Statistical evaluation of the first year of a neonatal intensive care unit established in a medical school hospital

The Brazilian healthcare structure has evolved in recent decades, but there are still shortages of beds in Intensive Care Units, especially in Neonatal Units. In early December 2019 they reported the first cases of a new infectious coronavirus disease (COVID-19), caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The present work makes an observational assessment of the number of deaths in the year 2020 related to the New Coronavirus Pandemic, the number of births and the panorama of Neonatal Intensive Care Unit (NICU) in the last decade. The results showed an increase in the number of deaths, with a predilection for elderly men; reduction in the number of births evaluated by the civil registry and an increase in NICUs in the last decade. This ratio was 2.6 beds per thousand births in 2010, rising to 2.9 per thousand in 2019 and reaching 3.4 beds per thousand births in 2020. Thus, the forced increase in the number of beds in the therapy unit The intensive care unit approached the proportion recommended by the Brazilian Society of Pediatrics, which is 4 beds for every thousand births.

Download Full-text

Effect on Clinical Work Practice of Establishing a Neonatal Intensive Care Unit at a Medical School-Affiliated Teaching Hospital

Journal of Nippon Medical School ◽

10.1272/jnms.81.328 ◽

2014 ◽

Vol 81 (5) ◽

pp. 328-332

Author(s):

Yoshio Shima ◽

Makoto Migita ◽

Hirobumi Asakura ◽

Tsubasa Takahashi ◽

Kentaro Yashiro ◽

...

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Medical School ◽

Teaching Hospital ◽

Neonatal Intensive Care ◽

Work Practice ◽

Clinical Work

Download Full-text

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

Perspectives of the ASHA Special Interest Groups ◽

10.1044/2019_persp-19-00097 ◽

2019 ◽

Vol 4 (6) ◽

pp. 1507-1515

Author(s):

Lauren L. Madhoun ◽

Robert Dempster

Keyword(s):

Intensive Care Unit ◽

Intensive Care ◽

Neonatal Intensive Care Unit ◽

Hospital Discharge ◽

Neonatal Intensive Care ◽

Oral Feeding ◽

Medical Attention ◽

Primary Role ◽

Speech Language Pathologists ◽

The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

Download Full-text