Il`li I I {   I
  .................... · ·····-··.. .  V _ ____
Ii   I B U Y I N G T I M E I
A    I
I   I  I
tg   1
  l   IL
"
I'   .......................... . .............................................. . , ,  I
wl l >
li l _ H BY SUSAN H. DONOHEWANDLISSA D.ATKIl\l$  l>¤l>v’Sl
  ” immy was hom too II IIV _,,[5     _ ':_V [_ It v VV VVV   _  VV  T  V_ ' V    _;?   ___,_   ‘_ } _ __;/V     _ substan
II $°°“· Wmghlng °“IY 600 I  *7           ‘* ' I I III,   {/Iii  V ml {ON
·   I          ·/   I I    ,I<  M Ir ’V·. 1     is    I · ·
l g[`2·[`[lS     5 ozs.), he   In V                   ‘ r         gclVcl1t10r
· ‘ arrived at 26 weeks, 14   Ir     I I ’       _’V I.I_, I   I, I   _» - thm mu
I i weeks CHTIY of being Full term TOdaY» I /I»I   I‘II2I   I  II     I»II    II   ”     I  SUPPIY
il rirrrr weeks later, ins eyciras are stm     *   ·;/~W;‘ I I_I_‘‘‘ 5     *       r iirrnatnrr
II liusccl, and he ean’t maintain his body   I _ IQ ·,II·' I   ’ x  I'iI             _I_IIII     The i
lj · ·   i   '' ’   Iféfa ?     _._.   .·    lk? 1
ll temperature. HIS mOSt S€I`1OUS     ‘»~   V  -j.;V ‘=‘¢         -     I-lg,  , many p
  problems are his inability to breathe I I ,2   r _  ;?§£ VjV       _.i· I Ii ·     ‘, with or
IL and to digest {ood properly. Five years I I ’ VE -  "     Iliv V   V 1   II,     ‘ ··      V digcasc
I "g" lm l’“’I’*‘I?IY ‘”°¥‘I?I haw d‘€d‘ ll     IIIi   VIII I  *      ·ei‘ ”  ‘??PiZ  ‘ IIS lhatt
ll Instead he is surviving because of I {I V  I VV  v‘’vi·   VV VV V·r··¤·r   _»I··A VV   I Oxygen
ll advances in neonatal care, speciheally       _ _,I___   I   I   ‘ iiliiiii  if,  I IIUY PUI
l in the use ol ventilators and improved     I.»       I 'i·_       major p
`Z Iormulas. Not all babies, however,      IIII V II II        I [lm; wh
ti respond to the new techniques; others I       I r I iii    ,,,,,,_ I IIIIII   IIi~/   ””'”W lii  I IIV  I I for-ged i
improve but still develop serious nj I  I’I »»¤Me’” “’’II "" IIIA { )IIIII   II       I causes t
complications. Partially supported by     ’‘‘/ I I VV       It   V   V     I I  ‘ I I Oyercxp
. · . - "·¥I WV,,,,,.,»¤// I,  (yp, I"_Ur   V ' _ -7 ,I. -3 . V   ’·’ V. pf '
lundmg through the Infant Intensive ~     V VV,.      z wjy/V  V if    ··;·_.· V   { I  V   . rupture
l ( M l’·‘<»s·*·¤¤ » thc UK Medical ‘  I  IIII   Jil   C  -IiI I.   II’*   ”¢  ‘tt' "  I  ‘_I   tII‘I’‘·   _ · t I  - ct est ca
I (leutei‘Is three nconatologists; M.         V 2      I   IM,   3    - Vent
E l)ouglas Cunningham, head ol   II   ·I,II A I   V  I ·i,,,  i/I IIII 5I    I   I  develop
V neonatology; Nirmala Desai; and   ,   ‘ ·I  V M  VV,_     VV  _/     I I I,  tl< signe
ll 'l`homas Pauly are linding new ways to    .-  V   II‘-   ’II`   {   inl`gnt5_
  treat these mlants. i VVVV VV;TI..»·’ I   5 I   ,  . . · th-; sur\
·; l\Ilélll1ll{lIlgIll(‘ Neonatal Intensive Vl    lk ’ n O   V;}  l incpcasq
lll (Zare Unit (NICU), the neonatologists   VV   I ` `~*    Q 1960s, 1
  treat ($50 to 700 premature and {ull-     VV J  II    I W   wt;igh€(
. term inlants each year. According to     ’I  ·‘·I   “ II       lalc 197
Q l)r. Pauly, (v0 percent ol all the babies       2 V   V    ‘ baby we
l have respiratory disorders. For il VV   ’  l   ~-I  t 1  (jmnjn
  I premature inlants, their respiratory      IVV il / V        . pr {Cent
ll   problems arise from lung inunaturity. f °`*   V  _VVI_I   IIIII [ ii    II_V I   _ ‘I infant. I
l V "Il`hc lung is the last organ to I   V       I   ,I__._,V,   I   survivaj
lz Ixtomt lull) dtxtloptd lll tht Ittus,· II,_   ..  _   _,,I· I ,   VV  to save
{ I says l)r. (iunmngham. When babies   V V p .·    V it  I  VVV   ~ lnl‘3_mS_
·I I are horn early. their lungs clon`t have      I   out M    IIII   -
_ 1 (lll. lm.(ilumll.ul (H. (Ilu.mlCul maturity IVI. Douglos Cunninghom, chief ol neonotology, exomines one ol the NICU potienfs. I  ° ° ° ° `
‘ l'(`(lllll`(`(l to sustain their respiratory I .V myw-
· ueetls.II   Wi
ll i Normally. babies` lungs secrete a th€m_th€y>r€ dimcult to Separate     I
    suI>stanVce. surlactant, which keeps the while they’re still wet. But, if you mix a ~l ~~·.
{ l walls ol the alveoli lrom adhering. HTHE LUNG IS THE LAST detergent with the water, the gl&SS€$ ali" i rt   
;_ Surlactant is a mixture ol` chemicals easily pulled apam  I 
jr [llll[ ['(`(llll`(`S lll(` lcllslon Pl`0(IU“`(I xvhcn         surfactant SCI"/CS a Sirrlilar function l   i i IIII
l V l?\`U`slll`I;lti(‘SVl`tll)<[()g(‘(l1(jl`_ Phosphate in the lungs because it allows the lungs VwV  IV __ .,
S   t (tt igents haw some ol the same DEVELOPED IN THE F H to remain pliable, However, th1S  
i l PIUPCI ties as surlactaut. l' or example.   Chemical lSn’t fully developed in the  
sl when you wash two smooth glasses- fetus until the 35th week (eight TDOUYIYS  I   II I
Il;