Introduction The purpose of this paper is to identify a problem evident in the clinical setting, state a proposal to counteract the clinical problem, and review literature which supports best clinical practice. During the first twelve hours of the neonate’s life, the neonate adjusts and transitions to the extra uterine environment (Nix, n.d.). Research has shown that during this transitional period, the neonate is at a high risk for hypoglycemia and hypothermia (Nix, n.d.). Furthermore, neonatal skin to skin contact with its mother is highly recommended during the first few hours of life, for proper thermoregulation, maternal-infant bonding, and exclusive breastfeeding success.
According to Indira & Jyotsna (2015), “hypoglycemia is one of the most common metabolic problems seen in the newborn nursery.” Early newborn hypoglycemia and prolonged hypoglycemia can lead to mental retardation and brain damage (Indira& Jyotsna, 2015). A newborn is deemed hypoglycemia if their
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Newborn case fatality rates associated with hypothermia range from 8.5% to 52% (Lunze et al., 2013). An estimate of eighteen million infants are born with a low birth weight annually, and sixty to eighty percent of neonatal deaths are accounted for due to low birth weight (Lunze, 2013). Premature infants and infants with a low birth weight are at increased risks for becoming hypothermic due to insufficient amounts of brown fat. A systemic review and meta-analyses were conducted to analyze infant hypothermia (Lunze, 2013). Through research is was found that factors associated with hypothermia include environmental, physiological, behavioral, and socioeconomic (Lunze, 2013). These various factors encompass seasonal weather, anatomic characteristics, hypoglycemia, early bathing, and infants born to young and unexperienced mothers (Lunze,
Uebel, P. (1999). A case study of antenatal distress and consequent neonatal respiratory distress. Neonatal Network. 18 (5). 67-70
Cord clamping has long been practiced to occur immediately after birth of a neonate. There is much discussion and evidence based practice that shows improvements to health when we delay the clamping and cutting of the umbilical cord. Delayed clamping allows for more nutrient rich blood to flow to the infant’s body, which is going through shock at birth. Early clamping is generally done between 10 seconds after expulsion of the fetus to one minute , whereas delayed clamping ranges from two minutes until the cord finishes pulsating. The research collected will analyze early clamping and delayed clamping to see which practice is found to be healthier for mother and child.
He also suggested drying the neonate and providing tactile stimulation to encourage breathing, and covering with a dry blanket to maintain warmth. If after thirty seconds of tactile stimulation, the neonate’s breathing is not sufficient, paramedics should follow protocol for newborn resuscitation, see appendix (L) (QAS, 2014; Saunders, 2012). If the neonate is breathing adequately, leave the newborn with the mother and encourage breastfeeding, which stimulates the nipple resulting in a release of oxytocin which promotes uterine contractions (Stables & Rankin,
Mphahlele, R. R. (2007). Caring for premature babies - a clinical guide for nurses. Professional Nursing Today, 11(1), 40-46.
The journal associated with this organization is Advances in Neonatal Care. This information was established through the website and the Co- Editors ...
Neonatal nursing is a field of nursing designed especially for both newborns and infants up to 28 days old. The term neonatal comes from neo, "new", and natal, "pertaining to birth or origin”. Neonatal nurses are a vital part of the neonatal care team. These are trained professionals who concentrate on ensuring that the newborn infants under their care are able to survive whatever potential life threatening event they encounter. They treat infants that are born with a variety of life threatening issues that include instances of prematurity, congenital birth defects, surgery related problems, cardiac malformations, severe burns, or acute infection. Neonatal care in hospitals was always done by the nursing staff but it did not officially become a specialized medical field until well into 1960s. This was due to the numerous advancements in both medical care training and related technology that allowed for the improved treatment and survival rate of premature babies. According to the March of Dimes, one of every thirteen babies born in the United States annually suffers from low birth weight. This is a leading cause in 65% of infant deaths. Therefore, nurses play a very important role in providing round the clock care for these infants, those born with birth defects or other life threatening illness. In addition, these nurses also tend to healthy babies while their mothers recover from the birthing process. Prior to the advent of this specialized nursing field at risk newborn infants were mostly cared for by obstetricians and midwives who had limited resources to help them survive (Meeks 3).
While a woman is generally safe from complications from gestational diabetes, there are some very big risks to the baby. If gestational diabetes goes undiagnosed, there is a greater risk of stillbirth. Other complications can include a condition called macrosomia, where the baby is born weighing 9 ¾ pounds or more. Excessively large babies can make delivery more difficult for both mother and child and as a result, birth injuries are more common in these babies. Other problems include hypoglycemia in the baby shortly after birth. The risk of gestational diabetes is higher in women who are over 30 years old, have a family history of diabetes, are obese, and those who have previously had a macrosomic baby.
This study is a clinical trial that aims to find out the effect of massage on behavioral state of neonates with respiratory distress syndrome. The participants were 45 neonates who hospitalized in neonatal intensive care unit of Afzalipour hospital in Kerman. Parental consent was obtained for research participation. The inclusion criteria included all infants born with respiratory distress syndrome, less than 36 weeks gestational age and without of any the following conditions: contraindication of touch, skin problems, hyperbilirubinemia, anemia, respirators, chest tube, addicted mother, congenital and central nervous system disease. Infants entered the massage protocol during the second day after starting enteral feeding, because the initiation of enteral feeding means that the infants in physiologically stable [12]. The researcher determined if infants met the study criteria. After initial assessment, the infants were entered to the group. The infants received 45 minute periods of massage intervention per day for 5 days. Each infant received tactile/kinesthetic stimulation, 15 minute periods at the beginning of three consecutive hours. Each massage always started at approximately 30 minutes after afternoon feeding and provided by one or two trained nurses. The 15 minute stimulation sessions consist of 3 standardized 5 minute phases. Tactile stimulation was given during the first and third phases, and kinesthetic stimulation was given during the middle phase. For the tactile stimulation, the neonate was placed in a prone position. After thorough hand scrubbing, the person providing stimulation placed the palms of her warmed hands on the infant’s body through the isolate portholes. Then She gently stroked with her hands for five ...
According to Lucile Packard Children’s Hospital, “In the United States, nearly thirteen percent of babies are born preterm, and many of these babies also have a low birth weight.” The baby may be put into the NICU for varies reasons. However, the most common reason that a child is put into the NICU is because he or she is premature. Premature means the baby was born before the 36 weeks. It is never good for a baby to be born early, as this could mean that the baby is not fully developed. There are other factors as to why a child may need to be put into the NICU after birth. For instance, birth defects can be the cause of why a baby is put into the NICU. A baby may be born with an infection such as herpes or chlamydia which can damage the newborns immune system at such a young age. Low blood sugar or hypoglycemia can also cause an infant to be put into the NICU. Some maternal factors of why a baby may be put into the NICU is if the mother is “younger than 16 or older than 40.” If the parent may be an alcoholic or expose the baby to drugs, this can put the child into NICU care. If the parent has an STD or sexual transmitted disease, the baby is most likely going to have to be put into the intensive care unit. “Twins, triplets, and other multiples are often admitted into the NICU, as they tend to be born earlier and s...
By remaining exclusive to human milk, the premature infant has an increase in benefits and outcomes. This change in recommendation is due to the benefits of human milk which include “decreased rates of late-onset of sepsis, necrotizing enterocolitis, retinopathy, sudden infant death syndrome, fewer re-hospitalizations in the first year of life, and improved neurodevelopmental outcomes.” (Underwood, M. A.). Due to an underdeveloped gastrointestinal tract, it is shown that preterm infants require smaller amounts of human milk than a full-term baby. It is crucial to teach mothers of preterm infants, that the colostrum or milk they produce is sufficient. If the mother does not produce enough milk, she should be directed to a donor human milk bank or talk to a lactation consultant. Nevertheless, it is crucial nurses emphasize the importance of reducing formula feeding and implement exclusive
Low birth weight (LBW) has become a public health problem in many regions of the world and it is the predominant cause of infant mortality. According to statistics of World Health Organization, there are about 30 million of low birth weight babies born in the world annually. Low Birth weight can be defined as the birth weight of a new born baby of less than 2.500 Kg regardless their gestational age at birth. This can be seen on both preterm babies as well as mature babies who have slow prenatal growth rate. Infants who are Low Birth Weight are more likely to have both short term and long term severe health consequences.
...n level in the blood which is hyperbilirubinemia. The woman’s baby may be at risk for also developing diabetes and obesity. If you have had gestational diabetes you are at a higher risk for developing it again during future pregnancies.
Warning signs in other cases may be an indication of very high glucose levels, though the symptoms may vary in different people, the possibilities of individuals experiencing the same symptoms are likely. Following are some symptoms encountered by children whose blood sugar is very high. Deep, rapid breathing may take place, their ...
Failure to thrive (FTT) in children and infants, results from inadequate nutrition to maintain the growth and development. In many cases, FTT is either the result of possible medical issues that the mother or child may be experiencing. It However, in the extreme form, it could become fatal and many times this is the result of a caregiver or parent. In the paper, we will look at the causes, interventions and the impact that FTT may have on families (Shelov and Altmann, 2009, p.614).
Interest in the care of newborn babies has seen many different changed over the past century. It began in the late 1800s as attempt to support small and fragile premature babies using modified incubators, which were designed for the use of chickens but ended up using to keep premature babies warm. The care of newborns moved through many exhibits and into the 1900s. 1930-1950 in-hospital nurseries arose people to focus on the care of new born babies.