As the parent of a premature baby, over the coming days, weeks and possibly months you are likely to spend a lot of time in the baby unit (also called the neonatal unit). This will probably feel very strange at first, but as you become more familiar with the way the unit works and what all the equipment does (see below), you will find it less daunting.
Your baby may need to be moved between units depending on what level of care (see below) he needs at a given point in time.
How the baby unit works
Every neonatal unit has its own set routine. Parents are usually allowed to visit their babies almost 24 hours a day, although there may be short periods when you are asked to leave - for example, during shift handover times. There may also be set quiet times when visitors are asked to be very quiet, to give the babies time to sleep. They may also keep the lids on incubators or swaddle babies to help them rest.
Levels of care
Special care baby unit (SCBU)
Also called the special care baby unit (SCBU, pronounced 'skaboo') or special care unit (SCU), these provide the most simple level of care for babies in their local area and stabilise a baby's condition before transferring him to another unit or provide emergency care if necessary. They may also provide some high-dependency services. They receive babies from other units once they are well enough to be cared for there.
Local neonatal unit (LNU)
Local neonatal units (LNUs) provide special care for babies in their local area, except for those who are very unwell and need complex or longer-term intensive care. The majority of babies over 27 weeks of gestation will usually receive their full care, including short periods of intensive care, within their LNU.
Neonatal intensive care units (NICU)
These specialist units have the facilities to care for critically ill premature babies. Babies will be transferred here from around the country to access the specialised expertise that they offer. They provide the whole range of medical neonatal care for their local population, along with additional care for babies and their families referred from the neonatal network.
Hygiene in baby units
The babies in these units are very vulnerable to infection, so you will be asked to wash your hands every time you enter the unit, and if you have a cough or cold you will be asked not to come in.
Is there somewhere I can take a break?
Most units will have a parents' room where you can doze, catch up with emails, watch TV or even just read a book. Some provide a playroom too, for older siblings.
Can I stay overnight with my premature baby
Some units offer overnight accommodation for parents, which might be a private room or just a reclining chair in a common room. Others will provide contact details of local accommodation where you can stay, such as through the Ronald McDonald House Charities website.
Some baby units have a family room where parents are encouraged to 'room in' with their baby for a few nights before taking them home, to help you all adjust to family life outside the unit.
What does all the equipment in the baby unit do?
The hums, beeps and flashing lights of equipment in the baby unit (whether it is a neonatal unit, special care baby unit (SCBU) or neonatal care intensive care unit) can seem daunting at first, but you will soon become familiar with the machines
Your premature baby will be supported by a lot of different devices. Most of them are involved in helping him breathe, receive nutrients and stay warm.
A see-through box on wheels which keeps your baby warm. It may be open, with an overhead heater or heated mattress, or closed, with a lid, to keep the air around your baby warm and humid.
(2) Overhead heater
A heater for an open incubator to make sure your baby's temperature is correct.
These check your baby's breathing rate, heart rate, blood pressure, temperature, and the amount of oxygen, carbon dioxide and acidity in his blood. They also alert staff if your baby has apnoea, in which the baby stops breathing for more than 10-20 seconds. This is quite common in premature babies.
(4) Ambient oxygen analyser
This small appliance sits inside the incubator to make sure there is enough oxygen in the air.
(5) Intravenous (IV) drip
Your baby can receive fluids, nutrients and medication through this narrow tube and needle. If your baby needs a drip for a long time, the team might insert a catheter (also called a PICC line or long line), which doesn't need to be changed so often.
(6) Feeding pump and tubes
Flexible plastic tubes through which nutrients are passed. He might have one, or all, of the following: a nasogastric tube which goes through your baby's nose, an orogastic tube through his mouth and into his stomach, and a transpyloric tube which goes directly to his gut.
(7) Power supply
The point from where the power comes to power the other machines. All hospitals have back-up power in case of a power cut.
(8) Ventilator monitor
A monitor on which all the ventilator settings are displayed.
Some babies will be put on a ventilator - a machine that blows air and oxygen through a tube into their nose or throat and into the lungs. A positive pressure ventilator delivers the air mixture in 'breaths' while an oscillatory or high-frequency ventilator delivers it through tiny vibrations.
The best thing you can do for your baby is to look after yourself. That way, you will be better equipped to handle the challenges that face you and your family. Help is at hand from many sources - family, friends and the healthcare team in the special care baby unit - so don't be afraid to ask for what you need.
The first few days after giving birth to your premature baby can pass in a daze. Here's what to expect...
If your baby is very young and very sick, he may need to be transferred to another hospital with specialist facilities. This might be done before he is born or just afterwards.
Whatever your premature baby's birth was like, it will have taken a lot out of you, so try to rest and gather your strength for the days ahead. The medical team will assess your baby's health and start treating him if necessary.
Skin-to-skin contact with your premature baby is a wonderful way for you both to bond. It also provides health benefits.
The healthcare team will cater for your baby's medical needs, but she needs you too. As you get to know your premature baby, you will begin to work out what she needs.
Your premature baby's diet will be carefully balanced to suit their tiny digestive system while meeting the needs of their growing body.
Positioning your premature baby correctly can make them feel secure, improve their breathing ability, strengthen their muscles and reduce the risk of cot death.
You may be asked if you would consider taking part in research into premature birth. We explain what this might involve.
We answer some of your questions about your premature baby's time in the hospital and neonatal unit.
You're bound to feel anxious if your premature baby needs surgery, but try to focus on the positive: the operation is likely to help improve your baby's chances.
During their stay in the baby unit, your baby will have all kinds of checks to monitor their progress.
If your premature baby has any of the conditions below, ask the healthcare team to explain anything that you don’t understand.
Babies born prematurely are more likely to have problems with their eyesight and hearing, but in most cases treatment is successful.
It's worrying if you discover that your baby has a heart problem, but most defects are treatable and some do not even need treatment.
Many premature babies need help with breathing for a while. This is known as ventilation.
- Department of Health (2009) DH Toolkit for high-quality neonatal services, p10
ℹLast reviewed on April 1st, 2014. Next review date April 1st, 2017.