Necrotising enterocolitis (NEC)
This condition is a serious complication of prematurity that affects the intestine. It involves infection and/or inflammation of the bowel wall. The cause of NEC is unclear, but it may be due to bacteria or insufficient blood flow to the gut either before or after birth. Some studies have shown that breast milk could protect vulnerable babies from NEC. If your baby is too ill to breastfeed, you can still express milk and it can be fed to him through a special tube.
Intraventricular haemorrhage is the name for bleeding in the ventricles of the brain (fluid-filled cavities in the brain). Some haemorrhages are very small, and are not thought to lead to long-term problems, while others are large and can be associated with later problems such as cerebral palsy or seizures. In recent years fewer premature babies have bleeding in the brain partly because steroids are often given to women at risk of giving birth prematurely and these help to protect the brain from this complication.
If your baby does have a bleed on the brain, the healthcare team will check how severe the bleeding is by doing an ultrasound scan. The more premature the baby, the greater the risk of intraventricular haemorrhage.
Jaundice is common among newborns, and almost all premature babies develop it. In paler-skinned babies, jaundice shows as yellow-coloured skin, while in babies with darker skins, the yellowing may show only in the whites of the eyes. The degree of jaundice is measured from a blood sample.
Mild jaundice will often pass on its own, or with special light therapy called phototherapy, which involves laying the baby under bluish lights (with eye shades on) or on a fibre-optic blanket that emits light at the correct wavelength. Occasionally jaundice indicates that the baby has a more serious illness. The healthcare team will assess this and may need to carry out further tests in order to find the right treatment, which may include a blood transfusion in severe cases.
Anaemia means not having enough iron stores in the baby’s body, and it is common in premature babies. This happens for a range of reasons, including the baby's ability to generate red blood cells and the fact that the team has to take blood samples so often. Anaemia may also indicate a transient problem with blood group incompatibility/rhesus incompatibility.
The following organisations can give you more information about the topics covered in this section.
You may be asked if you would consider taking part in research into premature birth. We explain what this might involve.
We answer some of your questions about your premature baby's time in the hospital and neonatal unit.
Skin-to-skin contact with your premature baby is a wonderful way for you both to bond. It also provides health benefits.
The healthcare team will cater for your baby's medical needs, but she needs you too. As you get to know your premature baby, you will begin to work out what she needs.
Your premature baby's diet will be carefully balanced to suit her tiny digestive system while meeting the needs of her growing body. This page covers talks about to feed your baby, from breastfeeding and expressing to cup and bottle feeding.
Positioning your premature baby correctly can make her feel secure, improve her breathing ability, strengthen her muscles and reduce her risk of cot death.
- Macdonald S and Magill-Cuerden J (2012) Mayes’ Midwifery, Fourteenth Edition, Edinburgh: Bailliere Tindall Elsevier
ℹLast reviewed on April 1st, 2014. Next review date April 1st, 2017.