IN THE HOSPITAL
Infants who have breathing problems are often put on a ventilator. This is a breathing machine that sends pressure to the baby’s lungs to keep them inflated and to deliver more oxygen. As the baby’s lungs develop, the pressure and oxygen are slowly reduced. The baby is weaned from the ventilator. The baby may continue to get oxygen by a mask or nasal tube for several weeks or months.
Infants with BPD are usually fed by tubes inserted into the stomach (NG tube). These babies need extra calories due to the effort of breathing. To keep their lungs from filling with fluid, their fluid intake may need to be limited. And they may be given medicines that remove water from the body (diuretics). Other medicines can include corticosteroids, bronchodilators, and surfactant.
Parents of these infants need emotional support. This is because BPD takes time to get better and the infant may need to stay in the hospital for a long time.
Infants with BPD may need oxygen therapy for weeks to months after leaving the hospital. Follow your health care provider’s instructions to ensure your baby gets enough nutrition during recovery. Your baby may need tube feedings or special formulas.
It is very important to prevent your baby from getting colds and other respiratory infections, such as respiratory syncytial virus (RSV). RSV can cause a severe lung infection, especially in a baby with BPD.
A simple way to help prevent RSV infection is to wash your hands often. Follow these measures:
- Wash your hands with warm water and soap before touching your baby. Tell others to wash their hands, too, before touching your baby.
- Ask others to avoid contact with your baby if they have a cold or fever, or ask them to wear a mask.
- Be aware that kissing your baby can spread RSV.
- Try to keep young children away from your baby. RSV is very common among young children and spreads easily from child-to-child.
- Do not smoke inside your house, car, or anywhere near your baby. Exposure to tobacco smoke increases the risk of RSV illness.
Parents of babies with BPD should avoid crowds during outbreaks of RSV. Outbreaks are often reported by local news media.
Your baby's health care provider may prescribe the medicine palivizumab (Synagis) to prevent RSV infection in your baby. Follow instructions on how to give your baby this medicine.