"My baby was born prematurely and has anemia soon after birth. What should I do?"
"Why are premature children prone to anemia?"
Anemia is one of the most common symptoms in the growth and development of preterm infants, and it is more common Babies are more likely to happen, especially premature babies with a small gestational age and low weight. On "World Premature Baby Day", let’s talk about anemia in premature babies! The definition of
01 anemia
★Anemia refers to the number of red blood cells or hemoglobin per unit volume in the peripheral blood lower than normal.
★Anemia appears earlier in premature infants, and the degree of anemia is more severe.
02 Why premature babies are more likely to have anemia?
iron intake is insufficient
iron loss is too much
rapid growth and development
03
03 Place it below the placenta.
★Reasonably collect blood, try to select a small amount of blood samples to complete auxiliary examinations, and reduce iatrogenic blood loss.
blood transfusion ·
★Quickly correct anemia and improve clinical status.
★Early blood transfusion-supplementing iatrogenic blood loss
★Later blood transfusion-correcting anemia in premature infants
iron ·
Erythropoietin (EPO) ·
★Premature infants have insufficient endogenous EPO
★Using EPO can reduce the number of blood transfusions
04 How can I find that my baby has anemia after discharge? After waiting, the complexion, lips and skin gradually appear pale, the whole body is tired, crying is low, and growth is slow. In severe cases, lethargy, soft limbs, edema, hepatosplenomegaly, and hypotension may occur.
★Baby with long-term anemia: weakened physical strength, prone to fatigue, weakened immunity, prone to repeated infections, rapid heart rate, malnutrition, poor growth and mental development.
05 How to prevent baby anemia?
★Strengthen nutrition during pregnancy, consume iron-rich foods, and take iron supplements by mouth.
★Promote breastfeeding and timely add iron-rich complementary foods.
Prevention
★Premature babies who are exclusively breastfed should start taking iron supplementation from 2-4 weeks, with a dose of 1-2mg/kg.d, until one year old. Iron can be taken orally between meals. Vitamin C can be taken at the same time to promote iron absorption.
★Check hemoglobin regularly to detect and correct anemia in time.
treatment
★If a premature baby has anemia after being discharged from the hospital, the iron supplement dose is 4mg/kg.d until the correct age is one year old.
★Apply iron until hemoglobin is normal for 1-2 months to make up the iron storage.
Source: Xi'an People's Hospital (Xi'an Fourth Hospital)
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