Originally Posted by DocsNemesis
It can vary so much. At 34 weeks he'll probably be ok with breathing, since you had steriods. Might need a canula, at least for awhile, but thats non-invasive. Preemies often have apnea and thats why mine was on a canula for so long (and he was a 33 weeker).
I dont know if they'll put him straight on food by mouth at first. My ds had a gastric tube and then was gradually switched to bottles. I got him on the breast at home on his due date. (It actually didnt take much work, I offered it once a day, and then one day he just latched on and nursed away; he went off of bottles all together within a couple of days) They also mixed one scoop preemie formula with my milk until he got home and I took him off. It resulted him in eating more (that along with offering the bottle whenever he wanted it, versus a schedule like they had at the hospital) and actually gaining weight faster.
Also expect him to have jaundice and be under bili lights since most preemies have a hard time with getting rid of the bilirubin. It might not happen but be prepared.
The last thing I can think of is that he needs to be able to maintain his own body temp before he can go home. He might not have that issue either, mine didnt, even being earlier. It just all varies so much.
Keep in mind too that holding/kangaroo care is soooo good for them and will get him home faster.
I cant think of anything else atm. Hopefully he'll do really well!
ETA: also, if you end up being further along, these things get even less likely. Many 35 and 36 weekers go straight home and at 37 weeks, I'd be surprised if he needed a NICU stay. I would imagine apnea and getting them on the breast (and possibly jaundice?) would be the biggest issues with a 35/36 weeker. I could be wrong though.
his bili peaked right before the level he would had to go under th elights, breathes well on his own, his big issue id the feeding, i'm not even tryign once a day, as even with bottlefeeding it takes him a long time to eat. he was doing well until last night's weigh-in. he lost almost half an ounce between the time he was weighed friday night and last night
he pulled his own ng tube out and they are not putting it back since he has had more than 4 hrs of feeds.
he did pass his hearing and carseat test, so if we get this feeding issue taken care of he can come home. we did get transferred back to our local hospital at least, so we r closer to home.
he is receiving my pumped milk with human milk fortifier. i'm almost afraid to ask what is in it, since i know his poos don't smell as mild as my other full term babies did.
the dr was in y'day and was sayoing that hmf is hard to get so they'd probably have me add neosure powder to use as a fortifier. i am not sure what to think about this.