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Neonatal Intensive Care - NICU

Parenting in the NICU - a quick look

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Learning about the NICU and ways of helping and bonding with your preemie can help you manage some of the stress and uncertainty associated with a preterm birth.


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Finding special ways to connect & understand preterm birth

The joy of childbirth is often short-lived for parents of preterm babies. Isolation from your newborn, extended hospital stays, and the uncertainty associated with medical procedures, takes a massive emotional and physical toll. This section has been created to help you navigate your way through some tough times. It covers everything from family-centred care, tips on how to bond with your preemie, helping out in the NICU, what to bring, to learning to read your prem's body language

 


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Neonatal Intensive Care - NICU

When a baby is born too soon his/her body is underdeveloped and can be very fragile. As a result, preterm babies often need specialist care, in a Neonatal intensive care unit, or NICU for short.

Other terms for the NICU, depending on the country and hospital include, special care baby unit, (SCBU – United Kingdom), intensive care nursery (ICN), special care unit (SCN), and newborn intensive care unit.

What is a Neonatal Intensive Care Unit?

The NICU is a highly technical and specialised unit in a hospital that provides medical and nursing care and support. The medical and nursing staff use the latest advances in medical technology, to help sick and/or high-risk preterm babies.

The length of time your preterm baby will be in the neonatal intensive care unit will depend on how early and small he/she was born and on how unwell they are. It is not always easy to predict how long a baby must stay in the neonatal intensive care unit but most preterm babies stay in the NICU until their due date. So if your preterm baby was born 8 weeks too early, you should expect your baby will be in neonatal care for eight weeks. Because preterm babies have underdeveloped bodies they must learn to breathe by themselves and grow before it is safe to go home, although sometimes babies will be sent home with oxygen if they are coping well in general. The neonatal intensive care unit can become like a second home for families of preterm babies; parents spend many hours each day with their babies.

Levels of Neonatal Care

In Australia, the level of neonatal care required is structured into 3 levels. Your preterm baby might be transferred between levels of care depending on how they are progressing. If you are confused as to why your preterm baby is being moved, don’t be afraid to ask.

Neonatal Level 1

  • Is a neonatal nursery for uncomplicated pregnancies and relatively well infants without complications
    • Gestational age of 37 weeks or more
    • Birth weight of 2,500 grams or more
  • Undertake observation or some special treatment, such as phototherapy for jaundice
  • Manage infant care and consult with, or organise transfer to, higher levels of care
  • Provide emergency resuscitation and stabilisation
  • Assist with simple ways to progress your babies health, such as establishing feeding

Neonatal Level 2

  • Are nurseries for infants who are unwell or who are requiring more involved medical treatments
    • Gestational age of 34 weeks or greater
    • Majority are born between 35 and 36 weeks gestational age
    • Birth weight 2,000 grams or more, including preterm babies and recovering infants
  • Infants may require incubator care for short term problems and mild complications
    • Oxygen requirement (not greater than 40%)
    • Monitoring for apnea and blood glucose
    • Intravenous therapy
    • Phototherapy
    • Gavage feeding (i.e. feeding with a tube)

Neonatal Level 3

  • Are nurseries for very sick and very preterm babies requiring neonatal intensive care
  • Provide all of the above plus;
    • Continued assisted ventilation
    • Require oxygen therapy (more than 60%) for more than 4 hours
    • Tracheostomies requiring IPPV or CPAP
    • Require an arterial line (thin catheter inserted into the artery) for continuing blood pressure monitoring
    • Babies who are having frequent seizures
    • Babies undergoing major surgery or recovering from surgery
    • Babies undergoing tracheostomy
    • Babies who need one-to-one nursing care)
  • Care usually includes ventilation and careful monitoring of heart rate, oxygen, and temperature

Extra Research: Neonatal Intensive Care

Approximately 40,000 infants are admitted to special and intensive care nurseries each year in Australia and of these around 21,000 are born preterm. Additionally, in 2005 6,044 infants were admitted to level 3 neonatal intensive care, of which 78.0% were preterm babies and 70.7% were low birth weight.

(Laws, Abeywardana, Walker, & Sullivan, 2007)

 


Technical References

Laws, P., Abeywardana, S., Walker, J., & Sullivan, E. (2007). Australia's mothers and babies 2005 (No. 13). Sydney, Australia: AIHW National Perinatal Statistics Unit.

 

 



AlbertEinstein_iconOne of the greatest minds in history, Albert Einstein was born preterm.

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Preemiehelp.com is here to provide preemie information, community and solutions to the people that need it most... you!
Preemie Help is also looking to provide a resource for any professionals that have contact with preterm babies and children in order to help them best understand the challenges that face a preemie. Get in contact to help us impact preemies.

Preemie, Premmie, or Prem?

Most babies spend between 38 and 42 weeks in their mother’s uterus. So, technically a preterm birth, preemie, premmie, or prem, is an infant who is born less than 37 completed gestational weeks. 


Read More: Defining Preterm birth


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New Release - Preemie Development

All in one easy to read eguide

‘The complete preemie guide to: ‘Preemie development’ is the must have guide to the NICU for new preemie parents.

With an easy-to-read layout this comprehensive guide is over 130 pages of important information about the NICU and your preemie.

Using Adobe’s .pdf format makes the guide usable across a wide range of platforms from ipad to PC, smartphone to macbook.

Packed with extra features like progress charts, NICU checklists and plenty of others. ‘The preemie guide’ is a must for any new parents.


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