Some days, the public was surprised by the news of a baby who died because of not getting the maximum care, after being rejected by 10 hospitals, including government hospitals, Cipto Mangunkusumo Hospital (RSCM). The reason the hospital refused was because it did not have many incubators or NICUs, while others did not have NICU facilities. Because never get help, Dera Nur Aini passed away on Saturday, February 16, 2013, and left her twin sister Dara. The tiny baby had pain in his breathing because he had not surgery and died.
Then, from some of the comments in some articles that aired Dera's writings, perceive that the NICU is an Incubator. Is it true that perception?
From some literature the authors can, the NICU stands for Neonatal Intensive Care Unit, which means a special room in the hospital, to care for newborns up to the age of 30 days requiring special treatment and treatment under the supervision of a team of doctors.
Medical facilities and infrastructure in the NICU is complete and the technology is sophisticated. Thus, NICU treatment is able to prevent and treat the occurrence of vital organs in the newborn, which can be caused by preterm birth (less than 37 weeks) or born with several congenital diseases.
NICU care is tailored to the needs of the newborn. There are usually several types of treatments, such as:
-The baby is sick and does not need to be infused.
-For a moderately ill baby and need an incubator, infusion, oxygen and heart and pulmonary monitor.
– For seriously ill babies who require care and rigorous monitoring, as well as treatment of premature babies with gestational age less than 34 weeks or weight less than 510 grams.
Given the understanding and type of NICU care, there are some people or teams and equipment and actions integrated into the NICU. What are they?First, the breathing apparatus. This is necessary if the premature baby has severe shortness of breath due to the lungs it has not fully developed. There are 2 kinds of breathing apparatus, namely ventilator (dirty air exchanger with clean air) and CPAP (Continuous Positive Airway Pressure). Ventilators are given to infants who can not get their own breathing, where they are placed in the baby's mouth and equipped with a small tube that will enter air into the lungs. If the baby can breathe on his own but needs help, it will be given CPAP, by inserting 2 small tubes into the nose for air to push into the lungs.
Second, the incubator. It is a glass-walled room where temperatures can be set to stay warm, at 35C – 36C. This warmth is required by premature babies because it will be at risk of hypothermia or low body temperature, because the fat tissue under the skin is less or thin. Incubators can also be used in minimizing the risk of premature baby contact with potentially infectious people and the environment.
There are 2 types of incubators, which have a cap and do not have a cap. In an incubator that has a cap, which is equipped with 2 holes the size of an adult's hand, the temperature control is carried out from the heater under the incubator. While the incubator is not closed, the heater is on the top. Mom can at any time hold the baby for breastfeeding.
Third, the monitor. Babies are always monitored carefully and thoroughly with monitors. There are two kinds of monitors that are used, oxygen saturation monitors, tied in hands or feet to monitor blood oxygen levels, and monitor vital signs, which are glued to the chest to monitor respiratory rate, heart rate, temperature and blood pressure.
Fourth, the NICU team is solid. In addition to doctors, the team can reach up to 12 people, consisting of nurses and physiotherapists, to help monitor the growth and development of children. NICU staff are health practitioners trained in newborn care.
Fifth, feeding. Feeding of premature babies is increased gradually on the basis of its development. If the digestion is not optimal, the administration of fluids (including breast milk), is carried out via continuous drip or a tube inserted in the mouth using a compressive pump. If the ability of the gastrointestinal tract is good enough, then the baby can be directly fed or fed with a spoon.
NICUs in each hospital have varying regulations and consider the type of infant care. If parents are allowed to enter the NICU, it is limited in number and is required to remove footwear and wear special hospital clothing. Before touching the baby, parents are asked to remove the jewelry and wash their hands with a thorough antiseptic gel. The goal is to prevent the spread of disease germs and maintain the stability of the room.
That's a bit of a story about the NICU and the incubator. Based on the above, it means the incubator is an integrated part of the NICU. It could be that in the NICU there is more than one incubator.
[caption id = "attachment_237880" align = "aligncenter" width = "400" caption = "Incubator / (image source: www.mamashealth.com)"]
In the future it is expected that all hospitals provide NICU in order to care for premature newborns or have birth defects.Regards