Nursing care for the Premature Infants : Case series 2 cases

Abstract

Premature birth is the leading cause of neonatal death when a baby dies in the first 28 days of life. The neonatal mortality in Thailand  is 8 per 1000 live births or approximately two times higher than high income countries. A Premature infant ^,s organs are not fully developed and at risk for high mortality and morbidity.

This case series is to compare between the two premature infants. Both patients were admitted to the neonatal intensive care unit because of respiratory distress. The first patient was born at a gestational age of 32 weeks by vaginal delivery. She weighed 1,450g.The 1- minute, 5- minute and 10-minute  APGAR  scores were 2, 6T and 8T,respectively. The patient ^,s mother was 29 years of age, gravid 2, PARA 1, with asthma and pre-eclampsia. The length of hospital stay was 27 days. The second patient was born at a gestational age of 29 weeks by cesarean section for pregnancy induced hypertension. He weight 1,280g. The 1- minute,5- minute and 10-minute APGAR scores were 1,6T and 7T,respectively. The patient ^,s mother was 16 years of age and primigravida. The length of hospital stay was 40 days. This study reflects overall problems of premature infants who required special nursing care with close monitoring. The author applied the nursing care plan process included discharge planning, continuity care, team working. Collaboration and implemented patient and family centered care to nurture patients and minimized possible disabilities.