Neonatal transitional care unit: a new concept in India

Authors

  • Sachin Darne Department of Pediatrics and Neonatology, Sapphire Hospital, Kharegaon, Thane, India
  • Trusha Rajda Biogenomics Limited, Thane, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20160984

Keywords:

Neonatal transitional care unit, NTCU, Neonatal intensive care unit, NICU, Cost

Abstract

In this era of increasing healthcare cost, the role of economic evaluation of healthcare interventions has become increasingly important in India. Neonatal Intensive Care Unit (NICU) stays are amongst the most expensive kind of hospitalizations. The Neonatal Transitional Care Unit (NTCU), in an area where the moderately affected new-born babies are managed near the mother. This is widely prevalent in western countries; however, is still a new concept in countries like India. In current scenario in India, any baby born with issues is transferred to NICU. There are certain medical conditions in newborn babies which can be managed in NTCU instead of transferring the babies to NICU. In NTCU these babies are managed under close supervision by qualified nursing staff and pediatricians where the parents act as main carers. This helps in early mother-infant bonding and also cost reduction. This has shown to have improved neonatal outcome, lesser duration of hospital stay, improved maternal and infant bonding and overall cost reductions.

Metrics

Metrics Loading ...

References

Van Riper M. Family-provider relationships and well-being in families with preterm infants in the NICU. Heart Lung. 2001;30:74-84.

Affleck G, Tennen H. The effect of new born intensive care on parents’ psychological well-being. Child Health Care. 1991;20:6-14.

Affleck G, Tennen H, Rowe J. Infants in crisis: how parents cope with newborn intensive care and Its Aftermath. New York, NY: Springer-Verlag; 1991.

Pinch WJ, Spielman ML. Ethics in the neonatal intensive care unit: parental perceptions at four years post discharge. Adv Nurs Sci. 1996;19:72-85.

Pinch WJ, Spielman ML. Parental perceptions of ethical issues post-NICU discharge. West J Nurs Res. 1993;15:422-37.

Pinch WJ, Spielman ML. The parents’ perspective: ethical decision-making in neonatal intensive care. J Adv Nurs. 1990;15:712-9.

Stainton MC, Harvey S, McNeil D. Understanding uncertain motherhood: a phenomenological study of women in high-risk perinatal situations. Calgary, Alberta, Canada: University of Calgary. 1995.

Wereszczak J, Miles MS, Holditch-Davis D. Maternal recall of the neonatal intensive care unit. Neonatal Netw. 1997;16:33-40.

Bass LS. What do parents need when their infant is a patient in the NICU? Neonatal Netw. 1991;10:25-33.

Miles MS, Holditch-Davis D. Parenting the prematurely born child: pathways of influence. Semin Perinatol. 1997;21:254-66.

Cuttini M, Rebagliato M, Bortoli P. Parental visiting, communication, and participation in ethical decisions: a comparison of neonatal unit policies in Europe. Arch Dis Child Fetal Neonatal Ed. 1999;81:F84-91.

Giganti AW. Families in pediatric critical care: the best option. Pediatr Nurs. 1998;24:261-5.

Reid M, Andersen E. Variations in family visiting policies in neonatal intensive care units in eleven EC countries. EC study group of parental involvement in neonatal care. Pediatr Perinat Epidemiol. 1994;8:41-52.

Smith J, White R. Nurturing design: a look at recommended new born ICU standards. Health Facil Manage. 2001;14:28-31.

Acton LP, Aoun A, Dennis E. Children’s health design: designing for family-centered care. J Healthc Des. 1997;9:129-35.

Committee to Establish Recommended standards for newborn ICU design. Recommended standards for newborn ICU design. J Perinatol. 1999;19(2):S2-12.

Guideline for the management of babies who require transitional care on the postnatal ward. NHS Trust. Worcestershire Acute Hospitals NHS Trust. 2013.

Laing I, Ducker T, Leaf A, Newmarch P. Designing a neonatal unit, report for the British Association of Perinatal Medicine. 2004.

Forsythe P. Practices in the transitional care centre improve outcomes for babies and their families. J Perinatol. 1998;18(6 PT 2 SU):S13-7.

Downloads

Published

2016-12-28

How to Cite

Darne, S., & Rajda, T. (2016). Neonatal transitional care unit: a new concept in India. International Journal of Contemporary Pediatrics, 3(2), 300–303. https://doi.org/10.18203/2349-3291.ijcp20160984

Issue

Section

Review Articles