Premature Baby Weight: Expectations and Concerns (2024)

Premature Baby Weight: Expectations and Concerns (1)Share on Pinterest

If you’re worried about going into labor early or have delivered your new bundle of joy a bit earlier than expected, you’re not alone. About 10 percent of all births in the United States are premature (preterm) babies.

Sometimes babies are born prematurely for no reason at all. There is nothing you could have done differently, and your doctor could not have stopped it.

Premature babies can arrive 3 to almost 15 weeks earlier than the approximate due date at 40 weeks. How early a baby is born makes a difference in your baby’s health and in their birth weight.

Premature baby weight also affects how healthy your little one will be. The end of the third trimester is when babies gain weight quickly to get ready for birth. Some babies gain weight faster than others but an early delivery often means a small baby.

Remember, healthy babies come in all different sizes. However, babies that are born too tiny may face more challenges and need to do some growing before they can go home.

Fortunately, neonatal (newborn) care and incubators can help most premature babies catch up in growth and development. Babies born as early as 25 weeks have a survival rate of up to 81 percent, while a baby born at about 34 weeks can have a survival rate of 100 percent.

In the third trimester your baby is finishing off developing and the focus turns to gaining weight. At about 31 weeks of pregnancy babies begin to gain weight very quickly. A baby can more than double their weight in only about 10 weeks.

Your little one weighs only about 3 pounds at week 30 of pregnancy. Most full-term babies born at about 40 weeks of pregnancy weigh an average of 7 1/2 pounds. This is why the earlier a premature baby is born, the smaller and lighter they might be. However, even full-term babies can also sometimes have low birth weight.

In the United States, about 8 percent of babies have low birth weight. This means that they are born weighing at or less than 5 pounds, 8 ounces. Only about 1.4 percent of all babies in the United States are born at a very low birth weight of less than 3 pounds.

Many factors can influence your premature baby’s weight including pregnancy complications, infections, and maternal behaviors. But one of the primary factors in an early arrival and lower birth weight is carrying more than one baby.

Expecting multiples

If you’re pregnant with twins, triplets or other multiples, your babies have a higher chance of being born early and on the smaller side.

In the United States, only about 2 percent of singleton babies are born early preterm, or at less than 34 weeks. That percentage jumps to almost 20 percent for twin babies and up to 63 percent for triplets.

Having quintuplets (5 babies) or more in one pregnancy? There’s almost 100 percent chance that your babies will be born early preterm.

The more babies you are carrying in one pregnancy, the shorter your pregnancy will likely be. This is simply because the babies outgrow your uterus (womb) faster. More babies sometimes also means more complications during pregnancy.

Twins, triplets and other multiples of babies are also more likely to have a lower birth weight than singleton babies. Twin babies are up to 55 percent more likely to weigh less than 5 1/2 pounds, compared to only 6.6 percent of single babies. Triplet babies have up to a 95 percent chance of being having low birth weights.

Other causes of low birth weight

Some babies may be born only slightly early or even full term and still have low birth weight. There are not usually any symptoms that your baby will be born low birth weight. This is why going to all prenatal checkups is so important.

Issues during a pregnancy can sometimes slow down a baby’s growth. This might happen due to:

  • problems with the placenta inside the womb
  • the mother’s health
  • a health condition in the baby

A pregnant woman’s bacterial or viral infection can also cause low birth weight. These include:

  • cytomegalovirus
  • toxoplasmosis
  • rubella
  • syphilis

Other causes of low birth weight include:

  • mother’s age (under 17 years or over 35)
  • smoking during pregnancy
  • drinking alcohol while pregnant
  • using drugs before or during pregnancy
  • heart disease
  • high blood pressure
  • some autoimmune diseases
  • poor nutrition before and during pregnancy
  • poor healthcare during pregnancy
  • exposure to lead
  • problems in the shape or size of the uterus (womb)

There are also genetic factors. If one or both parents are small or your previous babies were born at a lower birth weight it’s more likely your baby will have a lower birth weight.

The lower the birth weight, the higher the chance that a baby may have complications including long-term health problems. Premature babies may need medical care right away to treat:

  • low blood sugar levels
  • low oxygen levels
  • breathing problems
  • low body temperature
  • infections
  • difficulty feeding
  • difficulty gaining weight
  • bleeding problems
  • digestive problems

Very low birth weight (about 3 pounds) babies have the highest risks of long-term health issues, such as problems with:

  • vision
  • hearing
  • breathing
  • learning
  • digestion

These very low birth weight babies may also have

  • cerebral palsy
  • heart problems
  • sudden infant death syndrome (SIDS)

Low birth weight babies are usually treated in the neonatal (newborn) intensive care unit (NICU) immediately after birth. Treatment includes:

  • oxygen
  • help with breathing
  • temperature controlled incubator
  • special feeds sometimes with a tube
  • vitamin A and other nutritional supplements

Many babies who are premature also have trouble with feedings and coordinating their sucking and swallowing. This can mean a longer process to achieve weight gains.

Your baby will be weighed and have their height measured. Your doctor will also check the circumference (size) of their head. A baby’s head size is an important sign of good growth and development after birth.

Most premature babies with low birth weight catch up in weight and growth by the time they’re about between 18 and 24 months old. Your baby’s pediatrician will chart your baby’s weight gain against other babies of the same age and sex, to show how well they are doing.

Premature babies usually have low birth weight. Premature or preterm births are most common with twin and multiples pregnancies. The more premature your baby is born, the more likely they’ll have a lower birth weight.

Lower birth weights increase the chances of complications and some long-term health problems. However, it’s important to remember that, while you can’t control every factor, making healthy choices during pregnancy and keeping up with prenatal care helps to give your baby their best start.

Premature Baby Weight: Expectations and Concerns (2024)

FAQs

Premature Baby Weight: Expectations and Concerns? ›

Infants born between 32 and 34 weeks are called moderately preterm and weigh between 3 and 5 pounds and those who arrive between 28 and 32 weeks (very preterm babies) can range in weight from 2 pounds, 7 ounces at 28 weeks to 3 pounds, 15 ounces at 32 weeks, depending on the sex.

What is the safe weight for a premature baby? ›

But thanks to medical advances, children born after twenty-eight weeks of pregnancy, and weighing more than 2 pounds 3 ounces (1 kg), have almost a full chance of survival; eight out of ten of those born after the thirtieth week have minimal long-term health or developmental problems, while those preterm babies born ...

What are the biggest concerns for premature babies? ›

Short-term complications
  • Breathing problems. A premature baby may have trouble breathing due to being born with lungs that aren't fully developed. ...
  • Heart problems. ...
  • Brain problems. ...
  • Temperature control problems. ...
  • Digestive problems. ...
  • Blood problems. ...
  • Metabolism problems. ...
  • Immune system problems.

What to expect when your baby is in the NICU? ›

There are a lot of different kinds of machinery and equipment present in the NICU to help each little one receive as much monitoring, care and support as possible (including heart and blood pressure monitors, IVs, temperature monitors, respirators and other apparatuses to help babies get enough oxygen).

How often should premature babies be weighed? ›

Weight gain is monitored closely for all babies. Premature babies with slow growth appear to have more delayed development in research studies. In the NICU, babies are weighed every day. It is normal for babies to lose weight in the first few days of life.

What weight should a baby be to avoid NICU? ›

Nearly all low birthweight babies need specialized care in the Neonatal Intensive Care Unit (NICU) until they gain weight and are well enough to go home. Fortunately, there is a 95 percent chance of survival for babies weighing between 3 pounds, 5 ounces, and 5 pounds, 8 ounces.

When are premature babies out of danger? ›

Most babies born after 26 weeks survive but a small number do not. For some of those who do survive, being born prematurely will mean that they have significant lifelong challenges or disabilities. The chance of survival increases with each additional week of pregnancy and the risk of disabilities reduces.

Do premature babies have growth issues? ›

Some prematurely born infants will experience severe growth problems as a result of multiple complications, while others will recover more quickly and make early "catch-up" gains.

Do premature babies have delayed milestones? ›

Reaching developmental milestones may take a little longer for premature babies by comparison with babies born at full term. This is because they are younger. Your baby will be assessed according to their 'corrected age'. This is your baby's age from your due date, rather than the day they were born.

Which condition is considered the most extreme case of prematurity? ›

The most extreme issues occur in babies born at less than 28 weeks. These are cases of extreme prematurity. They often weigh less than two pounds at birth.

How often should I visit my baby in the NICU? ›

There is no right or wrong. Just try to do what feels best to you. If you want to visit your baby often, great. If you want or need time away from the NICU, that's fine, too.

How long do premature babies stay on CPAP? ›

Providers at Columbia University Medical Center have pioneered the use of bubble CPAP in neonates. The “Columbia method” describes an expert opinion approach of prolonged CPAP use [9] in which it is rare to wean CPAP prior to 32 weeks PMA and on average CPAP is continued until 34.5 weeks PMA.

Do babies remember being in NICU? ›

Even though the infants will not remember the distress, it's believed these painful experiences add up to something like a lasting psychological injury, impacting brain development and their ability to regulate emotions later in life.

When should a preemie double weight? ›

A baby can more than double their weight in only about 10 weeks. Your little one weighs only about 3 pounds at week 30 of pregnancy. Most full-term babies born at about 40 weeks of pregnancy weigh an average of 7 1/2 pounds. This is why the earlier a premature baby is born, the smaller and lighter they might be.

Is up to 7 lbs preemie? ›

Preemie babies typically weigh between 1.5 and 7 pounds. A 1.5lb baby may be born at 22 weeks, whereas a 7lb baby may just be a couple of weeks early. Micro-preemie is a term often used to describe a baby under 3lb. The smallest preemies can be as small as 8 inches long.

What helps premature babies gain weight? ›

There are many ways to do this:
  • Adding specific nutrients to the milk such as fat, protein or sugars.
  • Mixing your milk with preemie formula. This is common if your baby needs more milk than you can currently supply.
  • Human milk fortifiers. ...
  • Giving more "hind" milk to the baby.

Can a preemie go home at 4 pounds? ›

Your baby may be healthy enough to go home soon after birth, or they may need to stay in the NICU for special care. Your baby can probably go home from the hospital when they: Weigh at least 4 pounds.

How much weight should a premature baby gain per month? ›

Otherwise healthy preterm infants first catch up in head circumference, then weight and length. Weight gain of 20-30 g/day is desirable in preterm infants (>2 kg). Increases by approximately 1.1 cm/wk until term. From term-3 months, 0.75 cm/wk.

How much should a 3 month old preemie weigh? ›

Clothing Size Chart for Premature Babies
Baby ClothingWeight (lbs / kg)
Newborn6-9 lbs / 2.7-4.1 kg
0-3 months (3m)9-12.5 lbs / 4.1 - 5.7 kg
3-6 months (6m)12.5 - 17 lbs / 5.7 - 7.7 kg
6-9 months (9m)17 - 21 lbs / 7.7 - 9.5 kg
4 more rows

Is 4 pounds a preemie? ›

If your baby weighs less than 2,500 grams (5 pounds, 8 ounces), he or she has a low birth weight. Babies weighing less than 1,500 grams (3 pounds, 5 ounces) at birth are considered very low birth weight. Babies who weigh less than 1,000 grams (2 pounds, 3 ounces) are extremely low birth weight.

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