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Premature Babies Ki Special Care – Ek Complete Guide (By Pediatrician)

🕒 Published on: 29 Nov 2025, 06:30 AM

Premature babies (jo 37 weeks se pehle paida hote hain) ko extra care, close monitoring, aur special support ki zarurat hoti hai. Unka body weight kam hota hai, organs fully mature nahi hote, aur immunity weak hoti hai. Isliye unki care thodi sensitive hoti है.
Yeh blog parents ko help karega ki wo apne preterm baby ko better samajh sakein aur sahi care de sakein.


🧡 1. Premature Baby Ka Birth Ke Baad Sabse Pehla Step: NICU Care

NICU (Neonatal Intensive Care Unit) me premature baby ko yeh support diya jata hai:

  • Temperature control (warm incubator / radiant warmer)

  • Breathing support – oxygen, CPAP ya ventilator

  • Feeding support – tube feeding jab tak baby suck nahi kar sakta

  • Sugar levels, oxygen level, infection check

  • Continuous monitoring – heart rate, breathing, BP

NICU me initial days baby ki stability decide karte hain.


🌡️ 2. Temperature Control Sabse Important

Preterm babies ka body fat kam hota hai, isliye unhe thand zyada lagti hai.
Parents ko dhyan rakhna chahiye:

  • Room temperature 26–28°C rakhein

  • Baby ko cap, socks, mittens pehna kar rakhein

  • Skin-to-skin contact (Kangaroo Mother Care – KMC) daily karein

  • Direct AC/hawa se bachayein

KMC preterm babies ke liye life-saving technique hai – weight gain, bonding, breastfeeding sab improve hota hai.


🍼 3. Feeding & Nutrition: Sabse Sensitive Phase

Preterm babies ka stomach chota aur immature hota hai.
Feeding ka protocol baby ke weight aur gestational age par depend karta hai:

✔ Breastfeeding is Best

Mother ka milk premature baby ke liye medicine jaisa hota hai:

  • Immunity badhata hai

  • Infection risk kam karta hai

  • Weight gain improve karta hai

Agar baby suck nahi kar paata, to:

  • Expressed breast milk (EBM) tube ya spoon se diya jata hai

  • Fortifiers add kiye ja sakte hain extra calories ke liye (doctor ki guidance me)

✔ Feeding timings

  • Har 2–3 ghante feed

  • Overfeeding se bacche ko infection ya tummy issue ho sakta hai

  • Doctor ke feeding chart ko follow karein


🩺 4. Infection Prevention: Preterm Baby Ka Immune System Weak Hota Hai

Infections se preterm babies zyada jaldi affect ho jaate hain.

Parents ko dhyan rakhna chahiye:

  • Ghar me saaf-safai maintain karein

  • Haath dhoke hi baby ko touch karein

  • Bhid-bhad, visitors, aur outside exposure avoid karein

  • Kisi ko bhi cold/fever ho to baby se door rakhein

  • Baby ko unnecessary handling avoid karein

Vaccination schedule NICU discharge ke baad time se start karna hota hai.


💓 5. Breathing & Lung Care

Premature babies ke lungs immature hote hain, isliye:

  • Oxygen requirement hoti hai

  • CPAP/ventilator kabhi-kabhi lag sakta hai

  • Surfactant therapy di ja sakti hai (NICU me)

Ghar par:

  • Baby ko sidha sula kar rakhein

  • Dhool-dhue se door rakhein

  • Room me koi smoke ya incense na ho


📏 6. Weight Gain Monitoring

Preterm babies ka weight dheere badhta hai.
Parents ko:

  • Weekly weight check karana

  • KMC regular karna

  • Breastfeeding continue rakhna

  • Doctor ke follow-up visits miss nahi karni

Target: 15–20 grams per day weight gain (approx).


👀 7. Regular Follow-Up Checkups

NICU discharge ke baad sabse important part hai follow-up:

  • Eye examination (ROP screening)

  • Hearing test

  • Growth & development check

  • Vaccination schedule

  • Anemia & calcium supplements

Premature baby ko initial 1 year close monitoring ki zarurat hoti hai.


🧠 8. Development Monitoring (Milestones)

Preterm babies thoda late milestones achieve karte hain.
Doctors “corrected age” ke hisaab se development evaluate karte hain.

Parents ko dhyan rakhna chahiye:

  • Daily tummy time

  • Sensory stimulation

  • Baby se baatein karna, sounds sunana

  • Active play time


🧡 Conclusion

Premature babies delicate hote hain, par proper care, breastfeeding, KMC, infection prevention aur regular doctor follow-up se woh completely healthy & normal growth achieve kar sakte hain. Parents ka patience, love aur timely medical guidance hi unki real strength hoti hai.

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