Patient's question:
Twins, female, 37+4 weeks, birth weight 2.25 kg, admitted to the neonatal ward for 5 days due to frequent amniotic fluid leakage, with gastric lavage and anti-infection treatment. Currently 4 months and 5 days old, weight 4.2 kg, height 58 cm, motor development at approximately 3 months. In the first 2 months, there was significant stridor, weak sucking ability, mixed feeding, and small milk intake (about 200-300 ml/day). Now on exclusive breastfeeding + breast milk fortifier, with a milk intake of about 500 ml/day. Breast milk fortifier was used for about 2 weeks, with diarrhea for 2 weeks in between, during which it was discontinued.The baby cried a lot after birth, with slight improvement now. However, the crying is still somewhat high-pitched, and emotions are easily agitated.
Complete blood count showed high white blood cell count since birth.
The other twin is larger, breastfed, with a birth weight of 3.2 kg, now weighing 8 kg. The two babies have a significant weight difference.
What feeding and treatment should be done in this case? Can the baby catch up to normal developmental milestones?
Doctor's answer:
You can actively give your baby appropriate abdominal massage, which can have a certain effect. When necessary, oral Jian'er pills or Qizhen Dan can be used for treatment. Anorectal suppositories can also help relieve symptoms. During this period, pay attention to giving your baby more fluids.