First, keep warm excessively. Usually newborn babies can wear an extra layer of clothes than adults. Many family members think that "the baby has no June" and wrap the newborn tightly. Because of wearing too much and the quilt is too thick, "dehydration fever" and "stuffy syndrome" are common in clinic I once took care of a child with asphyxia syndrome, who suffered from multiple organ failure and was very ill. After 10 days, the invasive ventilator is still ineffective. Later, his family agreed to the rescue. Once, a newborn was treated in our department for a month because of a serious illness. After leaving the hospital, his family took their children to the provincial capital for a follow-up visit. Before leaving, his grandmother put on too many clothes for the children and turned on the air conditioner in the car. On the way, his family found that the child had difficulty breathing, cyanosis, poor mental reaction and sweating all over. He immediately got off the highway and went to the hospital for treatment. Rescue is invalid, death. When he died, his underwear was wrung dry. Yesterday another child with asphyxia syndrome was born in our hospital for more than 50 days. I don't think there is much hope. Even if it is rescued, it is cerebral palsy (PS: the child has multiple organ failure. After a few days of rescue, the family members signed off on the treatment, and afterwards, the family members wanted to find trouble with the hospital and wanted to blackmail the hospital. Yesterday, a baby was discharged from our department with only a thin suit and no socks. Our department gave him a suit. After returning home, his family put on some clothes for the child, and there was an electric stove next to him, which caused the child's body temperature to reach 39.4℃, sweating all over, dehydration was obvious, and he was hospitalized again. A few days ago, a baby wore four or five clothes and wrapped two bags. His mother took him to bed, covered him with a thick quilt and turned on the air conditioner. The child has been crying and vomiting, and the family took the child to see a doctor. The doctor found the child soaked to the skin.
Second. Sleeping on your stomach can lead to suffocation syndrome. Sleeping is prone to sudden infant death syndrome. Since the American Academy of Pediatrics recommended sleeping in supine position in 1992, the annual sudden infant death rate in the United States has dropped by more than 50%. An acquaintance I know is sleeping on his stomach with a baby just a few months old. When I woke up, I found the child cyanotic, so angry that many organs failed, choking and convulsing. After being sent to the hospital for several days and nights, he had to face the reality and choose to give up treatment. However, the child's mother has chronic nephritis and took great risks to give birth to this child. At present, he has developed uremia in his twenties and cannot have another child.
Third. Neonatal scleredema. Often occurs in cold season, often due to low environmental temperature, insufficient heat preservation or secondary serious infection and suffocation, manifested as hypothermia, edema and scleredema, which can cause multiple organ damage such as shock, DIC, pulmonary hemorrhage and acute renal failure. This disease was common in the past. With the improvement of economic conditions, living conditions and insulation measures, the current incidence rate has declined. This disease is more common in premature infants and low birth weight infants. In many places, the weather is wet and cold in winter, and premature babies are small in size. Generally, clothes are relatively large for babies, which leads to loose and not warm, less food and insufficient calories. If they have diseases such as infection, they are more likely to suffer from the disease. Last year, a premature baby was in an unstable condition and his family signed off. After many days, he rechecked jaundice in our clinic. The doctor found that the child had edema and scleredema all over the body, and the child's reaction was extremely poor. His temperature was below 35 degrees, and he was taken to hospital immediately. More than 2 days before hospitalization, a drops of urine was not discharged, during which pulmonary hemorrhage occurred. It took more than 20 days to save his life. A few days ago, a premature baby had systemic edema and scleredema. His family thinks that the baby is getting fat fast and strong. He is very happy. When he came to our department for reexamination of jaundice, he was hospitalized after being found abnormal by our doctor, thus avoiding a greater tragedy.
Fourth. The rewarming temperature of frozen breast milk is wrong. It is common for many family members to feed their babies frozen breast milk without heating, which leads to gastrointestinal bleeding and intestinal infection.
Fifth. The milking method is wrong. After purchasing formula milk, you should carefully read the instructions on the milk powder can and make it in strict accordance with the proportion. Many family members don't read the instructions and mix milk powder casually: for example, they are worried that children will get angry when they eat milk, and putting a spoonful of milk powder in 90ml water will lead to malnutrition, weight loss and hyponatremia in newborns; If the family thinks that the child is underweight or afraid of not having enough to eat, 30 ml of water is mixed with 3-4 spoonfuls of milk powder, which leads to the increase of milk osmotic pressure and the occurrence of neonatal necrotizing enterocolitis (NEC), vomiting, abdominal distension, bloody stool, diarrhea, fever, intestinal perforation, etc. Some children need surgery to remove part of the intestine, and there are not a few cases in which NEC leads to death.
Sixth. There is no one to take care of after feeding. Many family members put their newborn babies in the bedroom and watch TV in the living room by themselves. Aspiration pneumonia or asphyxia caused by choking milk in children is very common. From time to time, we will meet some family members who take their children to the hospital like crazy. When a doctor asks about his medical history, he will be yelled at by his family for a long time.
Seventh. Feeding is too mechanical. Every child's food intake is different, and the interval, frequency and food intake should be adjusted according to the baby's specific situation. However, many treasure mothers mechanically breast-feed their babies for 3-4 hours/time, and the amount of breast-feeding is fixed. They are worried that children who eat too much can't stand food accumulation, or worry that their children will gain weight too fast and get fat, or even lose weight for newborns. Children are hungry all the time, crying all the time, hoarse voice, decreased urine output, dry skin, aggravated jaundice and no weight gain. When sitting in the clinic, we often meet some children who were born more than 10 days, and their families only fed 40ml of formula milk at a time. Many babies are born for more than 20 days, even full moon, and have not recovered their birth weight.
Eighth. Too much emphasis on breastfeeding. Breast milk is the most ideal natural food for newborns. Compared with formula milk, breast milk has the advantages of rich nutrition, easy absorption, less allergy and infectious diseases. WHO recommends exclusive breastfeeding for infants within 6 months after birth. There is no doubt about the importance of breastfeeding, and our neonatologists also encourage breastfeeding. However, I personally think that some of the current practices are a bit too much. For example, there are no bottles and milk powder in maternity wards, and no formula milk is allowed. In fact, many pregnant women have no or little breast milk after delivery, especially those who have had cesarean section, and are unwilling to breast-feed because of the pain in the wound. Every day, we encounter hypoglycemia, poor circulation, dry skin, less urine, aggravated jaundice, obvious weight loss and growth retardation due to insufficient feeding. A considerable number of jaundice patients hospitalized in our department have increased jaundice value due to insufficient feeding, and even common is that their weight has not recovered after full moon due to breastfeeding. Therefore, I personally suggest adding formula milk in time when breast milk is insufficient.