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Neonatology (Expert Forum)
? About Bradycardia Episodes in Preterm Baby
Answered by
University of California, San Francisco
San Francisco - CA
Questions in the Neonatology Forum are being answered by doctors at University of California, San Francisco.
? About Bradycardia Episodes in Preterm Baby
by debolin, Sep 28, 2009 04:38PM
We just brought our twin boys home after 30 days in the NICU. They were born at 32 weeks and had a fairly smooth ride other than the typical A's B's and D's. They sent them home on monitors and oxygen earlier than planned due to my experience with a prior preemie. They are still having episodes, one is just having desats and an occasional self resolved Brady, but doing very well! The other baby is having a couple Brady's daily some that go down to the 50's (once today, once yesterday) but always come up with a little rub. They are all with desats, but no apparent apnea. The alarm is only pick up the low O2 (usually mid 80's) level along with the low heartrate. At what point should I bring him back in? Is that low enough to warrant a trip to the doc? Or is it fairly common to drop to that point? Oh, and yes, they do seem to suffer from reflux, both are on Prevacid and Reglan.
Doctor's Answer
by Yao Sun, MD, PhD, Oct 01, 2009 11:48PM
, Oct 01, 2009 11:48PM
I'm sorry for the late response. By this time, your boys may have already been seen by your pediatrician.
You should have a low threshold to call or make an appointment to see your pediatrician if the pattern of desaturations or bradycardia has changed since discharge. As for all babies, you should continue to watch for other signs of illness including fever (or low temperature), poor feeding, decreased activity or lethargy, decreased urine or stool output, or irritability.
Your pediatrician is your best resource if you have any concerns: please call him/her if you have questions at any time about what is "normal" for your boys. Congratulations on your expanded family!
You should have a low threshold to call or make an appointment to see your pediatrician if the pattern of desaturations or bradycardia has changed since discharge. As for all babies, you should continue to watch for other signs of illness including fever (or low temperature), poor feeding, decreased activity or lethargy, decreased urine or stool output, or irritability.
Your pediatrician is your best resource if you have any concerns: please call him/her if you have questions at any time about what is "normal" for your boys. Congratulations on your expanded family!
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