scholarly journals Mothers' feelings about breastfeeding their premature babies in a rooming-in facility

2010 ◽  
Vol 44 (3) ◽  
pp. 713-718 ◽  
Author(s):  
Rejane Marie Barbosa Davim ◽  
Bertha Cruz Enders ◽  
Richardson Augusto Rosendo da Silva
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Maternity Hospital ◽  
Individual Interviews ◽  
Premature Babies

This study aimed at learning about the feelings experienced by mothers while breastfeeding their premature babies in a rooming-in facility, by means of individual interviews with 33 mothers during the period of February to April 2006, at a maternity hospital in Natal/RN/Brazil. The main feelings referred by the mothers regarding their inability to breastfeed their premature babies immediately after delivery were: sorrow, guilt, disappointment, frustration, insecurity, and fear of touching, holding or harming the delicate babies while breastfeeding. However, the mother-child bond that was formed when the baby was discharged from the Neonatal Intensive Care Unit and taken to the rooming-in facility was reflected by feelings of fulfillment, pride, and satisfaction at experiencing the first breastfeeding.

Letter to the Editor

PEDIATRICS ◽  
1994 ◽  
Vol 93 (6) ◽  
pp. 1025-1026
Author(s):  
Helen Harrison
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Ethics Committees ◽  
Disability Rights ◽  
Considerable Time ◽  
Premature Babies ◽  
Support Organizations ◽  
Family Centered

The parents who drafted "The Principles For Family-Centered Neonatal Care"1 have all spent considerable time in the neonatal intensive care unit (NICU). Most of us are parents of two or more premature babies. We are familiar with NICU families of all backgrounds through our work in support organizations, disability rights groups, and ethics committees. Our university educations may have made us better able to understand and articulate the issues, but they did not significantly alter our experience in the NICU.

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

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.

scholarly journals Establishment of Elements and Principles of High Reliability Organizations in Neonatal Intensive Care Unit of de Soyza Maternity Hospital, Colombo, Sri Lanka.

2021 ◽  
Vol 04 (09) ◽  
Author(s):  
J.L. Himali R. Wijegunasekara ◽  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Sri Lanka ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
High Reliability ◽  
Maternity Hospital ◽  
High Reliability Organizations ◽  
Management Structure ◽  
Facility Survey

Introduction: “High Reliability Organizations (HRO)” is an innovative safety management concept. An effort to transform a health care setting in Sri Lanka to a HRO – management structure is worthwhile to experience the outcomes of this model in Sri Lankan hospital context. Objective: To establish a HRO - management structure in the Neonatal Intensive Care Unit of De Soyza Maternity Hospital Colombo. Design: Pre / post interventional study design was used. Functional status of HRO structure in the NICU was assessed; using 5 HRO principles (ie. Pre occupation with failure, Resistance to simplify, Sensitivity to operations, Commitment to resilience and Deference to expertise) and 5 HRO elements (ie. Process auditing, Rewarding, Avoidance of quality degradation, Risk perception, and Command and control), at pre and post interventional levels. Methods: Practice of HRO principles was assessed using a Self - Administered Questionnaire with a rating scale, with the participation of all the NICU staff. Practice of HRO elements was assessed by a facility survey using a check list. Intervention consisted of a managerial plan with activities to establish the HRO concept. Results: Results showed a statistically significant increase of “response scores” of participants towards HRO structure and the facility survey showed the establishment of planned activities. Conclusion: It was concluded that implementation of this plan, is gradually establishing the HRO management structure in NICU of DMH.

scholarly journals Necessidades de mães de bebês internados em UTI Neonatal de uma maternidade privada

2021 ◽  
Vol 2 (5) ◽  
pp. 1390-1404
Author(s):  
Alline Silva Pimentel Barcellos ◽  
Geovanna Porto Inácio ◽  
Joana D´Arc Silvério Porto
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Data Collection ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Physical Space ◽  
Maternity Hospital ◽  
Five Dimensions ◽  
Terapia Intensiva

RESUMO A hospitalização do bebê na Unidade de Terapia Intensiva Neonatal (UTI Neo) pode ser acompanhada de momentos de instabilidade, insegurança e rupturas na relação mãe-bebê. A mãe tem um papel importante no desenvolvimento e recuperação do bebê nesta unidade. Desse modo são imprescindíveis a atenção e o cuidado com essas mães. Esta pesquisa identificou a importância e a satisfação das necessidades de mães com bebês internados na UTI Neo de uma maternidade particular. Participaram15 mães, com idade média 28 anos. Os instrumentos utilizados para a coleta de dados foram: questionário sociodemográfico e o Inventário de Necessidades e Estressores de Familiares em Terapia Intensiva (INEFTI). Os resultados evidenciaram que as mães avaliaram as cinco dimensões segurança, proximidade, informação, conforto e suporte como muito importantes a importantíssimas. No entanto, alguns itens demonstraram insatisfação, principalmente no que se refere ao conforto. Espera-se que esses resultados possam atender as necessidades das mães ao favorecer o diálogo, o cuidado e criar melhores condições de acolhimento e de espaço físico para amenizar o sofrimento advindo desse período de internação do bebê na UTI Neo.   ABSTRACT The hospitalization of the baby in the Neonatal Intensive Care Unit (Neo ICU) may be accompanied by moments of instability, insecurity and ruptures in the mother-baby relationship. The mother plays an important role in the baby's development and recovery in this unit. Thus, attention and care to these mothers are essential. This research identified the importance and satisfaction of the needs of mothers with babies admitted to the Neo ICU of a private maternity hospital. Fifteen mothers, mean age 28 years, participated. The instruments used for data collection were: a sociodemographic questionnaire and the Inventory of Needs and Stressors of Families in Intensive Care (INEFTI). The results showed that the mothers evaluated the five dimensions safety, closeness, information, comfort and support as very important to very important. However, some items showed dissatisfaction, especially regarding comfort. It is expected that these results may meet the mothers' needs by favoring dialogue, care and creating better conditions for welcoming and physical space to ease the suffering resulting from this period of hospitalization of the baby in the Neo ICU.

scholarly journals Methicillin-Resistant Staphylococcus Aureus Transmission and Hospital-Acquired Bacteremia in a Neonatal Intensive Care Unit in Greece

2021 ◽  
Author(s):  
ANASTASSIOS GEORGE DOUDOULAKAKIS ◽  
Iris Spiliopoulou ◽  
Nikolaos Giormezis ◽  
Garyfallia Syridou ◽  
Angeliki Nika ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Positive Culture ◽  
Maternity Hospital ◽  
Control Measures ◽  
Methicillin Resistant ◽  
Infection Control Measures ◽  
Hospital Acquired

Abstract The epidemiology of methicillin-resistant S. aureus (MRSA) colonization and infections in a 30-bed, level III university-affiliated neonatal intensive care unit was retrospectively investigated (2014-2018). Virulence, resistance genes and clonality of 46 isolates were determined by PCRs and MLST. Of 1538 neonates, 77 (5%) had a positive culture for MRSA; four bacteremias occured. One major clone was identified, ST225 (23/40, 58%), imported from the same maternity hospital. Another clone, ST217, was predominant (4/6) among colonized health care workers. Four isolates classified as ST80 were PVL-positive, four tst-positive, and two etb-positive. Strengthening of infection control measures with emphasis on hand hygiene was applied.

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