What NICU Babies Need

What NICU Babies Need

What NICU Babies Need

What NICU Babies Need

What NICU Babies Need

What NICU Babies Need

What NICU Babies Need

Physical & Behavioral Development

Your baby will get discharged when they…

Can feed by mouth (exclusively) for 2 days

Have a steady weight gain to 1800g (3 lbs., 15 oz.)

Are 35 weeks old or more (gestational)

Are medically stable – have a stable temperature, heart rate, normal breathing, safe bilirubin (jaundice) levels, and are infection free

Physical & Behavioral Development

Your baby will get discharged when they…

Can feed by mouth (exclusively) for 2 days

Have a steady weight gain to 1800g (3 lbs., 15 oz.)

Are 35 weeks old or more (gestational)

Are medically stable – have a stable temperature, heart rate, normal breathing, safe bilirubin (jaundice) levels, and are infection free

Physical & Behavioral Development

Your baby will get discharged when they…

Can feed by mouth (exclusively) for 2 days

Have a steady weight gain to 1800g (3 lbs., 15 oz.)

Are 35 weeks old or more (gestational)

Are medically stable – have a stable temperature, heart rate, normal breathing, safe bilirubin (jaundice) levels, and are infection free

Expected Development by Age

28 – 30 weeks

30 – 33 weeks

33 – 36 weeks

36 – 40 weeks

Expected Development by Age

28 – 30 weeks

30 – 33 weeks

33 – 36 weeks

36 – 40 weeks

Expected Development by Age

28 – 30 weeks

30 – 33 weeks

33 – 36 weeks

36 – 40 weeks

Emotional & Social Development

Attachment is…

The emotional tie between baby + caregiver

Based on baby's understanding of caregiver’s reliability as a source of comfort + security

Shapes how the child (and later the adult) perceives + interacts with others in the future

Affects how child reacts in stressful situations, handles situations when older (for example – being separated from you at childcare/school, how child cooperates with other children, how child develops self-control)

Healthy attachment develops when:

Baby bonds emotionally with main caregiver as he/she provides love, care, comfort, safety, and stimulation in a warm way, consistently (especially when baby's sick, upset, scared, or tired)

Main caregiver =  person spending the most time caring for them

Secure attachment develops from your ability to manage stress + successfully respond to baby's cues

From birth-6 weeks, babies are not yet attached to their caregiver, they don’t mind being left with unfamiliar adults and have no fear of strangers

Emotional & Social Development

Attachment is…

The emotional tie between baby + caregiver

Based on baby's understanding of caregiver’s reliability as a source of comfort + security

Shapes how the child (and later the adult) perceives + interacts with others in the future

Affects how child reacts in stressful situations, handles situations when older (for example – being separated from you at childcare/school, how child cooperates with other children, how child develops self-control)

Healthy attachment develops when:

Baby bonds emotionally with main caregiver as he/she provides love, care, comfort, safety, and stimulation in a warm way, consistently (especially when baby's sick, upset, scared, or tired)

Main caregiver =  person spending the most time caring for them

Secure attachment develops from your ability to manage stress + successfully respond to baby's cues

From birth-6 weeks, babies are not yet attached to their caregiver, they don’t mind being left with unfamiliar adults and have no fear of strangers

Factoid #1

Repeated human contact makes your baby’s brain release hormones that help their brain grow and develop memory, thought, + language.

Factoid #2

Bonding with you helps your baby feel the world is a safe place to play, learn, + explore. This is the foundation for their development + wellbeing throughout childhood.

Baby Bonding Behavior

Your baby wants to connect with you when they…

make eye contact or smile at you

make noises like coos/laughs

looks interested/relaxed

are frightened, upset, tired, or ill

Emotional & Social Development

Attachment is…

The emotional tie between baby + caregiver

Based on baby's understanding of caregiver’s reliability as a source of comfort + security

Shapes how the child (and later the adult) perceives + interacts with others in the future

Affects how child reacts in stressful situations, handles situations when older (for example – being separated from you at childcare/school, how child cooperates with other children, how child develops self-control)

Healthy attachment develops when:

Baby bonds emotionally with main caregiver as he/she provides love, care, comfort, safety, and stimulation in a warm way, consistently (especially when baby's sick, upset, scared, or tired)

Main caregiver =  person spending the most time caring for them

Secure attachment develops from your ability to manage stress + successfully respond to baby's cues

From birth-6 weeks, babies are not yet attached to their caregiver, they don’t mind being left with unfamiliar adults and have no fear of strangers

Factoid #1

Repeated human contact makes your baby’s brain release hormones that help their brain grow and develop memory, thought, + language.

Factoid #2

Bonding with you helps your baby feel the world is a safe place to play, learn, + explore. This is the foundation for their development + wellbeing throughout childhood.

Baby Bonding Behavior

Your baby wants to connect with you when they…

make eye contact or smile at you

make noises like coos/laughs

looks interested/relaxed

are frightened, upset, tired, or ill

Styles of Attachment

Secure:

Child seeks contact with caregiver when distressed and settles when comforted. Child feels safe and calm to develop his/her sense of trust, leading to more independence and willingness to explore. (As an adult, they can trust others, become emotionally close, have mutual dependency, and self-confidence.)

Insecure:

Child’s need for safety and understanding are not met. As a result, child can be confused about identity, have difficulties learning/relating to others. Commonly leads to low self-esteem, anxiety, depression, withdrawal, and more aggressive interactions with others.


Types of Insecure Attachment:

Avoidant:

When emotionally upset, sick or hurt, baby is often ignored by caregiver. This child often does not seek comfort from their caregiver, even when distressed. (As an adult, they often avoid emotional connection with others.)

Ambivalent:

When distressed, caregiver sometimes responds to baby with comfort, but is sometimes unresponsive, annoyed, or emotionally unavailable. This child is reluctant to explore their environment, is preoccupied with getting caregiver's attention, becomes extremely distressed when caregiver leaves. (As an adult, often worry about being abandoned.)

Disorganized:

Neglected/abused by caregiver. This child avoids interactions and is fearful/confused around their caregiver. Child is disoriented, displays unusual behaviours. For example: approaches caregiver with head turned away, has trance-like freezing, or has strange postures. (As an adult, unpredictable and volatile in relationships and has difficulty trusting others.)

In the NICU, premies are…

Less alert/responsive. Interactions with caregivers – smiling, clinging, reaching and following – develop slowly.

More likely to spend extended time in hospital and have limited time with caregivers.

In the NICU, premies are…

Less alert/responsive. Interactions with caregivers – smiling, clinging, reaching and following – develop slowly.

More likely to spend extended time in hospital and have limited time with caregivers.

In the NICU, premies are…

Less alert/responsive. Interactions with caregivers – smiling, clinging, reaching and following – develop slowly.

More likely to spend extended time in hospital and have limited time with caregivers.

What a Baby Needs from Its Parents

While your baby’s still in the incubator:

Be Present

Touch

Smell

Sound

Interact

What a Baby Needs from Its Parents

While your baby’s still in the incubator:

Be Present

Touch

Smell

Sound

Interact

Feeding Your Baby

What's Normal for Preemies:

Feeding through a tube that goes directly into the stomach.

Feeding intravenously (if baby can’t digest yet). This will be through the umbilical area or through a vein.

Some babies may be able to start learning how to breastfeed as early as 29 weeks; others learn how to feed (breast or bottle) over time, starting around weeks 34-37.

Going home with a feeding tube and learning how to beast or bottle feed later.

Feeding a little breast milk here and there while they are learning.

Feeding breast milk using a syringe, cup, tube or other device.

Feeding Your Baby

What's Normal for Preemies:

Feeding through a tube that goes directly into the stomach.

Feeding intravenously (if baby can’t digest yet). This will be through the umbilical area or through a vein.

Some babies may be able to start learning how to breastfeed as early as 29 weeks; others learn how to feed (breast or bottle) over time, starting around weeks 34-37.

Going home with a feeding tube and learning how to beast or bottle feed later.

Feeding a little breast milk here and there while they are learning.

Feeding breast milk using a syringe, cup, tube or other device.

Benefits of Breastmilk*

For Baby

For Mom

Other

*Each mother and baby are unique.

It's essential to consult with a lactation specialist who specializes in premature babies.

If you’re undecided about whether you will breastfeed your baby, you can start pumping to keep your milk supply going until you've decided. Any amount of breast milk offers your baby some of the many benefits outlined above.

What is Colostrum?

The early breast milk produced in first 3-4 days after delivery.

Color may be clear, bright yellow, white, orange, pink, green, or light brown.

Helps protect baby from viruses and infections by “painting” stomach/intestines lining.

Can be breast or tube fed.

Feeding Your Baby

What's Normal for Preemies:

Feeding through a tube that goes directly into the stomach.

Feeding intravenously (if baby can’t digest yet). This will be through the umbilical area or through a vein.

Some babies may be able to start learning how to breastfeed as early as 29 weeks; others learn how to feed (breast or bottle) over time, starting around weeks 34-37.

Going home with a feeding tube and learning how to beast or bottle feed later.

Feeding a little breast milk here and there while they are learning.

Feeding breast milk using a syringe, cup, tube or other device.

Benefits of Breastmilk*

For Baby

For Mom

Other

*Each mother and baby are unique.

It's essential to consult with a lactation specialist who specializes in premature babies.

If you’re undecided about whether you will breastfeed your baby, you can start pumping to keep your milk supply going until you've decided. Any amount of breast milk offers your baby some of the many benefits outlined above.

What is Colostrum?

The early breast milk produced in first 3-4 days after delivery.

Color may be clear, bright yellow, white, orange, pink, green, or light brown.

Helps protect baby from viruses and infections by “painting” stomach/intestines lining.

Can be breast or tube fed.

What Mom Can Expect

Your nipples may be tender during the first week or so of nursing,. They should improve each day.

You may not be able to be present for all of your baby's oral feedings, so they may need to bottle-feed also. Work with the nurses to decide whether/when to introduce a bottle.

You may be “touched out” by the end of the day and need some space.

Tips for Breast Care

Ensure a deep latch with baby.

Wear a well fitted-bra (not too tight), and avoid underwires.

Express a little milk onto nipples after a nursing session and allow them to air-dry (this helps them heal).

Shower/bathe daily, but avoid soap on nipples.

Use nursing pads without any plastic backing (like these in Canada/US).

Change feeding positions to decrease pressure on sore spots.

Break baby’s suction with your finger when unlatching before you remove your baby.

What Mom Can Expect

Your nipples may be tender during the first week or so of nursing,. They should improve each day.

You may not be able to be present for all of your baby's oral feedings, so they may need to bottle-feed also. Work with the nurses to decide whether/when to introduce a bottle.

You may be “touched out” by the end of the day and need some space.

Tips for Breast Care

Ensure a deep latch with baby.

Wear a well fitted-bra (not too tight), and avoid underwires.

Express a little milk onto nipples after a nursing session and allow them to air-dry (this helps them heal).

Shower/bathe daily, but avoid soap on nipples.

Use nursing pads without any plastic backing (like these in Canada/US).

Change feeding positions to decrease pressure on sore spots.

Break baby’s suction with your finger when unlatching before you remove your baby.

Things To Be Aware of:

Be careful what you ingest. Whatever you put in your body can potentially be passed to your baby. This includes alcohol, drugs, supplements,  herbs, or vitamins. Please consult your doctor before ingesting things. For more information visit https://trashthepumpanddump.org/.

How milk production works in your body. Even if your baby is not ready to breastfeed, childbirth will make your breasts fill with milk about 48-72 hrs after birth. If you empty your breasts by breastfeeding/expressing (by hand or with a breast pump), your body receives a message that more milk is needed. If you don’t empty your breasts, your body receives a message that no milk is needed and within 3-5 days, milk production will begin to decrease.

How to start milk. To start the flow of milk, hand express or pump your breasts within 6 hrs of birth. To keep it going, continue to pump/express milk every 2-3 hrs for the first 24 hours after birth, and then every 2-3 hours during the day, and at least once at night.

Pumping Milk

You may qualify for a free breast pump - ask the hospital, your insurance. Ask the hospital to provide you with bottle labels.

Ask the lactation coach or a nurse to show you how to pump your milk and use the pump.

Most moms will be able to pump enough milk to nourish their babies by using various techniques outlined here.

More info can be found here.

You can freeze your milk for future use.

When Breastfeeding Isn't Easy

Despite the many benefits breastfeeding provides to both baby and mother, 5-10% of women are physiologically unable to do it. 

Many more women experience difficulty learning how to breastfeed. That’s normal, and it’s ok to struggle with it.

…Any Why It's Harder With Premies

It may not come naturally for premies with special needs or developmental delays. Premies also often start out being tube fed and must transition to the breast, which can be challenging.

Babies may be born with a lip or tongue tie, which makes it difficult for them to latch on. It’s important for your medical team to assess if there’s a medical reason behind the difficulty.

Is What I'm Feeling Normal?

You may feel…

This is normal. You are not alone.

Like you are failing

Guilty

Embarassed

Ashamed

Discouraged

Pumping Milk

You may qualify for a free breast pump - ask the hospital, your insurance. Ask the hospital to provide you with bottle labels.

Ask the lactation coach or a nurse to show you how to pump your milk and use the pump.

Most moms will be able to pump enough milk to nourish their babies by using various techniques outlined here.

More info can be found here.

You can freeze your milk for future use.

When Breastfeeding Isn't Easy

Despite the many benefits breastfeeding provides to both baby and mother, 5-10% of women are physiologically unable to do it. 

Many more women experience difficulty learning how to breastfeed. That’s normal, and it’s ok to struggle with it.

…Any Why It's Harder With Premies

It may not come naturally for premies with special needs or developmental delays. Premies also often start out being tube fed and must transition to the breast, which can be challenging.

Babies may be born with a lip or tongue tie, which makes it difficult for them to latch on. It’s important for your medical team to assess if there’s a medical reason behind the difficulty.

Is What I'm Feeling Normal?

You may feel…

Like you are failing

Guilty

Embarassed

Ashamed

Discouraged

This is normal. You are not alone.

Lactation Consultants: A Vital Resource

Challenges:

Hospitals may not have sufficient staff to meet the needs of their patients needing lactation coaching or education.

Moms may have trouble coordinating their schedule with the lactation consultant’s.

Workarounds:

Ask for all the resources the hospital can provide you.

Make an appointment with a lactation consultant as soon as you can after birth. 

Be persistent and proactive about making this appointment, even if you think you don’t need help.

Hire your own lactation consultant:

Take Advantage of Donated Breast Milk

Ask about your medical team about breast milk banks. Generous Moms donate breast milk for just this situation. You can still provide your baby with the benefits of breast milk, even if you can’t breastfeed yourself.

Share this information with Moms who are breastfeeding! Ask them to consider donating extra milk. A premie may eat as little as one ounce or less per feeding. Every drop helps!

Google search for a milk bank near you, or use one of these links:

…Or Use Formula

Your baby’s pediatrician will provide recommendations on formula appropriate for premature babies that provides them with sufficient nutrients and calories.

Making your own formula is a possibility for those who have the time and ability. Here is one respected resource with a few recipes.

…Or Use Formula

Your baby’s pediatrician will provide recommendations on formula appropriate for premature babies that provides them with sufficient nutrients and calories.

Making your own formula is a possibility for those who have the time and ability. Here is one respected resource with a few recipes.

Take Advantage of Donated Breast Milk

Ask about your medical team about breast milk banks. Generous Moms donate breast milk for just this situation. You can still provide your baby with the benefits of breast milk, even if you can’t breastfeed yourself.

Share this information with Moms who are breastfeeding! Ask them to consider donating extra milk. A premie may eat as little as one ounce or less per feeding. Every drop helps!

Google search for a milk bank near you, or use one of these links:

…Or Use Formula

Your baby’s pediatrician will provide recommendations on formula appropriate for premature babies that provides them with sufficient nutrients and calories.

Making your own formula is a possibility for those who have the time and ability. Here is one respected resource with a few recipes.

NICU PARENTS

Published in 2024. Created by Anita Yuen

Content Strategy by Karin Anderson Creative

UX/UI Design and Site Build by madebykathan

Logo Design by Arcana Creative

Additional Support from FaithTech

NICU PARENTS

Published in 2024. Created by Anita Yuen

Content Strategy by Karin Anderson Creative

UX/UI Design and Site Build by madebykathan

Logo Design by Arcana Creative

Additional Support from FaithTech

NICU PARENTS

Published in 2024. Created by Anita Yuen

Content Strategy by Karin Anderson Creative

UX/UI Design and Site Build by madebykathan

Logo Design by Arcana Creative

Additional Support from FaithTech

NICU PARENTS

Published in 2024. Created by Anita Yuen

Text and Content Strategy by Karin Anderson Creative

UX/UI Design and Site Build by madebykathan

Logo Design by Arcana Creative

Additional Support from FaithTech