Those who are so small can tolerate a decent dose of caffeine: an amount of caffeine up to 20 cups of espresso is administered daily to very young premature babies in the perinatal center of the hospital University of Heidelberg to treat respiratory pauses. Tachycardia and insomnia in adults promote brain development in premature infants and protect sensitive nerve cells. Such discoveries in recent years, especially in perinatal centers, have resulted in modern care concepts based on the level of development and needs of children, thus significantly reducing the risk of cerebral hemorrhage during the first few years. days and irreversible injuries. What contributes to a child weighing less than 1,500 or even 1,000 grams, from breast milk to modern technology, is not only surviving, but is growing healthy despite being born too early. Johannes Pöschl, Medical Director of the Neonatal Clinic of the Center for Pediatrics and Adolescent Medicine, on the evening of Wednesday, July 10, 2019. The lecture will begin at 7 pm in the conference room of the main clinic, Im Neuenheimer Feld 400. University Hospital and Rhein-Neckar The journal cordially invites all interested parties.
About 10,000 children are born each year in Germany with a birth weight of less than 1,500 g or even before the 32nd week of pregnancy, more than two months too early. 130 of them are born at Heidelberg University Hospital and are supported by the largest neonatology team in the country. For the small body, the beginning of life early is synonymous with hard work: premature babies are not only too small and light, but they can not drink alone. The brain and lungs are not mature yet. To thrive outside the womb, they require highly specialized care and care in a well-equipped facility such as the Heidelberg Perinatal Center. Thanks to the Heidelberg EFIB Care Concept (concept of individual care focused on promoting development), premature babies have an excellent chance of survival from the 23rd week of pregnancy, as Professor Pöschl will explain. in her presentation: "93 percent of children weighing less than 1,500 grams are equivalent About the 32nd week of pregnancy, we can – with a survival rate of 96.2% – without major complications at home. the smaller babies weighing less than 1,000 grams, it is 86.5% .It's great results. "
From kangaroos to stem cell therapy
The fact that the survival time of a premature baby is prolonged until the end of the 22nd week of pregnancy is due to new drugs, modern techniques of ventilation and circulatory support, and especially to the creation specialized centers. Another significant improvement in prognosis can be obtained by the "gentle" individual care of premature babies – as envisaged by EFIB. "Mild" means above all a very cautious approach to the fact that the small organism can not yet treat certain stimuli to the same degree as a child born of its maturity. For example, for example, painful caresses are not pleasant for a little preterm babies: "In the 28th to 30th week of gestation, the neural pathways of pain relief are not yet developed, but the painful ones are already Caressing is therefore a rather unpleasant stimulus for the premature baby, "says Pöschl. Sisters and caregivers therefore make contact with small touches of hands and feet.
In addition, the pace of sleep of the child is taken into account as much as possible in all medical and breastfeeding measures – and this is not so simple: premature babies sleep almost 90% of the time. the day, the rest slumbering after short periods of activity. "Our team is trained to recognize the right moment to come in contact with the baby and align all the necessary actions on these phases.As every stress disrupts the development of the brain, it is essential to avoid it," says Pöschl. For this reason, the bright lights, the audible alarms of the monitors and the technical noises have always been banished from the rooms – the parents, however, have been embarked: During the "kangaroo", in which the baby is lying on the bare chest of the mother or father, becomes binding The child perceives the voice, the heartbeat and the smell of the parents. This promotes the healthy development of the premature baby and stabilizes the attachment to the parents.
So that the parents do not feel overwhelmed by the handling of the little one, they are trained by the Pöschl team, which psychologists and doctors also prepare at home. "The proper promotion of premature babies by parents brings a huge bonus for the child's mental development, studies speak of a positive effect of more than 30 IQ points," said the experienced neonatologist. In the perinatal center of Heidelberg, mother and child are not separated, babies stay in the gynecological clinic close to the mother or even in the same room. The concept for families, optimally supported by 40 maternity beds in the new building of the gynecological clinic of the university, will be presented at the conference. In addition, Prof. Pöschl will give an overview of new developments in neonatology – from conclusions on optimal ventilation and nutrition of premature infants with breast milk, wireless and therefore less troublesome for monitoring vital signs of artificial placenta or treatment by stem cells for regeneration. possible lungs and brain damage in premature babies.
Neonatal Clinic: https://www.klinikum.uni-heidelberg.de/zentrum-fuer-kinder-und-jugendmedizin/iv-neonatology/
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