Caring for a premature baby at home requires special attention, especially concerning their feeding, body temperature, and protection from infection. If you’re about to bring your premature baby or preemie home, this guide details valuable pointers to help ensure their safety, comfort, and overall health.
Maintain a Safe and Nurturing Environment

Preemies have underdeveloped immune systems, making them highly susceptible to illness. Make sure to wash your hands frequently, and ask all family members, including visitors, to do the same before touching your baby.
For the first several months, restrict the number of visitors and require anyone who is sick to stay away. Limit your public outings and avoid crowded public places, especially during the cold and flu seasons.
Keep your baby’s sleeping environment and entire home smoke-free, as exposure to smoke increases the risk of sudden infant death syndrome (SIDS) and respiratory infections. Minimize loud noises and use dim lighting, especially at night, to avoid overstimulating your sensitive preemie.
Monitor Health and Development
Caring for your preemie involves careful monitoring of their health, growth, and development, which continues after they’re discharged from the hospital. Regular communication with your pediatrician and other specialists is crucial to ensure your little one is thriving. Your pediatrician will use specialized charts to monitor your baby’s progress.
Watch out for warning signs and call your doctor immediately if your preemie shows any signs of illness, such as difficulty breathing, a fever, excessive sleepiness, or feeding. An intraventricular hemorrhage is also common in premature babies, so take time to educate yourself or ask your doctor about what is intraventricular hemorrhage and its common symptoms.
Establish a Proper Feeding Routine
Work closely with your baby’s healthcare team and a lactation consultant to establish a feeding plan. Breast milk is ideal for preemies as it contains easily digestible nutrients and antibodies. However, small and very premature infants may require special formula or supplements, such as iron and vitamins, for proper growth.
Premature babies also have small stomachs and tire easily, so they need more frequent feedings. You may need to wake them up to feed them to ensure they’re getting enough nourishment and prevent dehydration. Look for signs of hunger, such as restlessness or stirring, instead of waiting for your little one to cry.
Learn Essential Baby Care Skills
Skin-to-skin contact is a powerful way to bond and can help regulate your baby’s heart rate, breathing, and body temperature. Practice kangaroo care by holding your baby, usually wearing only a diaper, against your bare chest for at least an hour daily.
Since premature babies can be easily stimulated, remember to engage with your baby gently. Talk, read, and sing softly to your little one. Observe your baby’s cues for when they need a rest from interaction.
Practice Safe Sleep Habits
To reduce the risk of SIDS, always place your preemie on their back for every sleep, day and night. Create a clear sleeping area and make sure to use a firm mattress in the crib or bassinet. Remove all pillows, blankets, bumpers, toys, and loose bedding from your baby’s sleep space. If your doctor approves, swaddling can help your preemie feel secure.
Endnote
Caring for a preemie can be exhausting and emotionally overwhelming. Lean to others for support, remember to care for yourself, and seek professional help if you experience signs of postpartum depression.