The Department of Pediatrics

Neonatal Intensive Care Unit (NICU)

Caring for the Premature or Sick Infant

Saint Barnabas neonatologist Teresa Stec, M.D., recommends that parents have contact with their infant in the NICU as soon as the baby’s condition stabilizes. While newborns in the NICU may be connected to many different kinds of equipment, bonding with their parents is important.  Parents can talk to the nurses or doctors about holding their baby, doing Kangaroo Care with their baby or simply cradling their infants with a hand hug. Once parents overcome their initial fear of “breaking” such a tiny infant, the physical contact promotes bonding. Even the most premature baby will curl a hand around a parent’s finger.

Many parents decorate their baby’s incubator with family photographs and other loving touches. Some families place a tiny tape recorder in the incubator. The parents read stories into tapes and the familiar sound of their voices comforts the baby and helps him or her to distinguish their voices from others.

NICU parents can participate in the care of their baby, including changing diapers and feeding, either through bottles or a syringe into a feeding tube. Breast milk is best for all babies but especially those in the NICU.  If a baby is unable to breastfeed, mothers can pump their milk to be given to their infant at a later time.  The NICU has breast pumps available for mothers to use. 

The days spent in the NICU provide time for the premature infant to develop organs, especially the lungs and heart. Because premature babies sometimes experience health setbacks, the NICU offers a support group for parents. Another source of strength can come from other NICU families. Despite the sometimes frightening circumstances, Dr. Stec has found that the overwhelming majority of couples turn to each other and work together throughout the experience.

When parents finally bring their baby home from the NICU, they may still feel their childrearing experience is different from others. Dr. Stec recommends that parents of premature infants avoid comparing their child with other full-term babies born in the same time period. In the premature baby, every part of the body that was supposed to continue to grow inside the mother has to mature outside the womb. At one year of age, a child who was born four months premature may be the developmental equivalent of a 9-month-old. “This developmental delay usually corrects itself by 18 months to two years of age,” reports Dr. Stec. “Although the more premature the baby, the longer it may take.”

For the 10 to 15 percent of premature infants who may continue to experience developmental or health problems, Saint Barnabas offers the High-Risk Infant Follow-Up Program. Babies receive physical and occupational therapy to improve gross and fine motor skills, as well as assistance in a variety of areas.

For more information, please call (973) 322-5314.

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Neonatal Intensive Care Unit
(NICU)

(973) 322-5300

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