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Align the Spine, Align the Band
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The earliest I have used abdominal support is right around 27 weeks. This is often on babies born younger than 27 weeks as the safety criteria in place in my setting includes waiting 7 days after birth for skin maturation and feeding advancements to ensure GI function, rule out underlying pathology and ensure skin integrity. For those not ready to use at younger ages, I started with abdominal rehabilitation after CPAP in older babies.
It has been used in humidity in my center without issues. Level and duration of humidity differ center to center as do standards for cleaning beds, etc.
The band is opened at each diaper change. Therefore, abdominal assessments and skin checks are done with the same frequency as when not on the band if you are swaddling, positioning prone or covering incubators between cares as part of typical care. If there is a concern which necessitates constant visualization of the abdomen, this would contraindicate using a band.
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