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Neonatal Intensive Care Unit

General Information
Our doctors

There is no doubt that the morbidity rate of neonates will decrease if the baby is born in a healthcare facility, where Level III perinatal care is available.

Esencan Hospital renders healthcare services based on cooperation and collaboration of Gynecology and Obstetrics Clinic, Neonate Division and Neonatal Intensive Care Unit. In this regard, high-risk pregnancies can be supervised, including but not limited to early membrane rupture, the active labor that cannot be not stopped before Week 32, multiple pregnancy, intrauterine growth retardation, fetal congenital anomalies that requires early postnatal intervention, serious isoimmunisation, hydrops fetalis, serious poly- or oligo-hydramnios, fatal metabolic diseases that are diagnosed prenatally, severe maternal diseases or pregnancy complications (such as insulin dependent diabetes, heart disease).

Neonate Division

Our hospital adopts the principle of “providing a chance of high-quality life to mother and the newborn”. Considering the principles of the “baby friendly hospital”, a high-quality service is standardized in basic neonatal health services, such as delivery or birth at appropriate circumstances, protection from hypothermia, early and frequent feeding with breast milk and breastfeeding counseling, umbilical care and eye care as well as screening tests. At our hospital, there is a Neonatal Intensive Care Unit with the total capacity of 26 baby beds, including 1 isolation room – all suitable for sterilization.

Neonatal Care Services

  • Neonatal resuscitation based on consultation with pediatrician for each birth
  • Prevention of hypothermia in babies
  • Rooming-in – baby care nearby the mother
  • Pursuant to principles of a baby-friendly hospital, importance of the breast milk is emphasized and the baby is immediately breastfed.
  • Mother training, lactating training and support
  • Discharge training; information about common problems related with bath and umbilical care.
  • Screening tests

Neonatal Intensive Care Unit

Third level intensive care units are increasingly gaining importance due to their significant role in reducing the number of perinatal infant death. In this regard, the Neonatal Intensive Care Unit of Esencan Hospital is structured as a reference center, where the neonates with very low weight of birth (<1000 g or gestational age <Week 32), who usually have an underlying disease or multi-organ dysfunctions or failures that require attention of many disciplines, are admitted and given highest level medical care and treatment. This organization allows rendering healthcare services in the Intensive Care Unit for premature babies with very low weight of birth (<1000 g) or premature babies with high risk of mortality, who are born before gestational Week 32. It is necessary to keep in mind that premature babies will have highest chance of a quality life, if they are cared by experienced hands in a Level III intensive care unit, where care and treatment processes are appropriately organized.

Procedures carried out in Neonatal Intensive Care Unit

  • Supervision of high-risk pregnancy and birth
  • Neonatal care and treatment that requires advanced technology for diagnosis and treatment,
  • Minimal Handling,
  • Surfactant therapy,
  • Catheterization of umbilical artery and vein, central venous catheterization,
  • Continuous invasive blood pressure monitoring,
  • Insertion of silastic catheter,
  • Pre- and post-operative care of cases that require neonatal surgery,
  • Novel treatment methods and novel technologies,
  • Experienced evaluation of ROP and laser therapy, if required,
  • Kangaroo care
  • Perinatal counseling for all centers,
  • Neonatal transfer,
  • Long-term follow-up of discharged babies

Infection Control and Isolation Room

The most recent novelties in the field of perinatology have significantly increased the survival rates of the babies with very low birth weight. However, a nosocomial infection can be seen in these babies at rate of 25% or more frequently. Moreover, longer hospital stays increase the rates of mortality and morbidity along with the higher costs. The rate increases as birth weight and gestation age of neonates decrease. When the necessary precautions are taken, almost half of the nosocomial infections can be prevented. And the second half occurs inevitably in the treatment process, despite all precautions.

Infection control measures are maximized in our Newborn Intensive Care Unit, and 2 critically ill neonates are assigned to one nurse; early diagnosis and treatment approach is maintained in the isolation room, if required.

Hemen Ara
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