My Rotation For Obstetrics

Infants and parents are biologically tuned to become attached to each other and this attachment promotes the baby's survival. In the United States, Kangaroo cares a method of skin to skin, contact in which a newborn has lied face down between the mother's breast for an hour or so at a time after birth. In Africa, the baby is raised in a caring family atmosphere where there is an extended family to take care of the babies. The mother caries baby on her back while working and spends time taking and playing with the baby. In Mongolia, the mother gets very less time to spend with the baby as she has to run errands and most of the times she has to work away from the baby. The social interaction is only during a family get-together for the baby. In America and Japan, the babies are taken to the park, shopping malls and the music classes for them to be social also the grandparents visit them often. The babies living in the countryside and tribe have less strange anxiety than children in the city like Tokyo and San Francisco. Secure attachment is when faced with a stressful situation and the caregiver effectively comforts the

Group members are struggling with the many facets of having a NICU baby. This session will deal with some of the very common issues. Parents of NICU babies are often worried about how slowly their child may be progressing in comparison to other babies. This session the group will work through some of those progressions and regressions and help the parents to cope with this. Parents are sitting in the NICU for hours, watching other babies do things that their baby is not doing. However, this session will help show the parents that they are all doing this. Every parent in the group has likely been the parent on either end of that frustration/joy. Regression can be hard for parents and does happen often during a NICU stay. Group members may show some reluctant to talk about their child’s set-backs. They may be discouraged by them. Parents have a strong desire to know when their child will be discharged from the hospital. This can cause them to become upset when that does not happen (Pepler et. Al, 2012).

To help prevent this issue I have created a program for the Fairfax hospital Neonatal Intensive Care Unit (NICU) to facilitate the bond between mother and child while both are recovering and being cared for. The pilot program called “rooming-in” allows mother and child to be on the same private room where other family can also stay. The room will be designed to give maximum support to both mother and baby by having all resources in room as well as a private team of nurses.

This clinical rotation allowed me the opportunity to experience the maternity-newborn aspect of nursing. The nursing specialty I have not considered nor have I imagined myself to be doing. But, performing hands-on intervention and firsthand provision of care to a newborn might have changed all of my perception.

Kangaroo care is defined as the way of “holding a preterm or full term infant so that there is skin-to-skin contact between the infant and the person holding it. The baby, wearing only a

By dates, she is 24 5/7 weeks and the measurements are concordant. The amniotic fluid volume is normal. A repeat fetal anatomy was performed and further views of the face and diaphragm were seen. Again, due to fetal position and maternal body habitus the fetal heart was not cleared.

With a mean gestational age of 29.1 weeks. Because of the failure of the medical treatment,

The maternal parent, is traditionally the parent who remains near the NICU, however little research to promote the paternal parent role

Empirical evidence from research validates the effectiveness of an intervention in specific patient populations and settings. For this reason, evidence-based practice promotes stewardship of resources and the best outcomes for patients. In maternity care, a common intervention following birth is skin-to-skin contact (SSC) between mother and newborn. It is also called kangaroo care. The practice has been in place for many years. However, its effectiveness must be established to determine if it warrants continued recommendation. The purpose of this paper is to answer the question, “Should the practice of SSC be maintained?”

Kangaroo care began in “Bogota, Colombia as an intervention to maintain infant body temperature when incubators were not sufficient in the late 1970s. This method of holding infants skin to skin spread worldwide because of the reported benefits of this practice” (Lee & Bang, 2011). Kangaroo mother care is direct skin-to-skin contact between a neonate and their mother or father. This intervention will not only benefit the baby as previously stated, but also increase the bond between the parent and the infant and is of large benefit to the hospital; this is a low-cost intervention with evidence supporting its care. The PICOT statement for the proposed change of kangaroo mother care is: In preterm neonates who are less than 37 weeks old (P), does kangaroo mother care, which is defined as direct skin-to-skin contact with parent (I), compared to standard care, or incubator care (C), increase the neonate’s physiological vital signs, weight, decrease pain, and reduce rates of infection (O), over the course of their hospital

ON FETUS AND NEWBORN. Pediatrics Sep 2015, APP News Gateway, 136 (3) 596-599; DOI: 10.1542/peds.2015-233 http://pediatrics.aappublications.org/content/136/3/596 Web. 3 Apr. 2018.

Research in approaches to enhance the milieu for infants, parents, and staff is required; including creating and testing inventive design plans that diminish the separation that staff needs to walk while guaranteeing security and closeness for parents and looking at the best approaches to guarantee families have social backing, maybe from different families, in a neonatal intensive care unit that has single rooms. Investigating the most ideal approach to enhance internal communication between the staff is additionally required whether this be through having focal workspaces, utilizing intuitive media, for example, video or texts frameworks, or changing administration frameworks to decrease the measure of the practical unit. Such future studies

Courtney is a 32yo, G16 P3395, who is currently 32 weeks. She is followed in the High Risk Obstetrical Clinic secondary to a history of a preterm delivery. She was also noted to have a shortened cervix and a cerclage was placed. She is currently on 17-OHP. She has a history of an abruption as well as classical cesarean delivery followed by 2 early repeat cesarean deliveries. Her cervical length last week was 2 cm. She is here today for ongoing evaluation.

Parents expressed their need for someone to visit, to ‘ be there’ in their home as needed (Long & Johnson, 2001). Early counselling can help parents to cope and therefore positively influence the duration and intensity of the infants excessive crying. In creating a partnership with parents the Child and Family Health Nurse (CFHN) can strengthen the family system and facilitate the attachment between parents and infant. In promoting health and positive parenting strategies the Nurse helps to enhance self-esteem and instill confidence in the parents about their parenting skills and ability. They can encourage the mother to participate in supported mothers groups to help them create a support system, be with other mothers in similar situations and share their experience of parenthood. This also aides in eliminating social isolation for mothers and their babies. The Nurses can give evidence based recommendations to the families about how to deal with infantile colic, how to develop coping strategies, which interventions should be trialed first and also refer the parents to see their general practitioner for a thorough health assessment for

Research has consistently revealed that children born preterm have a greater risk for learning-related problems as they progress through infancy, preschool, and elementary school. Children placed in Neonatal Intensive Care Unit, also known as the NICU, have a more difficult journey ahead in their development compared with children born full term. This can result from a number of instances that occur during the child’s earliest moments of life. One main source of difficulty and worry when caring for a preterm child is the relationship between parents a child, formed inside the walls of the NICU and carried out until adulthood. It is imperative to study and understand the degree in which the way parents respond in these shocking and unsettling