NICU Developmental Module Part I Outcomes, Brain Development and Synactive Theory Annie Miller Jenny Smoot Julie Cruz Debbie Tippetts Margaret Nielsen Keith Hahn March 2002 This is part one of the Developmental Module. The first part deals with outcomes, brain development and synactive theory of developmental module. Part two will deal with positioning, handling and family centered care. Part three will deal with oral feeding and discharge.
Progress in medical technology and the Neonatal Intensive Care Unit (NICU) have made the survival of smaller and smaller infants possible. As a result, we now have a new kind of human being: THE PRETERM INFANT.
General estimates of survival for live born infants who receive neonatal intensive care in the USA in the late1990's are: COMPLETED WEEKS OF GESTATION AT BIRTH using last menstrual period SURVIVAL 21 weeks and less 0% 22 weeks 0-10%* 23 weeks 10-35% 24 weeks 40-70% 25 weeks 50-80% 26 weeks 80-90% 27 weeks >90% 30 weeks >95% 34 weeks >98% * Most babies at 22 weeks are not resuscitated because survival without major disability is so rare.
English: A new mother holds her baby who was born ...
infant
English: An intubated female premature infant born...A baby's chances for survival increases 3-4% per day between 23 and 24 weeks of gestation and about 2-3% per day between 24 and 26 weeks of gestation. After 26 weeks the rate of survival increases at a much slower rate because survival is high already.
OUTCOMES FOR PREMATURE INFANTS BY GESTATION Gestation in Weeks Estimates for: 23 24 25 26 27 28 29 30+ Chances of Survival (%) 17 44 61 72 72 88 85 >94 % of survivors who are normal ~10 ~40 50 60 70 80 90 100 Breathing Problems needing assisted ventilation 100 100 100 100 89 78 80 30 Number of days ventilated and needing extra oxygen 125 120 90 80 60 30 11...