Medela Neonatal Perspectives

Supporting Breastfeeding in High Risk Infant Populations

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

Neonatal folks are fixated on the gestational age of a neonate. We rely on this information to direct us toward the most likely diagnosis, expected care management, and outcome prediction. The difference in outcome between 23 weeks and 6 days and 24 weeks is significant. But I have noticed that as gestation increases closer to… Read More about “Supporting Breastfeeding in High Risk Infant Populations”

Why is Now the Right Time for ENFit Enteral Connectors?

Kathleen Quellen, RN, BSN / August 2018

Enteral feeding initiatives have seen practice changes in recent years. You’ve no doubt heard of ENFit connectors and the Global Enteral Device Supplier Association (GEDSA) which designed them. To really understand the practice change urgency, it’s best to be aware of GEDSA’s core goal: “To reduce medical tubing misconnections and improve patient safety.” ISO standards… Read More about “Why is Now the Right Time for ENFit Enteral Connectors?”

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”