Patient's question:
On the 28th, she gave birth via cesarean section, delivering one girl and one boy. The girl weighed 5.9 pounds, and the boy weighed 5.4 pounds. At the time, the hospital conducted thorough examinations and found everything normal. The children were discharged on the fourth day after birth. Both babies received a hospital score of nine. After returning home, the children began breastfeeding on the seventh day. The boy is eating...Doctor's answer:
First, shortness of breath is divided into physiological and pathological. Your child is a twin, so their weight is not very good, and they were delivered via C-section at just 37 weeks, so their natural development must not be very strong. Their lung capacity and heart function are definitely not as good as those of a single-term child. Additionally, if your milk flow is relatively large, the child may struggle to breathe while feeding due to the flow.Also, try not to lay the child flat when changing their diaper. Maintain a certain angle to allow swallowed milk to flow downward, which can increase the likelihood of vomiting. After changing the diaper, pat their back more frequently. It’s best if the baby burps.
If the child chokes on milk, don’t panic. Have the child lie on their side or sit upright and pat their back vigorously to help them expel the milk. This will ensure there is no danger. Colds can also cause vomiting, so it’s a good idea to put a hat on the baby, even indoors. It doesn’t need to be too thick, as it can effectively prevent catching a cold.
In summary, regarding the baby’s feeding issues, what you need to do is: wear a hat, change diapers at an angle, pat the baby more after feeding, and if the breast milk flow is too strong, express some into a bottle and use a small-hole nipple for feeding.
If the shortness of breath is due to a pathological condition, at one month of age, the health center will ask you to have an echocardiogram for the baby to check for heart problems. If there are cardiovascular issues, they will be detected at that time.
Third: hearing problems. The hearing screening done in the hospital is a preliminary test, with a 15% failure rate allowed. This doesn’t necessarily mean there is a hearing problem. Factors such as the baby crying, sucking, environmental noise, residual amniotic fluid in the ear, and others can all cause the test to fail.
At 42 days, you should have a follow-up test, and it will usually pass. Even if there is a problem, there are ways to treat it.