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Apnea of Prematurity – Apnea and Bradycardia and Your Premature Baby
Apnea of Prematurity or apnea and bradycardia (A & B) when a premature baby stops breathing for more than 15 seconds, the baby’s heart rate may slow (bradycardia), and her skin may be pale, purple or blue. Because this is a very common occurrence in premature babies, preemies are always monitored for apnea with a device that sounds an alarm if breathing stops or the heart rate drops below 100 beats per minute. a minute If a premature baby is born under 31 weeks, she will almost always experience apnea.
One reason that apnea occurs in a premature baby is because her brain is not developed enough, and it needs to mature. This type of apnea is called Central Apnea. Another reason your premature baby may develop apnea is due to an obstruction caused by mucous or a nerve condition. This type of apnea is called Obstructive Apnea
Many times a premature baby starts breathing again on its own, but sometimes she may need encouragement such as a nurse touching or touching her arms, back, legs, feet, etc. Sometimes a baby needs oxygen, altered body position, Nasal CPAP, a ventilator, medication and/or minerals to keep breathing more regular. As your premature baby gets older the frequency of apnea decreases significantly.
Bradycardia if your premature baby’s heart rate slows down to less than 100 beats per minute. Bradycardia often follows apnea, transient tachypnea, insertion of feeding tubes, and attempted fetal movements. Premature babies with bradycardia will have apnea because the same things cause both medical problems. For this reason, these two conditions are often grouped together and referred to as the same.
Bradycardia can be caused by infection, hypoglycemia, anemia, abnormal body temperature, overstimulation, airway problems, acid reflux, and neurological problems.
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