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Feeling at Home in the NICU

“Our daughter spent the first month of her life in a neonatal ward. My husband and I made her space as warm and personal as possible. We taped family pictures to her isolette and brought a small tape recorder and some soothing tapes from home. Our daughter particularly seemed to enjoy a tape of ocean sounds so her nurses, getting into the spirit of things, made her a colorful mobile with palm trees and sailboats. I think all of these special touches comforted my husband and me as much as it did our  baby.” – FIRST Member 

“Our son spent the first two weeks of his life in the neonatal intensive care unit (NICU) at the hospital. He was born with a collodion membrane and was immediately placed in an isolette while the membrane was shedding. We were only allowed to hold our son twice a day for an hour at a time. I remember how  nervous I was just to hold him in the beginning but how precious that single hour was. When in the isolette, we would hold his fingers and caress his head to let him know he wasn’t alone and that mommy and daddy loved him so very much.” – FIRST Member, Camilla Strickler 

Likely you have not prepared to spend weeks, or sometimes months, in the NICU. And although when you first walk into a neonatal intensive care ward, with its high-tech equipment and imposing staff, it can be a frightening and intimidating experience, by the time your baby is discharged, it will most likely feel like a second home. In the following excerpts you will learn from parents and extended family that have been in the very same situation. They have shared stories and guidance on what to expect, how to cope,  and how to make the NICU a positive and educational experience for your whole family.  

Since ichthyosis is a rare condition, sometimes your healthcare practitioner will need guidance from ichthyosis medical experts. FIRST has partnered with Inner Archways, LLC | Edvyce, where medical staff can upload questions and photos and an ichthyosis expert will respond as soon as possible. 

Tips for working with the NICU Staff

  • Start off on the right foot by familiarizing yourself with the ward, its rules, and staff. Get acquainted with the equipment and the function of each piece. Don’t be afraid to ask questions.  
  • Though many neonatal wards are relatively crowded, don’t feel as though you’re in the way. This is your baby’s temporary home, so pull up a chair and relax.  
  • Get to know your baby’s nurses; this way, when you are at home, you can feel comfortable about who is caring for your baby. The nurses will be your first source of information about how your baby is doing, since they spend the most time with him or her. 
  • You can request that the same nurse or nurses care for your baby every day. Having the same caregivers every day will allow them to learn as much as possible about ichthyosis, its special circumstances, and how it affects your child.
  • Remember, your baby is an infant with the need to sleep many hours. You have the right to limit the medical professionals who see your child to only those who are immediately necessary. You have the right to ask a doctor or technician to come back at a time when the baby is not sleeping.  

Two Cribs are Better than One

Two cribs may help with the movement back and forth that occurs in the NICU. One family worked with the nursing staff to set up two cribs for the baby. One crib was decorated with comfort items and pleasant stimuli. This was her safe place; nothing painful could happen here. The other crib, on the other side of the room, had only white sheets. This is where dressing changes, baths, blood work, and other procedures took place. The staff purchased a brightly colored apron that they all wore during the painful procedures. This was a trigger that the painful part was about to happen. The baby realized the  difference and would recover quickly when placed back in her safe crib.

Self-Care is Key 

“It is impossible to be at the hospital 24/7 during this time. While I felt guilty for not being at the hospital all the time, I logically knew it was healthy to get some sleep and time away. While away from the hospital, I asked family and friends to visit my baby and just talk to him (bring a book and read a story) so at least I knew he wasn’t alone. This helped reduce my guilt of not being at the hospital. Yes, the hospital can feel crowded, but don’t be afraid to invite family to visit. After all, this is a joyous  occasion.” FIRST Member, Camilla Strickler

Who’s in Charge?

Before you leave the NICU, be sure and find out right away who is the primary doctor in charge of your baby’s care. This may be a neonatologist who is a physician specializing in the treatment of newborns.  In the case of infants with ichthyosis, however, primary care may fall to a dermatologist or pediatric dermatologist. If your baby is at a teaching hospital, there may be several levels of authority and responsibility. This can be confusing, so make certain you get a clear picture of these lines of responsibility. Again, never be afraid to ask questions. The more you know and understand the better the  outcome for everyone.  

Ask ANY Questions About your Child’s Care 

Ask why when you don’t understand the thought process behind your child’s care. For example, while in the isolette, the environment was hot and humid which meant our son was dressed in only a diaper. We came back to the hospital once to find what looked like our baby’s hands being tied down by a blanket. Seeing this automatically put us in a panic. We asked the nurse why, and she nicely explained that infants liked feeling “contained” at this age and don’t like their arms and legs having too much free motion. She was trying to create the swaddling effect without the heaviness of a blanket around his entire baby while inside warm isolette.

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