Author Archives: annabelleinster

Improving Neurodevelopmental Outcomes in NICU Patients

Premature infants experience stressors such as external stimulation with sounds, light, touch, and open positioning in NICU that negatively affect outcomes. The environment of the NICU can be modified to better mimic the uterus. Developmentally appropriate care includes strategies to minimize the stress of … Continue reading

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NICU Graduate Reunion “A Celebration of Life”

This article provides a discussion about the importance of an annual reunion for former NICU infants, their families, and neonatal staff and describe the experience of organising this reunion over the past 20 years at a regional neonatal centre in the United States. The impact of seeing … Continue reading

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Understanding the Pathophysiology, Implications, and Treatment Options of Patent Ductus Arteriosus in the Neonatal Population

Patent ductus arteriosus (PDA) is the persistence of a fetal shunt between the pulmonary artery and the aorta. This structure normally closes in the first 3 days after birth; however, closure is delayed in up to 80% of infants born at … Continue reading

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Neonatal Abstinence Syndrome An Integrative Review of Neonatal Acupuncture to Inform a Protocol for Adjunctive Treatment

The current opioid epidemic in the United States has given rise to a growing incidence of neonatal abstinence syndrome (NAS). Treatments for this condition optimize nonpharmacologic therapies in an effort to improve withdrawal symptoms and reduce or eliminate the need for opioid … Continue reading

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The red hat pathway: reducing avoidable NNU admissions for hypoglycaemia

Although untreated neonatal hypoglycaemia may be a cause of long-term harm, anticipatory management of at-risk babies (eg with thermoregulation and feeding support) can prevent many unnecessary admissions. Staff at the NNU at Evelina London Children’s Hospital implemented the ‘red hat … Continue reading

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Quality improvement in the NICU: increasing the use of own mother’s milk

Human milk (HM), particularly own mother’s milk (OMM), is one of the highest impact, low cost interventions in the medical field with research constantly finding new and more impressive data to support this. OMM should be considered a medical intervention … Continue reading

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Delivery room cuddles for preterm babies: should we be doing more?

Early delivery room contact between a preterm baby and a parent is now offered more frequently in units across the UK but it is yet to be accepted as standard care. This article presents data from the neonatal unit at … Continue reading

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