Collaboration to Improve Neuroprotection and Neuropromotion in the NICU: Team Education and Family Engagement

2021 ◽  
Vol 40 (4) ◽  
pp. 212-223
Author(s):  
Kati Knudsen ◽  
Ginny McGill ◽  
Kara Ann Waitzman ◽  
Jason Powell ◽  
Megan Carlson ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Family Engagement ◽  
Extremely Low Birth Weight ◽  
Interprofessional Team ◽  
Sensory Development ◽  
In Utero Environment ◽  
Neuroprotective Strategies ◽  
Preterm Babies

The number of babies born extremely low birth weight surviving to be discharged home after experiencing the NICU continues to improve. Unfortunately, early sensory development for these babies occurs in an environment vastly different from the intended in-utero environment and places them at high risk of long-term neurodevelopmental and neurocognitive challenges. Our goal in the NICU must transition from simply discharge home to supporting the neurosensory development necessary for a thriving lifetime. To accomplish a goal of thriving families and thriving babies, it is clear the NICU interprofessional team must share an understanding of neurosensory development, the neuroprotective strategies safeguarding development, the neuropromotive strategies supporting intended maturational development, and the essential nature of family integration in these processes. We share the educational endeavors of 11 center collaboratives in establishing the foundational knowledge necessary to support preterm babies and their families.

scholarly journals IMPACT OF MULTIPLE BIRTHS ON THE OUTCOME IN EXTREMELY LOW BIRTH WEIGHT NEWBORNS

2021 ◽  
Vol 27 (3) ◽  
pp. 3985-3991
Author(s):  
Victoria Atanasova ◽  
◽  
Petar Ivanov ◽  
Elitsa Gyokova ◽  
Desislava Georgieva ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Assisted Reproductive Technologies ◽  
Ductus Arteriosus ◽  
Intraventricular Haemorrhage ◽  
Reproductive Technologies ◽  
University Hospital ◽  
Extremely Low Birth Weight ◽  
Gastrointestinal Problems

Objective: To evaluate the outcome of the extremely low birth weight newborns (ELBWNs) from single and twin pregnancies. Material and methods: The study lasts from 2005 to 2017 and includes all life born ELBWNs treated in University Hospital, Pleven, Bulgaria. Patients' groups: singletons (1) and twins (2); twins conceived naturally(2.1) and after assisted reproductive technologies – ART(2.2). Results: One hundred and eighty two (182) ELBWNs are examined, 65 (35.7%) of them are twins. The twins, compared to singletons, are significantly more often conceived by ART (47.7 vs 4.3%, p<0.001) and significantly more rarely infected prenatally (18 vs 41%, p 0.002). The survival rate is 51.3% for singletons and 56.6% for twins, NS. Survived twins (n 37) achieve later their optimal nutritive tolerance (30±11 vs 25±10 days, p 0.046), require more blood transfusions (3.6±1.9 vs 2.6±1.8 per patient, p 0.009) and longer mechanical ventilation (16±15 vs 9±12 days, p 0.03) than survival singletons (n 60). The twins suffer more often from intraventricular haemorrhage (46 vs 18%, p 0.004), patent ductus arteriosus (35 vs 15%, p 0.02) and long-term complications (51 vs 30%, p 0.04) than singletons. ART-twins (n 31)compared to the subgroup 2.1 (n 34) are more frequently intubated in the delivery room (81 vs. 50%, p 0.01)but suffer less frequently from nosocomial infections (53 vs. 85%, p 0.03). Conclusions: According to our data, ELBW-twins frequently suffer from respiratory, haemorrhagic, and gastrointestinal problems than ELBW-singletons, resulting in more long-term complications. Our study proves that ART does not influence the outcome in multiples.

Cardiovascular phenotype in extremely low birth weight infants: long-term consequences

2011 ◽  
Vol 24 (sup2) ◽  
pp. 3-5 ◽  
Author(s):  
Pier Paolo Bassareo ◽  
Vassilios Fanos ◽  
Antonio Crisafulli ◽  
Roberto Mura ◽  
Giuseppe Mercuro
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Extremely Low Birth Weight ◽  
Low Birth Weight Infants ◽  
Long Term Consequences

scholarly journals Long-Term Effects of Indomethacin Prophylaxis in Extremely-Low-Birth-Weight Infants

2001 ◽  
Vol 344 (26) ◽  
pp. 1966-1972 ◽  
Author(s):  
Barbara Schmidt ◽  
Peter Davis ◽  
Diane Moddemann ◽  
Arne Ohlsson ◽  
Robin S. Roberts ◽  
...  
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Extremely Low Birth Weight ◽  
Long Term Effects ◽  
Low Birth Weight Infants

scholarly journals Extremely low birth weight infants are at high risk for auditory neuropathy

2007 ◽  
Vol 27 (11) ◽  
pp. 718-723 ◽  
Author(s):  
K Xoinis ◽  
Y Weirather ◽  
H Mavoori ◽  
S H Shaha ◽  
L M Iwamoto
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Auditory Neuropathy ◽  
Extremely Low Birth Weight ◽  
Low Birth Weight Infants

scholarly journals Morbidity in extreme low birth weight newborns hospitalized in a high risk public maternity

2017 ◽  
Vol 17 (1) ◽  
pp. 139-147 ◽  
Author(s):  
Derijulie Siqueira Sousa ◽  
Airton Salviano Sousa Júnior ◽  
Arielly Duarte Rabelo Santos ◽  
Enaldo Vieira Melo ◽  
Sônia Oliveira Lima ◽  
...  
Keyword(s):  
Birth Weight ◽  
High Risk ◽  
Low Birth Weight ◽  
Intraventricular Hemorrhage ◽  
Ductus Arteriosus ◽  
Extremely Low Birth Weight ◽  
Average Weight ◽  
Newborn Intensive Care Unit ◽  
Kaplan Meier ◽  
Persistent Arterial Duct

Abstract Objectives: to determine the prevalence of the most common morbidities in extremely low birth weight (ELBW) infants hospitalized in a newborn intensive care unit (NICU) and to evaluate the influence of these morbidities through the length of in-hospital stay. Methods: observational, longitudinal, prospective and analytical study in a high risk reference maternity NICU from Sergipe, realized with 158 ELBW infants admitted between March 2014 and April 2015. The analysis of the hospitalization time was realized through the Kaplan-Meier method. Results: the average weight of premature was 785,2g ± 138,2g. The gestational age vary from 22 to 35 weeks and the average was 26,8 weeks. Of those admitted at NICU, sixty three (39,9%) were discharged and 95 (60,1%) died. The time of hospitalization was influenced for morbidities as: patent ductus arteriosus (PDA), intraventricular hemorrhage and sepsis. Acute respiratory distress syndrome was the most common complication (157 - 99,4%). The incidence of persistent arterial duct, intraventricular hemorrhage, sepsis, hypothermia, hypoglycemia and retinopathy of prematurity was 39,2%, 17,1%, 32,3%,50,3%, 52,3% e 16,6% respectively. Conclusions: the morbidities from respiratory tract, cardiac, neurological and infectious were the most prevalent, whilst PDA, intraventricular hemorrhage and sepsis were the morbidities that significantly influenced the time of hospitalization.

NEONATAL ICU: what mothers say

2021 ◽  
Vol 7 (1) ◽  
pp. 187-214
Author(s):  
Raphaela Santos Neves ◽  
Jennyfer Zimmermann ◽  
Camilla Volpato Broering
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Lived Experience ◽  
Very Low Birth Weight ◽  
Intensive Therapy ◽  
Newborn Infants ◽  
Structured Interview ◽  
Premature Baby ◽  
Extremely Low Birth Weight ◽  
Preterm Babies

The present study has as objective to analize the percepcion of mothers of preterm babies with very low birth weight and extremely low birth weight under the process of hospitalization of their infants in a neonatal intensive therapy unit (NITU). Ten mothers of premature newborn infants hospitalized in a reference maternity in the execution of the Kangaroo Method, located in Florianópolis – SC participated of the research. The instruments used for the data gathering were the sociodemographic data record to trace the profile of the partcipants; and a semi structured interview script to explore some unfoldings about the experience of the hospitalization of their infants in the NITU, among them, the gestational and hospitalization process. The results suggests that these mothers experience an oscilation of feelings motivated by insecurity and fear, considering the clinical complications and the health situation of their infants. They also evidenced that the birth of a premature baby causes many modifications in the familiar life, specially of the mothers who takes on the role of accompany in the hospital unit, expressing the need of support, considering that sometimes, they leave their other infants under the care of another person and their further activities. Finally, it pointed out the importance of the care lined in the principles of humanization, meaning not only the care of preterm babies, but, of these mothers and families that find themselves fragilized due the lived experience, as well.

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