High-Risk Newborn Infants

Korones, Sheldon B.; LANCASTER, JEAN; ROBERTS, FLORENCE BRIGHT; Alexander, M.

doi:10.1097/00000446-197303000-00060

Cited by 10 publications

(15 citation statements)

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“…However, there is a large body of knowledge that identifies the risks associated with rectal temperature taking such as, rectal perforation and vagal stimulation leading to cardiac arrhythmia and bradycardia (Schiffman, 1982;Frank and Brown, 1978;Korones, 1981;Fleming et al, 1983, cited in Bailey andRose, 2000). Fonkalsrud and Clatworthy (1965) also identify the risk of morbidity and mortality in neonates through the manipulation of the anus with firm objects such as thermometers.…”

Section: Temperature Measurementmentioning

confidence: 99%

Neonatal hypothermia

Ellis

2005

Journal of Neonatal Nursing

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Management of the thermal needs of the preterm infant at delivery through to admission to the neonatal unit remains a challenge to all health professionals involved in the care of the neonate. Despite advances in the understanding of methods of heat loss all to often neonates are subjected to becoming exposed to hypothermia. Hypothermia can have a significant effect on the infants health status which can lead to, decreased surfactant production, increased oxygen consumption and depletion of calorie reserves [Bailey, J., Rose, P., 2000. Temperature measurement in the preterm infant: a literature review. Journal of Neonatal Nursing 6 (1), 28e32]. Health professionals have a responsibility to be aware of and to ensure that the thermoregulatory needs of the infant are upheld in order to provide them with the best start possible. The article provides a detailed analysis of the importance of thermoregulation within the pre-term infant with particular reference to a case study identified within my practice as a neonatal nurse. Methods of heat loss are identified alongside positive changes to future practice.

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Section: Temperature Measurementmentioning

confidence: 99%

Neonatal hypothermia

Ellis

2005

Journal of Neonatal Nursing

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“…Approximately 80% of the body's bilirubin is formed from the breakdown of erythrocytes (Korones, 1986). Haemoglobin is then split into the two fragments, heme and globin.…”

Section: Hyperbilirubinaemiamentioning

confidence: 99%

“…In premature infants, jaundice is first evident after 48 hours and disappears by the 9 th or 10 th day. To treat this, phototherapy is used which provides an artificial source of light that changes bilirubin into nontoxic, water soluble isomers which can be excreted in the urine and faeces (Korones, 1986). …”

Section: Hyperbilirubinaemiamentioning

confidence: 99%

“…It starts to develop early in pregnancy, appears to increase when fetal movements are felt, and intensifies when the infant is born and the parents are able to see, touch and care for their infant (Korones, 1986). Rubin (1984) insisted that maternal attachment to the infant begins during pregnancy, extending through the six months following birth.…”

Section: Parent-infant Attachmentmentioning

confidence: 99%

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Stress experiences of parents with premature infants in a special care nursery

Lau

Morse

2003

Stress and Health

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This project is a controlled prospective longitudinal study of stress experiences of parents with premature infants born from 30-35 weeks gestation being cared for in a tertiary special care nursery (SCN). Sixty mothers and 59 fathers of premature infants and 60 mothers and fathers of term infants were recruited into the study. A range of repeated selfreports and biochemical markers of stress (cortisol and tribulin) were carried out on 5 measuring times through approximately a total of 24 weeks for parents of premature infants and 17 weeks for parents of term infants.Parents of premature infants reported higher stress levels than parents of term infants within the first week of infant's birth but had lower biochemical markers of stress. The stressors perceived by these parents in a SCN were appearance and behaviour of the infants and the delayed in performing the parental role. Parents used both emotion-and problemfocused coping strategies to deal with the stressful events.A follow-up telephone interview of these parents a year after the birth of their premature infant found that most parents expressed the experience as positive. A few parents were concerned over the neurodevelopmental and cognitive outcomes of their infants. Implications for clinical practice were discussed.

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“…Home phototherapy should be discontinued once the serum bilirubin concentration falls below 14 mg/dL. 2. The serum bilirubin concentration should be remeasured 12 to 24 hours after cessation of phototherapy to look for a rebound in bilirubin concentration.…”

Section: Discontnnuationmentioning

confidence: 99%

Home phototherapy for the jaundiced full-term newborn

Murphy

Welch

1993

Journal of Home Health Care Practice

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T RADITIONALLY, INFANTS with high / bilirubin levels were managed in the hospital with phototherapy or, if necessary, transfusions. However, the recent trend is for an early discharge for mothers and babies from the hospital, often within 24 hours. Readmitting the infant to the hospital for treatment is not desirable, unless absolutely necessary. Technology has evolved and programs have been developed to successfully provide phototherapy treatment at home for the jaundiced, full-term newborn who is otherwise healthy. PHYSIOLOGIC NEONATAL JAUNDICE Jaundice is a very common occurrence during the newborn period. It occurs because of the build-up of bilirubin. There are two types of bilirubin in the normal neo-natc―conjugated and unconjugated. Conjugated is the direct-reacting bilirubin that binds with a glucuronide radical in the liver. This resultant complex is water soluble and is normally excreted through the biliary tree and also through the kidneys if serum levels are abnormally high.

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High-Risk Newborn Infants

Cited by 10 publications

References 0 publications

Neonatal hypothermia

Neonatal hypothermia

Stress experiences of parents with premature infants in a special care nursery

Home phototherapy for the jaundiced full-term newborn

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