Doctor insights on:
Premature Baby Pauses In Breathing
Less than 20 sec: Is probably okay, consult your board certified pediatrician. ...Read more
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
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
What is d effect of apnea in a premature baby. I have a premature baby of 28weeks. He has frequent apnea cases?
Apnea: In premature babies is common, a complex mechanism, but simply their respirotory and nervous systems aren't developed fully, so it takes time, in addition to other problems usually present in their lungs, the neonatologist(s) looking after your premature baby are best to answer your questions and communicate the progress of the case, wish you both wellness ...Read more
Doctors are worried about me having a premature baby -- I know a lot of moms who have babies early and their kids are fine?
It's complex: There can be many issues with premature babies . They can have breathing problems associated with immature lungs. They can have feeding and digestion issues due to immaturity of the GI tract. Preemies may have difficulty regulating their temperature, which puts stress on their bodies. They have delicate blood vessels and can have bleeding into the brain. Future developmental issues possible. ...Read more
Protected info: This is protected health information, to which only the parent's, child and doctors involved should be privy. ...Read more
Also iillnesses: Prematurity is a risk factor that can lead to blindness. One important risk factor is birth weight, 1251 grams or less (2 lbs 12 ounces). A landmark study called the early treatment for retinopathy of prematurity, laser decreased incidence of blindness http://www.Nei.Nih.Gov/neitrials/static/study83.Asp the patient will need lifelong eye care for glaucoma, cataracts, strabismus, amblyopia, etc. ...Read more
Yes: Babies with retinopathy of prematurity (rop) have a good chance of seeing in societies where advanced medical care exists. About 500 children per year in the us are reported to develop blindness due to rop. Ongoing follow up for babies with rop is important because other vision issues can also occur in these children over time. ...Read more
Yes it can: The two often go together. The baby will have apnea-defined as 20 seconds or more of not breathing, which then in a neonate (baby <=28 days) will often lead to bradycardia, or low heart rate. Please have your baby seen by your pediatrician if this is going on, as prematurity is not the only cause of these symptoms. Sometimes medication is needed. ...Read more
Rare: 0.2 - 0.4% of all babies born in the us. The more premature the baby, the higher the likelihood. ...Read more
Usually not needed: Preterm infants with apnea usually outgrow this condition prior to discharge from the hospital. If they do go home on a monitor it is usually for parental, not medical, indications in which case the duration of monitoring is quite variable. Most infants discharged on home on apnea monitors are taken off by 6 months of age. ...Read moreSee 2 more doctor answers
Are premature babies who suffered retinopathy of prematurity and went blind ever going to have any chance of seeing?
Very Unlikely: Prematurity is a risk factor that can lead to blindness. One important risk factor is birth weight, 1251 grams or less (2 lbs 12 ounces). A landmark study called the early treatment for retinopathy of prematurity, laser decreased incidence of blindness http://www.Nei.Nih.Gov/neitrials/static/study83.Asp the patient will need lifelong eye care for glaucoma, cataracts, strabismus, amblyopia, etc. ...Read more
Yes: As your premi's status improves and feeding is started, your expressed breast milk can be used for early gastric tube feeding. Sometimes they will mix this with material to increase the protein & calorie content. When some of the breathing support is removed and baby shows a good latch & swallow, you can feed in the unit. You can work with your OB & lactation consultant to boost your supply if low. ...Read moreSee 1 more doctor answer
None: Breastmilk is best for a premature baby. Unfortunately, formulas are a poor substitute. They are harder for babies to digest, especially for premature babies, and they don't contain all the nutrients that breastmilk does. If for some reason you can't provide breastmilk, the baby's doctor can recommend a formula. Sometimes they end up trying several to find one that a baby can tolerate. ...Read more
Prematurity: 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 predict gestational fairly reliably ...Read more
This is the cessation of breathing for 10 seconds or more. Most apnea is obstructive being caused by collapse or obstruction of the airway leading to lack of air flow. However, it can be a central process, where the respiratory center of the brain fails to signal the respiratory respiratory system to initiate a breath. Lastly, some apnea is mixed central ...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