are neeeded the 1st yr. ...Read more
No: Babies are not born knowing how to swim. A baby can sometimes hold their breath as a reflex, but this should not be mistaken as an innate ability to swim. Water can be very dangerous for your baby: it takes a very short time for a baby to drown. It is extremely important that you carefully monitor your baby at all times whenever he or she is near water, and this includes the bath tub. ...Read more
Placental transfer: If the mother uses drugs, the blood flow to her body is the same to the fetus through the placenta/umbilical cord. The babies nervous system and tissues acquire & process the drug in a similar way to that of mom, and the abrupt withdrawal of the drug by delivery will often produce withdrawal symptoms in the baby. ...Read more
Why not?: Gastroschisis involves a large defect in abdominal wall in newborn, however, it seldom is associated with major abnormality in other organ. ...Read more
Pacifiers: Yes please! Pacifiers are wonderful in my opinion. They satisfy babies need to suck, they sooth baby, they help mom and dad. They don't hurt teeth. Best of all there are studies which show a decreased incidence of sudden infant death with their use. This doctor and grandpa endorses them! ...Read more
Several things: It depends on what stage a pregnancy is in & what the cause of early labor is. Options include hormones, a circlage (ring that goes around the cervix to hold it closed), strict bedrest, and drugs like beta-agonists and IV magnesium. Blood pressure meds & antibiotics are used for certain types of preterm labor. Steroids are used to help mature the baby's lungs & antibiotics to prevent infection. ...Read more
Survival rate: More than 90 percent of the babies survive. ...Read more
There are risks: Assisted reproductive technology increases the risk for prematurity and low birth weight (as well as other factors) mainly because of the higher rate of twins and triplets etc. My neonatology colleagues are kept quite bust caring for very small babies from reproductive technology. There may also be an increased risk for birth defects due to so called epigenetic effects. ...Read more
Depends: This depends on the site of delivery and compliance of the parents. Home births often get nothing beyond whatever the midwife does to assure a healthy transition. Most states require hospitals to perform metabolic testing for things like PKU before discharge as well as hearing screening. It is now commonplace for hospitals to screen blood oxygen content on day 2 for evidence of a heart pbm. ...Read more
Define "sick": The average newborn has more immunity/pound than its mother and is designed to last a lifetime. That said, as many as 10% of newborns may have a transient need for close observation and or treatment in the hospital nursery or an NICU. Many of the reasons for these extra needs are not identified until the mother is in labor or the baby runs into some issues in the 1st 24hrs. ...Read more
Wide range: 32 weeks is a lot earlier than 36 weeks. A baby born at 32 weeks may need some time in the hospital before going home. Once home, your pediatrician will want to follow the baby more frequently until he reached the 36-40 week range then he will likely need the same care as a term baby. This all assumes no complications beyond prematurity. ...Read more
Little higher: It actually used to be closer to 10%, but with more scheduled inductions and C-sections at around 39 weeks, the actual number has dropped below that 10%. I doubt it has dropped as low as 4% though. I certainly have not seen a number that low yet, but I'm sure it's headed that way. ...Read more
Need for growth/dvp: Infants have few needs for function. They need to be awake for feeding and it helps you bond if they acknowledge you, but their main job is to grow bigger and dramatically improve control over their marvelous body. This takes sleep and nutrition.As they enter their teen years again they grow faster and need more sleep, while adults may get by on little. Its all part of the balance in human growth. ...Read more
Few: Generally 99% do not as most heal. ...Read more
NMS: I thought I would make some suggestions since your question has not been answered by anyone else. This is not my specialty but I can think of congenital abnormality of the vocal cord or brain damage during delivery as potential causes- fortunately rarely. What did your doctor tell you? ...Read more
The answer is no for both questions.
Routinely cardiac echo is not done for all newborns. It is not cost effective procedure and not needed for the majority of newborns.
The newborn who presents with cardiac signs and symptoms like cyanosis or heart murmur will require further cardiac workup that might include echocardiogram.
Thank you. ...Read more
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