Posts Tagged ‘going home after NICU’

Tips for bringing baby home from the NICU

Tuesday, July 10th, 2018

Bringing your baby home from the hospital after birth is a very exciting time. But if you had a premature birth or other pregnancy complications and your baby had to stay in the newborn intensive care unit (NICU), you may feel stressed or worried about taking your baby home. It’s normal to have lots of questions about life after the NICU. You may have questions like:

  • How do I get ready to take my baby home from the NICU?
  • What do I need to do if my baby needs medical equipment at home?
  • Is it OK to have visitors and family over when the baby comes home?
  • Can I take my baby outside for walks or with me to run errands?

Here’s what you can do to feel ready:

Talk to your baby’s health care provider and the NICU staff before leaving the hospital with your baby. This is especially important if your baby needs medicine. Write down all the medicine instructions and ask about how to store the medicine properly. Ask about basic baby care, safe sleep and how to use a car seat safely. And ask what the temperature in your home and your baby’s room should be.

If your baby needs medical equipment, learn how to use it while your baby is still in the NICU. Make sure the electricity in your home works with your baby’s equipment. If your baby needs more than one kind of equipment or if you live in an older home, you may need to check your electric system. If you rent your home, talk with your landlord about what you need.

Having friends and family over to meet your baby is fine, but limit the number of people who visit. Even though its summer, you and your baby can get the flu and other infections anytime of the year. Family and friends who are sick, have a fever or who may have been exposed to an illness should wait to visit your baby. Any adult who will have contact with your baby should get a pertussis vaccination (shot). Pertussis is also called whooping cough.

Going outside with your baby is OK, but stay away from crowded places like grocery stores. It’s fine to take your baby for walks outside or to visit friends or family.  But don’t take your baby to places like shopping malls and grocery stores. If you’re going outside, keep your baby cool in hot weather and protect yourselves from mosquitoes. Most bug sprays and lotions are safe to use on babies 2 months and older, but products with oil of lemon eucalyptus are not safe for children under the age of 3. Always read the spray or lotion label to make sure it’s safe for your baby. Put a mosquito netting across the top of your baby’s stroller when you’re outside. Make sure it doesn’t touch your baby’s face or body.

Getting ready for discharge from the NICU

Monday, July 31st, 2017

In general, your premature baby will be ready to go home around her due date. But your baby will have to reach certain milestones first. Her vital signsPreemie going home–temperature, breathing, heart rate, and blood pressure–must be consistently normal. This means that your baby:

  • Keeps herself warm
  • Sleeps in a crib, not an incubator
  • Weighs about 4 pounds or more
  • Has learned to breast- or bottle-feed
  • Breathes on her own

What can you do to get ready?

Make sure you talk to your baby’s health care provider and the NICU staff about caring for your baby at home. Here are some things to think about:

  • Do you have everything you need at home to take care of your baby? Do you have medicine and equipment your baby needs? Do you know how to give your baby medicine and use the equipment?
  • Are there any videos, classes, booklets or apps that may help you learn how to take care of your baby at home? Ask about taking a CPR class prior to bringing your baby home—knowing what to do in an emergency may make you feel more comfortable.
  • What do you want discharge day to be like? Do you want family or friends to be there when you and your baby get home? Or do you want it to be just you and your partner with your baby?

Many hospitals let parents “room in” with their baby for a night or two before going home. This can be a good way to practice taking care of your baby on your own while the NICU staff is still right there to help.

Car seat

You will be required to have a car seat before you leave the hospital. Preterm and low-birthweight infants have a higher chance of slowed breathing or heart rate while in a car seat. So your baby may need a “car seat test” before being discharged. The NICU staff will monitor your baby’s heart rate and breathing while she is in her car seat for 90 to 120 minutes. They may watch your baby even longer if your travel home is more than 2 hours.

Follow-up care

Make sure you have chosen a health care provider for your baby. You can choose a:

  • Pediatrician. This is a doctor who has special training to take care of babies and children.
  • Family practice doctor. This is a doctor who provides care for every member of a family.
  • Nurse practitioner. This is a registered nurse with advanced medical education and training.

If your baby has special medical needs, you may also need a provider who specializes in that condition. The NICU staff, hospital social worker or your baby’s general care provider can help you find someone.

Have questions? Send them AskUs@marchofdimes.org.

Preparing your home for your preemie

Tuesday, January 20th, 2015

Preemie going homeWe often receive questions about “preemie-proofing” from parents who are preparing for their preemie’s homecoming. You may have waited a long time for this day, but bringing your baby home, and leaving his team of doctors and nurses behind can be overwhelming for many parents. Here are some tips to help ease the transition:

Before your baby comes home:

• Speak with the NICU staff at your baby’s hospital. They are very knowledgeable about what your baby may need when going home.

• If you clean your home before your baby’s arrival, (or if you want to brighten up your preemie’s nursery by painting it) do so before he comes home. This way you can avoid any strong smells that may linger.

• Clean your house of dust and germs. Vacuum and dust often, take out the garbage and keep your kitchen and bathroom clean. Also, tell your baby’s health care provider if you have any pets. Pet hair can track in dirt and dust.

• If your baby needs oxygen, carefully observe the cleaning requirements, particularly for the humidifier, and understand the safety recommendations.

Once your baby is home:

• Your baby should not be exposed to smoke, aerosol sprays or paint fumes. These irritants can cause wheezing, coughing, and difficulty breathing.

• Maintain a smoke-free household. Post signs around your house if you need to so family and friends are aware of your smoke-free home.

• The guidelines for cleaning and storing bottles, nipples, pacifiers, breast pump equipment and milk or formula are the same for preemies as term babies.

• If your baby is on an apnea monitor, be sure you can hear the alarm from every room in your house.

• Wash hands after blowing your nose, diapering your baby or handling raw food. Don’t let adults or children who are sick, have a fever or who may have been exposed to illness, near your baby.

Visit our website here for more great resources for parents after they bring their baby home from the NICU.

What do you remember being helpful when you brought your preemie home? What tips would you recommend to new parents?