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Not all parents have the luxury of bringing their newborn home after birth. In the United States, 10 to 15 percent of babies born wind up in the Neonatal Intensive Care Unit (NICU) due for reasons including prematurity, heart problems, birth defects, breathing irregularities and infections, among others (Knispel).
A preterm infant is defined as a baby who is born less than 37 weeks gestation. Upon arrival preterm infants are faced with more health challenges than a full term newborn. Preterm infants can experience: anemia, respiratory distress syndrome, low birth weight, hypoglycemia, among others. (Lee, 2011).
According to an article in the Parenting magazine, the parents of baby Abigail were shocked beyond belief when they discovered that their pregnancy had come to an end at only 35 weeks, labeling Abigail a preterm infant. They were also completely unprepared for the weeks that followed her birth. Although Abigail went on to live a healthy life, this is only the case for some babies (Epel). Despite the NICU being a foreign environment for Abigail’s parents, their involvement is what led to her success in the NICU and developmentally. Parenting behavior strongly effects a preterm infant’s
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Breast milk is said to digest easily in infants, provide an opportunity for skin to skin contact, and help in fighting infection, among others (as cited in the article, “Breastfeeding vs. Formula Feeding,” para. 7). In particular, babies benefit psychologically from breast milk. Mother and baby get the opportunity to bond, which strengthens maternal affection, and babies also develop a sense of trust and attachment with the mother. Authors at the Clinic Perintalogy state that, “The feeding of human milk (milk from the infant’s own mother; excluding donor milk) during the NICU stay reduces the risk of short-and long-term morbidities in premature
Uebel, P. (1999). A case study of antenatal distress and consequent neonatal respiratory distress. Neonatal Network. 18 (5). 67-70
The very low birth weight are newborns that weigh less than 3.3 pounds (1,500 grams). Unfortunately, newborns that are under 3.3 pounds (1,500 grams) do not often survive, and the ones that do have delayed motor skills and cognitive development. The numbers decrease further to extremely low birth weight of 2.2 pounds (1,000 grams), where chance of life is very small. Low birth weight babies 1,500 grams – 2,500 grams (3.3 -5.5 pounds) have a good chance they will survive with proper care. Newborns that are small-for-date are placed in incubators that are sealed beds where temperature and air quality is regulated. The beds isolate the infants from pathogens and the environment. The babies need sensory stimulation to grow, so a recorded tape is played of the mothers soothing voice. Visual stimulation from video, and tactile stimulation helps foster physical and cognitive development in the baby. At five months while the fetus is in the womb ithas sensory capabilities, and can hear the mother’s heart beating, food digestion, speaking, and others speaking to her! The incubator stimulates this environment. There is great success with proper attention and care to the low birth weight babies, and. Many of the low birth weight babies are effects of parents that live in poverty, unable to access adequate medical care, and they experience stress due to an unhealthy family life.
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).
Neonatal nursing is a type of nursing that works with newborn infants born with a variety of problems ranging from prematurity, birth defects, infection, cardiac malformations, and surgical problems. The neonatal period is defined as the first month of life; however, these newborns are often sick for months. Neonatal nursing generally encompas...
As defined by Lowdermilk, Perry and Cashion, preterm labor is “cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy”. Preterm birth is a dramatic event causing distress for both the child and parents. There is a significant amount of information available on the risk factors related to preterm labor. Seeing the ineffectiveness of interventions directed towards known risk factors emphasizes the lack of maternal understanding of possible underlying pathways.
Statistics show the impact that preemies are causing as the rate of preterm birth increases every day. Any part of the world is affected no matter how advanced they are in technology. “One of every eight infants born in the United States is premature babies” (Medline Plus). These statistics are extremely high, however people can change it by getting involved in the community and helping preemies have a less chance to lose in their battle for life. In 2003; 499,008 infants were born prematurely (National Center for Health Statistics). The rates of preterm births have increased over the years. "In 1995: 11.0% of live births were born preterm, In 2006: 12.8% of live births were born preterm"(March of Dimes-Peristats). As the numbers keep increasing, many families are suffering and losing hope for they’re babies. African American women have the highest rate of preterm birth in 2004 with a 17.6% (Reedy, 2007). These statistics demonstrate the high frequenc...
There are more than 70% of premature babies that are born between 34 and 36 weeks gestation a year. When a baby is born early, or born with birth defects, the Neonatal Intensive Care unit is its first home. The nurse’s in the NICU have the difficult job of preparing baby’s and parents for a health life together. A baby who has been put into the NICU will stay there until it is healthy enough to go home.
There many advantages to breastfeeding! Research shows that breastfed infants have fewer and shorter episodes of illness. The nutrition provided by breastmilk benefits the baby’s IQ. The skin-to-skin contact encouraged by breastfeeding offers babies greater emotional security and enhances bonding. Breastfeeding appears to reduce the risk of obesity and hypertension for the infant later in life. Breastfeeding delays the onset of hereditary allergic disease, and lowers the risk of developing allergic disease. Breastfeeding helps the baby’s immune system mature, protecting the baby in the meantime from viral, bacteria, and parasitic infections. Breastfeeding protects against developing chronic diseases such as: celiac disease, inflammatory bowel disease, asthma, and childhood cancers. (Shinskie and Lauwers, 2002)
The human infant is called a neonate who is less than 28 days old. (Potter, Perry, Ross-Kerr, & Wood, 2009, p. 333) The newborn goes through mostly reflex changes during this critical time which leads to bonding and deep attachments between the parents and the neonate during the first 28 days. The neonate I worked with was 18 days old, male, Muslim, goes by the initials MK and lived in a townhouse with his parents. During birth, the family requested as many female staff as possible due to religious reasons.
Human Breast Milk is touted as the perfected food for infants. There is extreme pressure placed on new mothers to nurse or feed expressed breast milk (EB) elusively for the first six months of life. The extreme of this can be defined by a group called La Lache League International.
There are many different areas to consider when preparing for and having a newborn. Whether the pregnancy was planned or unplanned or the couple is married or not, a newborn baby brings new responsibilities. Having a baby also forces people to make adjustments both financially and within the family. Parents also express concerns and expectations when having a newborn comma especially when it is their first; including what roles each parent and family member should play, how much confidence they have in their parenting skills, and how much financial strain would be placed on the family once the newborn has arrived. The newest issue in today’s society is the fact that many women are delaying childbirth and having more children in their later years of life.
A neonatologist has many tasks and responsibilities before, during, and after the birth of an at-risk newborn. If there is reason to believe there are going to be complications with a birth that would cause negative side effects for the infant, a neonatologist will be brought in to help. In these high-risk situations, a team effort is required and the neonatologist takes the lead position. The neonatologist will be responsible for advising the parents on what to expect during and after labor. After the infant is born, the neonatologist has to find a method to properly care for the baby. Because most premature babies have a low birth-weight, their lungs need to be supported and they need to be kept warm. During this whole process, the neonatologist interacts with the parents to keep them updated on their baby’s condition (Weaver, 2009).
Reddy, U. M., Zhang, J., Sun, L., Chen, Z., Raju, T. N., & Laughon, K. (2012). Neonatal mortality by attempted route of delivery in early preterm birth. American Journal of Obstetrics & Gynecology, 207(2). doi:10.1016/j.ajog.2012.06.023
Preterm birth is defined as ‘any neonate whose birth occurs before the thirty seventh week of gestation’1 and represents approximately eight percent of all pregnancies1-4. It is eminent that these preterm infants are at risk of physical and neurological delay, with prolonged hospitalisation and an increased risk of long-term morbidity evident in prior literature3, 5-13. Innovative healthcare over the past thirty years has reduced mortality significantly14, with the survival rate of preterm infants having increased from twenty five percent in 1980 to seventy three percent in 200715. Despite, this drop in mortality long-term morbidity continues to remain within these surviving infants sparking a cause for concern15, 16.
When the baby is admitted to the NICU, the mother is unable to have the usual bonding moments where she holds and comforts her newborn. Rather, when visiting with her child, she is required to take endless precautions, has limited time to be with her baby, and must see her little child connected to many machines helping to keep the baby stable (Shanmugam & Ramachandra, 2015). In their study, Shanmugam and Ramachandra (2015) questioned 100 mothers of neonates in the NICU, and recorded the correlation between their stress level and coping strategies. They found that 38 of the mothers had severe stress, 28 had moderate stress, and the remaining had mild stress. Of these women, 25% had good coping, 50% had moderate coping, and 25% had poor coping. A large finding from this study was that nurses and health care providers played a very big role in helping to reduce the stress levels of the mothers by talking with them and listening to their concerns, while also providing adequate care for their children. If the mother is using negative coping strategies, such as holding in all of her concerns and filling her mind with the thoughts of death, financial issues, and fear of the unknown, she is going to cause her body great harm (Shanmugam & Ramachandra,