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14 days old premature baby( 30 week +)
Baby is in NICU birth wt was 1.5kg.
On antibiotics from day one. 5 days before CRP raised to 70. They changed antibiotics.
Baby was on mother milk feed 18 ml/ 2 hour.
But yesterday vomit(green color) small amount. Doc stopped feed and started IV fluid. Yesterday CRP was 7.4, CBC was normal, also blood culture is normal.
Baby loose 60gm in last two days ,current wt 1.3gm (32 weeks dayss ). Still feed not started. Also yesterday,s Blood gas test is normal.
Still antibiotics not stopped. All other vitals are normal range.
What to expect further , should I think for other options.
Please guide.
Answers (1)
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Dr. Abhishek Madhura
Pediatrician
18 yrs exp
Nagpur
Clearly, baby had infection that has been efficiently controlled by the pediatrician. Now starting feeds in sick babies is always a challenge . Given the fact that their intestines are immature and could get infected easily, pediatrician all over the world excercise caution while restarting the feeds.
If risk of NEC is negligible (to be decided by the treating doctor) then small amounts of feeds could be started.
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Discuss your concerns with your doctor. I am sure he/she will be happy to answer all your queries.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.