HI Team 1st i would like to share my baby discharge summary then i will share problem my baby facing and question we have in our mind. Final Diagnosis: 1. Preterm baby /32 weeks/2.14 kgs / Male 2. Meconium stained liquor and respiratory distress 3. Neonatal Hyperbilirubinemia Neonatal Details: A single live male baby born by FTND on 01.10.2014 at 6.35 am and birth weight: 2.14 kg. Bay cried immediately after birth, routine suction done, nostril and anal patency checked. Physical Examination: Birth Weight:2.14 kgs. Appearance-preterm Cry-normal Colour-pink Hips:normal Anus:patent Femoral:felt bilaterally NNR-normal Systemic examination HR:140/min RS:AEBE, NVBS CVS:S1 S2+, no murmurs. PA:Soft. No organomegaly CNS:Moros Present Icterus + Treatment Given: INj. Vitamin K1 mg IM stat Vaccination: OPV-Inj. BCG-Inj. HEP. B-given on 31.10.2014 Course in the hospital: Baby was born on 20-10-14 at 5:29 am by vaginal delivery. it was a preterm baby(32 weeks) with BW 2140 gms. Bay cried after stimulation. there was meconium stained liquor. The baby Apgar at birth 8/10. The baby shifted to NICU for new born care. Thebaby had respiratory distress in NICU required O2 for 1 day. Xray chest suggestive of streaky opacities blood culture and sensitively and CBC sent in NICU and started on antibiotics, Ampicilin and amikacin. The baby kept nill oraly for 24 hours later feeds by NGT started. However baby developed NEC in NICU, again baby was kept nil oraly for 2 days. Antibiotics changes to meropenum and amikacin. The baby improved over 2 days. Feeds started again by NGT, Stopped up and IVF tapered. The baby at the point of discharge was on brest feeds + Cup and spoon top feeds. There was weight gain of 20 gm on 2 conscecutive drugs. Baby also had neonatal jaundice and given phototherapy for 3 days. The mother explained about the high risk newborn care at home and travel. Condition on Discharge: Discharge weight : 2 kgs. HC :32 cms Length : 46 cms Advice on discharege: 1. Exclusive breast feeding on demand / 2-3 hours + Cup + spoon feeds. 2. Burp well after feeds. 3. Vaccination as per schedule. 4. Vysyneral drops 0.5-0-0.5 5. Jusdee drops 0.5 OD 6. Syp. Calcimax 2.5-0-2.5 ml Above is the discharge summmay Now my baby current weight is 3.4 kgs (4-12-14), Now we are giving breast feed + dexolac premium 1 40 ml every 2 hrs through feeding bottle. As our pediatrician said we should use spoon feed but baby is not comportable with spoon or paalan feeding. Mother has lack of breast milk hence after breast milk also we used to feed feeding bottle milk. Problem facing: 1. Baby cries while passing motion some days. 2. He used put more pressure while doing motion. 3. Snoring while sleeping or breathing. Our Questions 1. How many months we should continue Dexolac and Those above drops? 2. Is there any separate vaccination chart for preterm baby?If yes please share? 3. How to frequently we should consult pediatrician? 4. Doctor given this drop coliacid, when to use this drop? 5. Is there any special care we should take for these type babies? 6. If we should continues breast milk + dexolac, how many ml we should give for wight wise? 7. Till one and half month we have used to feed feeding bottle milk than breast feed is this problem for baby in future? Please give suggentions for our question and baby problems we are worrying about baby facing problem. Thanks regards, Murali(Baby Father)