Into the NICU

2019 ◽  
pp. 59-88
Author(s):  
Dána-Ain Davis
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Population ◽  
Neonatal Intensive Care Unit ◽  
Birth Outcomes ◽  
Neonatal Intensive Care ◽  
Newborn Infants ◽  
Physical Space ◽  
Premature Births ◽  
Insight Into

This chapter offers ethnographic insight into the neonatal intensive care unit (NICU), a space that is largely inaccessible to the general population. The chapter describes the physical space of the NICU. Parents reveal how they felt about having their newborn infants admitted to the NICU and the varying degrees of racism that saturated the experiences of some, but not all, parents. Most parents interpret their experience through the lens of medical racism. At the very least they understand that if it were not for a particular mediating factor, such as having a connection to the medical field, they likely would have been subjected to racist medical encounters. This chapter also examines how mostly white neonatologists respond to questions related to race and adverse birth outcomes and finds that, for most, class replaces race as the explanatory factor for understanding premature births.

BACTERIAL COLONIZATION OF NEWBORN INFANTS IN A NEONATAL INTENSIVE CARE UNIT

1982 ◽  
Vol 71 (5) ◽  
pp. 779-783 ◽  
Author(s):  
M. ERIKSSON ◽  
B. MELÉN ◽  
K.-E. MYRBÄCK ◽  
B. WINBLADH ◽  
R. ZETTERSTRÖM
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Bacterial Colonization ◽  
Newborn Infants

Adapting the Six-Part Storymaking Method for use with siblings of infants on the neonatal intensive care unit

2020 ◽  
Vol 7 (2) ◽  
pp. 223-242
Author(s):  
Rebecca Ann Versaci
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Emotional Expression ◽  
Neonatal Intensive Care ◽  
Well Being ◽  
Hospital Staff ◽  
Case Vignette ◽  
Profound Influence ◽  
Insight Into

When an infant is hospitalized on the neonatal intensive care unit (NICU) it can have a profound influence on the psychosocial well-being of the infant and their older sibling(s). This article presents a case vignette of the use of the Six-Part Storymaking Method with the sibling of an infant hospitalized on the NICU. The article reviews the therapeutic aims and benefits of the intervention, including: supporting emotional expression, providing opportunity for the sibling to be deeply witnessed by caregivers, therapist and hospital staff, empowering the sibling to inhabit the big sibling role and fostering insight into the sibling’s thoughts, feelings and behaviours as related to their infant’s hospitalization. Considerations for facilitation and assessment are also discussed.

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 Non-immune hydrops fetalis: Clinical experience in newborn infants

2011 ◽  
Vol 64 (9-10) ◽  
pp. 507-510 ◽  
Author(s):  
Katarina Pejic ◽  
Borisav Jankovic ◽  
Zeljko Mikovic ◽  
Zorica Rakonjac ◽  
Jelena Martic ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Mortality Rate ◽  
Neonatal Intensive Care Unit ◽  
Clinical Experience ◽  
Neonatal Intensive Care ◽  
Newborn Infants ◽  
Hydrops Fetalis ◽  
Peritoneal Effusion ◽  
Mother And Child

Introduction. Non-immune hydrops fetalis is a condition of excessive accumulation of extravascular fluid without identifiable circulating antibody to erythrocytes membrane antigens. In newborn infants it is characterized by skin oedema and pleural, pericardial or peritoneal effusion. In the era of routine Rh immunization for the prevention of foetal erythroblastosis, non-immune pathophysiologic mechanisms are presented in 76-87% of all hydropic newborns. Non-immune hydrops fetalis can be associated with numerous and various disorders. The mortality rate may exceed 50%. This study was aimed at presenting our clinical experience in treating newborn infants with non-immune hydrops fetalis. Material and methods. A retrospective-prospective study included newborn infants with non-immune hydrops fetalis, who were treated in the Neonatal Intensive Care Unit of Mother and Child Health Institute of Serbia between January 1, 2001 and October 31, 2010. All valid data about aetiology, diagnosis, clinical course and outcome were recorded. Results. The diagnosis of non-immune hydrops fetalis was made in 11 newborns. The etiologic diagnosis was established in 8 patients: anaemia due to fetomaternal transfusion in 4 patients and conatal cytomegalovirus infection, intracranial haemorrhage, isolated pulmonary lymphangiectasia and diffuse skin and mediastinal lymphangiomatosis in the remaining 4 patients. Conclusion. Non-immune hydrops of newborn infant is associated with a high mortality rate and requires complex diagnostic and therapeutic procedures. An optimal management of neonates with non-immune hydrops fetalis demands a multidisciplinary approach to the treatment in a neonatal intensive care unit.

Body composition in newborn infants: 5-year experience in an Italian neonatal intensive care unit

2012 ◽  
Vol 88 ◽  
pp. S13-S17 ◽  
Author(s):  
Maria Lorella Giannì ◽  
Paola Roggero ◽  
Pasqua Piemontese ◽  
Anna Orsi ◽  
Orsola Amato ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Body Composition ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Newborn Infants

Postneonatal Infant Mortality in Infants Admitted to a Neonatal Intensive Care Unit

PEDIATRICS ◽  
1978 ◽  
Vol 62 (2) ◽  
pp. 178-183 ◽  
Author(s):  
Prakash Kulkarni ◽  
Robert T. Hall ◽  
Philip G. Rhodes ◽  
Michael B. Sheehan
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
General Population ◽  
Infant Mortality ◽  
Neonatal Intensive Care Unit ◽  
Sudden Infant Death Syndrome ◽  
Infant Death ◽  
Neonatal Intensive Care ◽  
Sudden Infant Death ◽  
Sudden Infant

The postneonatal infant mortality (PNIM) of 2,205 infants admitted to a neonatal intensive care unit from January 1971 to December 1974 was 44 in 1,000 infants who survived to age 28 days. This rate is approximately ten times that of the general population. Congenital malformations (59%), infections (12%), sudden infant death syndrome (10%), and asphyxial brain damage (10%) were the most common causes of death. One third (26) of the infants remained in the hospital whereas two thirds (52) had been dismissed prior to death. All who remained in the hospital plus 36 who had been dismissed died of severe illnesses that were incompatible with prolonged survival. The remaining PNIM was 10 in 1,000 neonatal survivors. This rate is still twice that of the general population. These deaths occurred in infants who were apparently well at the time of dismissal and subsequent examinations. Sudden infant death syndrome and infections constituted the largest portion of this mortality. Factors contributing to mortality in this group were poor socioeconomic status and low birth weight. Maternal age, race, marital status, and neonatal illnesses including apnea were not significantly related. Factors that appear to be important in the birth of high-risk infants continued to be operative in the postneonatal period, and contribute to a high mortality in apparently normal infants dismissed from the neonatal intensive care unit.

NOSOCOMIAL INFECTION WITH ECHO VIRUS TYPE 31 IN A NEONATAL INTENSIVE CARE UNIT

PEDIATRICS ◽  
1971 ◽  
Vol 47 (6) ◽  
pp. 995-999
Author(s):  
Louise L. McDonald ◽  
Joseph W. St. Geme ◽  
Barbara H. Arnold
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Virus Type ◽  
Neonatal Intensive Care ◽  
Newborn Infants ◽  
Viral Disease ◽  
Echo Virus ◽  
Asymptomatic Infant ◽  
High Index Of Suspicion

During the summer of 1968 ECHO virus type 31 was isolated from four infants in a neonatal intensive care unit. The index case was admitted from home in a comatose state and harbored ECHO 31 in his throat. Necropsy findings were inconclusive, and no virus was recovered from neural tissues. After the admission of this patient, two infants in the unit developed apneic spells and ECHO 31 was isolated from their CSF, throat, and stool samples. The virus was also isolated from the stool of an asymptomatic infant. ECHO 31 had not been recovered in newborn infants prior to its isolation in these cases. The isolation techniques currently used in many neonatal units may be inadequate to prevent viral dissemination. It is important to maintain a high index of suspicion of neonatal viral disease since careful virologic study will clarify the ecology of these nosocomial infections.

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