Maternal and neonatal separation and mortality associated with concurrent admissions to intensive care units

Abstract

Interpretation:Mother-infant pairs in the co-ICU group had the highest prevalence of separation due to interfacility transfer and the highest mortality compared with those in the maternal ICU and NICU groups. AbstractResearch CMAJ, December 11, 2012, 184(18)

Maternal Origin and Risk of Neonatal and Maternal ICU Admission*

“…Maternal ICU admission is also a marker of SAMM (24), and with co-ICU admission, the risk of death of mother and infant is the highest (5). Co-ICU admission also reflects a higher chance of separation of the mother and infant, and greater stress on the family unit (3,5). As we did not evaluate the main indication for NICU admission, duration of NICU stay, or newborn morbidity arising therein, "NICU" may not necessarily reflect differences in the burden of newborn disease.…”

“…For the analyses of maternal world region and ICU admission, we performed three sensitivity analyses for the top three states associated with maternal ICU (5,6,11). The first was restricted to women with a PTB at 24-36 weeks of gestation.…”

Whole-Exome Sequencing and Whole-Genome Sequencing in Critically Ill Neonates Suspected to Have Single-Gene Disorders

“…Reported neonatal (28-d) mortality fol-lowing NICU admission varies widely from 0.8% to 6.2% (Hack et al 2005;Wilkinson et al 2006;Berger and Hofer 2009;Ray et al 2012) although this number includes the gamut of diagnoses, including extreme prematurity and sepsis. Of 23,910 recorded infant deaths, 66% were in the neonatal period, of which the leading cause was congenital malformations, deformations, and chromosomal abnormalities (20.8%) .…”

Learning to parent from Google? Evaluation of available online health evidence for parents of preterm infants requiring neonatal intensive care

“…Parents may experience disappointment, anger, guilt, or feelings of loss of control, which can be heightened due to separation from their infant as well as uncertainty and lack of knowledge regarding their infant's medical condition. [1][2][3] Mothers may particularly be vulnerable and unable to process all the information that is provided to them upon NICU admission as they are physically recovering from the birth process themselves. 4,5 While the staff in neonatal units strive to provide consistent information to parents, verbally and in written form (e.g.…”