Fever of bones
First of all in house conditions it is necessary for not full-term child to frame an optimum temperature regimen. Air temperature in a room should be 22-25 0 S.Prichem in each 3 hours it is necessary to air a premise for 15-20 minutes. Immediately near the child (under a blanket) it is necessary to maintain temperature 28-32 degrees that allows to provide a body temperature remains of 36,5-37 degrees. Therefore often there is a necessity for additional heating of the newborn. For these purposes it is convenient to use rubber heaters. The water temperature in heaters should make 60-65 degrees. Electric heaters and blankets to heating of newborns to apply it is impossible. Depending on degree of a prematurity and temperature conditions in a room it is possible to use from one to three heaters. Wrapped in diapers, or special saccules, heaters place towels in feet (under a blanket) and on each side (over a blanket). Put them on distance of a palm from the child. For the constant control over temperature under a blanket near to the kid it is possible to put the thermometer. In no event (in order to avoid combustions) it is impossible to enclose a heater under the child or to put it from above (it complicates breath). To change heaters follows in one and a half-two hour serially that even on short term not to leave the kid without heat source. And here the person of the newborn necessarily should be left opened (not covering its blanket). To the extremity of the first month the child starts to "keep" independently a body temperature and it will be gradually possible to refuse artificial heating. It is necessary to measure a body temperature of not full-term child in the morning and in the evening. Under references of the doctor - more often, sometimes at each clothing. To do it it is necessary, not undressing the kid.
The big swimming
Kids with body mass at a birth less than 1500 g in the first 2-3 weeks of the house should not be bathed. Other newborns with low mass of a body should wait with acceptance of a bath of 7-10 days. In the first 3 months of a life of not full-term children bathe in boiled water. The water temperature in a tray should be 38 degrees, and in a room where there is a bathing, - 25 degrees.
I will leave on street
With walks it is necessary to be very cautious: sharp change of temperature can adversely affect health of the kid. Not full-term children who were born with mass of a body more 1500 g, it is possible to take out on walks since 2-week age (in a warm season at temperature of air of 25-26 degrees). The first walk is short - only 10-15 minutes. Then stay time for fresh air gradually (adding for 20 minutes) lead up till 1-1,5 o'clock. In the autumn and in the spring (at temperature of air to 10 degrees) it is possible to walk only with babies at the age of 1-1,5 months with mass of a body not less 2500 At temperature of air below 8-10 degrees to walk with not full-term children it is possible only at achievement of age of 2 months by them and masses of a body of 2800-3000
Inoculations are cancelled?
The vaccinating calendar at not full-term children is strictly individual. If the child is healthy and has body mass at a birth more than 2000 g its vaccinating calendar will not differ from full-term children.
To the kids who were born with mass of a body less 2000 g, inoculation BTSZH in maternity home is not spent. It do at achievement by newborn of mass of a body of 2500
Children who were born with mass of a body less 1500 g, are inoculated only in the end of the first year of a life and that taking into account a state of health.
Small heart
The structure and job of heart of a foetus of the pre-natal period differs from that which already is at the newborn child. Imagine, that at a foetus heart three-chambered, special apertures - «an oval window» and «botallov a duct» through which blood is admixed are opened. Fetally the child receives only the "admixed" blood that allows it to be steady enough against a possible disadvantage of oxygen. After a birth there is a reorganisation of a circulation and heart becomes four-chamber and the child starts to receive purely arterial, not admixed blood. Certainly, "apertures" are closed not at once, but blood "mixing" through them does not occur from first minutes of a life. At not full-term child such reorganisation of job of heart occurs much more slowly - is long can not only be saved, but also function additional apertures and vessels. Intensive methods of treatment - artificial ventilation of the lungs, intravenous injection of a liquid, allow to salvage a life to not full-term children, but strengthen a load on not strong heart. Gradually these changes can disappear, but behind a status of cardiovascular system the careful control, allowing to dose out an exercise stress of the child is necessary. Within first two years not full-term child should be under observation of the cardiologist. Numerous carrying out elektrokadiografii (electrocardiogram) is necessary, allowing to estimate correct job of a cardiac muscle in 2, 4, 6, 12 months of a life. Ultrasonic research of heart (an echocardiography - the KG ECHO) allows to tap defects and other anatomic defects of heart. It is desirable for spending in 2, 6, 12, 24 month of a life of the child.
Fiber is guilty?
The researches spent at University of Newcastle, have shown, that fiber G alpha S on which the tonus of muscles of a uterus depends can be the reason of premature birth. In pregnancy level of the maintenance of this fiber is very high, and during sorts is sharply reduced. If the fiber maintenance decreases before term - before the foetus completely will develop - there is premature birth.
Scientists hope to solve a problem thanks to the grant of the British medical welfare fund «Action Reseach».
The clinic of the Queen of Victoria of Njukaslsky university has received from fund of 93 000 pounds sterling on realisation of the two-year-old program of researches.
Of them observe
For children who were born not full-term, on a residence the dispensary observation till 7 years of a life is established. Periodic consultations of experts, first of all the neuropathologist are obligatory. At the age of 1-2 weeks and further rachitis preventive maintenance is spent: (an ultra-violet irradiation-kvartsevanie, addition in nutrition on doctor's orders vitamin D, massage).
Among not full-term there are no narcomaniacs
The group of physicians of Clevelend university under the guidance of Maurin's Hek's has studied indicators physical and intellectual development of 242 adults, whose weight at a birth was below 1,5 kgs, and has compared them to corresponding indicators of the control group including 233 persons, whose weight at a birth was somewhere about three kgs. It was found out: people from the first group had cases of blindness, deafness and a cerebral paralysis is more often, at them lower factor of intellectual development became perceptible, among them it has appeared less graduates of colleges. But thus research has shown, that among born not full-term their sex activity essentially more low, than at born with normal weight is less than narcomaniacs and alcoholics, and. Researchers managed to tap and gender differences in group of the people born not full-term: In particular, men with higher education among them it has appeared it is insignificant a little whereas among women this indicator almost has closely come nearer to an indicator of control group.
First of all in house conditions it is necessary for not full-term child to frame an optimum temperature regimen. Air temperature in a room should be 22-25 0 S.Prichem in each 3 hours it is necessary to air a premise for 15-20 minutes. Immediately near the child (under a blanket) it is necessary to maintain temperature 28-32 degrees that allows to provide a body temperature remains of 36,5-37 degrees. Therefore often there is a necessity for additional heating of the newborn. For these purposes it is convenient to use rubber heaters. The water temperature in heaters should make 60-65 degrees. Electric heaters and blankets to heating of newborns to apply it is impossible. Depending on degree of a prematurity and temperature conditions in a room it is possible to use from one to three heaters. Wrapped in diapers, or special saccules, heaters place towels in feet (under a blanket) and on each side (over a blanket). Put them on distance of a palm from the child. For the constant control over temperature under a blanket near to the kid it is possible to put the thermometer. In no event (in order to avoid combustions) it is impossible to enclose a heater under the child or to put it from above (it complicates breath). To change heaters follows in one and a half-two hour serially that even on short term not to leave the kid without heat source. And here the person of the newborn necessarily should be left opened (not covering its blanket). To the extremity of the first month the child starts to "keep" independently a body temperature and it will be gradually possible to refuse artificial heating. It is necessary to measure a body temperature of not full-term child in the morning and in the evening. Under references of the doctor - more often, sometimes at each clothing. To do it it is necessary, not undressing the kid.
The big swimming
Kids with body mass at a birth less than 1500 g in the first 2-3 weeks of the house should not be bathed. Other newborns with low mass of a body should wait with acceptance of a bath of 7-10 days. In the first 3 months of a life of not full-term children bathe in boiled water. The water temperature in a tray should be 38 degrees, and in a room where there is a bathing, - 25 degrees.
I will leave on street
With walks it is necessary to be very cautious: sharp change of temperature can adversely affect health of the kid. Not full-term children who were born with mass of a body more 1500 g, it is possible to take out on walks since 2-week age (in a warm season at temperature of air of 25-26 degrees). The first walk is short - only 10-15 minutes. Then stay time for fresh air gradually (adding for 20 minutes) lead up till 1-1,5 o'clock. In the autumn and in the spring (at temperature of air to 10 degrees) it is possible to walk only with babies at the age of 1-1,5 months with mass of a body not less 2500 At temperature of air below 8-10 degrees to walk with not full-term children it is possible only at achievement of age of 2 months by them and masses of a body of 2800-3000
Inoculations are cancelled?
The vaccinating calendar at not full-term children is strictly individual. If the child is healthy and has body mass at a birth more than 2000 g its vaccinating calendar will not differ from full-term children.
To the kids who were born with mass of a body less 2000 g, inoculation BTSZH in maternity home is not spent. It do at achievement by newborn of mass of a body of 2500
Children who were born with mass of a body less 1500 g, are inoculated only in the end of the first year of a life and that taking into account a state of health.
Small heart
The structure and job of heart of a foetus of the pre-natal period differs from that which already is at the newborn child. Imagine, that at a foetus heart three-chambered, special apertures - «an oval window» and «botallov a duct» through which blood is admixed are opened. Fetally the child receives only the "admixed" blood that allows it to be steady enough against a possible disadvantage of oxygen. After a birth there is a reorganisation of a circulation and heart becomes four-chamber and the child starts to receive purely arterial, not admixed blood. Certainly, "apertures" are closed not at once, but blood "mixing" through them does not occur from first minutes of a life. At not full-term child such reorganisation of job of heart occurs much more slowly - is long can not only be saved, but also function additional apertures and vessels. Intensive methods of treatment - artificial ventilation of the lungs, intravenous injection of a liquid, allow to salvage a life to not full-term children, but strengthen a load on not strong heart. Gradually these changes can disappear, but behind a status of cardiovascular system the careful control, allowing to dose out an exercise stress of the child is necessary. Within first two years not full-term child should be under observation of the cardiologist. Numerous carrying out elektrokadiografii (electrocardiogram) is necessary, allowing to estimate correct job of a cardiac muscle in 2, 4, 6, 12 months of a life. Ultrasonic research of heart (an echocardiography - the KG ECHO) allows to tap defects and other anatomic defects of heart. It is desirable for spending in 2, 6, 12, 24 month of a life of the child.
Fiber is guilty?
The researches spent at University of Newcastle, have shown, that fiber G alpha S on which the tonus of muscles of a uterus depends can be the reason of premature birth. In pregnancy level of the maintenance of this fiber is very high, and during sorts is sharply reduced. If the fiber maintenance decreases before term - before the foetus completely will develop - there is premature birth.
Scientists hope to solve a problem thanks to the grant of the British medical welfare fund «Action Reseach».
The clinic of the Queen of Victoria of Njukaslsky university has received from fund of 93 000 pounds sterling on realisation of the two-year-old program of researches.
Of them observe
For children who were born not full-term, on a residence the dispensary observation till 7 years of a life is established. Periodic consultations of experts, first of all the neuropathologist are obligatory. At the age of 1-2 weeks and further rachitis preventive maintenance is spent: (an ultra-violet irradiation-kvartsevanie, addition in nutrition on doctor's orders vitamin D, massage).
Among not full-term there are no narcomaniacs
The group of physicians of Clevelend university under the guidance of Maurin's Hek's has studied indicators physical and intellectual development of 242 adults, whose weight at a birth was below 1,5 kgs, and has compared them to corresponding indicators of the control group including 233 persons, whose weight at a birth was somewhere about three kgs. It was found out: people from the first group had cases of blindness, deafness and a cerebral paralysis is more often, at them lower factor of intellectual development became perceptible, among them it has appeared less graduates of colleges. But thus research has shown, that among born not full-term their sex activity essentially more low, than at born with normal weight is less than narcomaniacs and alcoholics, and. Researchers managed to tap and gender differences in group of the people born not full-term: In particular, men with higher education among them it has appeared it is insignificant a little whereas among women this indicator almost has closely come nearer to an indicator of control group.
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