Low Risk Infants Clinically Monitored in Well Newborn Nursery Who Later Required Transfer to NICU for Further Care

Abstract

Our institution is located in an urban area serving a predominantly minority and immigrant population of low socioeconomic status. The hospital has data of a median income of $13,776/year with a population consisting of a majority of Hispanic patients and a minority of African American patients.

The Feasibility and Impact of a Postresuscitation Care Protocol in the Well Baby Nursery

“…Considering that 4-16% of all well nursery (WBN) admissions will require transfer to the NICU, most commonly for respiratory distress, hypoglycemia, or sepsis evaluation, increased monitoring for this higher risk subpopulation of WBN infants seems advisable 5,6 . Unfortunately, there are conflicting priorities when introducing increased monitoring in this population.…”

“…Considering that 4 to 16% of all well baby nursery (WBN) admissions will require transfer to the NICU, most commonly for respiratory distress, hypoglycemia, or sepsis evaluation, increased monitoring for this higher risk subpopulation of WBN infants seems advisable. 5,6 Unfortunately, there are conflicting priorities when introducing increased monitoring in this population. While enhanced surveillance may prevent delays in recognition and treatment of morbidities associated with resuscitation, [6][7][8] this intervention may unnecessarily interfere with bonding and breastfeeding.…”