A New Language
With your baby being admitted to the NICU you will learn a whole new language. Use this glossary to help you
understand and even speak this foreign language with as little effort
as possible. Terminology and people included are according to the
South African context. This page is brought to you with the courtesy
of Prematurity – Adjusting your Dream.
Glossary of NICU terms
The people and terminology for them:
- ICU: Intensive Care Unit
- NICU (Neonatal Intensive Care Unit): This
specialized unit is where premature babies or very sick babies are
monitored and cared for. It can also be referred to as Special Care
Nursery (SCN) or Intensive Care Nursery (ICN).
- Neonate: This is how an infant is described for the first thirty days of their life.
- Premature infants: This is a baby born before 37 weeks gestation. These babies are often referred to as 'premmies'.
| Prematurity can be further defined according to the baby's birth weight: |
| Low birth weight baby |
< 2500 grams at birth |
| Very low birth weight baby |
< 1500 grams at birth |
| Extremely low birth weight baby |
< 1000 grams (micro premmie) |
Many professionals work together to care for premmie babies. You may meet some or all of the following:
- Audiologist: person who specialises in hearing problems, tests for hearing loss and the treatment thereof.
- Cardiologist: doctor who specialises in heart problems.
- Case manager: person involved with medical aids. She will reassess
your baby's medical status daily and keep the medical aid informed. She
will also contact you if there are any problems from the medical aid's
side. If you have queries on whether you have sufficient funds from
your medical aid to cover the care of your baby while in NICU, this
will be the person to speak to.
- Endocrinologist: doctor that specialises in gland and hormonal problems.
- Lactation consultant: health care provider who has advanced
training and certification in breastfeeding management. In some NICUs
the lactation consultant is available to help the nursing mother
establish and maintain a breast milk supply until her baby is ready to
breastfeed. The consultant then helps mothers with the actual skill of
breastfeeding. If your NICU does not have a lactation consultant
appointed to the unit, the neonatal nurses might help you in this
regard, but you might find it useful to contact a lactation consultant
once you go home and need additional support.
- Neonatal nurse: registered nurse who is specially trained (referred
to as a trained neonatal sister) or experienced (referred to as an
experienced neonatal sister) to provide nursing care to high-risk,
premature and ill newborns. She performs and coordinates the many tasks
necessary to care of your baby. She will also look after the family and
show you how to take care of your baby.
- Neonatologist: specialised paediatrician in high-risk, premature babies. She will supervise the medical care of your baby.
- Nephrologist: specialised doctor in kidney (urine) problems.
- Neurologist: specialised doctor in brain and nervous system problems.
- Occupational therapist: specially qualified person in the promotion
of development and treating of developmental problems. You may
encounter this person either in the NICU or in a follow-up clinic
visit.
- Opthamologist: specialised doctor who will check your baby's eyes and provide appropriate treatment.
- Paediatrician: specialised doctor in child health care. You will
probably take your baby to your own paediatrician after discharge from
the NICU.
- Pathologist: specialised doctor in blood problems. This doctor will
analyse your baby's blood results and send a report with the results to
the NICU.
- Physiotherapist: specially qualified person in assessing movement
and muscle problems in babies. They are sometimes also involved in the
treatment of respiratory problems. You may meet one in the nursery or
later in a follow-up clinic.
- Radiographer: person who will take X-rays of your baby's lungs and
abdomen. These X-rays may be repeated a few times a day when your baby
is still very ill or when necessary when your baby is getting stronger.
- Radiologist: specialised doctor who evaluates and writes a report on the X-rays.
- Shift leader: neonatal nurse who is second in charge when the unit
manager is on duty. She is responsible for the management of the NICU
when the unit manager is unavailable.
- Social worker: qualified person who can help you with non-medical
issues. She can assist you by providing counselling, emotional support,
information on community resources and where the need arises, financial
information.
- Speech and language specialist: qualified person trained in speech
and language development and problems. If this person is also a
qualified feeding therapist, she will play an important role in
assisting your baby with feeding problems, such as sucking and
swallowing difficulties.
- Unit manager: neonatal nursing sister who is in charge of the NICU.
She supervises all nurses and clerks in the NICU. You are welcome to
contact her with any queries or problems you might experience that
cannot be solved by speaking with other nursing staff.
- Ward secretary: receptionist in the NICU. She will often be the one
answering the phone in the unit and can help you with all kinds of
administrative information and activities.
MONITORS
- Apnoea monitor: used in a crib when your baby no
longer needs intensive monitoring. It has an audible alarm that will
sound should your baby stop breathing. Different kinds are available in South Africa. Some monitors operate with a mattress that is placed
under your baby in the crib with an attached monitor to sound in the
event of apnoea. Some has an electrode that is padded to your baby's
skin on her tummy with an attached monitor. Some monitors are wireless
and attach to your baby's nappy to stimulate breathing by means of
vibration.
- Blood pressure monitor: machine that measures your baby's blood pressure. The blood pressure may be measured periodically with a small cuff placed around your baby's arm
or leg, or may be measured continuously if your baby has a catheter
(tiny tube) going into one of the arteries.
- Cardiac-respiratory monitor: displays the
heart rate of your baby. An alarm will sound if your baby's heart rate
drops below or is above the limits set for your baby. The limits are
commonly set to sound if the heart beats less than 100 beats per minute
or is more than 200 beats per minute. Three adhesive patches with wires
(called electrodes) connected to them are placed on your baby's chest,
abdomen, arms or legs. The wires are connected to a machine that
displays your baby's heart rate, heart beat pattern, breathing rate and
breathing pattern. It is quite common for premature babies to stop
breathing for more than 20 seconds (apnoeic spells), in which case the
alarm will sound.
- Pulse oximeter/oxygen saturation monitor: continuously measures your baby's blood oxygen. There is a tiny light,
which is attached to your baby's palm, foot, finger, toe or wrist by a
piece of adhesive elastic. A cord goes from the light to a machine that
displays the amount of oxygen being carried by red blood cells in your
baby's body. This may be part of the cardio-respiratory monitor or a
separate monitor. Normal blood saturation for a premature baby is about
88-92% when the baby receives oxygen; and above 96% when she is
breathing on her own. These levels might change slightly according to
sea level.
INCUBATORS
- Open incubator/overhead crib: open flat bed with a
heater that keeps your baby warm, which is regulated by her own
temperature. A temperature probe continuously measures you baby's temperature. The overhead crib has enough space for all the tubes
and wires and provides easy access to your baby. Some new incubators
can change from open to closed by moving the overhead part of the
incubator.
- Closed incubator: bed for a premature baby that is
covered with see-through Perspex sides to enable you to see your baby.
The incubator provides a warm and humidified environment. It will
automatically warm up or cool down according to your baby's temperature
(if your baby has a skin temperature probe). If she starts maintaining
her temperature, the incubator temperature may be adjusted to provide
the exact extra bit of heat your baby may need.
- Temperature probe: coated wire that is placed on
your baby's skin and covered with a soft, adhesive patch. It measures
your baby's temperature and provides information that is used to help
regulate the amount of heat from the overhead heater or incubator.
Clothing and linen covering her might interfere with the temperature
regulation and that is why babies are sometimes not dressed when in an
incubator.
- Thermometers: used in the NICU to measure your
baby's temperature - it can be mercury or electronic thermometers. The
thermometer is placed in contact with the skin under your baby's arm
for up to three minutes. The normal temperature for a premature baby
will be acceptable between 36.5°C and 37.5°C. Temperature is never taken
in a baby's mouth for safety reasons.
BREATHING EQUIPMENT
- A chest tube/intercostal drain: tube inserted into
the chest between two ribs. It is used when a baby had chest surgery,
has a pneumothorax (air or gas between the membranes of the lungs) or
has fluid accumulation between membranes of the lungs. Its purpose is
to drain excess air or fluid out of the chest to allow your baby's
lungs to expand, which will help her breathe easier.
- Continuous positive airway pressure (CPAP): oxygen
or normal air provided to your baby via nasal prongs that fits snug her
nostrils. It provides pressure that prevents the baby's lungs (alveoli)
from total collapse each time she exhales. With this machine, your baby
breathes on her own, but a little assistance is provided to keep the
lungs expanded.
- Bubble CPAP: oxygen or normal air provided to your
baby via continuous positive airway pressure created by a water
chamber. Pressure is created by water pressure instead of mechanical
pressure and prevents her lungs (alveoli) from total collapse each time
she exhales.
- Endotracheal tube (ET): inserted through your
baby's nose or mouth, directly into her windpipe (trachea) to deliver
air to her with an ambubag, ventilator or oscillator when she cannot
breathe on her own. The tube is secured by tape and passes through the
vocal chords. You will not be able to hear your baby cry until it is
removed.
- Nasal prongs (or cannula): flexible hollow tube
with little prongs that fit into the nostrils to deliver oxygen (or
air) under a small amount of pressure. Delivering oxygen under pressure
helps to keep the air sacs (alveoli) in the lungs open. If the oxygen
is delivered under pressure, it is known as CPAP.
- Oxyhood (headbox): small plastic hood that covers
your baby's head and helps to provide a stable humidified oxygen
environment. It is not used very often due to better and more advanced
technology that is available these days.
- Oxygen mask: placed over your baby's nose and
mouth, allowing oxygen to flow through a tube into the mask at a
constant rate. The oxygen mask is mostly used together with an ambubag
to deliver manual pressure to your baby when she collapses or is
transported to theatre or another area in the NICU. An oxygen mask and
ambubag can be used as a temporary replacement for a ventilator.
- Saturation probe: little red light that is
attached to your baby's palm, foot, finger, or wrist by a piece of
adhesive elastic and runs to the saturation monitor with a wire. This
probe measures the oxygen levels in the blood.
- SiPAP: new way of providing ventilation without
the use of an ET tube. It is, however, not suitable for babies who need
to work very hard to breathe and those who are very ill.
- Suction catheter: small tube to remove mucus from your baby's nose, throat or windpipe and helps to keep the breathing tubes clear.
- Ventilator (or respirator), high frequency ventilator (oscillator): machine that helps your baby breathe, since many premature babies have
trouble breathing. The ventilator is attached to your baby via the ET
tube and can do all of her breathing for her, or just part of it.
Others, called high frequency ventilators or oscillators, keep the
lungs open with a constant pressure and then give hundreds of tiny
puffs of air or oxygen each minute. These tiny puffs do not appear as
normal breathing, but rather as if the chest is vibrating, called chest
wiggle.
IV THERAPY
- Intravenous therapy: Your baby receives fluid
through a tube into her blood stream. Intravenous means ‘within a
vein'. A vein is a small tube in the baby's body that transfers blood,
which is poor in oxygen, from wherever it is in your body towards the
heart and lungs to get fresh oxygen. IV therapy involves putting a
small, flexible tube (called a catheter) into your baby's vein to
deliver fluids, nutrients, medicines or blood directly to her system.
- An arterial line is similar to an
intravenous (IV) line, except that it goes into an artery instead of a
vein. An artery is a bigger tube that carries blood, which is rich in
oxygen from the lungs and heart to all the areas in the body where it
is needed, such as muscles or organs. This line can be used to measure
blood pressure or draw blood from.
- Intravenous (IV) or infusion pumps and tubes are
machines used to provide exact, measured amounts of IV fluids,
medications or nutrients to your baby and you will find it on the
counter or attached to a rail at your baby's bedside. A needle or small
tube is placed into one of your baby's veins and then attached by
tubing to a container of fluid to deliver fluids to her. Common sites
for IVs are hands, feet, arms, legs and the head.
- A peripheral line is a very thin
IV tube that is placed into the arm, hand, leg, foot or scalp and used
to administer fluids. To place a peripheral line, a small needle is
inserted into a vein that is close to the skin surface. Once in place,
the needle is removed and a catheter (small hollow tube) remains in
place and is connected to the intravenous tubing. The catheter is
secured with plaster so that your baby can't pull it out. The IV site
may become swollen and red after time, due to irritation caused to the
veins and then needs to be administered in another area. This happens
due to the fragility of your baby's veins. If the IV is placed in the
arm or leg, it may be secured with a splint. Splints may be used to
keep your baby's arm or leg straight when she is receiving a drip to
prevent the tube from being occluded or kicked out.
- Broviac catheter: central line
placed in the blood vessel that leads directly to the heart and needs
to be inserted by a doctor through a surgical procedure. This type of
catheter is considered when your baby will receive IV fluids over a
long period of time or receives medication or nutrition that is
irritating to thin peripheral veins.
- Peripherally inserted central catheter (PICC-line): another kind of central line, which is usually inserted through a vein
in the neck or in the bend of the arm and then guided into a large vein
that takes it directly into the heart. An X-ray is taken to ensure that
the catheter is in the correct position. Complications that may occur
with insertion of a PICC-line include infection, an irregular
heartbeat, bleeding and breaking or plugging of the catheter. The line
may need to be removed if any of these occur. The advantages of a
PICC-line over a peripheral line includes that it allows higher
concentrations of nutrients and medications to be given, with less
irritation to the veins. When IV therapy is needed for a long time the
PICC-line eliminates the need for multiple needle sticks to take blood
samples or deliver IV nutrition, fluids or medications.
- Umbilical catheters: inserted through the end of
the umbilical cord into either an artery (an umbilical artery catheter
or UAC) or a vein (an umbilical vein catheter or UVC) or both.
Umbilical catheters are usually inserted directly after birth when the
umbilicus is still soft and moist and is only recommended for babies
whom the staff knows will need long-term IV therapy. The umbilical
catheter is secured to your baby's tummy with a small amount of tape
and a small stitch may also be used to secure the catheter. The stitch
does not hurt your baby, since the umbilical cord does not have any
nerves. The umbilical catheter has some advantages: blood samples can
be painlessly drawn directly from the umbilical catheter for blood
tests; the need for your baby to be pricked with a needle to take blood
samples are reduced; blood pressure can be monitored continuously; and
fluids, medications and nutrients can be given to your baby via the
veins.
PHOTOTHERAPY EQUIPMENT
- Phototherapy is used to treat a condition called
jaundice, which is when too much bilirubin in the blood turns your
baby's skin and the whites of her eyes yellow. This happens because her
liver is not yet mature enough to break down the old red blood cells in
her body. The bilirubin levels are determined according to a sliding
scale, which takes your baby's gestational age, weight and age from
birth into account. If these bilirubin levels rise too high, your baby
will be placed under phototherapy lights or on a biliblanket. Specially
designed ultraviolet lights help to break down the bilirubin, which
makes it is easier for your baby's body to get rid of it through the
urine.
- Bililights: special overhead lights are used for
single phototherapy and in the case of double phototherapy; the overhead
lights are used together with lights around your baby. The lights will
not burn or harm her skin; however, it is common for babies receiving
phototherapy to develop a skin rash that will disappear when the lights
are taken away. Her eyes will be covered to protect it from the lights
and she will be undressed to allow as much of the skin as possible to
absorb the light rays. If your baby receives phototherapy you should
limit the time you hold her to allow for maximum exposure to the
lights.
- Biliblanket: performs the same function as
phototherapy lights, but your baby will wear only a nappy and put in a
baby grow-like blanket on a bilibed that will provide the UV lights to
break down the bilirubin. Your baby doesn't need to wear protective eye
covers when lying on this blanket.
NUTRITION AND FEEDING
- Breast milk: refers to the milk produced by a
baby's own mother and is the best nutrition a baby can get. Your baby
is not able to suckle on your breast immediately, but she still needs
your milk, which you can express to be given to her via a tube. It is
then referred to as expressed breast milk or EBM.
- Breast pumps: used to express milk from the breast
when the premature baby is still too small to suckle from Mom's breast
to get the milk. Electrical breast pumps have a rhythmic sucking action
and can only be used from the second day after birth. Hand pumps are
also very effective and more portable, since they do not work with
electricity, but here Mom regulates the pumping action. Each mother
should use her own sterilised tubing for breast milk expressing. Breast
pumps can also be used to pull the nipple out when your baby struggle
to latch on a flat nipple or full breast.
- Naso-gastric tube (NG tube) or oro-gastric tube (OG tube): small tube inserted through your baby's nose (naso-gastric) or mouth
(oro-gastric) directly into her stomach. The tube will be secured to
your baby's face with a piece of soft tape and feeding then flows
through this tube.
- Nipple shield: used when your premature baby
really struggles to latch onto the breast because she has not yet
accomplished the skills to get a proper grip on the nipple to feed.
Your nipple may also be a bit flat or the breast can be very full.
Nipple shields are only used for a short time and are not recommended
for sore or cracked nipples, but when your baby cannot latch without a
bit of extra help.
- Breast milk bank: service that provides
pasteurised human milk for babies when the mother is unable to provide
breast milk for her baby and gives consent that her baby receives a
donor's breast milk. There are currently breast milk banks in most of
the bigger cities in South Africa.
SPECIAL TESTS
- Ultrasound: a standard test that
takes an ultrasound image of any of your baby's organs by means of
sound waves producing images. Ultrasound scans are simple, painless
procedures and contain no radiation. Head sonar scans can be used to
check for areas of bleeding from weakened or broken blood vessels in
the brain. An ultrasound of the heart can be used to examine the heart
to detect any abnormalities or expected conditions for premature
babies, such as a patent ductus arteriosus (PDA), which is a little
hole in the heart that did not close soon enough after birth.
Ultrasounds can also be performed on your baby's kidneys and stomach.
- X-ray: the most common type of imaging scan. It
can show the condition of the lungs and other organs and check the
position of any tubes or catheters inserted in your baby's body. For
some conditions, your baby may have several X-rays a day. This may be
worrying, but there is no need to be concerned, since an X-ray is a
painless procedure and experts agree that the amount of radiation used
is too low to cause harm to your baby, now or in the future.
- Echocardiogram: an ultrasound of the heart that shows the blood flow and heart chambers and vessels to determine any heart problems.
LABORATORY TESTS
- Blood gases: to check levels of oxygen, carbon dioxide, and acids in the blood.
- Blood cultures: to tell if your baby has an infection.
- Chemical (electrolyte) balance: to determine levels such as salt and bicarbonates.
- Blood glucose levels: to determine blood sugar levels.
- Bilirubin level: to check for jaundice.
- Full blood count (FBC): to measure the level of different cells in your baby's blood.
- Hematocrit: to check for anaemia, which is an abnormal low number of oxygen-carrying red blood cells in the blood.
MEDICAL TERMS
- Alveoli: These are tiny sacs in the lungs that exchange oxygen and carbon dioxide with the bloodstream.
- Antibodies: These are proteins that help to fight harmful viruses or bacteria.
- Aorta: This is the main artery leading from the heart. Oxygen-rich blood is supplied to the rest of the body this way.
- B.I.D.: An abbreviation derived from a Latin term, meaning twice daily.
- Bilirubin (Bili): This yellow substance occurs when red blood cells
break down. Your baby's skin may take on a yellowish tint because of
excess bilirubin. In large quantities, bilirubin may cause a certain
form of brain damage.
- Blood pressure (BP): The top number of your baby's blood pressure
is called the systolic pressure. This indicates the pressure that is
exerted when your baby's heart contracts and sends blood to your baby's
body. The lower number, the diastolic pressure indicates the pressure
that is exerted between heartbeats. see Low Blood Pressure
- Breast Milk (B/M): Self Explanatory
- Breastfed or Breastfeeding (BF): Self Explanatory
- Bronchial tubes: These are the larger tubes that go from your baby's trachea to their lungs.
- Bronchioles: These smaller tubes branch off from your baby's bronchial tubes.
- Capillaries: These very small blood vessels remove waste and provide oxygen and nutrients to the body.
- CNS: Central Nervous System (brain and spinal cord) or Clinical Nurse Specialist
- Cerebrospinal fluid (CSF): This liquid is produced by the
ventricles of the brain and circulates around the spinal column and
brain of your baby.
- Corrected age: The actual age your premature baby would be, if he
was born on his due date. If he is five months old, but was two months
premature, his corrected age would be 3 months.
- Ductus arteriosus: This blood vessel joins the aorta with the
pulmonary artery. In many premature babies, this vessel is not closed
and must be closed by either drugs or surgery. The closing of this
vessel enables proper blood and oxygen flow to the lungs.
- Edema: Fluid retained by the body that causes swelling and puffiness.
- Fontanel: The soft spot on your baby's head, indicating the unjoined sections of the skull.
- Gestational Age (GA): Gestation is the period of time between conception and birth during which the fetus grows and develops inside the mother's womb. Gestational age is the time measured from the first day of the woman's last menstrual cycle to the current date.
- Hemoglobin: This material in red blood cells actually carries the oxygen. It also contains iron.
- Lecithin: This is one of the ingredients used in the making of surfactant.
- Metric measures of liquid (cc or ml): 30cc (or ml) is 1 ounce; 5 cc is ~1 teaspoon
- Metric weight (Gms or Grams): 450 grams = 1 pound; 1 kilogram (Kg) = 1000 grams
- Nothing by Mouth (NPO): Nil per os (NPO) is Latin for a medical instruction meaning to withhold oral food and fluids from a patient for various reasons.
- Oxygen(O2): Self Explanatory
- Surfactant: This soapy-like substance keeps air sacs in the lungs
from collapsing and sticking together. Very premature babies are unable
to make this substance in their lungs and are given a synthetic
surfactant.
- Tachycardia: This means a very fast heart rate.
- Tachypnea: This means a very fast breathing rate.
MEDICAL PROCEDURES
- Arterial blood gas: This sample of blood is taken from an artery.
It is used to measure the oxygen, carbon dioxide and acid levels in the
blood.
- Bagging: This temporary procedure helps your baby breathe. A small
bag is squeezed and oxygen or air flows through the mask on your baby's
face.
- Blood gas: This measures oxygen, carbon dioxide and acid content in
a small blood sample taken from one of your baby's arteries.
- Cardiopulmonary Resuscitation (CPR): This is a manual way for
restarting breathing and a heartbeat, or for maintaining breathing and
a heartbeat.
- Complete blood count (CBC): This test counts number and types of
blood cells and can be used to check for infection in your baby.
- Computerized Axial Tomography (CAT or CT): This x-ray machine can capture cross sectional images of your baby's tissues.
- Continuous Positive Airways Pressure (CPAP): This means continuous
positive low airway pressure. Your baby's lungs are helped to stay
expanded with the introduction of pressurized air. This helps her lungs
while inhaling and exhaling. Sometimes your baby is given extra oxygen
this way as well.
- Echocardiogram: Ultrasound waves produce a picture of your baby's heart, in this non-invasive procedure.
- Electrocardiogram (ECG / EKG): This tracks electrical impulses in the heart.
- Extubation: This procedure means the removing of your baby's endotracheal tube.
- Intravenous (by vein) (IV): Intravenous means "within a vein." It usually
refers to giving medications or fluids (solutions) through a needle or
tube inserted into a vein, which allows immediate access to the blood
supply.
- Lumbar puncture (LP): This procedure extracts spinal fluid for
testing. A needle is carefully inserted in the lower back and between
vertebrae.
- Nasal Continuous Positive Airway Pressure (Nasal CPAP): This stands
for Continuous Positive Airway Pressure. Your baby is helped to breathe
by small amounts of air and oxygen. It also maintains a small amount of
continuous pressure to your baby's lungs.
- Phototherapy: The use of bililights to treat hyperbilirubinemia.
- Spinal tap: The same as a lumbar puncture, this procedure extracts
spinal fluid for testing. A needle is inserted in the lower back and
between the vertebrae.
- Total Parenteral Nutrition (TPN): nourishment provided intravenously
MEDICAL CONDITIONS
- Apnea: Where there is no breathing for longer than 20 seconds.
- Atrial Septal Defect (ASD): a hole in the wall between the two upper chambers of the heart
- Bradycardia: This means your baby's heart rate is below 100 beats per minute.
- Brain bleed: This indicates hemorrhaging into some part of your baby's brain.
- Bronchiolitis: This means the bronchioles are inflamed or infected.
- Bronchitis: This means the bronchial tubes are inflamed or
infected. A condition marked by respirator-induced lung and bronchiole
damage.
- Bronchopulmonary Dysplasia (BPD): This condition may persist for
years if your baby has underdeveloped lungs. The pressure from a
ventilator may cause scarring or damage to your baby's delicate lungs.
In some cases, if your baby is very premature, they may require
extended ventilator support. Some babies do go home on oxygen. The
condition is also called Chronic lung disease or CLD.
- Cerebral palsy (CP): Cerebral Palsy, disorder of the nervous system
characterized by abnormal muscle tone and movement. This can occur from
brain damage.
- Chronic lung disease (CLD): See BPD, Bronchopulmonary dysplasia.
- Dyspnea: This term is used to describe difficulty breathing.
- Extremely Low Birth Weight (ELBW): Birth weight of under 800 g
- Gastroesophageal Reflux Disease (GERD): This is a
condition in which food or liquid travels backwards from the stomach to
the esophagus (the tube from the mouth to the stomach). This action can
irritate the esophagus, causing heartburn and other symptoms.
- Haemolysis, Elevated Liver enzymes, Low Platelets (HELLP): HELLP syndrome is a group of symptoms that occur in pregnant women who have hemolysis, elevated liver enzymes and low platelet count.
- Hernia: Your premature baby may have a hernia. They are not unusual
in premmies. Umbilical hernias can appear at the naval. Inguinal
hernias can appear in the groin area. Both are caused by a part of the
intestine coming through a small opening in the abdominal wall.
- Hyaline membrane disease (HMD): A lack of surfactant in the lungs
causes this form of respiratory distress (another name for Respiratory
Distress Syndrome).
- Hydrocephalus: A condition where cerebrospinal fluid has leaked into the brain.
- Hyperbilirubinemia: This means there is too much bilirubin in the blood.
- Hypercalcemia: This means there is too much calcium in the blood.
- Hypercapnia: This means there is a higher amount of carbon dioxide in the blood than what is considered normal.
- Hyperglycemia: This means there is a higher amount of sugar in the blood than what is considered normal.
- Hyperkalemia: This means there is too much potassium in the blood.
- Hypertension: This means high blood pressure.
- Hyperthermia: This means a body temperature that is very high.
- Hyperventiliation: This means very rapid breathing.
- Hypocalcemia: This means there is too little calcium in the blood.
- Hypoglycemia: This means there is too little sugar in the blood.
- Hypokalemia: This means that potassium levels are too low in the blood.
- Hyponatremia: Sodium levels in the blood that are too low.
- Hypotension: This means low blood pressure.
- Hypothermia: This means a body temperature that is very low.
- Hypoxia: This means lack of oxygen.
- Indomethiacin: This drug is sometimes used to close the patent ductus arteriosus.
- Intracranial hemorrhage (ICH): This means bleeding that occurs in the brain.
- Intrauterine Growth Retardation (IUGR): Result is of this condition is that the baby is Smaal for it's gestational age
- Intraventricular haemorrhage (IVH): This means bleeding into the ventricles of the brain.
- Jaundice: A condition caused by an excess of bilirubin in the blood. It can cause your baby to have a yellow tint.
- Low Birth Weight (LBW): Under 2500 gr (5lb 8 oz) at birth regardless of GA.
- Meningitis: This swelling affects the membranes found around the spinal cord and brain.
- Patent ductus arteriosus (PDA): This describes a condition where
the fetal blood vessel linking the aorta and the pulmonary artery does
not close properly after birth. This is not an uncommon condition in
premature infants.
- Periventricular leukomalacia (PVL): A condition where areas of the
brain are affected by lack of oxygen and/or blood supply which causes
damage to brain tissue
- Premature Rupture of membranes or Pre-labour Rupture of Membranes (PROM): Rupturing of membranes prior to the onset of labour
- Pulmonary hypertension: This means that the blood vessels in the lungs are unable to relax and open.
- Respiratory distress syndrome (RDS): Respiratory difficulty due to
immaturity of lung tissues and deficiency of surfactant in the air
spaces
- Respiratory Syncytial Virus (RSV): A virus causing infections of the upper and lower respiratory tract in premmies.
- Retinopathy of prematurity (ROP): This is seen in many premature
infants. There is abnormal growth in the tiny blood vessels in the eye.
The vessels have not fully developed when a baby is born prematurely.
- Small for Gestational Age (SGA): This means a fetus or infant is smaller in size than normal for the baby's gender and gestational age.
- Sudden Infant Death Syndrome (SIDS): This is the unexpected, sudden death of a child under age 1 in which an autopsy does not show an explainable cause of death.
- Urinary Tract (kidney or bladder) Infection (UTI): This is a bacterial infection of the urinary tract.
- Ventricular Septal Defect (VSD): A hole in the wall between the two lower chambers of the heart
- Very Low Birth Weight (VLBW): Birth weight under 1500 g
MEDICATION
- Dexamethasone: This steroid is sometimes used in the treatment of chronic lung disease.
- Diptheria, Pertussis and Tetanus. (DPT): The immunization your baby will receive against Diptheria, Pertussis and Tetanus.
- Caffeine: Medication that stimulates breathing.
REFERENCES
- 1 Breastfeeding and Human Lactation, 2005: 593