THOUGH NOTHING CAN TAKE YOUR CONCERN AWAY, THERE ARE WAYS TO INCREASE YOUR COMFORT.
Call or visit the NICU to talk to your baby’s nurse or Neonatologist about your concerns. They can
provide answers and support. We encourage you to ask questions until you feel comfortable.
Information is available about your baby’s condition. Please ask staff if you want more information. An
experienced neonatologist or Paediatrician is available in our NICU. You as parents will be involved in
your baby’s care. The nursing staff will be teaching you, please feel free to ask for explanations. Meetings
with your baby’s doctor can be arranged by talking to your baby’s nurse or by calling the NICU. If you
feel overwhelmed, anxious, depressed, or excessively worried, it is important to reach out for support.
Our NICU Nursing staff forms part of your support team, please feel free to approach them during your
baby’s stay.
Frequently Asked Questions
Upon arriving in the NICU your baby will require
immediate attention, so you will be requested to
remain in the parent waiting area in order for the
NICU team to evaluate the condition of your baby
and to commence treatment as soon as possible.
Fathers may use this time to be at mum’s side.
- As soon as possible after admission fathers are welcome to visit their baby in our NICU. We encourage you to take photos for Mum and family.
- As soon as mum stable and is able to visit her baby, the Maternity staff may bring her to the NICU - on her bed or wheel chair. We encourage this as soon as possible. Parents are welcome all day EXCEPT 7 am - 10:30am or until doctor rounds are completed. The unit is closed during these times to ensure privacy while information about the care of each baby is being shared.
- Visiting during the day, are as follows: 10:30 up to 18:00 and from 19:15 up to 22:00. Please note there may be times when parents will be requested to remain in the waiting area for e.g. during an admission of a baby or during an invasive procedure (only in emergencies). Your baby’s health is our priority. Please respect the need for a quiet and calm environment due to the fragile nature of sick infants. A maximum of 2 people may be at your child’s bedside at a time.
- Very sick babies do not tolerate a lot of activity; therefore, parent’s quality /bonding time is precious and beneficial. Talk with your baby’s nurse for exceptions to this policy.
- To reduce noise, please turn off all cell phones and pagers while in the NICU. Your time with your baby is best if uninterrupted. If you must place a call, please leave the nursery to do so.
All parents must adhere to the hand washing
policy, which is posted in the scrub room. For the
safety of all the infants, please do not enter the
unit if you feel ill or think you are becoming ill.
The smallest babies do react to procedures
they experience. There is no evidence that they
remember these procedures but we try to
minimize your baby’s discomfort through care
in handling and positioning, and sometimes
medication. Most of the monitors used are
painless to the baby and only involve small
sensors being placed on the skin
Bonding doesn’t just occur during the first
hours after birth. The attachment that develops
between parents and their child begins to form
even before the baby is born and continues over
time. Premature babies recognize their mothers’
and often their fathers’ voices. They quickly learn
to know their parents special touch and scent.
Your baby will find your voice soothing and
comforting. You can be involved with your baby
by calling the NICU often, visiting when you can,
and learning about your baby’s care. You are your
baby’s parent and your role is as important now
as it will be in the future. Spending time with your
baby must be balanced with your needs for rest,
children at home, and work responsibilities. You
can personalize your baby’s bedside by bringing
in a family photo and up to 2 small stuffed
animals. Please only bring in clean and washable
toys. Balloons are not allowed. Blankets to protect
your baby from bright lights and loud noises are
always welcome and will otherwise be provided
by the NICU.
Premature and newborn babies need long
periods of uninterrupted rest. You can help your
baby grow and recover by letting him sleep
between feedings. This can be frustrating for
parents who want the baby to be alert during
visits. When possible, time your visits so you
arrive around your baby’s feeding time. As your
baby gets closer to discharge, he or she will be
more awake and will enjoy more interaction and
activity with you. Until then, follow your baby’s
cues for sleep.
Premature babies are easily overstimulated due
to their immature nervous system. Light tickling
touch and stroking is often overstimulating. It is
important to learn your baby’s cues. Your baby’s
body language can tell you a lot about how
he or she is feeling. A good way you can touch
your baby is containment holding, which is one
hand on the head and one holding the legs bent
gently. This gives your baby boundaries and the
feeling of being back in the womb. It is important
to protect your baby from excess light and sound.
Covering your baby’s incubator with a quilt can
help.
Treat your baby’s space in the NICU as you
would your baby’s room at home. Speak quietly
at the bedside and conduct visits with friends
and family in the cafeteria or lounge area.
Heavily scented perfumes and lotions can be
overstimulating.
We encourage all mothers to breastfeed their
babies. Breast milk is more easily digested. Until
your baby is ready to be breastfed,, you will need
to pump and bring your milk to the nursery.
Expressing your milk should begin in the first 24
hours. A lactation specialist is available should
you require assistance with breastfeeding. Extra
milk may be kept in our freezer. If you will be
visiting for longer periods of time, be sure to
bring your breast pump and express milk at
babies’ bedside as the contact with your baby
assists with the letdown reflex of your milk.
When it is time to begin breastfeeding your baby,
your baby’s nurse can help or you can make an
appointment with a certified lactation consultant
available in the hospital. We also support mums
who are unable to breast feed for various reasons
in the use of formula and there are several
formulas available.
Your Neonatologist / Paediatrician will decide
which formula to use during the babies’ stay in
the NICU.
- Fresh breast milk is best for your baby. It should be used within 24 hours of pumping. If the milk can’t be used within 24 hours, you or your nurse should freeze it to preserve the milk for later use.
- Breast milk can only be thawed once and again it must be used within 24 hours.
- Wash hands thoroughly before and after pumping.
- Always label the breast milk container with a hospital label and the date and time you pumped the milk. We supply the breast milk containers and labels. Ask your nurse when you need more supplies.
- Make sure all parts of your pump that come in contact with breast milk are cleaned with warm soapy water after each use.
- Transport breast milk from home in a cooler or insulated bag to keep it frozen.
- Please bring breast milk to your baby’s bedside rather than leaving it at the nurse’s station.
- If you will need to pump at the hospital, please bring your breast pump from home.
- Baby will be needing the following for his/her stay in the NICU: a small pacifier, 5 bottles (in order to store your expressed breast milk).
Planning for your baby’s discharge begins
early. We want to help you feel comfortable
caring for your baby. As your baby’s condition
stabilises, we will begin to discuss what you
will need to learn in order to care for your
baby at home. We will help you learn both
routine baby care as well as any specialised
care your infant may need.
Most parents are eager for an exact
homecoming date. Unfortunately, each
baby progresses at his or her own rate and
it is difficult to predict a discharge date.
Babies need to be growing well, taking
adequate nourishment and maintaining
their body temperature. If your baby needs
any specialised care, it is important that you
feel capable and confident in these skills.
Before discharge, a care conference can be
requested to help you plan for your baby’s
homecoming. In your baby’s bedside chart
there is a discharge teaching flow sheet. This
will give you an idea of what you and your
baby need to do to be prepared for discharge
EXPLANATION OF WORDS USED IN NICU
In order for you as the parent to understand and part
take in the caring of your baby’s journey with us we have
included a couple of words:
APNEA:
Lack of breath lasting greater than 20 seconds.
BAGGING:
Helping your baby to breathe by gently pushing oxygen into his lungs from a resuscitation bag through a special mask placed over his nose and mouth.
BLOOD GASES:
Tests done on a small amount of blood withdrawn from the baby’s heel or umbilical catheter which evaluate how well your baby is breathing.
BRADYCARDIA:
Slowing of heart rate to less than 80 beats/minute.
CATHETER:
Thin, clear plastic tubing placed in a vein or artery, usually for IV’s.
MECONIUM:
Baby’s first bowel movement, usually black and tarry.
MONITOR:
Machine connected to your baby by electrodes, displaying the heart rate and sometimes the respiratory rate.
NEONATOLOGIST:
Pediatrician whose special medical training is in the care of newborns.
NPO:
Nothing by mouth, i.e., not fed orally.
OBSTETRICIAN:
Doctor who delivers babies and specialises in the care of women.
PHOTOTHERAPY:
Treatment that exposes the baby’s skin to special lights (with eyes protected) to eliminate jaundice. Also called “bili light”.
PREMATURE:
Born before a gestational age of 38 weeks.
PULSE OXIMETER:
Monitor that displays the oxygen saturation of the baby’s blood. An elastic probe is wrapped around the baby’s wrist, hand, foot or toe. A light within the probe senses how well the baby’s red blood cells are filled with oxygen.
RADIANT WARMER:
Open bed with overhead heating lamp.
RESPIRATORY DISTRESS SYNDROME:
A condition where baby has difficulty in maintain his/her own breathing.
RETRACTIONS:
Difficulty in breathing where the ribs show.
SELF-LIMITING:
Baby’s ability to recover from an apnea or bradycardia without stimulation.
SERVO CONTROL:
Mechanism on some incubators and on all radiant warmers that maintains the baby’s temperature at a normal level, sensed through a probe attached to the infant’s skin.
SPELLS:
See definitions for apnea and bradycardia.
TACHPNEA:
Increase in breathing rate greater than 60 breaths/min.
TACHYCARDIA:
Increase in heart rate greater than 180 beats/min.
UMBILICAL CATHETER:
Plastic tubing placed in an artery or vein of the umbilical cord to give fluids and to take blood samples.
VENTILATOR:
Machine that breathes for your baby and delivers oxygen under pressure into your baby’s lungs. Also called a respirotor.
VITAL SIGNS:
Temperature, heart rate, breathing rate.
WEANING:
Gradually reducing baby’s dependence on the ventilator.