Feeding 8 meals a day, the warm "temporary mother"
Feeding 8 meals a day, the warm "temporary mother"
neonatology medical staff of the Third Hospital of Guangzhou Medical University guards nearly 80 premature babies every day.
24 hours a day, at least 8 meals a day, every time we strive to be accurate, day after day, one meal catches one meal...they are the "children of other people" who meticulously feed every day.
In the Department of Neonatology, the Third Affiliated Hospital of Guangzhou Medical University, there are nearly 80 premature babies waiting to be fed every day.
Because they were born in less than a month, their organs were not yet mature, and they were separated from their mothers at birth and were sent to special care in the neonatal department.
During this period, a group of "temporary mothers" took turns to deliver milk, match milk, and feed them 24 hours a day, taking care of them carefully, and they did not lose sight of eating and drinking.
When Mother’s Day is approaching, all media reporters from Guangzhou Daily walked into the neonatology department of the Third Hospital of Guangzhou Medical College and used the lens to record how these "temporary mothers" were in the most ordinary positions, dedicated to the most selfless love, and helped premature birth "Xiaodouding". "We spent this difficult time at the beginning of life.
Overall planning/Weng Xiaopeng, Zhang Weiqing, Li Heng, Chen Xiangjun, Weng Shuxian
Text/Guangzhou Daily All-Media Reporter Weng Shuxian Correspondents Bai Tian and Wang Hui
Photo, video/Guangzhou Daily all-media reporter Wang Anlei, Su Yunhua, Yang Yaoye
Come every 2~3 hours
"The Breastfeeding Chorus"
Near 1:00 noon yesterday, the "meal" arrived. In the neonatology ward of the Third Hospital of Guangzhou Medical University, the milk-matching girl came in with the milk-delivery cart, and the nurse girls prepared to feed each little peas.
Here, there are nearly 80 premature babies waiting to be fed every day. According to their condition, they are placed in three areas: general ward, intensive care ward, and ICU ward.
Maybe it smelled the scent of milk, some Xiaodouding in the general ward opened his eyes, and his little mouth was "chickle" from time to time.
If the nurse girl had not had time to bring the bottle to her mouth, they would cry, "Uh, uh, uh..." The voice gradually changed from low to loud.
Soon, the other babies in the room seemed to receive "signals", and they followed "umh" and "whoops" one after another. The crisp crying sounded one after another, short and rhythmic, as if urging: "I'm hungry! I'm hungry! I want milk! I want milk..."
"They can't speak, but they use crying to express their feelings." Xu Zhanyuan, head nurse of the neonatal ward of the Third Hospital of Guangzhou Medical University, said with a smile. Such a "promoting breastfeeding chorus" will sound almost every 2 to 3 hours.
The nurse girls shuttled back and forth, checking each "ration" to ensure that the information was correct before feeding each baby.
They have to record the milk volume of each meal, and at the same time observe whether the baby is urinating, smelly, or changing diapers... According to Wu Xiaohong, deputy head of the neonatal ward of the Third Hospital of Guangzhou Medical University, these babies are basically every day 8~12 meals are required.
Even at 1:00 or 4:00 in the morning, when the "Chapter of Promoting Breastfeeding" sounded, the nurse girls on the night shift still started a new round of busyness.
Feeding in an incubator
Leaving the general ward and entering the intensive care area, the Xiaoxiaodouding here is younger and more immature at birth.
Every baby lives in an incubator. Although they cry faintly through the light shield, they are also eagerly waiting to "get a meal."
Unlike babies in ordinary wards, these little peas have insufficient sucking ability, and some can't be fed completely through a bottle.
"Little baby, you have to be strong and get healthy and return to your mother. Come on!" A nurse girl put her hand into the incubator through two operation holes, while giving tube feeding to a 31-week-old baby while gently encouraging Tao.
Although the baby is not young and weighs 1.9 kg, the respiratory system and nervous system are still very fragile, so he still needs to live in an incubator for a period of time.
For this meal, according to the doctor's order, he had to eat 37ml of milk, but he couldn't suck so much. The nurse girl sucked the remaining milk into his intestines through tube feeding little by little.
Palm-sized bean curd milk as oral care solution
Unlike the larger and more months-long companions in general wards and intensive care areas, most of the "mini babies" who live in the neonatal ICU are gestational ages within 28 weeks or critically ill.
There is a "mini bean curd" that was only 25 weeks old and 700 grams has lived in the "BMW box" for two weeks-it is a high-end baby incubator. It is said that the price is close to that of a BMW car, so he was treated by doctors. The personnel is called "BMW Box".
Around the "BMW box", life monitoring instruments were all around, and the ECG monitor was ringing dripping.
Across the "BMW box" and the light-shield slightly lifted, a little Douding about the size of an adult's slap came into view. His skin was bursting all over his body, his blood vessels were faintly visible, and his arms were only the size of adult fingers.
He can still only supplement his nutrition through intravenous infusion, but every 4 hours, the nurse girl on duty will take a cotton swab and dipped it in the "golden solution"-mother's milk, and put it into his mouth to help gently. He does oral care.
Originally, using sterilized water for oral care helps babies prevent ventilator-related pneumonia. Xu Zhanyuan explained that there have been studies in the world that switching to breast milk as an oral care solution is more effective.
Rescuing premature babies under 28 weeks of gestational age has to overcome more difficulties, from breathing, infection, bleeding, anemia to feeding, from tracheal intubation ventilator assisted breathing, non-invasive ventilator assisted breathing, nasal catheters From oxygen inhalation to spontaneous breathing, the milk volume from the smallest 1ml to tens of milliliters can gradually realize the weight from a few hundred grams to 1000 grams, 2000 grams... more and more power to fight diseases.
When their condition improves, they will be transferred to the special care area and finally to the general area.
When the baby's physical condition improves step by step, the longer the size, the better, the final vital signs are stable, and the weight reaches the standard, you can "graduate" and return to your mother.
Feed 8-12 meals a day,
Where does the "ration" come from?
I have to feed 8-12 meals a day. How to solve the "rations" of the small beans?
Generally, at 8 am every day, the family of a premature baby will follow the instructions of the neonatology medical staff of the Third Hospital of Guangzhou Medical University and bring the milk box to deliver the qualified breast milk. Parents who live far away will deliver it every two days.
After the milk collector carefully checked and checked the breast milk that met the requirements, it was sent to the special refrigerator in the neonatology department's milk storage room. This is the "granary" for the babies.
Subsequently, the milking staff went online.
There are two nurse assistants in the ward who are serving as milkers, and they have to make milk every 2 hours.
According to the doctor's advice, they carefully understand the needs of each small bean curd. For example, if some lactose intolerance cannot drink breast milk, they must use formula milk; if some breast milk is not enough, they must prepare both breast milk and formula milk.
In short, the "mother" in this link is responsible for all babies drinking milk in accordance with the doctor's advice, but also to ensure that they are full.
The prepared milk is packed into single-use baby bottles and affixed with a unique label to ensure that the milk that each baby drinks is accurate and correct, and then put in the grids of the trolley and sent to the newborn ward for the relay. Nurses "moms".
After delivering a meal, the milking staff will dispose of the used disposable bottles, send the pacifiers for disinfection, and then prepare the next meal before the "promoting breastfeeding chorus" sounds.
Day after day, meal after meal, watching the premature little peas grow better and cry more and more loudly, "temporary mothers" are very relieved.