Premature Baby Book: Everything You Need to Know about Your Premature Baby from Birth to Age One

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Overview

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.

Product Details

ISBN-13: 9780316738224
Publisher: Little, Brown & Company
Publication date: 9/1/2004
Edition description: First Edition
Edition number: 1
Pages: 256
Sales rank: 149,149
Product dimensions: 7.62 (w) x 9.25 (h) x 1.00 (d)

Read an Excerpt

The Premature Baby Book

By William Sears Robert Sears James Sears Martha Sears

Little, Brown

Chapter One

A WORD FROM DR. BILL

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!

(Continues...)

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.

	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

Customer Reviews

Average Rating 3.5

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Anonymous

Posted February 16, 2009

A great help during a difficult time.

My sister bought me this book when I had my son (born at 26 weeks and weighing in at 1 lb 1oz) There is just so much information being thrown at you and so many emotions, that this book allowed me to take it in a little slower (acted as additional information to what the doctors told me) and also prepared me for other things that I could expect. I loved this book so much that when my cousin had a preemie I bought this book for her as well.

2 out of 2 people found this review helpful.
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Anonymous

Posted August 2, 2008

for when you take an 'older' preemie home

this book is, of course, slanted toward attachment parenting, and that's fine. it is a mindset most older preemies would really benefit from once they're home. HOWEVER, it certainly wasn't written with my micropreemie in mind. it's more for care when you're home and less about time in the hospital, and we spent 7 1/2 months in the hospital. it's hard to nearly impossible to sling-wear a baby on oxygen, i pumped for 9 months but he never really nursed, it just wasn't a book of practical information for me personally. *but* if you have an 'older' preemie and are leaning toward attachment parenting, it could be a worthwhile resource.

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Premature Baby Book: Everything You Need to Know about Your Premature Baby from Birth to Age One

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More About This Book

Overview

Related Subjects

Product Details

Read an Excerpt

The Premature Baby Book

Little, Brown

Chapter One

Table of Contents

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A great help during a difficult time.

for when you take an 'older' preemie home