Effectiveness of the Premature Infant Oral Motor Intervention on Feeding Performance, Duration of Hospital Stay, and Weight of Preterm Neonates in Neonatal Intensive Care Unit

The neonatal intensive care unit (NICU) is, inherently, a trauma environment for the extremely premature infant. This trauma is often exacerbated by nurse caregiving practices that can be modified and still remain effective. Our study explored how behavior analytics could be used to implement an intervention known as Care by Cues and how the intervention might, ultimately, impact infant physiologic stability.

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Early Arterial Lactate and Prediction of Outcome in Preterm Neonates Admitted to a Neonatal Intensive Care Unit

Biology of the Neonate ◽

10.1159/000068927 ◽

2003 ◽

Vol 83 (3) ◽

pp. 171-176 ◽

Cited By ~ 19

Author(s):

Floris Groenendaal ◽

Caroline Lindemans ◽

Cuno S.P.M. Uiterwaal ◽

Linda S. de Vries

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Neonatal Intensive Care ◽

Preterm Neonates ◽

Prediction Of Outcome ◽

Arterial Lactate

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A Comprehensive Physical Therapy Approach for a Premature Infant in the Neonatal Intensive Care Unit (NICU): Aligning with the Evidence

Journal of Acute Care Physical Therapy ◽

10.1097/01592394-201001010-00021 ◽

2010 ◽

Vol 1 (1) ◽

pp. 40

Author(s):

Kelly M. Tarr ◽

Ellen W. Hakim

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Physical Therapy ◽

Neonatal Intensive Care Unit ◽

Premature Infant ◽

Neonatal Intensive Care ◽

Therapy Approach

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Too Expensive to Treat? Non-Treatment Decisions at the Margins of Viability

Medical Law Review ◽

10.1093/medlaw/fwy035 ◽

2018 ◽

Vol 27 (3) ◽

pp. 461-481

Author(s):

Tatiana Flessas ◽

Emily Jackson

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Premature Infant ◽

Neonatal Intensive Care ◽

Cost Effective ◽

Treatment Decisions ◽

Educational Needs ◽

The State ◽

Premature Babies

Abstract This article seeks to challenge the assumption that it is legitimate to consider the costs of premature babies’ future social and educational needs when deciding what treatment, if any, to provide in the neonatal intensive care unit (NICU) . It questions the elision that is made between the claim that a particular treatment is insufficiently cost-effective and the claim that a person will be a burden on the state in the future. It discusses a series of common misunderstandings about how treatment decisions are taken in the NICU and concludes by suggesting that the claim that premature babies are too expensive to treat may depend upon regarding a premature infant as if she were not yet a person, with rights and interests of her own.

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Confounders for Neonatal Intensive Care Unit Admission ın Neonates of Mothers with Preeclampsia

Gynecology Obstetrics and Reproductive Medicine ◽

10.21613/gorm.2018.804 ◽

2018 ◽

Vol 24 (3) ◽

pp. 162

Author(s):

Cetin Kilicci ◽

Cigdem Yayla Abide ◽

Enis Ozkaya ◽

Evrim Bostancı Ergen ◽

İlter Yenidede ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Birth Weight ◽

Intensive Care Unit Admission ◽

Neonatal Intensive Care Unit ◽

Gestational Age ◽

Neonatal Intensive Care ◽

Preterm Neonates ◽

Apgar Scores ◽

Gestational Age At Delivery

Objective: The aim of this study was to investigate the effect of some maternal and neonatal clinical parameters on the neonatal intensive care unit admission rates of neonates born to mothers who had preeclampsia. Study Design: Study included 402 singleton pregnant women with preeclampsia who admitted to Maternal-Fetal Medicine Unit of Zeynep Kamil Children and Women’s Health Training and Research Hospital. Pregnancies with uterine rupture, chorioamnionitis and congenital malformations were excluded. Some maternal and neonatal clinical characteristics were assessed to predict neonatal intensive care unit admission.Results: Among 402 neonates, 140 (35%) of them had an indication for neonatal intensive care unit admission, among 140 neonates, 136 (97%) of them were preterm neonates. Comparison of groups with and without neonatal intensive care unit admission indicated significant differences between groups in terms of gestational age, Apgar scores at 1st and 5th minutes, birth weight, some maternal laboratory parameters (Hemoglobin, hematocrit, alanine aminotransferase, aspartate aminotransferase, albumin). In multivariate analysis, among all study population, gestational age at delivery, birth weight and Apgar scores were found to be significantly associated with neonatal intensive care unit admission. On the other hand, in subgroup of term neonates, none of the variables was shown to be associated with neonatal intensive care unit admission.Conclusion: Gestational age at delivery and the birth weight are the main risk factors for neonatal intensive care unit admission of neonates born to mothers who had preeclampsia.

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Beginning to See the Light: Lessons Learned From the Development of the Circadian System for Optimizing Light Conditions in the Neonatal Intensive Care Unit

Frontiers in Neuroscience ◽

10.3389/fnins.2021.634034 ◽

2021 ◽

Vol 15 ◽

Author(s):

Esther M. Hazelhoff ◽

Jeroen Dudink ◽

Johanna H. Meijer ◽

Laura Kervezee

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Clinical Outcomes ◽

Neonatal Intensive Care ◽

Circadian System ◽

Lessons Learned ◽

Preterm Neonates ◽

Negative Effects ◽

Beneficial Effects

The circadian timing system optimizes health by temporally coordinating behavior and physiology. During mammalian gestation, fetal circadian rhythms are synchronized by the daily fluctuations in maternal body temperature, hormones and nutrients. Circadian disruption during pregnancy is associated with negative effects on developmental outcomes in the offspring, highlighting the importance of regular and robust 24-h rhythms over gestation. In the case of preterm birth (before 37 weeks of gestation), maternal cues no longer synchronize the neonate’s circadian system, which may adversely affect the neonate. There is increasing evidence that introducing robust light-dark cycles in the Neonatal Intensive Care Unit has beneficial effects on clinical outcomes in preterm infants, such as weight gain and hospitalization time, compared to infants exposed to constant light or constant near-darkness. However, the biological basis for these effects and the relationship with the functional and anatomical development of the circadian system is not fully understood. In this review, we provide a concise overview of the effects of light-dark cycles on clinical outcomes of preterm neonates in the NICU and its alignment with the development of the circadian system.

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Nurses' Living Caritas Processes as Described by Mothers, Fathers, and Grandmothers in a Neonatal Intensive Care Unit

International Journal for Human Caring ◽

10.20467/humancaring-d-20-00026 ◽

2021 ◽

Vol 25 (2) ◽

pp. 78-88

Author(s):

Dawn Marie Hawthorne ◽

Marion Turkel ◽

Charlotte D. Barry ◽

Lisa Flack

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Premature Infant ◽

Neonatal Intensive Care ◽

Descriptive Analysis ◽

Healing Environment ◽

Loving Kindness ◽

Qualitative Descriptive ◽

Human Caring

Infants who are born premature require hospitalization in the neonatal intensive care unit (NICU). In this study, 10 parents and seven grandmothers were interviewed with the purpose of exploring their experiences of having a premature infant in the NICU being cared for by nurses whose practice was grounded in Watson's theory of human caring caritas processes. Qualitative descriptive analysis revealed expressions of the caring moment lived as an intentional presence, within the context of the caritas processes to care for the infant and family, with loving-kindness, helping trusting relationship, creating caring healing environment, and allowing for hope and miracles.

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