Medela Neonatal Perspectives

Oral Colostrum Care: A Self-Driving Practice, or Is There a Driver?

Jae Kim, MD, PhD / July 2018

The earliest delivery of mother’s milk is a natural and protective event in nature: the suckling of the first drops of colostrum. The importance of this earliest milk is told based on other mammals that get sick or die if they aren’t able to receive colostrum in a timely manner. Fortunately, we don’t have immediate… Read More about “Oral Colostrum Care: A Self-Driving Practice, or Is There a Driver?”

Making Babies Grow: Necessity and Timing of Human Milk Fortification

Sandra Sundquist Beauman, MSN, RNC-NIC / July 2018

There has been recognition for several years now that intrauterine and extrauterine growth vary in  premature infants, particularly those born at less than 1500 grams and again, a larger difference for those born at less than 1000 gms.1 Historically, the growth curves used in the Neonatal Intensive Care Unit (NICU) were growth curves based on… Read More about “Making Babies Grow: Necessity and Timing of Human Milk Fortification”

Fats First in Enteral Feeding Human Milk Delivery – New Research & Recommendations

Kathleen Quellen, RN, BSN / June 2018

Delivering an enteral feed of human milk with important nutritional fat is a priority in the NICU. Our patients gain so much value from a human milk feed. But how do we ensure fat is delivered first? How do we avoid losing fat during the feeding? Let’s take a closer look. The recommendations to avoid… Read More about “Fats First in Enteral Feeding Human Milk Delivery – New Research & Recommendations”

Confirming Gastric Tube Placement: What’s New?

Sandra Sundquist Beauman, MSN, RNC-NIC / June 2018

There has been, and remains to be, much discussion (and a little practice change) about confirmation of gastric tube placement. While this doesn’t seem like such an “intensive care” activity, it is certainly high risk. Current gastric tube placement methods Babies who are doing well growing and getting feedings via a gastric tube can quickly… Read More about “Confirming Gastric Tube Placement: What’s New?”

The Rule Of Law: The Secret To Change In The NICU

Jae Kim, MD, PhD / June 2018

It has been absolutely fascinating over the past year to see our country undergo a true Rule of Law test as political turmoil from all sides challenged pillars of the three independent arms of government. Our country has weathered these hurricane forces quite well so far, and I marvel at the brilliance of the original founders of our country to… Read More about “The Rule Of Law: The Secret To Change In The NICU”

Best Practice for Order of Use of Human Milk in NICU/Hospitals

Patrice Hatcher, MBA, BSN, RNC-NIC / May 2018

Efficient use and storage of human milk is a priority in the NICU. Newborn infants separated from their mothers and requiring special care related to illness or prematurity are often too fragile to breastfeed. The benefits of an exclusive human milk diet are well documented. When mothers are not available to breastfeed, it becomes imperative… Read More about “Best Practice for Order of Use of Human Milk in NICU/Hospitals”

Managing Hypoglycemia and Protecting Breastfeeding

Sandy Sundquist Beauman, MSN, RNC-NIC / May 2018

Glucose derangement, particularly hypoglycemia, is very common in the newborn. The definition of hypoglycemia is nebulous even after much discussion and some research over the last 15 to 20 years. Cornblath and colleagues1 discuss this, and it is also acknowledged by the statement on Postnatal Glucose Homeostasis by the American Academy of Pediatrics.2 This statement… Read More about “Managing Hypoglycemia and Protecting Breastfeeding”

Cleaning ENFit in the Neonatal Intensive Care Unit

Kathy Quellen, RN, BSN / May 2018

An ENFit implementation makes clinicians suddenly aware of the importance of cleaning enteral products. The ENFit design change – male/female reversal and a locking system – makes the hub on the syringe larger, and the “moat” area around the tubing larger also. Although education takes place in the beginning of an ENFit transition, a buildup… Read More about “Cleaning ENFit in the Neonatal Intensive Care Unit”

A NICU Nurse’s Role Helping Moms to Breastfeed or Pump

Jenny Murray, BSN, RN / May 2018

We are NICU nurses. What an incredible job with a plethora of mixed emotions depending on the situation. We think ABC’s first, and rightly so … Airway, Breathing, Circulation. As important as the ABC’s sound and most definitely are, I’d like to talk about how important it is for us, as nurses, to advocate for… Read More about “A NICU Nurse’s Role Helping Moms to Breastfeed or Pump”