Patient's question:
On the 28th, she gave birth via cesarean section, with 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 be insufficient. 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.Additionally, try not to lay the child flat when changing diapers. Maintain a certain angle to allow swallowed milk to flow downward, which can increase the likelihood of vomiting. After changing diapers, pat the child’s back more frequently to help them burp. If the child chokes on milk, don’t panic. Have the child lie on their side or in an upright position and pat their back vigorously to help them expel the milk, which 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 frequently after feeding, and if the breast milk flow is too large, express some into a bottle and use a small-hole nipple for feeding. If the shortness of breath is due to a pathological condition, when the baby is about a month old, the health center will ask you to have an echocardiogram to check for heart problems. If there are cardiovascular system 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. This doesn’t necessarily mean there is a hearing issue. 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, a follow-up test will be conducted, and it usually passes. Even if there is a problem, there are ways to treat it.