What should I pay attention to after my premature baby is discharged from the hospital?

  After a long and arduous wait, the premature baby is finally ready to be discharged from the hospital. Many parents are at their wits’ end when it comes to caring for their babies. What should they pay attention to after the discharge of their premature babies?  1.Preparation before discharge: Before the baby is discharged from the hospital, parents will have to make various preparations for the baby. Baby due to premature birth, to the discharge of the body is still poor, it is easy to infection, so before picking up the baby home should be thoroughly clean, and preferably with white vinegar fumigation after ventilation for a day, to keep the environment clean. It is also necessary to prepare baby’s clothes and blankets, which should be made of cotton, washed and dried in the sun to disinfect. Pacifiers and bottles are also necessary, picking a good pacifier is very important for preterm babies, because preterm babies have poor sucking power, sucking and swallowing is not coordinated enough, the pacifier should be soft and hard, the milk hole can not be too large, to avoid choking and aspiration asphyxiation.  2.Feeding after discharge: Breast milk is still the best food for preterm babies, but because the mother was born prematurely, especially if the gestational age is too small, the nutritional composition of breast milk is often worse than full-term breast milk. The content of calories, protein and fat are insufficient, so breastfeeding alone is prone to malnutrition and breast milk fortification is needed. Since there is no breast milk fortification available in China, breast milk can be mixed with formula for preterm babies. Feeding time and amount of milk per feeding need not be fixed, just feed according to the baby’s needs. It is very important to disinfect the nipple, bottle and nipple before feeding, otherwise the baby may have diarrhea.  3. Bathing: Premature babies can take a bath after they are discharged from the hospital. Bathing is generally best chosen before and after feeding after 1 hour, that is, before and after feeding is not suitable for bathing. Before taking a bath, close the doors and windows so that the room temperature temporarily rises. If the room temperature is still low in winter, you can use a heater to raise the room temperature. At the same time, put a large towel into the heater to preheat the bath tub with 5,000 ml of water at about 38°C. You can add 2 ml of baby shower gel to the water to effectively remove stains from the baby’s body surface to prevent the growth of bacteria, and to remove odors and emolliency. If the baby’s skin is dry and peeling in the dry season, you can use baby lotion and put a few drops into the bath tub during the bath. After washing, you can also apply baby oil to the peeling skin, but do not apply too thick and affect the skin breathability. When bathing, it is not advisable to use too alkaline soap to wash the baby’s skin, so that the skin loses its natural barrier role. Bathing should start with washing the head, in order to avoid the child getting cold, when washing the head, do not strip the child of all clothes. The bathers with the left hand around the preemie, palms open to hold the preemie back pillow, the right hand with a small sterilized towel dipped in water to wash its head, the top of the head as the center of the ring scrubbing, rinse with water, dry hair, and then wash the face. When washing the eyes, a small towel can be wrapped around the index finger and wiped from the inner canthus to the outer canthus. Then scrub the forehead, nose, corners of the mouth and ears one by one, and finally let the preemie’s head tilt back slightly to rinse the neck. After wrapping the head in a towel, begin washing the entire body, preferably with bath water up to the baby’s neck. After removing the top and diaper, place the preemie in the tub and scrub the preemie’s body with a small towel, alternating hands, from top to bottom, gently stroking the preemie’s skin with the palm of your hand as you scrub. Use a small towel to scrub from his rear end to the lumbosacral area and gently stroke with the palm of your hand, then scrub the armpits, upper limbs, abdomen, perineum and both lower limbs one by one. When bathing, pay particular attention to the folds of the skin, which are not easy to wash, and are the most susceptible to infection. After the whole body is scrubbed clean, take the preemie out of the tub, immediately wrap the body with a large towel, wait until all the moisture on the child’s skin surface is dry, then apply the baby lotion gently on the preemie’s skin, and give a gentle massage for a few moments. The order of massage is: head and face → upper extremities → trunk → both lower extremities. Then put on the clothes and diaper. The whole process of bathing should be gentle and careful not to damage the child’s skin, but also not to let the child get cold.  4, the transmission of parental love: preterm infants to be stabilized can begin touch therapy. Touch is a passive movement, skin contact can stimulate the development of tactile nerves, motor nerves, etc., to facilitate brain development. The process of touch can enhance parent-child bonding, allowing the child to feel loved and grow stronger. After a certain period of massage, it can make the infant’s milk intake significantly increased, head circumference, length, blood menstrual protein and weight are significantly higher. Touch can bring many benefits to the growth of premature babies, but it should be noted that touch to ensure that the room temperature is appropriate, generally maintained at 25 ℃ to 30 ℃, in addition to choose the right time, generally selected in the baby after eating 1 to 2 hours awake is better, do not choose after eating or hunger or want to sleep.  5, infection prevention: premature babies to the time of discharge, immunity is still low, is still a high risk of infection. So the home should maintain a ventilated environment, less baby in a crowded environment to avoid cross-infection. When a child is finally cured and discharged from the hospital, parents often rejoice by having a big banquet or accepting visits from relatives and friends, all of which should be avoided as much as possible in the early stage. Once the infection had to go back to the hospital.  6, regular review: Be sure to follow the doctor’s instructions to take the child for regular review and growth assessment. The review items include fundus examination, hearing screening, growth and development testing, etc. Among them, fundus examination has to be detected until the corrected gestational age of 42-45 weeks fundus vascularization is fully formed, once there is no timely intervention of fundus lesions, may lead to serious consequences of the baby’s blindness. Premature babies are born with congenital deficiencies and are prone to growth retardation and lagging intellectual and motor development after birth, so the growth and development of the child should be tracked regularly and timely intervention should be made under the guidance of experts. These, for the healthy growth of the baby is very important Oh.