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Newborns, Preterms, and Low Weight Infants

The Newborn

  • In US average is 20 inches long and 7.5 pounds (5.5 - 10lb range)

  • Distinct features:

    • Large head , Fontanels- soft spot

    • Red skin thin skin (capillaries), often temporary skin conditions, birthmarks, “stork bite”

  • Newborn Capabilities: the baby can see, hear, touch, taste, and smell.

Infant States

  • Although the newborn’s senses become functional before birth, they have a limited capacity to process information from the environment.

  • They have a set of infant states to help them regulate the level of stimulation they receive.

  • There are two sleep states (quiet sleep and active sleep) and four awake states (drowsy, quiet alert, active alert, and crying).

  • Most newborns experience a period of quiet alertness shortly after birth.

Prematurity and Low Birth Weight Newborns

  • Babies born prematurely (<37 wks) or at a low birth weight (<5.8 lb) are significant risk factors.

    • Indicates that something has restricted the infant’s physical growth in the prenatal environment.

  • While complex, several known factors increase the risk.

    • Having had a previous preterm birth; carrying twins, triplets, or more babies

    • Unhealthy maternal behaviors such as smoking, drinking, or using drugs while pregnant

    • Being obese or underweight

    • Having an untreated medical condition such as high blood pressure or diabetes

  • As a group, preterm and low birth weight infants have more health and developmental problems.

    • Cannot regulate bodily functions, overwhelmed by stimuli, noisy environments, and lights

    • Sucking and gag reflex may be underdeveloped in preterm babies

    • Low birth weight infants are at greater risk for developing breathing problems, asthma, learning disability, attention deficit hyperactivity disorder, autism spectrum disorders

Nurturing Preterm Infants

  • How well preterm babies develop also has a great deal to do with the parent–child relationship.

    • Preterm babies may be ultra sensitive, less responsive, and irritable, which can lead parents to be less sensitive and responsive in caring for them.

    • Preterm babies as a group are at risk for child abuse, especially when they are born to isolated, poverty-stricken mothers.

  • Intensive enrichment programs can improve outcomes.

    • Two most popular intervention programs are kangaroo care (skin to skin) and massage therapy.

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Newborns, Preterms, and Low Weight Infants

The Newborn

  • In US average is 20 inches long and 7.5 pounds (5.5 - 10lb range)

  • Distinct features:

    • Large head , Fontanels- soft spot

    • Red skin thin skin (capillaries), often temporary skin conditions, birthmarks, “stork bite”

  • Newborn Capabilities: the baby can see, hear, touch, taste, and smell.

Infant States

  • Although the newborn’s senses become functional before birth, they have a limited capacity to process information from the environment.

  • They have a set of infant states to help them regulate the level of stimulation they receive.

  • There are two sleep states (quiet sleep and active sleep) and four awake states (drowsy, quiet alert, active alert, and crying).

  • Most newborns experience a period of quiet alertness shortly after birth.

Prematurity and Low Birth Weight Newborns

  • Babies born prematurely (<37 wks) or at a low birth weight (<5.8 lb) are significant risk factors.

    • Indicates that something has restricted the infant’s physical growth in the prenatal environment.

  • While complex, several known factors increase the risk.

    • Having had a previous preterm birth; carrying twins, triplets, or more babies

    • Unhealthy maternal behaviors such as smoking, drinking, or using drugs while pregnant

    • Being obese or underweight

    • Having an untreated medical condition such as high blood pressure or diabetes

  • As a group, preterm and low birth weight infants have more health and developmental problems.

    • Cannot regulate bodily functions, overwhelmed by stimuli, noisy environments, and lights

    • Sucking and gag reflex may be underdeveloped in preterm babies

    • Low birth weight infants are at greater risk for developing breathing problems, asthma, learning disability, attention deficit hyperactivity disorder, autism spectrum disorders

Nurturing Preterm Infants

  • How well preterm babies develop also has a great deal to do with the parent–child relationship.

    • Preterm babies may be ultra sensitive, less responsive, and irritable, which can lead parents to be less sensitive and responsive in caring for them.

    • Preterm babies as a group are at risk for child abuse, especially when they are born to isolated, poverty-stricken mothers.

  • Intensive enrichment programs can improve outcomes.

    • Two most popular intervention programs are kangaroo care (skin to skin) and massage therapy.