Premature Baby

A normal pregnancy lasts up to 40 weeks. Any birth that occurs before 37 weeks is termed a premature baby. These babies have developmental defects causing breathing problems, heart problems, temperature control problems, problems associated with brain functioning, metabolism problems, vision impairment, cerebral palsy, etc. Premature delivery can be avoided with progesterone supplements, cervical cerclage, etc.

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My premature baby has failed his hearing test. What to do next?

Query: Hello doctor, I am writing regarding the newborn screening of my baby. He was prematurely born at 29 weeks and spent 40 days in NICU. During his stay, we tested his hearing via the OAE method. At first, both the ears did not respond, and in the second screening, the left ear was perfect. But, there ...  Read Full »

Dr. Shyam Kalyan. N

Answer: Hello, Welcome to I have reviewed the files (attachment removed to protect patient identity). The BERA (brainstem evoked response audiometry) report shows a profound hearing loss in the right ear. OAE (otoacoustic emissions) shows an absence of OAE in the right which means the inner ea...  Read Full »

Which of my twins have a better chance of surviving?

Query: Hello doctor,I have recently delivered twins, both weighing 2.2 kg. One of them was preterm, and the other had IUGR. Now, I am concerned. Which of them has a better chance of surviving?  Read Full »

Dr. Balakrishnan. R

Answer: Hello, Welcome to How are you doing? I feel the preterm baby has a better chance. Both the babies are of the same age and weight. If only one baby has IUGR (intrauterine growth restriction), then it should be having some anomaly, organ problem, or selective problem in some blood vessels...  Read Full »

Why does my prematurely born baby have high ALP values in spite of supplementing with Vitamin D?

Query: Hello doctor, I need advice on vitamin D, calcium, and phosphorus supplements to prevent osteopenia for a prematurely born baby. I found out that after term age, due to fortifier and suppletion, he overdosed with vitamin D (50 mcg a day). So we are wondering what daily dosages of calcium, phosphate...  Read Full »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to I have read your query and have tried answering your questions as elaborately as possible below. ALP (Alkaline Phosphatase) values are abnormal but improving since the optimal cut-off value of serum ALP is 500 IU/L. The ALP values are still so high due to metabolic bon...  Read Full »

What percentage of oxygen will be reduced for my 5-moth-old daughter if her LPM is decreased?

Query: Hello doctor, I am writing to get a better understanding of oxygen delivery devices. My daughter was highly premature, she is 5-months-old now, and apart from her oxygen requirements, she is doing fine. She has severe BPD because of her prematurity, luckily, she had an echocardiogram, and the cardi...  Read Full »

Dr. Kaushal Bhavsar

Answer: Hi, Welcome to I can understand your concern. An air blender is a device that mixes medical air and oxygen, and by this device, we can give patients oxygen between two to 30 % fraction of inspired oxygen (FiO2). On the other hand, a simple oxygen flow meter delivers only humidified o...  Read Full »

What could be the reason for high blood sugar levels in a premature baby?

Query: Hello doctor, My wife delivered a baby boy two months prematurely and he was underweight (1.210 kg). The reason was almost nil movement of the fetus and very less fluid in the fetus (3.5 to 4).After the delivery, the doctor said that all the other parameters of the baby like the height of the ...  Read Full »

Dr. Babu Lal Meena

Answer: Hello, Welcome to The possible reasons for diabetes are a lack of development of insulin response due to prematurity, in which case it will improve with time. Another possibility is sepsis, that will subside with antibiotics. The less likely possibility is a congenital absence of the...  Read Full »

Can I discharge my premature baby from the NICU?

Query: Hello doctor, My wife was 5 months pregnant and yesterday she gave birth to a premature baby. The doctor has advised us to stay in the hospital for a long time. Is it advisable to do so? Shall I get her discharged from the hospital?  Read Full »

Dr. Babu Lal Meena

Answer: Hi, Welcome to Do not get your wife discharged from the hospital until the doctor advises to do so. A baby of just 5 months pregnancy is extremely premature. The baby is premature not only with respect to the age but also by the development of the respiratory system and brain. Pr...  Read Full »

My 11-month-old baby is not able to sit. Why?

Query: Hi doctor, My baby is preterm, and the corrected age is 11 months and 6 days. He is still not sitting. When we consulted a doctor, he advised for PT. And he said, we may need to check an MRI after 15 months of age if it persists. What is your advice?  Read Full »

Dr. Deepak Patel

Answer: Hi, Welcome to I can understand your concerns. A child starts to sit without support at 8 months of age and with support at 5 months of age. So, the development is delayed in your child, and the most probable cause for this is preterm birth. The doctor has rightly said that MRI brain ne...  Read Full »

Why did my premature nephew have sudden body swelling while he was a week old?

Query: Hi doctor, My nephew is a premature baby. On the third day, his blood glucose level was decreased to 34. Later, he was admitted and kept under surveillance. His blood test revealed elevated bilirubin level. Four days later, his blood values become normal. On the same day, suddenly there was swellin...  Read Full »

Dr. Veerabhadrudu Kuncham

Answer: Hi, Welcome to Your baby probably has a problem with his kidneys. A urine spot protein to creatinine ratio of more than two usually suggests that your baby is losing a lot of protein through his kidneys called nephrotic range proteinuria. So, the swelling of the body migh...  Read Full »

Are premature babies prone to lung disease as adults?

Query: Hello doctor, I was born premature and required incubation for the first three months of my life. While in an incubator, I received oxygen daily for my lungs. I am now almost 30 years old. I have health anxiety, and worried that I am more susceptible to lung cancer or illness because of my premature...  Read Full »

Dr. Divakara. P

Answer: Hi, Welcome to Being premature and being on oxygen for the first few months does increase the risk of lung infection, that too in early years of life. Now you are in 30, and I feel you have crossed the stage where you could have been at risk for infection and not for cancer. I am more ...  Read Full »

How do complete heart blocks occur?

Query: Hello doctor, I have a complete heart block, and I have a pacemaker. Can you please answer these questions for me? 1. How does or how can complete heart blocks occur? Can it be caused by being born at 28 weeks and earlier because the heart is not fully developed? I was born at 28 weeks, and appar...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to 1. There are many causes for heart block such as heart attack, degenerative disease of heart, old age, infection of heart, and certain medicines and congenital heart block. Premature birth is not the cause of heart block. Certain diseases in mothers during pregnancy ca...  Read Full »

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