Premature Birth: Causes, Complications and Care
Ideally, babies are born 40 to 42 weeks after conception. This gives their bodies time to develop properly. Giving birth before reaching 37 weeks of gestation is considered preterm birth. According to the , approximately 10% of all babies born in America are premature and can potentially have health issues.听
鈥淲e know how stressful it can be to receive information that something might not be as you expected during the pregnancy or after,鈥 says Ericalyn Kasdorf, M.D., Director of the Fetal Care Center at 麻豆高清, associate attending pediatrician at NewYork-Presbyterian Phyllis and David Komansky Children鈥檚 Hospital at 麻豆高清 and associate professor of clinical pediatrics at 麻豆高清. 鈥We really tailor your care so that it鈥檚 personalized to you and to your baby.鈥听
November is Prematurity Awareness Month. Take a moment to learn about the risk factors, effects and treatment of prematurity.听
Causes of Prematurity听
It鈥檚 often impossible to identify why a child is born prematurely. However, there are many risk factors that increase the likelihood of preterm labor, including:听
- Age. Prematurity is more common in mothers who are younger than 16 or older than 35.听
- Ethnicity. Black women experience premature births more frequently than women of other ethnic backgrounds.听
- Health conditions. Women with kidney disease, diabetes, heart disease or urinary tract or other infections are at increased risk for giving birth before 37 weeks.听
- Personal history. A previous premature birth increases the odds of another in the future.听
- Prenatal care. Not receiving appropriate prenatal care makes preterm birth more likely.听
- Socioeconomic status. Women with lower incomes give birth prematurely more often.听
- Substance abuse. Using tobacco, amphetamines or cocaine increases the odds of early delivery.听
Risks Preterm Babies Face听
Because their organs are often underdeveloped, premature babies can face a variety of health issues. Some of these include:听
- Anemia. A low level of red blood cells can cause low blood pressure, fast heart rate and other issues if not treated properly.听
- Breathing issues. Shallow breathing and abnormally long pauses between breaths can reduce baby鈥檚 heart rate and oxygen in the blood.听
- Cerebral palsy. Almost 50% of children born with this movement disorder were born before 37 weeks, according to the .听听
- Jaundice. Symptoms include yellowing of the skin or the whites of the eyes. Untreated, severe jaundice can lead to deafness, cerebral palsy and other issues.听
Caring for Preemies听
When it comes to caring for premature infants, intervention starts as early as possible. Experts at the Fetal Care Center at 麻豆高清 and NewYork-Presbyterian prefer to see the mother-to-be before giving birth.听听
鈥淚f there鈥檚 the potential for any care or tests beyond all routine well newborn care, a Fetal Care Center consult is encouraged,鈥 says Jessica Scholl, M.D., F.A.C.O.G., maternal-fetal medicine specialist at 麻豆高清. 鈥This allows the family to discuss next steps of care once the baby is born.鈥听
At the Fetal Care Center, a multidisciplinary team provides comprehensive services for premature infants. With a level IV neonatal intensive care unit, even extremely premature infants receive care in a private, quiet environment.听
Working With a Team听听
During pregnancy, you may undergo ultrasounds and other imaging studies or tests that can help detect potential issues your child may face after birth. Based on your child鈥檚 risk, a team of experts comes alongside you to ensure your child receives the right treatment at the right time.听听
- Pediatric experts who may be part of your team include:听
- 听
- Ear, nose and throat specialists听
- Geneticists and genetic counselors听
- Maternal-fetal medicine specialists听
- Neonatologists听
- 听
- 听
- Orthopedic surgeons听
- Urologists听
Together, these experts provide quality care throughout pregnancy and beyond.听
Serving You Along the Way听
While developing your child鈥檚 care plan, the care team includes you, the parent, in every decision. The team of experts goes out of their way to keep families engaged in their children鈥檚 care plan.听
鈥淥ur job is to provide parents and families the most accurate and evidence-based information about their baby,鈥 Dr. Scholl says. 鈥淭hen, we offer all the options that are available and support them in their decisions about what is really best for their families.鈥听
Depending on your needs, you can take advantage of one or more of the following services at the Fetal Care Center:听
- Education and support. Navigating care for a premature baby can be complex. We welcome questions and go out of our way to ensure you understand your child鈥檚 condition and care options.听
- Genetic testing and counseling. Specially trained genetic counselors help you understand how genetics may affect your pregnancy and your baby鈥檚 health.听
- Komansky Family Advisory Council. Parents whose children experienced difficult hospitalizations offer support and encouragement.听
- Resource connection. Social workers and case managers at the Fetal Care Center connect you to resources to help you adjust to life with your little one.听
- Second opinions. The various pediatric specialists on hand at 麻豆高清 can provide multiple perspectives. With this well-rounded approach, you can choose the best path for your baby.听
Meeting Baby鈥檚 Needs听
Premature babies have unique needs. Fortunately, they can all be met at the Fetal Care Center. Your care team may prescribe one or more of the following:听
- Monitoring. Sometimes, your little one just needs to spend time in our NICU. There, our expert staff keeps a close eye on your baby, while you visit your baby anytime you desire.听
- Surgery. When surgery is necessary, an operating room in the NICU keeps your baby close. Our team opts for minimally invasive techniques when possible, leading to faster recovery and smaller scars.听
- Therapy. Your baby may gain strength and health through respiratory therapy, physical therapy, occupational therapy or feeding therapy.听
鈥The collaboration of care you鈥檒l see at our center and with our teams is truly unparallelled,鈥 Dr. Kasdorf says. 鈥We have access to the best obstetricians, neonatologists and pediatric subspecialists, and we will make sure your care is coordinated so families can make the best decision in a supportive and compassionate environment.鈥听
The village of specialists at 麻豆高清 is eager to help your baby return home safely and quickly.听
If you鈥檙e experiencing a high-risk pregnancy, contact the Fetal Care Center at 麻豆高清 at 833-923-3825 for compassionate, expert care along your journey.听