Care of the Late Preterm Infant

A late preterm infant is generally defined as a child who is born 34 to 36 weeks into a typical 40-week pregnancy. Late preterm infants are smaller than full-term infants, and they may face special challenges because of their prematurity.

Feeding Strategies

• The late preterm baby usually eats slower and more frequently than a full-term infant in the first weeks of life. These babies will need to be fed at least every three hours, during the day and night. Breastfeeding a late preterm infant may be challenging at first, and supplementation with formula may be needed.

Daily Baby Care

• Late preterm infants may have more difficulty with temperature regulation. They should be dressed warmly, preferably in one more layer than the caregiver is wearing to ensure they are warm enough.

  Always place the baby on her back to sleep to reduce the risk of sudden infant death syndrome (SIDS).

  Late preterm babies also should be kept away from crowds to reduce the risk of infections.

Medical Challenges

• Late preterm infants develop jaundice more often than full-term babies. Caregivers should look for signs of jaundice such as a yellowish color to the eyes and skin. Untreated jaundice can lead to brain damage.

  Infants born prematurely often have breathing difficulties because of immature lungs. Late preterm infants should be watched closely for any signs of respiratory distress.

  Premature infants also are more susceptible to infections. These infants should be monitored for signs of infection and treated right away. Signs of infection may include behavior changes, breathing problems, fever and skin discoloration.

  Schedule regular checkups with your baby's pediatrician to monitor his health.