Primary Care of the Premature Infant

Primary Care of the Premature Infant

By Dara Brodsky, MD, Harvard Medical School, Department of Neonatology, Beth Israel Deaconess Medical Center, Boston, MA; and Mary Ann Ouellette, MS, APRN, IBCLC, Pediatric Nurse Practitioner, Beth Israel Deaconess Medical Center; Westwood-Mansfield Pediatric Associates, MA, USA

I. Respiratory Issues

a. Chronic lung disease/Bronchopulmonary dysplasia BPD

b. Apnea of prematurity

II. Gastrointestinal Issues

a. Nutrition and growth

b. Reflux

c. Necrotizing enterocolitis

d. Gastrostomy tube and jejunostomy tube care after discharge

e. Other gastrointestinal issues

III. Neurological Issues

a. Intraventricular hemorrhage and hydrocephalus

b. Periventricular leukomalacia

c. Cerebral palsy

d. Ventriculoperitoneal shunt

e. Developmental issues

IV. Hematological Issues

a. Anemia of prematurity

b. Indirect hyperbilirubinemia

c. Direct hyperbilirubinemia

V. Cardiovascular Issues

a. Congenital heart disease

VI. Endocrine Issues

a. Osteopenia of prematurity

VII. Ophthalmologic Issues

a. Retinopathy of prematurity

b. Other ophthalmologic issues

VIII. Surgical Issues

IX. Multiple Births

X. Routine Health Care Maintenance

a. Newborn state screen

b. Car Seat Test

c. Immunizations

d. Follow-up

e. Early intervention

f. Other

XI. Psychosocial Issues

a. Behavioral issues

b. Emotional impact on family

c. Parenting the disabled child

XII. Benefits Potentially Available

XIII. Resources Available for Pediatricians and Patient?s Families