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In order to provide infant intensive care services, different specialties need to work in cooperation. In the newborn area, the mother and the baby should be considered as a whole. Acıbadem Maslak Hospital Infant Intensive Care Specialist Pinar Dayanikli, in any other medical branch of the person's story is not combined with the mother, but in the neonatal intensive care, the mother's disease is also important for the baby's life, he says. Therefore, it is important that the mother's story is taken with very fine details and approached as a whole in the newborn baby.
The field of medicine that provides all this integrity is called “Maternal Fetal Medicine” (Perinatology). The evaluation of the mother and the baby's history together is important for the preliminary evaluation of infants who are or may be in the neonatal intensive care unit. Perinatology specialist, in fact, when the baby is still in the womb together with other physicians in other specialties, assessing the baby's risks and determine a roadmap is prepared.
? During these assessments, the probabilities of why the baby was lost are determined.
? Risks in ongoing pregnancy can be detected.
? The surgeries that will be planned before the baby is born can be performed in the womb.
? In these evaluations, it can be determined that the baby is not one but two.
? Some findings that have not yet been detected in the baby may be noticed.
? In the mother's abdomen, there may be babies who start twins and lose one.
? Premature infants who have a single spouse may have problems with neurological development.
? Sometimes there is information that the obstetricians cannot transmit to the pediatrician at the birth stage and it may be possible to plan them in advance.
We Draw a Road Map to the Unborn Baby
Perinatology and neonatology services will be provided in Acıbadem Maslak Hospital. These services will work with each other, starting from the womb until the baby is born to develop the most appropriate solution for the baby and mother. These solutions will be reinforced with the latest findings in medicine. The newborn team will have two specialist physicians as well as a specialist physician and perinatology specialist who will provide continuous service. These teams will discuss risky babies in weekly meetings. Dr. Pinar Proof of this center, also in the center of Istanbul and Turkey may apply even outside the family, she said the baby would serve as a reference center in the intensive care unit.
Acıbadem Maslak Hospital will also be equipped with advanced, advanced technology, strong infrastructure and fully equipped laboratory services to support intensive care. Dr. Pınar Dayanıklı underlines that they discover most of the information in medicine by examining the patient, but they need important laboratory tests. Genetic disorders and screening of chromosomal anomalies in infants who will enter intensive care unit are of great importance. Thanks to this advanced laboratory, very rare metabolic diseases and problems in the womb can be revealed.
Service for Accepting Individuals
Babies who come to the world with health problems or are born prematurely are named in hospitals by their surnames or room numbers. Families also postpone the name of the baby among the hardship they live in when they leave the hospital and go home. Dr. Pınar Dayanklı states that they will adopt a different approach in this regard at Acıbadem Maslak Hospital.
In this service, babies will be treated as 'individuals'. Dr. Pınar Dayanıklı listed the differences in neonatal intensive care as follows:
? Babies are not intertwined with other babies, they will all be cared for in their private areas. Parallel to the unit's infection prevention principle, it helps to provide enough space for the baby.
? Instead of lined up side by side, babies will be referred to by their names and their own parts. This is very important for parents. Because the doctor and nurse team can be considered as a case for babies, a family member for their parents. When this is felt, it is very satisfactory for the family.
? Neonatal intensive care is a very stressful environment. In addition to machine noise and alarms, families can feel very weak and inadequate. On top of this feeling, it is a very stressful situation if we move away from individuality and it affects the attitudes of the family after leaving the intensive care unit.
? We will take great care that the same nurse takes care of every baby in the unit. We attach great importance to the care of each baby by nurses who own it and know its features.
? We also care about the parents' participation in care while the baby is in the unit and the first living of the baby with the nurses. The first bath of the baby, removal from the incubator, wearing overalls, removal from oxygen, frequent feeding and care, make families skilled and knowledgeable.
? Thus, they approach their babies not as a fragile creature but as a small baby that they understand their habit and water, which has a lifelong effect.
? Families are going through a major trauma, and they need to take some control. We aim to do this by including them more in care.
? Another principle is to include families during their daily visits to physicians and nurses. We're doing all this for the baby. If families become aware of the plans in this way, their problems are less and you share the bad news and the good news. It's easier for them to digest, so it's very different to families who are kept in total darkness to operate your baby.
? Mothers need to know that they will maintain a strong bond with breast milk when they leave their babies in intensive care. The mother provides her milk with the milk pump at regular intervals. He's saving his milk in a refrigerator for his baby. The importance of breastmilk for prematures is undeniable. Problems in the digestive system and intestines are diminishing, we always support mothers. It is very important to contribute to the nutrition of the mother both in the unit and at home.
Kangaroo Care Makes Babies Happy
Kangaroo care is a method developed by two neonatologists in Bogota in Colombia for the first time in 1983. In Kangaroo care, the baby who receives only respiratory support is placed on the naked skin of the mother and one ear of the baby is placed in the mother's heart. Thanks to this method of infant mortality rates have been reduced from 70 percent to 30 percent has been implemented in other countries. Today, it is applied very intensively, and although the tools are developed, problems are experienced. Babies' heart rates are slowing, they forget to breathe. Studies have shown that both these babies born on time and premature, such applications provide the stability of body temperature, proper breathing. There are periods in which the amount of oxygen in the blood fluctuates, they need to be minimized. The baby's sleep time is extended. The benefits on the side of the mother strengthen the mother's bond with the baby, there are evidence that increases breast milk. Fathers can also take care of kangaroo, the important thing is that the baby's mother or father's heart rate to feel peaceful.
We Live the Babies through Teamwork
? In the newborn intensive care unit, constantly changing teams take care of the baby, leaving families under great stress. For this reason, it is very important that families always get information about their babies from the same experts. It is also useful to provide information frequently.
? It is important that families participate in decisions and ask questions at any time.
? It is very comforting for them to make friends with other families, to share their troubles, to express their concerns and to know that there are families like them.
? The abundance of sites on the Internet regarding premature care, the abundance of information can cause families to be misguided and damaged.
? Most of the newborns who enter the intensive care unit are babies born under 37 weeks. He is divided into groups within himself, the earlier he was born, the more time he would spend in the unit. Diseases that can be seen, the number of procedures that can be done is increasing.
? Especially in low weeks, the family cannot predict how small the baby will be, and between 26-28 weeks the weight is between 700-1000 grams. Fathers see the baby first, but we also support the mother to see the baby and see her presence and develop a bond with her.
? When the name of the babies is not put for a long time, the mother cannot establish this connection and may regret it afterwards. The mother should see the baby when she can stand up, sometimes she is relieved when she sees the baby well while waiting much worse.