CARING FOR A PRETERM BABY AT HOME

Caring for a newborn, especially for first time parents, can be challenging. When a baby is born preterm and has to stay in the neonatal care unit for a few weeks, the joy of finally taking the baby home could be coupled by a lot of trepidation for new parents. With adequate planning, you will be better prepared.

- Dr Shalini Chico

Firstly, remember, that a preemie will not be discharged unless the doctor deems baby fit. Baby should have reached a certain weight, criteria of which differs as per hospital guidelines, should be able to suckle well at the breast and accept expressed breast milk. Baby should maintain temperature independently in a crib, for at least 48 hours, without an external source of heat like an incubator. Baby should have gained weight steadily for at least 2-3 days prior to discharge. Usually a baby who has crossed 36-37 weeks of gestation is able to achieve this, however, if baby has required intensive care or ventilatory support, this timeline may vary.

1. Feeding: Breastfeeding is advised once baby is independent of the feeding tube and able to swallow pumped milk bypaladai. Every mother longs for the day when her baby starts breastfeeding. However, some babies may take timeto suckle well on the breast, especially if they've been sick or extremely preterm, or if mom has flat or retracted nipples. Do not be discouraged, they will eventually get there with a little perseverance and help.