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By William McGuire, Peter W. Fowlie

Preterm beginning is a tremendous problem in perinatal future health care. so much perinatal deaths ensue in preterm babies, and preterm beginning is a vital probability issue for neurological harm, together with cerebral palsy. This ABC covers the entire most recent details in this complicated and multidisciplinary sector from obstetric concerns to speedy care of preterm babies, breathing problems, and the way to supply aid to the fogeys and kin of the preterm infant.

With its transparent clarification and lots of illustrations, common practitioners, clinical scholars, paediatricians beginning their postgraduate education, nurses, and midwives will locate ABC of Preterm Birth a great reference

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Extra info for ABC of preterm birth

Sample text

The sickest preterm infants may be in hospital for many months, and visiting can be difficult, exhausting, and a financial drain for parents, especially as neonatal services become more centralised. All these factors put strain on the parents’ relationship: breakdown is more common in couples during the months after preterm delivery. Some couples, however, feel the experience makes their relationship closer, at least initially. Generally, stress and anxiety are higher in mothers than in fathers, and lessen as time goes by.

No evidence exists that feeding preterm infants with formula milk supplemented with long chain polyunsaturated fatty acids is beneficial. Parenteral nutrition Very preterm infants, who often have relatively delayed gastric emptying and intestinal peristalsis, may be slow to tolerate the introduction of gastric tube feeds. These infants may need intravenous nutrition while enteral nutrition is being established or when enteral nutrition is not possible—for example, because of respiratory instability, feed intolerance, or serious gastrointestinal disease.

Conclusion The parents and families of babies who are admitted to the neonatal unit are exposed to a variety of stressors, and may face extremely difficult decisions in unique situations. Vulnerable families may benefit from specific environmental and personal support. By targeting this support appropriately, staff on neonatal units can provide a more complete package of care. 36 Leaflets are another source of support and information for parents and families A formal approach to discharge planning has allowed infants who might otherwise have stayed in hospital for some time (for example, infants with chronic lung disease) to be discharged sooner to the more natural and stimulating home environment Summary points x Having a preterm baby is stressful x Parents manage stress and anxiety in many ways that are not necessarily consistent across different families, religions, and cultures x Men and women differ in how they cope with stress and bereavement x Appropriate support for parents should be an integral part of neonatal care Further reading x Affleck G, Tennen H.

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