The Premature Baby Book: Everything You Need to Know About Your Premature Baby from Birth to Age One [NOOK Book]


This major new addition to the Sears Parenting Library is a comprehensive, authoritative, and reassuring guide for parents of premature babies. 20 line drawings & photos.
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The Premature Baby Book: Everything You Need to Know About Your Premature Baby from Birth to Age One

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This major new addition to the Sears Parenting Library is a comprehensive, authoritative, and reassuring guide for parents of premature babies. 20 line drawings & photos.
Read More Show Less

Product Details

  • ISBN-13: 9780316052030
  • Publisher: Little, Brown and Company
  • Publication date: 8/21/2008
  • Sold by: Hachette Digital, Inc.
  • Format: eBook
  • Sales rank: 561,207
  • File size: 2 MB

Read an Excerpt

The Premature Baby Book

By William Sears Robert Sears James Sears Martha Sears

Little, Brown

Copyright © 2004 William Sears and Martha Sears
All right reserved.

ISBN: 0-316-73822-0

Chapter One


Early in my pediatric career I had the privilege of being a "preemie doctor." After spending five months as a resident in the Neonatal Intensive Care Unit of the Hospital for Sick Children in Toronto, the largest children's hospital in the world, I went on to become an associate ward chief in this NICU, a position I held for the next four years. In the mornings, I would supervise and teach pediatric interns and residents in the NICU, and in the afternoon, I would see many of the NICU "graduates" in my office for routine pediatric care. I enjoyed the best of both worlds as a pediatrician: the medical challenges of the high-tech NICU, and the fun of watching babies grow up in a general pediatric practice.

An exciting change from when I worked in the NICU in the 1970s is the amazing survival of younger and smaller preemies today. I remember we used to give a 3-pound preemie only a 50 percent chance of survival, and a 1-or 2-pound preemie had an even grimmer prognosis. Now I am excited to see virtually all "3-pounders" thrive, most without any long-term complications, and more than half of 1-pound preemies survive. Modern neonatology care is nothing short of miraculous. While it has been many years since I was the doctor in charge of hospitalized preemies, I have continued to care for NICU graduates in my office. Working together, my sons, Dr. Jim and Dr. Bob, who are now my partners in the Sears Family Pediatric Practice, my wife, Martha, who as a lactation consultant has helped many mothers work through the challenges of breastfeeding a preemie, and I have learned what helps parents of preemies and their babies thrive. Not only do we enjoy watching the babies grow, but we also find it very rewarding to watch the parents grow to become capable, sensitive caregivers.

After years of observing babies and parents together, we have come to believe that the need level phenomenon is at work in special ways in parents of preemies. Every baby is born with certain needs. Some babies, especially preemies, have greater and more complex needs than other babies have. Premature infants needed more time in the womb but didn't get it. So they need more care outside the womb to make up for lost time. When parents are given accurate information and are empowered with parenting tools that nurture their attachment to their baby, their caregiving skills rise to a higher level, a level that matches the higher need level of their preemie. As a result, parents and their preemies bring out the best in one another.

Throughout the first few weeks or even months of your preemie's life, you may feel overwhelmed by the high-tech medical care. All the machines and medicines will help make it possible for you to take a healthy baby home from the hospital, but they may leave you feeling like an outsider, not a parent. For your own sake and that of your baby, you need to get involved in your preemie's care. Yet there will be times when you don't want to be "part of the medical team" or to become a wizard in medical technology. You just want to be the best mother or father you can be for your baby. While the medical team can take care of baby's physical needs, it's up to you to make it possible for your baby to thrive. "Thriving" means not only growing by getting heavier and taller, it means growing physically, intellectually, and emotionally.

When we were interviewing parents of preemies about what they felt a book on caring for their baby should contain, we frequently heard, "I'm tired of books telling me everything that can go wrong!" Instead, we have taken a positive approach. The Premature Baby Book focuses on what parents can do to lessen the chances of things going wrong. Throughout the book you will find helpful tips, shared feelings, and lessons learned from parents who have been there before you. Their words appear in short italicized sections.

Because of advances in neonatal care, nowadays most preemies survive and grow. Yet, whether or not your baby thrives depends not only on the medical care but also on the special care you provide. What helps babies thrive? Interaction with other human beings. You nurture your baby with your milk, your eyes, your voice, your skin, your touch, your love. Others may have the special knowledge to help your baby overcome medical challenges, but you are the person most dedicated to giving your special baby a special kind of parenting. Let's get started!


Excerpted from The Premature Baby Book by William Sears Robert Sears James Sears Martha Sears Copyright © 2004 by William Sears and Martha Sears. Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.

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Table of Contents

A Word from Dr. Bill ix
Part I Parenting Your Preemie in the Hospital 1
Chapter 1 The First Day--The Top 10 Questions About Premature Babies 3
Chapter 2 Navigating the NICU 14
First Impressions 14
Profile of a Preemie 16
All Wired Up for Intensive Care 17
Finding Friends in the NICU--A Tale of Two Families 19
Be Nice to the Nurses 22
NICU Rules You Should Know 23
NICU Communication Tips 25
Who's Who in the NICU 27
Confessions of a NICU Doctor 29
Chapter 3 Neonatology 101--A Primer for Parents of Preemies 32
Respiratory System 33
Neurologic System 35
Cardiovascular System 36
Gastrointestinal System 39
Temperature Regulation 40
Infection Control 41
Routine Nursing Care 41
Blood Tests 44
Chapter 4 Working Through Your Fears and Feelings 48
Robbed 48
Unnatural 49
Overwhelmed 49
On an Emotional Roller Coaster 50
Ambivalent 50
Not Close to Your Baby 51
Hating Waiting 52
Doing Double Duty 52
Separation Anxiety 52
Stranger Anxiety 53
Bedside Boredom 53
Helpless 53
Guilty 54
Afraid 55
Prone to Meltdowns 55
Depressed 56
Dreaming About D-Day 56
Chapter 5 Helping Your Baby Grow in the Hospital 57
Be Your Best at Baby's Bedside 57
Learn Stage-Appropriate Stimulation 59
Provide Breast Milk for Your Baby 64
Become Familiar with Your Baby's Care 66
Practice Kangaroo Care 68
Decorate Your Preemie's Hospital "Nursery" 75
Take Good Care of Yourself 76
Part II Feeding Your Preemie 81
Chapter 6 Mother's Milk--The Perfect Food for Preemies 83
Why Mother's Milk Is So Special for Preemies 83
Why Breastfeeding Is So Special for Mothers of Preemies 90
How Breastfeeding Works 92
Pumping Milk for Your Preemie 93
Chapter 7 Feeding Your Preemie at the Breast 104
When Can You Start? 104
"Get Acquainted with the Breast" Feedings 104
First Latch-On Feedings 105
Is Baby Getting Enough Milk? 112
Breastfeeding Your Preemie at Home 114
Feeding Questions You May Have 116
Chapter 8 Bottlefeeding Your Preemie 121
First Feedings 121
Special Precautions 122
Special Techniques 124
How Much? How Often? 125
Choosing a Formula 128
Formula Allergies 129
Night Feedings 130
Part III Parenting Your Preemie at Home 133
Chapter 9 Homecoming 135
Preparing for D-Day 135
Feelings You May Have 139
Making a Home for Your Baby 140
Setting Up Your Team of Helpers 142
Handling Siblings 143
First Visit to Baby's Doctor 146
Chapter 10 Developing a Parenting Style That's Best for Preemies 148
The Seven Baby B's 148
How Attachment Parenting Helps Preemies Grow--What Science Says 164
Chapter 11 Common Concerns During the First Year 166
Feeding Concerns 166
Developmental Concerns 170
Nine Ways to Help Your Preemie's Development 172
Early Intervention Programs 174
Traveling with Preemies--When and How? 176
Parenting Twins and Multiples 179
Chapter 12 Medical Challenges for the Premature Baby 183
Respiratory Distress Syndrome (RDS) 183
Bronchopulmonary Dysplasia (BPD) and Chronic Lung Disease (CLD) 184
Respiratory Syncytial Virus (RSV) 186
Reactive Airway Disease (RAD) 188
Air Leaks 188
Anemia 189
Apnea of Prematurity 191
Jaundice, or Hyperbilirubinemia 193
Hearing Loss 194
Gastroesophageal Reflux Disease (GERD) 195
Necrotizing Enterocolitis (NEC) 198
Infections 200
Retinopathy of Prematurity (ROP) 201
Strabismus 202
Intraventricular Hemorrhage (IVH) 202
Hydrocephalus 203
Cerebral Palsy (CP) 205
Hernia 205
Patent Ductus Arteriosus (PDA) 206
Seizures 207
Sudden Infant Death Syndrome (SIDS) 207
If Your Baby Dies--Grieving 209
Appendices 213
1. Weight Conversion Table 213
2. Discharge Resources 215
3. Plotting Your Preemie's Growth in the NICU 217
4. Plotting Your Baby's Growth Through the First Year 221
5. Newborn and Infant CPR 225
Glossary of Medical Terms 229
Resources 235
Index 237
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Customer Reviews

Average Rating 4
( 72 )
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See All Sort by: Showing 1 – 20 of 72 Customer Reviews
  • Posted March 13, 2010

    more from this reviewer

    What do you do when you're feeling low?

    What do you do when you're feeling low? Read one of The No. 1 Ladies' Detective Agency books! Learn a little about Botswana. Enjoy the company of a woman of traditional build who treats others with respect and gentility. No foul language. No sex. No graphic description of gruesome crime scenes. Just pleasant reading that always helps me feel better about the world.

    3 out of 3 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted July 8, 2010

    I Also Recommend:


    I have become a huge fan of McCall Smith's work. This is an amusing, touching, and gentle look at ordinary people who search out a meaningful connection with others and a purpose to their existence.
    Mma Ramotswe and Mma Makutsi are back, solving new problems for their clients, but the investigations don't go quite as well as planned. There are small glitches along the way that add philosophical light to what the right thing to do could possibly be.
    The simple and charming events that happen in this book make it a true pleasure to read. Smith's gentle, realistic mystery books are a relaxant to the busy, worrisome world we live in and are full of values that encourage "good" in people. This is one of the best "pick-me-up" books, or any of Smith's books, that you can read. GENTLE. HEARTFELT. HUMOROUS. COZY. WARM. A TREAT FOR THE HEART!

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted July 4, 2009

    Meaningful Miracles

    This book like the previous 8 books in this series places Mr. Smith's characters in situations in which miracles are the experiences in life that can often be taken for granted. These miracles are not preached to the reader but enjoyed with the main character as she copes, appreciates and values her life in an African village and country which are her roots. Whether enjoying the peacefulness of an early morning cup of tea, the bonding of a friendship, her love of family or confronting worrisome problems, mysterious cases to be solved, she shows an awareness of these quiet often unspoken miracles. She is a true heroine with a sensitivity to her world which reflects our world. There's much to relate to in these very charming books which above all are very very entertaining.

    1 out of 1 people found this review helpful.

    Was this review helpful? Yes  No   Report this review
  • Posted May 16, 2009

    I Also Recommend:

    You really should not miss this book or any of the others in the series.

    This book was another of the series that I find to be relaxing and enjoyable. Great series to read when you are wanting to read just for the joy of reading. This book (The Miracle at Speedy Motors) is imaginative and full of humor. I am so glad the author continues to be able to find these quality stories to write about very simple people.

    1 out of 1 people found this review helpful.

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  • Posted September 7, 2012

    A lovely read.

    This author does a wonderful job of pulling a multilayered plot and several characters together without giving in to a syrupy ending or making it all fairy tale. McCall Smith just has that wonderful touch to a story that nudges you gently along. He takes you in one direction and "poof", a surprise here, a wake-up call there. But nothing is overboard or in your face. He has a way of making me love Mma Ramotswe more and more and embrace her staff and family. I treasure every read and savour my time with them.

    Was this review helpful? Yes  No   Report this review
  • Posted July 16, 2012

    Highly recommended.

    I was so enthralled after reading the first three books in the series that I had to purchase all of them. I thoroughly enjoyed the entire series. The series would make good discussion books for a book club.

    Was this review helpful? Yes  No   Report this review
  • Posted October 22, 2010

    more from this reviewer

    A series that continues to provide wisdom and insight

    Reading book 9 of Alexander McCall Smith's Number one Ladies' Detective Agency is every bit as enjoyable as you'd expect after reading 1 to 8. I know I'm behind. I know real addicts are already on book 11, but I'm catching up. Botswana continues to enthrall the reader with its beauty, the gentle pace of its culture, the quiet way it reflects a different version of ourselves in might-have-beens. Precious Ramotswe continues to seek and learn, from quiet mountain-side splendor that calms, to flustered concerns of secrets only half-uncovered. Mma Makutsi continues to grow into her role, slowly learning that secrets are better when set free and shared. And the promised miracle that threads throughout the tale? Well, you'll have to read to find out, but the author assuredly doesn't cheat to pull it out of the bag. Even the obdurate apprentices are growing older in this series, where everything changes with time but stays just as sane, just as wise and real and interesting as it was in the beginning.

    Was this review helpful? Yes  No   Report this review
  • Posted April 8, 2010

    Alexander McCall Smith for President

    In his classic witty, thoughtful, caring, creative, heartwarming style, A. M. Smith has created another delightful read. It's just too easy to become one with Mma. Ramotzwe as she tactfully ponders how best to handle the mysteries that come her way from clients as well as her husband, their adopted children and their employees. Ranging from hilarious to serious, clear-thinking to confused, the people she meets in her daily life are all given careful consideration and handled with genteel thoughtfulness. It was good to see more of the children's characters developed in this book and great to know there's a wedding in the future. Wonder if the bride will wear blue shoes? Ha! Happy endings abound in this series and no one should want it any other way.

    Was this review helpful? Yes  No   Report this review
  • Posted March 18, 2010

    The Miracle at Speedy Motors

    I have read the entire series: No. 1 Ladies' Detective Agency and found the books to be an easy read and could picture the characters nicely in my mind.

    Was this review helpful? Yes  No   Report this review
  • Posted February 20, 2010

    I Also Recommend:

    Fan of #1 Ladies Detective Agency

    I've loved every book I've read in this series-looking forward to diving into book #10.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted September 28, 2009

    Another Great Book in the series

    Alexander McCall Smith has written another book that captures the reader. Although the story takes place in Botswana, it could be a story that takes place any where. The characters, the situations, the descriptions captivate the reader. I hope the Great Mma Lady Detective appears again and again.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted September 13, 2009

    Fun as always

    This is not great literature, but so heart warming and pleasant!

    Was this review helpful? Yes  No   Report this review
  • Posted July 25, 2009

    Another McCall Smith Hit

    Once again the author scores a hit with the continuing story of the goings on at the Speedy Motors location. Mma Ramotswe has another puzzle to solve and Mr. J.L.B. Matekoni gets involved with helping their daughter become cured of her medical problems.

    Was this review helpful? Yes  No   Report this review
  • Posted July 5, 2009


    I love all his books!

    Was this review helpful? Yes  No   Report this review
  • Posted June 21, 2009

    As good as I expected it to be!

    I love the entire series and this held up to the standards of the previous books in the No. 1 Ladies Dectective series. An easy read, not complicated. Precious makes life seem easy to figure out. And she makes it seem very easy to do the right thing. I always anticipate the next book in the series.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted June 13, 2009

    Always Good Reads.

    I always look forward to the release of the next book in this series and the continued "unfolding" of these characters. Precious' appreciation for the simple honesty of life and her wisdom give pause for thought.

    Was this review helpful? Yes  No   Report this review
  • Posted May 11, 2009

    a bit missleading

    Another sincere accounting of what life was like in Gabarone and how is is constantly changing but slower than the rest of the world. It's about people and the simple life but not overlooking some sordid characters who insist on making others take note.

    Was this review helpful? Yes  No   Report this review
  • Posted May 9, 2009

    Like putting on a pair of cozy slippers.

    The entire series is wonderful, and this is a great addition. I did nottry this searies for years and when I picked it up and began reading, I could have kicked myself.

    Was this review helpful? Yes  No   Report this review
  • Posted May 9, 2009

    An original plot which does not rely on blood, murder, intrigue, or suspense to hold the reader's attention.

    The series is written about a central character, Precious Ramotswe, who comes from simple, honorable beginnings and chooses an unusual profession for a lady, especially one who is a native of Botswana.

    From a basic "How To" book, she feels she can be a detective and by combining book knowledge with her own common sense and honorable ideas of what makes a good society, she succeeds in resolving the cases which come to her. It's a very simple, yet very enjoyable plot. It's one I will probably read again for the sheer joy of finishing a book without the usual themes intended to grab my attention and my spare cash. This is an unusual series and the author appears to have a serious place in his heart for the Botswana people.

    Was this review helpful? Yes  No   Report this review
  • Anonymous

    Posted April 17, 2008

    Mystery book like no other

    To be honest, I don't like mysteries, and I loved this book. Tlokweng Road Speedy Motors is the locale for this odd tale of intrigue and miracles. There's good doses of humor, especially needed because Mma Ramotswe's husband has come under the spell of a sleazy doctor who has promised to cure his daughter's medical problems. This is one of those books that not will you enjoy, but it will make you look at your life and take stock. As with the other detective series, Mma Ramotswe is busy doing what she does--solve crimes. There's plenty here to love, regardless of the cultural differences you might expect, and if you're not familiar with Alexand McCall Smith, this is a good place to start

    Was this review helpful? Yes  No   Report this review
See All Sort by: Showing 1 – 20 of 72 Customer Reviews

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