Friday, January 17, 2014

How to help a pregnant friend?

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Rowan's Mo


I just found out my friend that's 3 months pregnant is in danger. She has a mass growing in or around her uterus (not sure exactly I heard this from my mom, whom she works with.) They are going to have to remove the baby at 6 months because of it. Is there any way I can reassure her that the baby should be fine and she will be too, without sounding like a liar?
I mean I'm sure the baby will be fine but I'm worried that if it's a cancerous mass and they can't do anything about it for 3 more months that I may lose her.



Answer
The baby is going to be very sick and will need to be in the NICU. The NICU is designed to provide an atmosphere that limits stress to the infant and meets basic needs of warmth, nutrition, and protection to assure proper growth and development. Due to many recent advances, more than 90% of premature babies who weigh 800 grams or more (a little less than 2 pounds) survive. Those who weigh more than 500 grams (a little more than 1 pound) have a 40% to 50% chance of survival, although their chances of complications are greater
Premature babies lack the body fat necessary to maintain their body temperature, even when swaddled with blankets. Therefore, incubators or radiant warmers are used to keep the babies warm. Incubators are made of transparent plastic, and they completely surround an infant to keep him or her warm, decrease the chance of infection, and limit water loss. Radiant warmers are electrically warmed beds open to the air. These are used when the medical staff needs frequent access to the baby for care.
Premature babies have special nutritional needs because they grow at a faster rate than full-term babies and their digestive systems are immature. Neonatologists (pediatricians who specialize in the care of newborns) measure their weight in grams, not pounds and ounces. Full-term babies usually weigh more than 2,500 grams (about 5 pounds, 8 ounces), whereas premature babies weigh anywhere from about 500 to 2,500 grams.
Premature infants are prone to a number of problems, mostly because their internal organs aren't completely ready to function on their own. In general, the more premature the infant, the higher the risk of complications.
A common treatable condition of premature babies is hyperbilirubinemia, which affects 80% of premature infants. Infants with hyperbilirubinemia have high levels of bilirubin, a compound that results from the natural breakdown of blood. This high level of bilirubin causes them to develop jaundice, a yellow discoloration of the skin and whites of the eyes. Although mild jaundice is fairly common in full-term babies (about 60%), it's much more common in premature babies. Extremely high levels of bilirubin can cause brain damage, so premature infants are monitored for jaundice and treated quickly, before bilirubin reaches dangerous levels. Jaundiced infants are placed under special lights that help the body eliminate bilirubin. Rarely, blood exchange transfusions are used to treat severe jaundice.
Apnea is another common health problem among premature babies. During an apnea spell, a baby stops breathing, the heart rate may decrease, and the skin may turn pale, purplish, or blue. Apnea is usually caused by immaturity in the area of the brain that controls the drive to breathe. Almost all babies born at 30 weeks or less will experience apnea. Apnea spells become less frequent with age.
Low blood pressure is a relatively common complication that may occur shortly after birth. It can be due to infection, blood loss, fluid loss, or medications given to the mother before delivery. Low blood pressure is treated by increasing fluid intake or prescribing medications. Infants who have low blood pressure due to blood loss may need a blood transfusion.
One of the most common and immediate problems facing premature infants is difficulty breathing. Although there are many causes of breathing difficulties in premature infants, the most common is called respiratory distress syndrome (RDS). In RDS, the infant's immature lungs don't produce enough of an important substance called surfactant. Surfactant allows the inner surface of the lungs to expand properly when the infant makes the change from the womb to breathing air after birth. Fortunately, RDS is treatable and many infants do quite well. When premature delivery can't be stopped, most pregnant women can be given medication just before delivery to hasten the production of surfactant in the infant's lungs and help prevent RDS. Then, immediately after birth and several times later, artificial surfactant can be given to the infant if needed. Although most premature babies who lack surfactant will require a breathing machine, or ventilator, for a while, the use of artificial surfactant has greatly decreased the amount of time that infants spend on the ventilator.
As for your friend, since they saw the mass and know how soon they need to get the baby out before it can cause major problems then she'll probably be fine. She may need to undergo chemotherapy and possibly radiation if it is cancerous but chances are they'll get it all. Hopefully they don't have to do a hysterectomy just in case the baby doesn't pull through at such an early age. Your friend is going to be going through a lot throughout that time and will just need a friend. Remember if she pushes you away it's only because life is going to be really difficult for her for awhile. Good luck to her and the baby.

Whats the best Digital Baby Monitor for under $50?




hoffmancha


We are looking for a good digital baby monitor for under $50. What are our options and are there any reviews on them.


Answer
I know you said under $50, but the iMonitor is the best on the market currently - and it's only $10 more. I have one and the reception is great anywhere in my 2-story house.

The iMonitor is by Graco - you can search for it here:
http://www.target.com It has wonderful reviews.




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