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It is important that the growth follow-ups of premature babies, like those born in time, are carried out regularly. The longer these babies stay in intensive care, the better their home care needs to be monitored. Especially 1000 gr. babies who are born under, received respiratory therapies and fed with special techniques are monitored at weekly or bi-weekly intervals until their adaptation to home and family is completed. Anadolu Health Center Child Health and Diseases Specialist Dr. Ayse Sokullu, care of premature babies and told the important points in the growth follow-up.
Adjusted age is important to assess the health of infants
Although weight monitoring is very important, babies should always be evaluated by comparing their corrected age. The normal gestational age is assumed to be 40 weeks, and the difference between the baby's birth week and 40 weeks is subtracted from the calendar age of the baby and the corrected age is found. In other words, the corrected age is calculated back eight weeks from the calendar age, because a baby born at 32 weeks is born 8 weeks prematurely with a calculation such as - 40 - 32 = 8.. When the calender age of such a baby is four months old, it is sufficient for two month old babies to show their height - weight and neurological development. Although the body sizes of preterm babies can also catch babies born in a normal way within a certain period of time, the difference in their neurological development may take up to 2 - 3 years. After the average weight increase in babies, monthly examinations are started.
Premature, 40 to 60 grams per day during the rapid growth period called capture growth in the first months. Weighing may indicate increase. During this period, excessive nutrition will harm the baby as much as less nutrition. The first foundations of obesity are laid in this period. 2000 g for optimal growth rate. breastfeeders or special transitional formulas when going home may be added to treatment. Metabolic evaluations and blood tests are performed at intervals. Babies with neurological problems should be followed up in appropriate centers for physiotherapy. Early physiotherapy and proper follow-up are important to prevent premature babies from developing spasticity, and to prevent hip dislocations and joints. Infants born at 32 weeks of age should undergo an initial eye examination until at least 34 weeks of age, and then follow up until retinal development is complete.
Since retinopathy of prematurity is an important problem that can also cause blindness, it is important not to skip the eye controls remaining after the infants leave home. Infants who are born prematurely and especially undergoing intensive care are also at risk for hearing. Once the baby's external auditory canal size becomes appropriate, a hearing test and the normal, social, language, fine and coarse motor developmental stages should be well known and neurological examination should be performed. If necessary, methods such as brain electrosurgery (EEG), brain and / or spinal cord MR imaging and developmental tests are utilized. Brain development of children between 0 and 2 years is at its fastest stage. Therefore, when risks are detected early and necessary treatment is performed, it is likely that long-term and successful results will be obtained.