Parents and Preemies

A premature or preterm baby is born before 37 weeks of gestation. Preemies often require hospitalization but mom can help her preemie from day one, says Dr. Bixby, a CHOC Neonatologist. “Early on, the best way for a preemie to grow is with the mother’s milk. Moms can start pumping in the hospital and should start pumping as soon as possible after delivery. We also have found that having the parents place the infant on their chests, skin to skin (called “kangaroo care”) helps the baby grow, breathe better and develop better.” Parents should ask their neonatologist and pediatrician about medical issues to watch for as their preemie grows. Keeping up with standard vaccinations and special vaccinations for preemies is also important, says Dr. Bixby.  Parents should also keep up with their vaccinations, particularly influenza and pertussis vaccines, which will protect the baby until the babies immune system has matured and the standard vaccines are completed.

“Premature infants are at risk for developmental delays so parents should be watchful of the developmental milestones, taking into account the appropriate delay from an early birth,” says Dr. Bixby. Preemies visit CHOC’s Early Developmental Assessment Clinic at 6 months of age for a full assessment of the baby’s development and nutritional needs and a referral to the appropriate specialist if necessary, she said, adding, “Parents and families should create a loving and engaging home environment so the baby is encouraged to move around and reach for things and interact with the world and learn.”

Pregnant women are encouraged to seek prenatal care as soon as possible to help prevent a premature delivery and to identify any potential problems that could lead to a preterm birth, says Dr. Bixby. “Pregnant women should see their family practice doctor or obstetrician regularly and get a referral to a specialist if there are concerns about the pregnancy. Good dental care helps too. Research shows that dental disease or poor dentition is associated with preterm delivery. Mom should take care of herself, get some exercise in consultation with your obstetrician and eat well.”


    • Annual cost to society for premature births: $26 Billion+
    • Percent increase over the last 25 years in premature births in the U.S.: 36
    • Number of premature babies born each year in the U.S. (1 IN 9 BABIES): 500,000

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Dr. Christine Bixby
Dr. Christine Bixby
CHOC Neonatologist

PHYSICIAN FOCUS: Dr. Christine Bixby

Dr. Bixby completed her fellowship in neonatology at Harbor UCLA Medical Center and also completed her residency and internship training in pediatrics at Harbor UCLA Medical Center. She completed a fellowship in neonatology in a joint program between CHOC and Harbor UCLA Medical Center. Dr. Bixby specializes in caring for premature infants and is involved in research studies focusing on issues related to breast milk, establishing a milk supply and using breast milk for premature babies.

Dr. Bixby’s philosophy of care: “My philosophy of care is to bring in the parents and family as part of the health care team and making sure they are educated and comfortable with the care we are giving their children.”

University of California, Davis, School of Medicine

Pediatrics Neonatal-Perinatal Medicine

More about Dr. Christine Bixby

This article was featured in the Orange County Register on April 28, 2104, and was written by Amy Bentley.