What should we pay attention to in vitro preterm birth?
In vitro preterm birth refers to the birth of babies born through artificial assisted reproductive technology before 28 weeks of gestation. Due to the premature birth of infants, special attention and care are needed. The following is a detailed description of the problems that should be paid attention to in vitro preterm delivery from the aspects of children's health, respiratory system, digestive system and development.
1、 Protect the health of children
The health of premature infants is fragile, so they need special attention and care. First of all, the nursing staff should closely monitor the baby's temperature, heart rate, breathing and other vital signs to find abnormalities in time. Secondly, the course of disease should be evaluated regularly, including the monitoring of body weight, head circumference, pulmonary ventilation index and other indicators, and the treatment plan should be adjusted in time. In addition, keep the indoor temperature appropriate, avoid infection and cross infection, and place the baby in a dry, clean and pollution-free environment.
In supporting the health of premature infants, parent-child contact and breastfeeding are very important. Parent child contact can promote the emotional communication between mother and baby, and enhance the baby's adaptability to the external environment. At the same time, breast-feeding can provide valuable immune substances and nutrients, enhance the immunity of infants and prevent infection.
In addition, the nutritional intake of premature infants also needs special attention. According to the actual situation of infants, make a reasonable diet plan to ensure that infants get enough energy and nutrition to promote their growth and development.
2、 Respiratory system support
The respiratory system of premature infants is not yet fully developed and needs special support. On the one hand, continuous positive pressure ventilation, ventilator assisted ventilation and other measures can help infants achieve normal respiratory function. On the other hand, the respiratory function assessment shall be carried out regularly, including the monitoring of blood oxygen saturation, respiratory frequency and other indicators, so as to find and deal with respiratory problems in a timely manner.
Premature infants are prone to respiratory distress syndrome due to incomplete lung development. Therefore, when dealing with respiratory problems, we should pay attention to appropriate positive end expiratory pressure and oxygen concentration to avoid the risk of hyperventilation and oxygen poisoning. At the same time, the pulmonary function should be monitored and evaluated regularly, and the respiratory support measures should be adjusted according to the baby's physical signs and clinical conditions.
3、 Support of digestive system
The digestive system of premature infants is not fully developed, which is prone to dysphagia, indigestion and other problems. Therefore, special attention should be paid to the diet intake and digestive function of infants. On the one hand, it is necessary to give appropriate nutritional support in a timely manner, follow the principle of increasing from a small amount, many times to gradually, and gradually transition to full breast milk or formula milk feeding. On the other hand, abdominal palpation and intestinal murmur assessment should be carried out regularly to find and deal with digestive problems in a timely manner.
While preventing and treating digestive problems, it is also necessary to pay attention to the risk of complications such as intestinal infection and intestinal perforation. Closely monitor the changes of the baby's condition, regularly carry out relevant examinations, such as blood routine test, C-reactive protein, etc., and timely find and deal with possible complications.
4、 Concern and promotion of development
The nervous system and development level of premature infants are relatively backward, which needs special attention and promotion. On the one hand, nurses should conduct regular nervous system assessment, including observation and recording of motor development, nerve reflex, etc., so as to find and deal with abnormalities in a timely manner. On the other hand, early rehabilitation training, massage, tactile stimulation and other methods can be adopted to promote the development and adaptability of infants.
At the same time, early development assessment and monitoring are also very important. By using standard development assessment tools, such as Denver Development Screening Tool (DEVE-L), Bailey Development Scale, etc., we can objectively assess the development level of infants, and identify and deal with potential development problems as soon as possible.
Summary
In vitro preterm birth, special attention should be paid to the child's health, respiratory system support, digestive system support and development. The health and development of premature infants can be better guaranteed by closely monitoring their vital signs and development, and making reasonable nursing plans and treatment plans.
