Medela Neonatal Perspectives

Are We Gambling With Our Babies’ Lives?

Jae Kim, MD, PhD / August 2018

I have been to Las Vegas more than a few times. Each time, I am greatly fascinated by the popularity of the city and the excitement that draws in seemingly limitless crowds. Gambling culture is lucrative for the businesses there, and the odds of winning have not changed. In most cases, the odds are fairly… Read More about “Are We Gambling With Our Babies’ Lives?”

The Impact of Human Milk Oral Care

Jenny Murray, BSN, RN / July 2018

The NICU infant is one of the most, if not the most, susceptible patient in any hospital to nosocomial infections and morbidities simply because they are immature to start. Despite struggling to maintain every calorie their tiny body fights to keep, they are also up against any little bug that attempts to invade their already… Read More about “The Impact of Human Milk Oral Care”

NICU Milk Warmers: How Many is Enough?

Meredyth Thompson, BSN, RN / July 2018

Has this happened to you? It is a very busy morning and I am running late for the first feeds of the day. I hurry to the prep room down the hall and find I have no milk in the fridge for my patient. I run to the freezer, set some milk to thaw in… Read More about “NICU Milk Warmers: How Many is Enough?”

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”

How to Implement Family-Integrated Care

Meredyth Thompson, BSN, RN / June 2018

If you have followed this topic for the last few months, you may still be skeptical of the idea of family-integrated care (FIC). You may be asking yourself how practical it is to implement such a change in practice and culture. You may be saying, “A parent could not do what we do.” Or, you… Read More about “How to Implement Family-Integrated Care”

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”