Nicu
Uploaded by
assadhhmohammed assadhNicu
Uploaded by
assadhhmohammed assadhSUBJECT :
OBSTETRICS AND GYNECOLOGY
WRITTEN ASSIGNMENT ON :
ORGANISATION AND MANAGEMENT
OF NEONATAL INTENSIVE CARE
UNIT
SUBMITTED TO: SUBMITTED BY:
Mrs. Nagalaxmi H MD Assadh
Dept. Of OBG. 4th year B.Sc. [N]
SUBMITTED ON :
06 – February – 2023
TABLE CONTENT
1. Introduction
2. Definition
3. Aims/goals of NICU
4. Objectives
5. Indications for admission in NICU
6. Basic facilities
7. Components to be consider while organising an NICU
a. PHYSICAL FACILITIES
b. PERSONNEL
c. EQUIPMENTS
d. LABORATORY FACILITIES
e. PROCEDURE MANUAL
f. TRANSPORT OF SICK INFANTS
g. COOPERATION BETWEEN THE OBSTETRICIAN AND
NEONATOLOGIST
8. Towards gentle and friendly NICU environment
9. Conclusion
10. Bibliography
INTRODUCTION
New-born intensive care approach developed from the concept that a more
intension approach to neonates who require special care would result in a
significant decrease in neonatal mortality and morbidity.
A neonatal intensive care (NICU) is an intensive care unit specializing in the
care of ill or premature new born infants The first official NICU for neonates
was established in 1961 at Vanderbilt University Mildred Stahlman, officially
termed as NICU when Stahlman used ventilator oft label for a baby with
breathing difficulties, for the first time ever the world.
DEFINITION
New-born or neonatal intensive care unit, an intensive care unit designed for
premature and ill new born babies . – Andria Santiago
NEONATAL CARE : The management of complex life threatening diseases,
provision of intensive monitoring and institutional of life sustaining therapies
in an organized manner to critically ill children in a separate paediatric
intensive care unit
AIMS/GOALS OF NICU
The goals of neonatal intensive care unit are :
To improve the condition of the critically ill neonates Keeping in mind
the survival of neonate so as to reduce the neonatal mortality and
morbidity.
To provide continuing in service training to medicine and nursing
personnel in the care of new-born.
To maintain the function of the pulmonary cardiovascular, real and
nervous system.
To monitor the heart rate, body temperature, blood pressure, central
venous pressure and blood by non-invasive techniques.
To check /observe alarms systems sigma; to find out the changes beyond
can feed limits sets on the monitors.
To administer precise amounts of fluids and minute quantities of drugs
through iv infusion pumps.
OBJECTIVES :
To measure the oxygen concentration of the blood by oxygen analyses
to save the life of the sick new born.
To prevent damage in infants with problems at birth and also reduce
morbidity in later life.To monitor high risk new born so as to reduce
mortality and morbidity in these babies.
INDICATIONS FOR ADMISSION IN NICU :
1. Low birth weight
2. Large babies
3. Birth asphyxia
4. Meconium aspire on syndrome
5. Severe jaundice
6. Infants of diabetic mother
7. Neonatal sepsis
8. Neonatal convulsions
9. Severe congenital malformation
10. Oxygen therapy/parental nutrition
11. Immediately after surgery
12. Cardio respiratory monitoring
13. Exchange blood transfusion
14. Mother of hepatitis b carrier
15. Injured neonate
16. PROM/foul smelling liquor