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Journal articles on the topic 'Neonatal intensive care'

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Published: 4 June 2021

Last updated: 29 July 2024

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1

Wicaksana, Andhika, Rocky Wilar, and Johnny L. Rompis. "Peran Neonatal Comfort Care di Neonatal Intensive Care Unit." e-CliniC 12, no. 1 (October 31, 2023): 69–76. http://dx.doi.org/10.35790/ecl.v12i1.45365.

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Abstract: Comfort is an important component of the treatment of neonates in the National Intensive Care Unit (NICU). Due to the efforts given in the NICU, neonates tend to be exposed with various surroundings which made them receive excessive stimuli. These can lead to increased level of stress and pain, and have an impact on the health and growth of the neonates in the NICU. Therefore, it is necessary to carry out procedures to keep the baby comfortable by maintaining the stress level through neonatal comfort care. This study aimed to determine the role of neonatal comfort care during the care of neonates in the NICU. This was a literature review study. Literatures were searched in PubMed, Google Scholar, and Clinical Key databases. The results obtained 10 literatures to be reviewed. The statistical results showed that through the implementation of pharmacological and non-pharmacological procedures, neonatal comfort care had a good impact on physiological distress and neonates’ comfort based on the comfort rating scale for neonates in the NICU. In conclusion, neonates’ comfort in the NICU increases significantly after being given neonatal comfort care. Keywords: Neonatal Comfort Care; Neonatal Intensive Care Unit; neonates in care Abstrak: Menjaga kenyamanan neonatus merupakan komponen penting dalam perawatan di lingkungan Neonatal Intensive Care Unit (NICU). Dalam upaya pengobatan yang dilaksanakan di NICU, neonatus akan terpapar lingkungan yang bervariasi hingga menerima stimuli berlebihan yang dapat menyebabkan peningkatan stres maupun rasa nyeri akibat perawatan invasif yang dilaksanakan. Oleh karena itu diperlukan prosedur pelaksanaan dalam memelihara kenyamanan neonatus untuk menjaga tingkat stres melalui neonatal comfort care. Penelitian ini bertujuan untuk mengetahui peran neonatal comfort care pada perawatan neonatus di NICU melalui suatu literature review. Pencarian literatur dilakukan di database PubMed, Google Scholar, dan Clinical Key. Hasil penelitian mendapatkan 10 literatur untuk diulas. Hasil statistik dari artikel yang diulas menunjukkan bahwa neonatal comfort care melalui pelaksanaan prosedur farmakologi dan non-farmakologi memiliki berdampak baik terhadap distres fisiologis dan kenyamanan neonatus berdasarkan skala penilaian kenyamanan terhadap neonatus yang berada di lingkungan NICU. Simpulan penelitian ini ialah kenyamanan neonatus yang berada di lingkungan NICU meningkat bermakna secara statistik setelah pemberian neonatal comfort care. Kata kunci: Neonatal Comfort Care; Neonatal Intensive Care Unit; bayi dalam perawatan

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2

Horan, B. F. "Neonatal intensive care." Medical Journal of Australia 142, no. 10 (May 1985): 576. http://dx.doi.org/10.5694/j.1326-5377.1985.tb113502.x.

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Pierce, Susan Foley. "NEONATAL INTENSIVE CARE." Nursing Clinics of North America 33, no. 2 (June 1998): 287–97. http://dx.doi.org/10.1016/s0029-6465(22)02593-2.

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HUGHES, MARY-ALAYNE, and JEANETTE McCOLLUM. "Neonatal Intensive Care." Journal of Early Intervention 18, no. 3 (July 1994): 258–68. http://dx.doi.org/10.1177/105381519401800302.

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Brush, Linnea C. "Neonatal Intensive Care." Journal of Clinical Engineering 20, no. 6 (November 1995): 495. http://dx.doi.org/10.1097/00004669-199511000-00014.

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Rose, Stephen. "Neonatal intensive care." Clinical Risk 8, no. 6 (November 1, 2002): 239–40. http://dx.doi.org/10.1258/135626202760391061.

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Lynn Berseth, Carol. "Neonatal Intensive Care." Mayo Clinic Proceedings 63, no. 10 (October 1988): 1064–65. http://dx.doi.org/10.1016/s0025-6196(12)64936-2.

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Modi, Neena. "NEONATAL INTENSIVE CARE." Lancet 326, no. 8467 (December 1985): 1303–4. http://dx.doi.org/10.1016/s0140-6736(85)91584-3.

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Shah, Prakesh S. "Neonatal Intensive Care." Obstetric Anesthesia Digest 37, no. 3 (September 2017): 150–51. http://dx.doi.org/10.1097/01.aoa.0000521248.25115.9a.

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10

BEDRICK, ALAN D. "Neonatal Intensive Care." American Journal of Diseases of Children 143, no. 4 (April 1, 1989): 451. http://dx.doi.org/10.1001/archpedi.1989.02150160077014.

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11

Anominondas, Kaylla Cardoso, Alexandy Michel Dantas Santos, Claudia Cristiane Filgueira Martins, Kisna Yasmin Andrade Alves, Pétala Tuani Candido de Oliveira Salvador, and Lannuzya Veríssimo e. Oliveira. "A vivência de pais de recém-nascidos prematuros internados em unidade de terapia intensiva neonatal." Revista Recien - Revista Científica de Enfermagem 11, no. 35 (September 23, 2021): 309–16. http://dx.doi.org/10.24276/rrecien2021.11.35.309-316.

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Compreender a vivência de pais de recém-nascidos prematuros internados em Unidade de Terapia Intensiva Neonatal. Estudo descritivo, com abordagem qualitativa realizado entre os meses de junho a julho de 2019, com pais cujos filhos estavam internados na Unidade de Terapia Intensiva de um Hospital maternidade da região metropolitana de Natal, Rio Grande do Norte. Os dados foram coletados por questionário sociodemográfico e entrevista semiestruturada e analisados sob a ótica da Análise de Conteúdo. Das falas extraíram-se as seguintes categorias: Sentimentos vivenciados durante a internação; Os desafios durante a internação; e A equipe de enfermagem como fortaleza durante a internação. A vivência dos pais em uma Unidade de Terapia Intensiva Neonatal é permeada por sofrimentos. O tempo de internação dos neonatos e as dúvidas quanto ao prognóstico dificultam a vivência dos pais. Todavia, o apoio familiar e da equipe de enfermagem foram elencados como facilitadores durante o processo de internação.Descritores: Família, Recém-Nascido Prematuro, Unidades de Terapia Intensiva Neonatal, Enfermagem Neonatal. Parents experience of premature newborns admitted in a neonatal intensive care unitAbstract: Understand the experience of parents of premature newborns admitted to the Neonatal Intensive Care Unit. Descriptive study, with a qualitative approach carried out between June and July 2019, with parents and children were admitted to the Intensive Care Unit of a maternity hospital in the metropolitan region of Natal, Rio Grande do Norte. Data were collected through a sociodemographic questionnaire and semi-structured interview and imposed from the perspective of Content Analysis. The following categories were extracted from the statements: Feelings experienced during hospitalization; During hospitalization challenges; and The nursing team as a strength during hospitalization. The parents' experience in a Neonatal Intensive Care Unit is permeated by suffering. The length of hospitalization of newborns and doubts about the prognosis make it difficult for parents to experience it. However, family and nursing support were listed as facilitators during the hospitalization process.Descriptors: Family, Infant Premature, Intensive Care Units Neonatal, Neonatal Nursing. Experiencia de padres de recién nacidos prematuros ingresados en la unidad de cuidados intensivos neonatalesResumen: Conocer la experiencia de los padres de recién nacidos prematuros ingresados en la Unidad de Cuidados Intensivos Neonatales. Estudio descriptivo, con abordaje cualitativo, realizado entre junio y julio de 2019, con padres e hijos ingresados en la Unidad de Cuidados Intensivos de un hospital de maternidad de la región metropolitana de Natal, Rio Grande do Norte. Los datos fueron colectados a través de un cuestionario sociodemográfico y entrevista semiestructurada e analizados bajo la óptica de la Análisis de Contenido. Las siguientes categorías se extrajeron de las declaraciones: sentimientos experimentados durante la hospitalización; Desafíos durante la hospitalización; y El equipo de enfermería como punto fuerte durante la hospitalización. La experiencia de los padres en una Unidad de Cuidados Intensivos Neonatales está impregnada de sufrimiento. El tiempo de internación de los neonatos y las dudas sobre el pronóstico dificultan la vivencia de los padres. Sin embargo, el apoyo de la familia y el personal de enfermería fueron listados como facilitadores durante el proceso de hospitalización.Descriptores: Familia, Recien Nacido Prematuro, Unidades de Cuidado Intensivo Neonatal, Enfermería Neonatal.

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Student. "IMPACT OF NEONATAL INTENSIVE CARE." Pediatrics 97, no. 2 (February 1, 1996): 215. http://dx.doi.org/10.1542/peds.97.2.215.

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Neonates who weighed > 1.5 kg at birth were the major contributors to the overall reduction in the neonatal mortality rate (NMR); approximately two thirds of total reduction in the NMR between 1960 and 1980 and 52.6% of the total reduction between 1980 and 1986 occurred in the > 1.5-kg birth weight groups.

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Andrade, Priscila Araujo, Maria Aparecida Beserra, Maria Suely Medeiros Corrêa, and Ysmário Francisco Valeriano de Andrade. "Profile of the mortality of infants affected by infections in neonatal intensive care unit." Revista de Enfermagem UFPE on line 4, no. 4 (October 9, 2010): 1785. http://dx.doi.org/10.5205/reuol.1125-9558-1-le.0404201028.

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ABSTRACTObjective: to characterize the mortality of newborns suffering from neonatal infections in the intensive care unit of a maternity clinic in Recife. Method: retrospective, descriptive, transverse study, from January 2006 to December 2007, involving medical records of infants who died of neonatal infection. Results: neonatal mortality due to infection occurred in 47.73% of neonatal deaths, of which 91.42% were of infants weighing less than 2,500g; 88.57% aged less than 37 weeks, 51.43 % female. The early infections were 92.38%. Mothers aged 20 or older accounted for 71.43% and 55.24% were illiterate. Urinary tract infection represented 63.41%. With respect to prenatal, 83.81% of the mothers had less than six visits. Conclusions: this study noticed that with the reduction of risk factors for neonatal infection, you can minimize the number of neonatal deaths, which currently remains high. Therefore, it is important to concentrate efforts for prioritizing this public health problem. Descriptors: neonatal mortality; infection neonatal; intensive care unit; health profile .RESUMOObjetivo: caracterizar o perfil da mortalidade de recém-nascidos acometidos por infecções neonatais na unidade de tratamento intensivo de uma maternidade de Recife. Método: trata-se de um estudo retrospectivo, descritivo, transversal, no período de janeiro de 2006 a dezembro de 2007, utilizando prontuários de recém-nascidos que foram a óbito por infecção neonatal. Resultados: mortalidade neonatal por infecção ocorreu em 47,73% dos óbitos neonatais, dos quais 91,42% foram de recém-nascidos com peso inferior a 2.500g, 88,57% com idade gestacional inferior a 37 semanas, 51,43% do sexo feminino. As infecções precoces representaram 92,38%. As mães com 20 anos ou mais representaram 71,43% e 55,24% eram analfabetas. A infecção do trato urinário representou 63,41%. Quanto ao pré-natal, 83,81% das mães realizaram menos de seis consultas. Conclusões: este estudo mostrou que com a diminuição dos fatores de risco para a mortalidade neonatal por infecção, pode-se minimizar o número de óbitos neonatais, que atualmente permanece alto. Portanto, é importante que sejam concentrados esforços para que se priorize esse problema de saúde pública. Descritores: mortalidade neonatal; infecção neonatal; unidade de terapia intensiva; perfil epidemiológico. RESUMENObjetivos: caracterizar la mortalidad de los recién nacidos que sufren de infecciones neonatales en la unidad de cuidados intensivos de una maternidad em Recife. Método: estudio retrospectivo, descriptivo, transversal, desde enero 2006 hasta diciembre 2007, utilizando registros médicos de los niños que murieron de infección neonatal. Resultados: la mortalidad neonatal debido a la infección se produjo en 47,73% de las muertes neonatales, de los cuales 91,42% eran niños que pesaban menos de 2.500g, 88,57% con menos de 37 semanas, 51,43 % de mujeres. Las infecciones tempranas fueron 92,38%. Las madres de 20 años o más representaban 71,43% y 55,24% eran analfabetas. Infección del tracto urinario representaban 63,41%. Cuanto al pre-natal, 83,81% de lãs madres tenían menos de seis visitas. Conclusiones: este estudio observió que con la reducción de factores de riesgo de infección neonatal, puede reducir al mínimo el número de muertes de recién nacidos, que actualmente sigue siendo alta. Por lo tanto, es importante concentrar los esfuerzos para dar prioridad a este problema de salud pública a fin de tratar de resolver a través de un cuidado de alta calidad durante la atención prenatal, perinatal y neonatal. Descriptores: mortalidad neonatal; infección neonatal; unidade de terapia intensiva; perfil epidemiológico.

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Azzizadeh Forouzi, Mansooreh, Marjan Banazadeh, Jila Soltan Ahmadi, and Farideh Razban. "Barriers of Palliative Care in Neonatal Intensive Care Units." American Journal of Hospice and Palliative Medicine® 34, no. 3 (July 11, 2016): 205–11. http://dx.doi.org/10.1177/1049909115616597.

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Objective: Neonatal nurses face numerous barriers in providing end-of-life (EOL) care for neonates and their families. Addressing neonatal nurses’ attitudes could provide insight into barriers that impede neonatal palliative care (NPC). This study thus conducted to examine neonatal nurses’ attitude toward barriers in providing NPC in Southeast Iran. Method: In this cross-sectional study, a translated modified version of Neonatal Palliative Care Attitude Scale was used to examine attitudes of 70 nurses toward barriers of palliative care in 3 neonatal intensive care units in Southeast Iran. Results: Findings indicated that overall 42.63% of nurses were strongly agreed or agreed with the proposed barriers in NPC. Among all categories, the highest and the lowest scores belonged to the categories of “insufficient resources” (3.42 ± 0.65) and “inappropriate personal and social attitudes” (2.33 ± 0.48), respectively. Neonatal nurses who had less education and study regarding NPC reported the presence of more barriers to NPC in the categories of “inappropriate organizational culture” and/or “inadequate nursing proficiency.” Also, younger nurses had more positive attitudes toward the category of inappropriate organizational culture as being a barrier to provision of NPC (4.62). Conclusion: The findings suggest that developing a context-based instrument is required to represent the barrier more precisely. Neonatal palliative care can be improved by establishing a special environment to focus on infants’ EOL care. This establishment requires standard palliative care guidelines and adequate NPC-trained nurses.

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Csoma, Zsanett Renáta, Péter Doró, Gyula Tálosi, Tamás Machay, and Miklós Szabó. "Neonatal skin care in tertiary Neonatal Intensive Care Units in Hungary." Orvosi Hetilap 155, no. 28 (July 2014): 1102–7. http://dx.doi.org/10.1556/oh.2014.29910.

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Introduction: Skin physiology of neonates and preterm infants and evidence-based skin care are not well explored for health care providers. Aim: The aim of our present study was to investigate the skin care methods of the tertiary Neonatal Intensive Care Units in Hungary. Method: A standardized questionnaire was distributed among the 22 tertiary Neonatal Intensive Care Units with questions regarding skin care methods, bathing, emollition, skin disinfection, umbilical cord care, treatment of diaper dermatitis, and use of adhesive tapes. Results: The skin care methods of the centres were similar in several aspects, but there were significant differences between the applied skin care and disinfectant products. Conclusions: The results of this survey facilitate the establishment of a standardized skin care protocol for tertiary Neonatal Intensive Care Units with the cooperation of dermatologists, neonatologists and pharmacists. Orv. Hetil., 2014, 155(28), 1102–1107.

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Abera, Tesfaye, Lami Bayisa, Teshome Bekele, Mulugeta Dessalegn, Diriba Mulisa, and Lalisa Chewaka Gamtessa. "Neonatal Mortality and Its Associated Factors among Neonates Admitted to Wollega University Referral Hospital Neonatal Intensive Care Unit, East Wollega, Ethiopia." Global Pediatric Health 8 (January 2021): 2333794X2110301. http://dx.doi.org/10.1177/2333794x211030157.

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Ethiopia has a high neonatal mortality rate in spite of dearth of study. Therefore we aimed to assess magnitude and associated factors of neonatal mortality among neonates admitted to neonatal intensive care units of Wollega University Referral Hospital. Accordingly, a facility based cross-sectional study was conducted on 289 by reviewing medical records of neonates admitted to neonatal intensive care unit. The collected data were entered in to Epi data version 3.1 and Stata version 14 used for analysis. Variables with P-value < 0.25 at with 95% confidence interval in binary logistic regression analysis were taken to the multiple logistic regression analysis. Finally, variables with Likewise, variable with P-value < 0.05 at 95% confidence interval in multiple logistic regression analysis were considered as statistically significant. Among 289 neonates admitted to neonatal intensive care unit, 53 (18.34 %) were died. Majority 42(79.25%) of those deaths occurred at ≤ 7 days of birth. Preterm [AOR 4.15, 95% CI (1.67-10.33)], neonates faced birth asphyxia [AOR 3.26, 95% CI (1.33-7.98)], neonates who developed sepsis [AOR 2.29 95% CI (1.01-5.20)] and neonates encountered with jaundice [(AOR 11.08, 95% CI (1.03-119.59)] were more at risk to die. In general, the magnitude of neonatal mortality among neonates admitted to neonatal intensive care unit was high. Gestational age (maturity of new born), birth asphyxia, neonatal sepsis and neonatal jaundice were predictors of neonatal mortality. Neonates admitted to neonatal intensive care unit with sepsis, jaundice, and birth asphyxia demand special attention to reduce neonatal mortality.

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Taylor, Lee, Barbara Bajuk, Trina Vincent, and Michael Giffin. "8. Neonatal intensive care." New South Wales Public Health Bulletin 16, no. 4 (2005): 56. http://dx.doi.org/10.1071/nb05s23.

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Taylor, Lee, and Barbara Bajuk. "8. Neonatal intensive care." New South Wales Public Health Bulletin 18, no. 1 (2007): 56. http://dx.doi.org/10.1071/nb07s10.

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Bejuk, Barbara, and Lee Taylor. "9. Neonatal intensive care." New South Wales Public Health Bulletin 20, no. 1 (2009): 113. http://dx.doi.org/10.1071/nb09s11.

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FLOYD, R. LOUISE, CATHERINE C. MURPHY, JOYCE DILLON, and VIRGINIA D. FLOYD. "Neonatal Intensive Care Admissions." Southern Medical Journal 82, no. 7 (July 1989): 880–84. http://dx.doi.org/10.1097/00007611-198907000-00021.

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&NA;, &NA;. "NEONATAL INTENSIVE CARE RECORD." Dimensions of Critical Care Nursing 6, no. 1 (January 1987): 8. http://dx.doi.org/10.1097/00003465-198701000-00003.

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Shenai, Jayant P. "Neonatal Intensive Care Handbook." Journal of Perinatology 22, no. 6 (August 13, 2002): 512. http://dx.doi.org/10.1038/sj.jp.7210671.

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Taylor, Lee, Barbara Bajuk, and Michael Giffin. "8. Neonatal intensive care." New South Wales Public Health Bulletin 13, no. 4 (2002): 56. http://dx.doi.org/10.1071/nb02s44.

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Taylor, Lee, Barbara Bajuk, and Michael Giffin. "8. Neonatal intensive care." New South Wales Public Health Bulletin 15, no. 5 (2004): 55. http://dx.doi.org/10.1071/nb04s64.

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Chodosh, James. "Neonatal Intensive Care Eye." Ophthalmology 126, no. 1 (January 2019): 144–45. http://dx.doi.org/10.1016/j.ophtha.2018.08.033.

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Lantz, Björn, and Cornelia Ottosson. "Neonatal Intensive Care Practices." Advances in Neonatal Care 14, no. 3 (June 2014): E1—E12. http://dx.doi.org/10.1097/anc.0000000000000083.

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Allan, Walter C., and Daniel B. Sobel. "Neonatal intensive care neurology." Seminars in Pediatric Neurology 11, no. 2 (June 2004): 119–28. http://dx.doi.org/10.1016/j.spen.2004.03.009.

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Finer, Neil N., and John P. Kinsella. "Neonatal intensive care perspective." Pediatric Critical Care Medicine 12 (July 2011): S62—S65. http://dx.doi.org/10.1097/pcc.0b013e3182211c4a.

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Nicklin, Sarah, Yapa A. Wickramasinghe, and S. Andrew Spencer. "Neonatal intensive care monitoring." Current Paediatrics 14, no. 1 (February 2004): 1–7. http://dx.doi.org/10.1016/j.cupe.2003.09.006.

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Kilicci, Cetin, Cigdem Yayla Abide, Enis Ozkaya, Evrim Bostancı Ergen, İlter Yenidede, Neriman Basak Baksu, Resul Karakus, and Seda Kucukoglu. "Confounders for Neonatal Intensive Care Unit Admission ın Neonates of Mothers with Preeclampsia." Gynecology Obstetrics & Reproductive Medicine 24, no. 3 (December 25, 2018): 162. http://dx.doi.org/10.21613/gorm.2018.804.

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<p><strong>Objective:</strong> 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. </p><p><strong>Study Design:</strong> 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.</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusion:</strong> 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.</p>

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Rolim, Karla Maria Carneiro, Nahana Rebouças Santiago, Tays Lopes Vieira, Marcela Carneiro Sancho, Mirna Albuquerque Frota, Hélène Boulard, and Patrícia Neveau. "IMAGINÁRIO DE MÃES ACERCA DA HOSPITALIZAÇÃO DO FILHO NA UNIDADE DE TERAPIA INTENSIVA NEONATAL." Enfermagem em Foco 7, no. 1 (April 2, 2016): 42–46. http://dx.doi.org/10.21675/2357-707x.2016.v7.n1.664.

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Objetivo: conhecer os sentimentos maternos durante a internação do filho na Unidade de Terapia Intensiva Neonatal. Metodologia: estudo exploratório, descritivo e de abordagem qualitativa, realizado na Unidade de Terapia Intensiva Neonatal da Maternidade- Escola Assis Chateaubriand, na cidade de Fortaleza, Ceará, Brasil. Realizada entrevista semiestruturada e oficina nas quais as mães desvelaram sentimentos acerca da hospitalização dos seus filhos por meio de desenhos. Resultados: as mães compreendem a unidade de tratamento intensivo como um lugar importante para a recuperação dos seus filhos. Apesar das dificuldades, estar presente e poder contribuir para sua recuperação é prazeroso e fundamental. Conclusões: para a conscientização das mães acerca da sua contribuição para a recuperação do filho, são imprescindíveis o diálogo e mudanças no olhar e na postura da enfermeira, cujo principal desafio é compartilhar emoções inerentes ao modo de cuidar. Descritores: Recém-nascido. Mães. Unidade de Terapia Intensiva Neonatal. Cuidados de Enfermagem.IMAGINARY OF MOTHERS ABOUT CHILD’S HOSPITALIZATION IN NEONATAL INTENSIVE CARE UNITObjective: the aim of study was to know the maternal feelings during the hospitalization of the child in the Neonatal Intensive Care Unit. Method: study is exploratory, descriptive and qualitative approach type, with a qualitative approach, held at the Neonatal Intensive Care Unit of motherhood-School Assis Chateaubriand, in Fortaleza, Ceara, Brazil. Interview and workshop were conducted in which mother’s unveiled feelings about the hospitalization of their children through drawings. Results: the mothers understand the intensive care unit as an important place for the recovery of their children. Despite the difficulties, to be present and can contribute to its recovery is pleasurable and fundamental. Conclusions: to the awareness of mothers about their contribution to the child’s recovery, the dialogue and changes in the nurse posture are essential. The main challenge to the nurse is to share emotions inherent in the way of care.Descriptors: Newborn, Mothers. Intensive Care Units, Neonatal. Care. Nursing Care.IMAGINARIO DE LAS MADRES SOBRE LA HOSPITALIZACIÓN DEL NIÑO EN LA UNIDAD DE CUIDADOS INTENSIVOS NEONATALES Objetivo: el objetivo de satisfacer los sentimientos maternos durante la hospitalización del niño en la unidad de cuidados intensivos neonatales. Método: estudio exploratorios y descriptivos, con un enfoque cualitativo, llevó a cabo en el Neonatal unidad de cuidados intensivos de la maternidad escuela Assis Chateaubriand, en Fortaleza, Ceará, Brasil. Llevó a cabo la entrevista y taller en el que sentimientos desplegado de las madres sobre la hospitalización de sus hijos a través de dibujos. Resultados: las madres entienden la unidad de cuidados intensivos como un lugar importante para la recuperación de sus hijos. A pesar de las dificultades, estar presente y contribuir a su recuperación es placentero y fundamental. Conclusiones: para el conocimiento de las madres sobre su contribución a la recuperación del niño, el diálogo y cambios en la postura de la enfermera son essenciales .El principal desafio de la enfermeira es compartir emociones inherentes a modo de cuidar.Descriptores: Recién Nacido. Madres. Unidades de Cuidado Intensivo Neonatal. Atención de Enfermería.

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Koshida, Shigeki, and Kentaro Takahashi. "Significant improvement in survival outcomes of trisomy 18 with neonatal intensive care compared to non-intensive care: a single-center study." PeerJ 11 (November 29, 2023): e16537. http://dx.doi.org/10.7717/peerj.16537.

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Background Trisomy 18 syndrome, also known as Edwards syndrome, is a chromosomal trisomy. The syndrome has historically been considered lethal owing to its poor prognosis, and palliative care was primarily indicated for trisomy 18 neonates. Although there have been several reports on the improvement of survival outcomes in infants with trisomy 18 syndrome through neonatal intensive care, few studies have compared the impact of neonatal intensive care on survival outcomes with that of non-intensive care. Therefore, we compared the survival-related outcomes of neonates with trisomy 18 between intensive and non-intensive care. Methods Seventeen infants of trisomy 18 admitted to our center between 2007 and 2019 were retrospectively studied. We divided the patients into a non-intensive group (n = 5) and an intensive group (n = 12) and evaluated their perinatal background and survival-related outcomes of the two groups. Results The 1- and 3-year survival rates were both 33% in the intensive group, which was significantly higher than that in the non-intensive group (p < 0.001). Half of the infants in the intensive care group were discharged alive, whereas in the non-intensive care group, all died during hospitalization (p = 0.049). Conclusions Neonatal intensive care for neonates with 18 trisomy significantly improved not only survival rates but also survival-discharge rates. Our findings would be helpful in providing 18 trisomy neonates with standard neonatal intensive care when discussing medical care with their parents.

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Johnson, Ann. "Disability and Perinatal Care." Pediatrics 95, no. 2 (February 1, 1995): 272–74. http://dx.doi.org/10.1542/peds.95.2.272.

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The declining infant mortality is carefully documented year by year in the Annual Summary of Vital Statistics in this journal.1 Although socioeconomic factors play an important role in this decline, the falling death rate among neonates weighing <1500 g at birth is widely attributed to changing patterns of neonatal intensive care. For neonates weighing 1000 g at birth, this assumption is probably correct. Thirty years ago, almost all these neonates died; now, over half survive to leave the neonatal unit and this proportion is as high as 70% in large tertiary centers.2 In terms of "rescue from death," neonatal intensive care can be described as a remarkably successful medical technology.

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Sinha, Shandip Kumar, and Sujoy Neogi. "Bedside Neonatal Intensive Care Unit Surgery- Myth or Reality!" Journal of Neonatal Surgery 2, no. 2 (March 13, 2013): 20. http://dx.doi.org/10.47338/jns.v2.32.

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Neonatal transport is associated with complications, more so in sick and unstable neonates who need immediate emergency surgery. To circumvent these problems, surgery in Neonatal intensive care unit (NICU) is proposed for these neonates. This article reviews the literature regarding feasibility of this novel concept and based on the generated evidence, suggest the NICU planners to always include infrastructure for this. Also neonatal surgical team can be developed that could be transported.

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Vera, Samuel Oliveira da, Márcia Teles de Oliveira Gouveia, Amanda Lúcia Barreto Dantas, and Silvana Santiago da Rocha. "Stressors in patients of neonatal intensive care unit." Revista da Rede de Enfermagem do Nordeste 19 (October 3, 2018): e3478. http://dx.doi.org/10.15253/2175-6783.2018193478.

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G Doddawad, V. "Retracted: Drug Utilization Pattern of Antibiotics in Neonatal intensive care unit in a Tertiary Care Hospital, India." Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics) 68, no. 6 (January 13, 2024): 126–31. http://dx.doi.org/10.21508/1027-4065-68-6-127-131.

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Article retractedMillions of babies are admitted to neonatal intensive care units worldwide, with a significant proportion facing various indications. Given that sepsis is a leading cause of mortality and morbidity among infants globally, including in India, the importance of efficient antibiotic use cannot be overstated. As the global problem of drug resistance intensifies, prudent antibiotic usage becomes crucial in mitigating treatment failures and ensuring the survival of newborns. Aim: to evaluate the pattern of antimicrobial drug utilization in neonatal intensive care unit (NICU) to assess the criteria for drug selection in tertiary care hospital.Materials and Methods. It was an observational prospective study conducted for six months in which 200 neonates admitted to neonatal intensive care unit at tertiary care Hospital, were included. Demographic details, duration of hospital stay, reason for admission (disease pattern), various drugs prescribed were noted. Results. Out of 200 neonates the number of male babies admitted to neonatal intensive care unit were 115 (57.5%) and female babies were 85 (42.5%). Many of the neonates were from age group of 1 to 5 (58.5%) days. Most of the neonates were from weight group of 2.5 to 3 (26.5%) kg. Majority of neonates hospital admission duration was 3 to 6 days is 98 (49%) neonates. Most common disorder requiring neonatal intensive care unit admission was Preterm with Respiratory Distress Syndrome (29%) followed by Neonatal Sepsis (19.5%) and Preterm (11%). Other distress reported include birth asphyxia (16 neonates or 8%), Neonatal convulsions (12 neonates or 6%), Late preterm (13 neonates or 6.5%), Hypernatremia (9 neonates or 4.5%), Meconium Aspiration Syndrome (3 neonates or 1.5%), Neonatal Hypoglycemia (5 neonates or 2.5%) and others (23 neonates or 11.5%). Among 423 antibiotics most prescribed antibiotic was Inj. Piperacillin + Tazobactam (35.4%) followed by Gentamycin (30.2%). Out of 423 drugs 152 are fixed dose combination and single drugs are 271 in this study in which piperacillin + tazobactam of fixed dose combination and gentamicin dose combination and single drugs are 271 in this study in which piperacillin + tazobactam of fixed dose combination and gentamicin of single drug had prescribed in more amount.Conclusion. The findings of this study will contribute to the existing body of knowledge regarding the appropriate use of antibiotics in the NICU, thereby providing insights for healthcare professionals to make informed decisions regarding antibiotic therapy. Empirical antibiotics were administered to every newborn based on their individual conditions. The antibiotic utilization pattern within this study group was determined to be rational.

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Devkota, Kanchan, Piush Kanodia, and Bibek Joshi. "Sepsis among Neonates Admitted to a Neonatal Intensive Care Unit in a Tertiary Care Centre." Journal of Nepal Medical Association 62, no. 270 (February 24, 2024): 76–78. http://dx.doi.org/10.31729/jnma.8431.

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Introduction: Neonatal sepsis is a condition that carries a high risk for mortality as neonates rapidly transition to extra-uterine life and are subjected to various risk factors. Sepsis prevalence can be reduced by good antenatal care, early detection and treatment of risk factors. The study aimed to find out the prevalence of sepsis among neonates admitted to a neonatal intensive care unit in a tertiary care centre. Methods: This is a descriptive cross-sectional study conducted among neonates admitted to the neonatal care unit of a tertiary care centre after obtaining ethical approval from the Institutional Review Committee. Data of patients admitted from 12 December 2022 to 30 June 2023 was collected from hospital records. Symptomatic patients admitted to the neonatal intensive care unit were included and those with incomplete data were excluded from the study. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 379 neonates, the prevalence of sepsis was 138 (36.41%) (28.38-44.44, 95% Confidence Interval). A total of 98 (71.01%) had early-onset neonatal sepsis and 40 (28.99%) had late-onset neonatal sepsis. Conclusions: The prevalence of neonatal sepsis was found to be lower than other studies done in similar settings.

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Casalino, Maria, Thivia Jegathesan, Michael Sgro, Elizabeth Rea, Matthew Muller, and Douglas M. Campbell. "Tuberculosis Exposure from a Healthcare Worker to Patients in a Neonatal Intensive Care Unit (NICU)." Canadian Journal of Infectious Diseases and Medical Microbiology 2022 (June 29, 2022): 1–4. http://dx.doi.org/10.1155/2022/2659883.

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The nosocomial spread of Mycobacterium tuberculosis from a healthcare worker with infectious pulmonary tuberculosis disease to patients remains a risk in the healthcare environment, including neonatal intensive care units. In this paper, we outlined a protocol for neonates exposed to tuberculosis in a neonatal intensive care unit that includes skin testing, chest X-ray imaging, and prophylactic isoniazid. Neonatal patients were followed up with tuberculosis skin testing at both three months corrected age and two months postexposure. To our knowledge, this is the first Canadian study to illustrate a protocol following tuberculosis exposure in a neonatal intensive care unit for exposed neonates.

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Tufano, M., A.Verrico, M. Esposito, S. Maddaluno, S. Rinaldi, S. Minichiello, F. Cirillo, P. Vajro, and R. Iorio. "Neonatal cholestasis in neonatal intensive care units." Digestive and Liver Disease 40, no. 10 (October 2008): A71—A72. http://dx.doi.org/10.1016/j.dld.2008.07.226.

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Adhikari, Sudhir, Kalipatanam Seshagiri Rao, Ganesh B.K., and Namraj Bahadur. "Morbidities and Outcome of a Neonatal Intensive Care in Western Nepal." Journal of Nepal Health Research Council 15, no. 2 (September 15, 2017): 141–45. http://dx.doi.org/10.3126/jnhrc.v15i2.18203.

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Background: Neonatal mortality rate of developing countries is declining over decades. In the recent years increasing number of preterm and high risk neonates have facilities for tertiary care treatment. The aim of the study was to assess the morbidities and outcome of neonatal intensive care admissions.Methods: It was a retrospective observational study carried out in neonatal intensive care unit of the Manipal Teaching Hospital, Pokhara, Nepal from January 2014 to December 2015. Neonatal details including place of delivery, birth weight, gestation, diagnosis at admission, hospital course and final outcome were recorded in predesigned proforma. Risk of mortality was calculated using odds ratio and 95% confidence interval. Results: There were total 1708 admission during study period and inborn as well as out born neonates were equally admitted. Neonatal hyperbilirubinemia (37.1%), neonatal sepsis 532 (31.2%), prematurity, 314 (18.4%) perinatal asphyxia 112 (6.6%), meconium aspiration syndrome 79 (4.6%) and intrauterine growth restriction 49 (2.8%) were main indications for hospitalization. A total of 1410 (82.6%) the patients were discharged after treatment, 167 (9.7) left against medical advice, 115 (6.7%) died in hospital and 16 (1%) cases were referred. Preterm neonates had twice the risk of mortality than term neonates (OR =2.1664). Birth weight < 2500 grams had three times more risk of neonatal mortality than normal birth weight (OR =3.0783).Conclusions: Neonatal hyperbilirubinemia, prematurity and neonatal sepsis were common morbidities inneonatal intensive care unit.

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Rodrigues, Bruna Caroline, Roberta Tognollo Borotta Uema, Gabrieli Patrício Rissi, Larissa Carolina Segantini Felipin, and Ieda Harumi Higarashi. "Family centered care and practice in the neonatal intensive care unit." Rev Rene 20 (April 25, 2019): e39767. http://dx.doi.org/10.15253/2175-6783.20192039767.

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Yadav, Dhirendra Prasad, Vivek Kumar, and Manoj Kumar Gupta. "Discharge Against Medical Advice Among Neonates Admitted to the Neonatal Intensive Care Unit of a Tertiary Care Hospital." Nepal Medical College Journal 26, no. 2 (July 1, 2024): 157–61. http://dx.doi.org/10.3126/nmcj.v26i2.67213.

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Discharge against medical advice is a condition where patient leaves the hospital against physician’s advice and is a serious public health issue, especially among neonates and a challenge faced commonly by physicians. It is a risk factor that can lead to adverse events like mortality and readmissions in neonatal units. To decrease neonatal mortality rate, it is necessary to investigate the causes leading to self-discharge. This study aimed to find out prevalence and reasons for discharge against medical advice among neonates admitted to neonatal intensive care units of a tertiary care hospital. A descriptive cross-sectional study was conducted among neonates admitted to the Neonatal Intensive Care Units who were discharge against medical advice (DAMA) from 15th March 2022 to 14th March 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: F-NMC/544/078-079). Neonatal demographic information and reason for self discharged were recorded. A convenience sampling method was used among neonates who met eligibility criteria. Data were presented as frequency with percentage. A point estimate with 95% confidence interval was calculated. Out of 910 neonates admitted to NICU, 86 (9.4%; 95% CI:7.62-11.53) were discharged against medical advice. Among these, 72 (83.7%) were outborn neonates and 51 (59.3%) male. The most common morbidity was sepsis 53 (61.6%). The common reasons for parents to take DAMA was poor financial condition 72 (83.7%). The prevalence of discharge against medical advice among neonates admitted in the neonatal intensive care units was similar to other studies done in similar settings.

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Sharma, Yograj, Om Krishna Pathak, Bipin Poudel, Asmita Sharma, Ram Prasad Sapkota, and Kiran Devkota. "Preterm Neonates Admitted in the Neonatal Intensive Care Unit at a Tertiary Care Centre: A Descriptive Cross-sectional Study." Journal of Nepal Medical Association 61, no. 260 (April 1, 2023): 320–24. http://dx.doi.org/10.31729/jnma.8126.

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Introduction: Preterm birth, one of the leading causes of admissions to the Neonatal intensive care unit, is a major contributor to neonatal morbidity and mortality in developing countries. This study aimed to find out the prevalence of premature neonates admitted to the Neonatal Intensive Care Unit of a tertiary care centre. Methods: This descriptive cross-sectional study was conducted from clinical records of preterm neonates (born before 37 completed weeks of gestation) admitted in the Neonatal Intensive Care Unit from 16 July 2020 to 14 July 2021. Following ethical approval from the Institutional Review Committee (Reference number: 077/78-018), the patient’s clinical characteristics and systemic morbidities were recorded. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 646 admissions, the prevalence of preterm neonates was found to be 147 (22.75%) (19.52-25.98, 95% Confidence Interval). The male: female ratio was 1.53:1. The median gestational age and birth weight were 33 weeks (Range: 24–36 weeks) and 1680 g respectively. A total of 73 (49.65%) delivery was followed by premature rupture of membrane. The morbidity due to respiratory problems was highest at 127 (86.39%), followed by metabolic at 104 (70.74%) and sepsis at 91 (61.90%). The renal system was the least affected 5 (3.40%). Conclusions: The prevalence of preterm neonates in the neonatal intensive care unit was higher than in other studies done in similar settings.

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Silva, Davi Porfirio da, Itala Letice Pereira Lessa, Mirelle Alessandra Silva de Medeiros, Glaucia Alyne Nunes de Lacerda, Mércia Lisieux Vaz da Costa Mascarenhas, Anne Laura Costa Costa, Ingrid Martins Leite Lúcio, and Rossana Teotônio de Farias Moreira. "Infecções fúngicas em prematuros por leveduras do gênero malassezia." Revista de Enfermagem UFPE on line 12, no. 10 (October 7, 2018): 2836. http://dx.doi.org/10.5205/1981-8963-v12i10a236345p2836-2843-2018.

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RESUMOObjetivo: analisar em recém-nascidos prematuros internados em Unidades de Terapia Intensiva Neonatal por infecções fúngicas causadas por leveduras do gênero Malassezia. Método: trata-se de estudo bibliográfico, descritivo, tipo revisão integrativa, desenvolvido em seis etapas, com busca de artigos entre dezembro de 2017 e janeiro de 2018, nas bases de dados LILACS, BDENF, Science Direct, Medline e no Portal de Periódicos CAPES. Interpretaram-se os resultados e se sintetizou o conhecimento de forma crítica e descritiva. Resultados: incluíram-se 12 estudos publicados em inglês (84,61%), espanhol (7,69%) e francês (7,69%). Conclusão: considerou-se que o Malassezia spp. pode ser responsável pela colonização e infecção, cutânea e sanguínea, em neonatos prematuros hospitalizados, destacando-se as espécies M. fufur e M. pachydermatis. Recomenda-se a necessidade de mais estudos. Descritores: Malassezia; Microbiota Fungemia; Unidades de Terapia Intensiva Neonatal; Recém-Nascido Prematuro; Nutrição Parenteral. ABSTRACT Objective: to analyze in newborn infants hospitalized in Neonatal Intensive Care Units for fungal infections caused by yeasts of the genus Malassezia. Method: this is a bibliographical study, descriptive of integrative review, developed in six stages, with search of articles between December 2017 and January 2018, LILACS, BDENF, Science Direct, Medline and Portal of Journals CAPES. The results were interpreted and synthesized the knowledge critically and descriptive. Results: we included 12 studies published in English (84.61%), Spanish (7.69%) and French (7.69%). Conclusion: it was considered that the Malassezia spp. may be responsible for the colonization and infection, skin and blood, in hospitalized premature neonates, highlighting the species M. fufur and M. pachydermatis. It is recommended the need for further studies.Descriptors: Malassezia; Microbiota; Fungemia, Neonatal Intensive Care Units; Premature Infant; Parenteral Nutrition.RESUMEN Objetivo: analizar en neonatos hospitalizados en Unidades de Cuidados Intensivos Neonatales infecciones fúngicas causadas por levaduras del género Malassezia. Método: este es un estudio bibliográfico, descriptivo, examen integrador, desarrollado en seis etapas, con búsqueda de artículos entre diciembre de 2017 y enero de 2018 BDENF, Lilacs, Medline, Science Direct, Portal de Periódicos y CAPES. Los resultados son interpretados y sintetizan el conocimiento crítico y descriptivo. Resultados: se incluyeron 12 estudios publicados en inglés (84,61%), español (7,69%) y francés (7,69%). Conclusión: se consideró que la Malassezia spp. puede ser responsable de la colonización e infección, la piel y la sangre, en neonatos prematuros hospitalizados, destacando las especies M. fufur y M. pachydermatis. Se recomienda la necesidad de más estudios. Descriptores: Malassezia; Microbiota; Fungemia; Unidades de Cuidado Intensivo Neonatal; Recien Nacido Prematuro; Nutrición Parenteral.

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Silva, Brenda, Maria Eduarda Santos, Hedyanne Pereira, Monica Britto, Maihana Fonseca, and Eulália Maia. "NEEDS OF MOTHERS OF NEWBORNS HOSPITALIZED IN THE NEONATAL INTENSIVE CARE UNIT." Psicologia, Saúde & Doença 22, no. 02 (June 2021): 768–77. http://dx.doi.org/10.15309/21psd220234.

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Sharma, Yograj, Om Krishna Pathak, Asmita Sharma, Suvekhsya Khanal, Niruta Baral, Sagar Shrestha, and Pradeep Adhikari. "Leave Against Medical Advice among Neonates Admitted to Neonatal Intensive Care Unit in a Tertiary Care Centre: A Descriptive Cross-sectional Study." Journal of Nepal Medical Association 61, no. 263 (July 1, 2023): 571–75. http://dx.doi.org/10.31729/jnma.8212.

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Introduction: Leave against medical advice is a condition in which a patient leaves the hospital against the treating physician's recommendation and is a sensitive issue occurring frequently in neonatal intensive care units across the developing world. Investigating the causes of newborn deaths is essential as there is high neonatal mortality rate in context of Nepal and a huge gap between that rate and desired outcomes. Self-discharge of sick neonates from hospitals further increases the chance of death. Hence, this study aimed to find out the prevalence of leave against medical advice among neonates admitted to the neonatal intensive care unit in a tertiary care centre. Methods: This descriptive cross-sectional study was conducted among patients admitted to the Neonatal Intensive Care Unit from 14 April 2021 to 13 April 2023 after obtaining ethical approval from the Institutional Review Committee (Reference number: 077/78-021). The patient’s demographic and clinical characteristics and reasons for self-discharge were recorded. Convenience sampling was done. Point estimate and 95% Confidence Interval were calculated. Results: Among 1352 neonates, the prevalence of leave against medical advice was 119 (8.80%) (7.29-10.31, 95% Confidence Interval). Conclusions: The prevalence of leave against medical advice from the neonatal intensive care unit was lower than in other studies done in similar settings.

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McCormick, Marie C., and Douglas K. Richardson. "Access to Neonatal Intensive Care." Future of Children 5, no. 1 (1995): 162. http://dx.doi.org/10.2307/1602513.

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King, Nancy M. P. "Transparency in Neonatal Intensive Care." Hastings Center Report 22, no. 3 (May 1992): 18. http://dx.doi.org/10.2307/3563293.

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Gordin, Peggy Cohen, Gerald B. Merenstein, and Sandra L. Gardner. "Handbook of Neonatal Intensive Care." American Journal of Nursing 86, no. 3 (March 1986): 348. http://dx.doi.org/10.2307/3425480.

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&NA;. "HANDBOOK OF NEONATAL INTENSIVE CARE." AJN, American Journal of Nursing 85, no. 12 (December 1985): 1346. http://dx.doi.org/10.1097/00000446-198512000-00033.

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