Neonatal Intensive Care Unit
Frequently Asked Questions
When is my baby going home?
The neonatologist determines when your baby
will be discharged. The decision depends on
your baby's diagnosis and length of treatment.
When will my son be circumcised?
Circumcision is one of the last procedures performed before your baby's discharge.
Can my baby stay in my room?
Babies requiring Neonatal Intensive Care Unit (NICU) care need to be on continuous
monitoring; therefore, they need to stay in the NICU.
When can I breastfeed?
Breastfeeding times will depend on the baby's condition and gestational age.
A premature
infant must demonstrate the ability to coordinate sucking, swallowing and breathing
prior to breastfeeding.
Why can't I hold my baby whenever I want to — even when my baby is sleeping?
Babies that are sick need quiet, uninterrupted sleep to conserve energy and
to reduce stress. Parents are encouraged to visit at "touch times" when
they are able to participate in their baby's care and to hold and/or "Kangaroo
Care" their baby.
What time will the doctor/ARNP be here and when can I speak with him or her?
The neonatologist usually begins the day at 9 am; you may request to speak
with the neonatologist/ARNP during the day. The doctor will be happy to speak
with you when he or she is not with another baby. The ARNP is in-house 24
hours a day.
Did I do something wrong?
It is common for a mother to feel like she did something wrong to cause her
baby
to be admitted to the NICU. Prematurity, respiratory difficulties, low blood
sugars and infections are not caused by anything you did. We encourage you
to talk about these feelings with a family member or a caregiver.
Why is my baby losing weight?
It is a normal adaptation for babies to lose 10 percent to 15 percent of their
birth weight in the first week after delivery.
How long will my baby have to be on antibiotics?
This depends on the results of the laboratory work, as well as any signs and
symptoms of infection that your baby shows.
How long will my baby need phototherapy?
The amount of time your baby needs phototherapy varies, depending on blood
type, age, size and hydration status. All of these factors affect your baby's
bilirubin level.
Why is there an IV in my baby's head?
Due to the limited access and fragility of a baby's veins, your baby may require
an
IV to be placed in a scalp vein. A scalp vein is the same as any IV site. The
catheter is inserted superficially into the vein and does not come into contact
with the brain.
Why does my preemie have to be fed with a tube?
Depending on how early your infant is, the ability to coordinate sucking, swallowing
or breathing may be difficult. During this time, your baby will be fed with
a tube to ensure proper nutrition, digestion and weight gain. As your baby
matures, the ability to feed without the tube will develop.
Does my baby feel pain when an IV is inserted?
Yes. However, appropriate measures are taken to alleviate discomfort during
procedures. Some interventions include swaddling, providing support and containment,
using a sucrose solution and providing a pacifier. Please feel
free to discuss comfort measures with the nurse.
Will there be a problem transitioning my baby from the bottle to breastfeeding?
Most infants adapt without much difficulty. Our staff with provide the support
you need to succeed with this transition.
How long will my baby be on a ventilator/CPAP or oxygen?
There are many factors that determine the length of time, including gestational
age, diagnosis, signs and symptoms, and blood gas results.
What are my chances of having another premature infant?
Please speak to your obstetrician, who will be glad to address your concerns.
Why can't my 3-year-old visit?
Due to infection control concerns, only siblings 5 and older who have all up-to-date
immunizations and no signs and symptoms of illness will be permitted to visit.
All other visitors must be 18 or older.
My baby is not feeding or the feedings are being limited; how is my baby getting
the required nutrients?
IV nutrition is used to supplement or replace feedings by mouth and is monitored
closely by the NICU staff. The nutritional needs of each infant are assessed
daily.
As your baby becomes healthier, the amount of IV nutrition will decrease and
the amount of food your infant can eat will increase.
