What is the cause of sudden apnea in preterm babies?

Premature babies are prone to complications due to congenital deficiencies and immature organ development, of which apnea is one of the more common critical symptoms. Apnea in babies often scares moms and dads, so why does apnea occur in babies? How should mom and dad take care of it? Doudou, a premature baby, was just brought home today by mom and dad after 2 weeks in the hospital. The couple put Doudou in the crib they had carefully prepared and let her sleep quietly. After a while, when the mother went to see Doudou again, she suddenly found that Doudou seemed to have lost the rhythmic rise and fall of her chest and small abdomen, which scared Doudou’s mother. But the couple was still very nervous, why would Doudou suddenly have apnea? The apnea of premature infants is clinically manifested as apnea of more than 20 seconds or less, accompanied by symptoms such as slowed heart rate, pale or bruised skin. The incidence of primary apnea in preterm infants is about 20-30%, which is common in preterm infants with gestational age less than 34 weeks and weight less than 1.8 kg, and it is more likely to occur around 3-5 days after birth. According to relevant statistics, the chance of apnea can even be as high as 50% in very low birth weight infants, which is due to immature development of the respiratory center in preterm infants, causing respiratory regulation disorders. Another is secondary apnea, causing secondary apnea in the neonatal period for more reasons, such as: cerebral hypoxia injury, airway obstruction, gastroesophageal reflux, blood volume deficiency, infection, intracranial hemorrhage and internal environmental disorders, can lead to the occurrence of secondary apnea. As repeated apnea can lead to brain damage caused by prolonged cerebral hypoxia in newborns, or left with cerebral palsy, ataxia, mental retardation and epilepsy and other neurological sequelae, and even sudden death and other dangers, so do not be careless, so what should mom and dad pay attention to when home care, to avoid the phenomenon of apnea in babies? 1, observe the newborn baby: usually pay more attention to the breathing of newborn babies, especially premature babies, pay attention to the depth and rhythm of his breathing, observe his heartbeat, pulse count and face color, etc. When the baby is breathing normally, we can see his chest and abdomen rhythmically up and down, and the face is rosy, but if the baby suddenly appears chest and abdomen motionless, followed by a pale face or But if the baby suddenly appears to be motionless in the chest and abdomen, followed by a pale or purple face, then be alert to whether the baby has apnea. 2, pay attention to maintain the appropriate temperature: newborns because the development of the thermoregulatory center is still immature, poor thermoregulatory function, body temperature is prone to change with the change in environmental temperature, and when the temperature is too high or too low, may lead to premature fever or hypothermia, causing secondary apnea, therefore, the indoor temperature of the baby room to appropriate, preferably controlled at 24 ~ 28 ℃, humidity is maintained at 50 ~ 65 When the outside temperature is low, pay attention to the baby to do a good job of keeping warm, when the outside temperature is too high, then attention should be paid to cooling, to the baby loose wrapped, pay attention to feeding more warm plain water, etc. 3, feeding position should be appropriate: newborns because the digestive function is not perfect, plus the newborn’s stomach is horizontal, the upper and lower sphincter is not fully developed, feeding if the improper position is likely to cause the contents of reflux to the esophagus, blocking the trachea and cause apnea. Therefore, when feeding him, be especially careful not to choke him, and when he cries a lot, it is best to soothe him so that his emotions are stable before feeding him, and after feeding, hold the child vertically, gently help him to pat out the burp, and take the right side position, elevate the upper body, to prevent the baby from spitting up milk and causing missuction and promoting the occurrence of apnea. 4, prevention of infection: newborns, especially premature babies, have low resistance, and infection can also induce or aggravate the occurrence of apnea, so it is also very important to prevent infection in babies. Mom and dad must wash their hands before touching the baby, especially after coming back from outside, and must change clothes and wash their hands before touching the child, especially pay attention not to let people with infectious diseases touch the newborn baby, while paying attention to keep the indoor air circulation. 5, skin touch stimulation: skin is the sensory organs of the nervous system, and the newborn’s skin is more sensitive, when using both hands to massage the newborn baby’s skin in various parts, can well stimulate the newborn’s sensory organs, such as head touch helps stimulate the central nervous system, stimulate the respiratory center; chest and back touch, can stimulate the lung reflex; abdominal touch, can promote gastrointestinal motility, promote fetal The excretion of feces and gastric emptying, reducing the occurrence of vomiting and reflux, etc. Therefore, after giving the baby a bath, the mother can learn to help him do a full-body touch and massage. In short, when a newborn baby is found to have apnea, parents should not panic, but should calm down and immediately give him appropriate physical stimulation, such as patting his back, bouncing the soles of his feet, shaking his shoulders and chest to stimulate his breathing and make him resume normal breathing, while paying attention to keeping his airway open. If the above measures are ineffective, or if the frequency of apnea is too frequent, it is best to send the baby to the hospital for professional medical consultation, so as not to delay the treatment.