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- $Unique_ID{BRK00435}
- $Pretitle{}
- $Title{Enlightenment About the Diagnosis of a Premature Infant}
- $Subject{premature baby babies infant infants newborn newborns Pregnancy
- Childbirth 37 weeks gestation small gestational age SGA prenatal care lower}
- $Volume{K-0}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Enlightenment About the Diagnosis of a Premature Infant
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- QUESTION: Can you offer us any enlightenment about the diagnosis of a
- premature infant. Is it just their weight that counts, or do you have other
- methods of judging? Is the cause for premature delivery understood?
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- ANSWER: The strict definition of a premature infant is one that has been born
- before 37 weeks of gestation or pregnancy. At one time any baby that weighed
- less than 5.5 pounds was considered a premature birth, but a full term infant
- of that weight would now be classified as small for gestational age (SGA). To
- most experienced physicians, a premature infant just looks it. They are, of
- course, smaller than usual, and their skin is shiny and pink, with the blood
- vessels easily seen through the skin. They have little fat under their skin,
- usually no hair, and the cartilage in their ears is missing. They are quiet
- babies, not moving around as much as others, and their muscle tone is reduced.
- In males the testicles may not have descended into the scrotum, which is
- smooth and does not present the wrinkles of the mature baby. In females the
- labia majora are not developed sufficiently to cover the labia minora which
- lie beneath. The reasons for premature delivery are poorly understood,
- without a clear cause. Premature deliveries are more common in women who have
- had little or no prenatal care, who are in the lower socioeconomic classes,
- where there is poor nutrition and poor education, and in unwed mothers. We
- need to know much more as prematurity is the greatest cause of newborn deaths.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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