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Tube feeding your baby on the neonatal unit

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Tube feeding your baby on the neonatal unit

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Many babies who are admitted to SCBU will require a nasogastric (NG) or orogastric (OG) tube.

NG/OG tubes are primarily used to provide adequate amounts of milk to babies who are unable to feed fully for themselves. It allows babies to get enough rest and nutrition to help them grow.

Tubes are always passed by trained staff, but if you would like to learn how to tube feed your baby you will be given the opportunity and supported to do so safely.

If your baby has stayed in another neonatal unit and has transferred back to Dorchester, you can continue to tube feed while your baby is with us. It is optional, and if this is something you would rather not do that is ok.

Non-nutritive sucking

Sometimes your baby may not be ready to suck feed, but this is an important skill they will learn in time. It may be suggested that your baby sucks on something like a dummy or finger while they are being tube fed so that they build an association between sucking and having a feed.

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You may wish to formula feed your baby or give your baby a mix of breastmilk and formula milk. SCBU staff will provide you with information surrounding this so that you can make a safe and informed decision.

It is important to use a stage one formula milk and you should bring milk and bottles in with you if this is your intention. All stage one cows milk based formulas must meet a minimum standard in the UK, therefore staff will not advise one over another. Please see the link above for more information on infant formula.

Some preterm and smaller formula fed babies may require a prescription formula that provides extra calories and protein, but this will be discussed with you if that is the case.

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The staff on SCBU and maternity are all trained to help you with all elements of infant feeding.

You may have had ideas of how you wish to feed your baby before they were born and sometimes that changes when you have a baby in neonatal care.

Staff will support you to give you all the information that you need to make a safe and informed decision for your family.

Nutrition for your baby | Bliss

Colostrum is the first milk that is produced and can be thick and yellow in colour. Sometimes people express colostrum antenatally and freeze it so that their babies can have it straight away.

Colostrum has amazing benefits for any baby, but for those born small, sick or prematurely it is particularly important. Neonatal and maternity staff may have a discussion about this with you. Wherever possible, colostrum should be the first food your baby receives.

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Julia is a paediatric dietitian who works with families and staff on SCBU where babies need extra input with nutrition and feeding

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Jamie-Leigh is one of the paediatric speech and language therapists that work with families on SCBU where needed

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Steph is one of our paediatric speech and language therapists who works with families on SCBU where needed

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Hilary is one of the highly specialised occupational therapists that works with families and staff on SCBU

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Jo is one of our paediatric physiotherapy colleagues who supports families and staff on SCBU

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Cath is one of our paediatric physiotherapy colleagues who supports  families and staff on SCBU 

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Check out this amazing padlet made by our colleagues elsewhere in the network. It includes many useful links to help you with your mental health during and after you r baby's neonatal stay

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The Canopie app is a free app which is particularly useful for parents and caregivers of babies on neonatal units

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Join us on Facebook and give our page a follow for regular updates from Dorchester SCBU. See what events we are celebrating throughout the year.

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Dorchester Special Care Baby Unit | Dorchester

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Dorchester Special Care Baby Unit, Dorchester, Dorset. 1,164 likes · 14 were here. This page has been set up to give an insight into daily life on the Special Care Baby Unit. We hope this will…

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You can fill in an online feedback form at any point during your stay as many times as you like. You will also find paper copies in the SCBU corridor and in the parents kitchen.

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Easily create surveys and polls to collect customer feedback, measure employee satisfaction, and organize team events.

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Emily's Star is a charity set up in the memory of Emily who provide support for families of children with life limiting diagnoses, but also mini bags for any baby born under 5lb. Please follow the link to order a free bag.

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As much as we would love to supply every hospital with Emily’s Gift Neonatal Boxes this just isn’t possible however as we would love to provide all babies born with an outfit we can offer to post our a Mini Gift Bag.
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Each bag contains:
1 x Vest
​1 x Baby-Grow
1 x Knitted Cardigan
1 x Knitted Hat
1…

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Free resources that support age appropriate play for babies to support them to achieve their development potential

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EiSMART is an evidence based framework to give high risk babies the best start in life. We span all aspects of a child's development: Sensory, Motor, Attention and Regulation, and Relationships. Professionals and parents work Together to support premature and sick infants from birth ( Early I ntervention).

parents

We are here to help. You are the expert on your baby; let us work with you and provide the resources, tools and education that can help fulfil your baby's potential.
DISCOVER MORE

free resources

Our developmental play leaflets suggest activities to support all aspects of a child's development. You can get free access to these resources, plus webinars, posters and more.
DISCOVER MORE

professionals

We are committed to supporting your development. We are working to advance knowledge, skills and practice in early intervention.
DISCOVER MORE

Latest News

Training Courses

Published October 20, 2023

Study Days and Ei SMART Implementation Workshops

The Ei SMART Framework - Foundation Training. This study day provides an in-depth introduction to the Ei SMART framework and is our Foundation level training before progressing to our advanced half days.

Dates for 2024 will be announced soon. Watch this space or subscribe to our newsletter for more information.

Download

Giving Every High Risk Infant The Best Start In Life

EiSMART is a framework for improving developmental outcomes for high risk infants. It is an approach founded in research, which combines multiple disciplines, to address every aspect of development in premature and sick babies. EiSMART is a uniquely collaborative approach, where professionals and parents work T ogether to provide early and more effective interventions for infants and young children with developmental challenges. Click on the balls to learn more.

How We Help

We provide resources to support child development, and deliver training courses to support professional development. We collaborate on research to advance practice in early intervention, and we influence policy on the care of high risk infants.

DISCOVER MORE MEET OUR TEAM

Invaluable For Us & Our Baby

"In the beginning of my NICU journey I cried every day. There is no other outlet for the hurt, the sadness, the fear - especially the fear - of giving birth so early. In NICU, everything about those first weeks is different to how it should be. You emerge from that darkness into an intense, overwhelming, medical world where you feel utterly helpless to do the most natural thing: care for your baby. Stumbling upon EiSMART was like finding fresh air, after a long, dark time under water. It helped me recover purpose; recover focus; recover the ability to care for my baby."
- Parent of baby born at 24 weeks' gestation
DISCOVER MORE OUR APPROACH

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Building A Brighter Future For High Risk Infants: EiSMART is a transdisciplinary approach to early intervention for infants at risk of developmental delays.

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Please see T.I.C.K.S rule for safe babywearing

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Support for parents of babies and children with Down Syndrome.

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Whether you are a new or expectant parent, a professional interested to know about Down syndrome or a member of the public - you've come to the right place!

We hope that our stories and photos reassure you, inspire you and show you the reality of life with Down syndrome. There is a lot of negativity, fear of and ignorance around Down syndrome, but we are the experts on living with someone with Down syndrome and these stories are written honestly from experience and absolute understanding.

#NobodyToldMe is a collection of personal experiences written by young people with Down syndrome, their friends and family.

#NobodyToldMe challenges outdated perceptions and attitudes towards those with Down syndrome by showing the reality of our lives.

We, too, have experienced receiving the news that our baby has Down syndrome, so we know how you're feeling, what you're worried about, or what you are feeling guilty for thinking. We are delighted to have this opportunity to share a little of our lives with you to try to address some of those feelings.

There are groups all around the UK, offering a range of support and community.

Click the button below to see a map showing what groups there are near you.

The stories here are our true and personal experiences. PADS is not affiliated with any religious or political organisation.

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Positive About Down Syndrome - A website by parents for parents and parents-to-be

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Whether you are a new or expectant parent, a professional interested to know about Down syndrome or a member of the public - you've come to the right place! We hope that our stories and photos reassure you, inspire you and show you the reality of life with Down syndrome.

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Advice on when to give and how to give some medications to your baby.

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Medicines are not always needed for minor illnesses like coughs and colds in children.
If your child does need a medicine, it's important they have one that's right for their age and you know how to give it to them safely.

Paracetamol and ibuprofen for babies and children

Paracetamol and ibuprofen are safe for treating pain and a high temperature in babies and children. Both are available as liquid medicines for young children.

It's best to choose a sugar-free version. Medicines that contain sugar can harm your child's teeth.

Make sure you get the right strength for your child's age and check the label for the correct dose. Or you can ask a pharmacist for advice.

It's a good idea to keep one or both medicines stored in a safe place at home.

At what age can I give my baby paracetamol or ibuprofen?

You can give paracetamol to children aged 2 months or older for pain or fever.

You can give ibuprofen to children who are aged 3 months or older and who weigh more than 5kg (11lb).

If your child has asthma, get advice from a GP or pharmacist before giving them ibuprofen.

Do not give aspirin to children under 16 unless it's prescribed by a doctor. It's been linked with a rare but dangerous illness called Reye's syndrome.

If you're breastfeeding, ask your health visitor, midwife or GP for advice before taking aspirin.
Read more about breastfeeding and medicines

Antibiotics for children

Children do not often need antibiotics. Most childhood infections are caused by viruses. Antibiotics only treat illnesses caused by bacteria, not viruses.

If your child is prescribed antibiotics for a bacterial infection, they may seem better after 2 or 3 days. But it's important to always finish the whole course to make sure all the bacteria are killed off.

If you do not finish the whole course, the infection is more likely to come back. It also increases the risk of the bacteria becoming resistant to antibiotics.

Antibiotics work best if they are given at regular intervals. Giving them to your child at the same times each day may help you to remember.

Giving medicine to your child

Make sure you know how much and how often to give a medicine. Recording it in your child's Personal Child Health Record (PCHR, or red book) may help you remember.

Always read the label on the bottle, and stick to the recommended dose. If in doubt, check with a pharmacist, health visitor or GP.

Most medicines for young children come with a special measure called an oral syringe.

This helps you measure small doses of medicine more accurately. It also makes it easier to give the medicine to your child.

If you're not sure, your health visitor or pharmacist can explain how to use the syringe.

You can also watch a video from Great Ormond Street Hospital showing how to use an oral syringe.

Never use a kitchen teaspoon to give your baby or child medicine, because they come in different sizes.

Children and side effects from medicine

The leaflet that comes with a medicine will list any possible side effects.

If you think your child is reacting to a medicine - for example, with a rash or diarrhoea - speak to a GP, health visitor or pharmacist. In the evenings or at weekends you can call NHS 111.

Keep a note of the medicine's name in your child's red book for future reference.

Can you get over-the-counter children's medicines for free?

Some pharmacies run what's known as a minor ailment scheme for specific ailments, such as coughs and colds and diarrhoea and vomiting.

When pharmacies provide medicines as part of a minor ailment scheme, you get the medicines on the NHS. You will not pay a prescription charge for children under 16.

Not all pharmacies offer a minor ailment scheme, and the ailments covered by the scheme vary from area to area.

Children's medicine safety tips

Always check the expiry date - if you have any medicines at home that are out of date or your child no longer needs them, take them to a pharmacist to dispose of safely.

Never give your child medicines that have been bought or prescribed for someone else.

Always keep medicines out of your child's reach and out of sight.

Ask a pharmacist about storing the medicine - some need to be kept in the fridge or out of direct sunlight.

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Medicines are not always needed for minor illnesses like coughs and colds in children. If your child does need a medicine, it's important they have one that's right for their age and you know how to give it to them safely. Paracetamol and ibuprofen are safe for treating pain and a high temperature in babies and children.

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If you are interested in helping improve care provide to families throughout their neonatal journey please get in touch with our Parent Advisory Group.

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Log into Facebook to start sharing and connecting with your friends, family, and people you know.

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Information provided about all the neonatal units within our network, as well as additional information for you as parents.

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The neonatal networks within the South East region consist of the Thames Valley and Wessex Operational Delivery Network and the Kent, Surrey and Sussex Operational Delivery Network. The two combined networks cover 27 provider units.

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Supporting families whose baby had Necrotising Enterocollitis (NEC).

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Necrotising Enterocolitis | Nec Uk | England

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NEC UK A UK Charity for the condition Necrotising Enterocolitis- What is NEC, nec support, family support. Raise awareness of necrotising enterocolitis.

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Supporting families whose baby had a Congenital Diaphragmatic Hernia (CDH).

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Research Click The Image To Download Our CDH Information Booklet About CDH UK https://youtu.be/9mYdPE3md48 We like to think of CDH UK as a modern charity made up of experts providing complimentary care to patients and their families in the form of information, emotional and practical support and by conducting, encouraging and funding research.

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Supporting families who have had a baby who suffered a HIE (Hypoxic Ischaemic Encephalopathy event).

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Peeps HIE Charity | HIE Awareness & Support

Welcome to Peeps HIE

We provide support to parents, families & friends of those affected by HIE (Hypoxic-Ischaemic Encephalopathy), raising awareness of HIE.

Some of the things we do include:

Provide information about HIE

Buddy/peer support

Counselling and therapy

Funding for equipment

Find out more about what we do...

Our Family stories

We pride ourselves on the support we can give to families experiencing the challenges of day-to-day life with children affected by HIE.

Read our Family Stories

Peeps on Twitter

Our information leaflets are written by families, with families, for families.
They can be downloaded from our website, or printed copies sent out - please get in touch if we can help support.

https://www.peeps-hie.org/resources-downloads/

#HeardOfHIE

2

If you'd like to find out more about our new book club, starting in 2024, and register an interest, please check out our website:

It will be online, peer-led, from the comfort of your own home, and just for H.I.E. parents/grandparents/carers.
Suggestions...

We recognise that each H.I.E. journey can be unique; we aim to provide support and guidance tailored to the diverse needs of our community.

Inclusion matters and is an agenda item on every meeting we have with Trustees and employees.

From informational resources to emotional...

Twitter icon
View more

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Peeps HIE Charity | HIE Awareness & Support

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Peeps is a UK charity, dedicated to supporting those affected by HIE (hypoxic-ischaemic encephalopathy). We provide emotional, practical and financial support.

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Supporting families in hospital to meal provisions.

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From donating food, money or items to sponsored activities, organising your own fundraising event or volunteering for us, there are lots of ways you can get involved with Sophie’s Legacy.

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Retinopathy of Prematurity (ROP) screening

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Retinopathy of Prematurity (ROP) screening

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Information about eye screening for preterm baby's.

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Screening for retinopathy of prematurity - information for parents and carers

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You have been given this leaflet because your baby was born at less than 31 weeks of pregnancy (very premature birth) or had a birthweight under 1501 grams and is at risk of developing ROP. It will give you more information about ROP, clarify what happens during screening and how you can support your baby and explain what happens after screening.

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National hearing screen for all newborns.

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Public Health England (PHE) created this information on behalf of the NHS. In this information, the word ‘we’ refers to the NHS service that provides screening.

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National examination of all newborns.

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Public Health England (PHE) created this information on behalf of the NHS. In this information, the word 'we' refers to the NHS service that provides screening.

This short video explains screening for eyes, heart, hips and testes in newborn babies.
Newborn and infant physical examination video
The newborn physical examination is recommended by the NHS.

1. Purpose of screening

Within 72 hours of giving birth, you will be offered a top-to-toe physical examination for your baby. This will include 4 specific screening tests to find out whether your baby has a suspected problem with their eyes, heart, hips or, in boys, their testes which would benefit from early investigation and possible treatment.

The screening tests are carried out again between 6 and 8 weeks of age as some conditions do not develop or become apparent until then.

2. About the conditions

Each part of the physical examination is looking for different conditions.

About 2 or 3 in 10,000 babies have problems with their eyes that need treatment. The examination checks the appearance and movement of the eyes. The main reason for screening is to identify a condition called cataracts (a clouding of the transparent lens inside the eye). The examination cannot tell how well your baby can see.

Around 8 per 1,000 babies will have a heart problem or condition. This could range from a heart murmur to a problem needing specialist care or treatment. A murmur is a noise made by the blood as it passes through the heart. In almost all cases when a murmur is heard, the heart is normal. Murmurs are common in babies and this does not always mean there is a problem.

Babies can be born with hip joints that are not formed properly and if untreated this can lead to a limp and to joint problems. About 1 or 2 in 1,000 babies have hip problems that need treatment.

Baby boys are checked to make sure their testes are in the right place. It can take several months for testes to drop down (descend) into the scrotum. About 1 in 100 baby boys have problems with undescended testes that need treatment to reduce the risk of problems later in life, such as reduced fertility.

3. The screening test

A trained health professional will carry out a physical examination of your baby and ask you questions about your baby's general wellbeing.

Your baby will need to be undressed for part of the examination. During the examination the health professional will:

look into your baby's eyes focusing on how their eyes look and move

listen to their heart using a stethoscope to detect heart sounds

examine their hips to ensure the joints are working properly

examine baby boys to check if their testes are in the right place

These screening tests are carried out within 72 hours of birth and again when your baby is between 6 and 8 weeks of age.

4. Safety of the test

There are no risks associated with having this test.

5. Screening is your choice

The examination is intended to identify any of the problems early so that treatment can be started as soon as possible.

The general physical examination including this screening is therefore recommended for your baby.

6. Not having the test

You can decide to have your baby examined and screened for any or all of the conditions. If you have any concerns you should discuss them with your midwife and the health professional who offers the examination.

7. Possible results

Usually there will be nothing of concern found. If the health professional finds a possible problem, your baby will be referred for further assessment and tests if appropriate.

8. Getting my results

The health professional carrying out the examination will give you the results straight away. If a referral for further assessment is needed, this will also be discussed with you at the time of the examination.

The results will be recorded in your baby's case notes and personal child health record ('red book'). You will need to keep this record safe and make sure it is available whenever your baby sees a health professional.

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Eyes, heart, hips and testes (physical examination)

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Public Health England (PHE) created this information on behalf of the NHS. In this information, the word 'we' refers to the NHS service that provides screening. This short video explains screening for eyes, heart, hips and testes in newborn babies. Newborn and infant physical examination video The newborn physical examination is recommended by the NHS.

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National blood spot screening offered to all newborns.

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This information was created on behalf of the NHS. In this information, the word 'we' refers to the NHS service that provides screening.

This short video explains blood spot screening in newborn babies.
Newborn blood spot video
Blood spot screening is recommended by the NHS.

1. Purpose of screening

To find out if your baby has any of 9 rare but serious health conditions.

Early treatment can improve your baby's health and prevent severe disability or even death. If you, the baby's father, or a family member already has one of these conditions, please tell your health professional straight away.

2. About these conditions

2.1 Sickle cell disease

About 1 in 2,800 babies born in the UK has a sickle cell disease ( SCD). These are serious, inherited blood diseases. They affect haemoglobin, a part of the blood that carries oxygen around the body. Babies who have SCD will need specialist care throughout their lives.

People with SCD can have attacks of severe pain, get serious, life-threatening infections and are usually anaemic (their bodies have difficulty carrying oxygen). Babies with SCD can receive early treatment, including vaccinations and antibiotics, which, along with support from their parents, will help prevent serious illness and allow them to live a healthier life.

2.2 Cystic fibrosis

About 1 in 2,500 babies born in the UK has cystic fibrosis ( CF). This inherited condition affects the digestion and lungs. Babies with CF may not gain weight well and frequently have chest infections. Babies with CF can be treated early with a high-energy diet, medicines and physiotherapy. Although children with CF may still become very ill, early treatment can help them live longer, healthier lives.

2.3 Congenital hypothyroidism

About 1 in 2,000 babies born in the UK has congenital hypothyroidism ( CHT). Babies with CHT do not have enough of the hormone thyroxine. Without thyroxine babies do not grow properly and they can develop permanent serious physical problems and learning disabilities.

Babies with CHT can be treated early with thyroxine tablets and this will allow them to develop normally.

It is important to let your health professional know if you have a family history of a metabolic condition. Babies are screened for 6 inherited metabolic diseases (IMDs).

These are:

phenylketonuria (PKU)

medium-chain acyl-CoA dehydrogenase deficiency (MCADD)

maple syrup urine disease (MSUD)

isovaleric acidaemia (IVA)

glutaric aciduria type 1 (GA1)

homocystinuria (pyridoxine unresponsive) (HCU)

About 1 in 10,000 babies born in the UK has PKU or MCADD. The other conditions are rarer, occurring in 1 in 150,000 babies to 1 in 300,000 babies.

Babies with these inherited conditions cannot process certain substances in their food. Without treatment babies with some of these conditions can become suddenly and seriously ill. The symptoms of the conditions are different; some may be life threatening or lead to severe developmental problems.

They can all be treated by a carefully managed diet, which is different for each condition and may include additional medicines.

3. The screening test

When your baby is 5 days old the health professional will prick your baby's heel using a special device to collect some drops of blood onto a card. Occasionally this may be later than 5 days. The heel prick may be uncomfortable and your baby may cry. You can help by making sure your baby is warm and comfortable, and by cuddling and feeding them.

Sometimes, a second blood spot sample is required later on. If so, the reason will be explained. It does not necessarily mean there is something wrong with your baby.

4. Safety of the test

There are no known risks to your baby associated with having the test.

5. Screening is your choice

Screening your baby for all these conditions is recommended because it could save your baby's life but it is not compulsory. You can choose to have screening for SCD, CF or CHT individually but can only choose to have screening for all 6 IMDs or none at all. If you do not want your baby screened for any of the conditions or have any concerns about the test, please talk to your midwife.

Early screening is best as treatment can be started as soon as possible if needed. But if you choose not to have screening, your baby can have the test later if you change your mind. Babies can be screened up to 12 months of age for all the conditions except CF (only up to 8 weeks of age).

6. Possible results

Most babies will have normal results indicating that it is unlikely that they have any of the conditions. A small number of babies will screen positive for one of the conditions. This does not mean they have the condition but they are more likely to have it. They will be referred to a specialist for further tests.

Screening for cystic fibrosis finds some babies who may be genetic carriers of the condition. These babies may need further testing. Screening does not detect all carriers.

Occasionally, other medical conditions might be identified through these screening tests. For example, babies with beta thalassaemia major (a serious blood disease) will usually be detected. These children also need to be referred for lifelong treatment and care.

Screening for sickle cell disease also finds babies who are genetic carriers of these or other red blood cell diseases. Carriers are healthy although they can experience some problems in situations where their bodies might not get enough oxygen, for example, if they are having an anaesthetic.

7. Getting my results

You should receive the results from a health professional by the time your baby is 6 weeks old. The results should be recorded in your baby's personal child health record ('red book'). Please keep this safe and bring it with you to any further appointments. You will be contacted sooner if there is thought to be any problem with your baby.

8. My baby's blood spot card and data after screening

After screening blood spot cards are stored for at least 5 years and may be used:

to check the result or for other tests recommended by your doctor

to improve the screening programme

for research to help improve the health of babies and their families in the UK (this will not identify your baby and you will not be contacted)

In addition, there is a small chance that researchers may want to invite you or your child to take part in information gathering linked to the newborn blood spot screening programme. Researchers undertaking any additional studies would explain what is being done and you would then be asked if you wish to take part in that study. Please let your midwife know if you do not want to be contacted to discuss taking part in any additional information gathering.

All use of the blood spots is governed by the code of practice. Any research will have been approved by an independent research ethics committee.

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This information was created on behalf of the NHS. In this information, the word 'we' refers to the NHS service that provides screening. This short video explains blood spot screening in newborn babies. Newborn blood spot video Blood spot screening is recommended by the NHS.

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Supporting neonatal parents every step of the way.

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The NICU Space : Your NICU Parent Community

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Take a look behind the scenes of the platform

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Information and advice for men who may be suffering from postnatal depression.

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Postnatal depression (PND) is thought to affect as many as one in 10 men. Find out why, what the symptoms are and where to go for help.

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Advice on getting additional support following the birth of your baby.

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Postnatal depression is a type of depression that many parents experience after having a baby.
It's a common problem, affecting more than 1 in every 10 women within a year of giving birth. It can also affect fathers and partners.

It's important to get help as soon as possible if you think you might be depressed, as your symptoms could last for months or get worse and have a significant impact on you, your baby and your family.

With the right support most people make a full recovery.

Depression during pregnancy

Depression in pregnancy (antenatal depression) is also common, affecting more than 1 in 10 women.

Other mental health symptoms that can occur during or after your pregnancy include anxiety, panic attacks and psychosis.
Read more about mental health in pregnancy

Symptoms of postnatal depression

Many women feel a bit down, tearful or anxious in the first week after giving birth.

This is often called the " baby blues" and is so common that it's considered normal.

The "baby blues" do not last for more than 2 weeks after giving birth.

If your symptoms last longer or start later, you could have postnatal depression.

Postnatal depression can start any time in the first year after giving birth.

Signs that you or someone you know might be depressed include:

a persistent feeling of sadness and low mood

lack of enjoyment and loss of interest in the wider world

lack of energy and feeling tired all the time

trouble sleeping at night and feeling sleepy during the day

finding it difficult to look after yourself and your baby

withdrawing from contact with other people

problems concentrating and making decisions

frightening thoughts - for example, about hurting your baby

Many women do not realise they have postnatal depression because it can develop gradually.

Speak to a GP, midwife or health visitor as soon as possible if:

you think you may be depressed

Many midwives and health visitors have been trained to recognise postnatal depression and have techniques that can help.

Remember that:

a range of help and support is available, including talking therapy

depression is an illness like any other

it's not your fault you're depressed - it can happen to anyone

being depressed does not mean you're a bad parent

it does not mean you're going mad

your baby will not be taken away from you - babies are only taken into care in very exceptional circumstances

Treatments for postnatal depression

Postnatal depression can be lonely, distressing and frightening, but support and effective treatments are available.

These include:

self-help - things you can try yourself include talking to your family and friends about your feelings and what they can do to help, making time for yourself to do things you enjoy, resting whenever you get the chance, getting as much sleep as you can at night, exercising regularly, and eating a healthy diet

talking therapy - a GP may be able to recommend a self-help course or may refer you for a course of therapy, such as cognitive behavioural therapy (CBT)

antidepressants - these may be recommended if your depression is more severe or other treatments have not helped; your doctor can prescribe a medicine that's safe to take while breastfeeding

Local and national organisations, such as the Association for Post Natal Illness (APNI) and Pre and Postnatal Depression Advice and Support (PANDAS), can also be useful sources of help and advice.

Causes of postnatal depression

The cause of postnatal depression is not completely clear.

There are a number of things that may make you more likely to have postnatal depression. These include:

a history of mental health problems, particularly depression, earlier in life

a history of mental health problems during pregnancy

having no close family or friends to support you

a difficult relationship with your partner

recent stressful life events, such as a bereavement

physical or psychological trauma, such as domestic violence

Even if you do not have any of these, having a baby is a life-changing event that can sometimes trigger depression.

It often takes time to adapt to becoming a new parent. Looking after a baby can be stressful and exhausting.

Preventing postnatal depression

There are things you can do during pregnancy to help you keep well, such as maintaining a healthy lifestyle and having someone you can talk to and turn to for support.

Going to antenatal classes and making friends with other pregnant women or new parents can also be helpful.

If you are pregnant or thinking about getting pregnant, talk to a GP or your mental health team if:

you have a history of depression or mental health problems

someone in your family has had mental health problems after childbirth (for example, your mother or sister)

This is so they can offer you appropriate treatment.

You can also talk to a midwife, who can support you or refer you to specialist mental health services if needed. If you have had a mental health problem while pregnant, your doctor should arrange for you to be seen regularly in the first few weeks after birth.

The mental health team, maternity team and GP will work closely with you during your pregnancy and after you have given birth.

Myths about postnatal depression

Postnatal depression is often misunderstood and there are many myths surrounding it.

These include:

postnatal depression is less severe than other types of depression - in fact, it's as serious as other types of depression

postnatal depression is entirely caused by hormonal changes - it's actually caused by many different factors

postnatal depression will soon pass - unlike the "baby blues", postnatal depression can persist for months if left untreated and in a minority of cases it can become a long-term problem

postnatal depression only affects women - research has actually found that up to 1 in 10 new fathers become depressed after having a baby

These factors are equally true of antenatal depression.

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Postnatal depression is a type of depression that many parents experience after having a baby. It's a common problem. Depression in pregnancy (antenatal depression) is also common.

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You are the most important person to your baby

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You are the most important person to your baby

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Getting involved in your baby's care.

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The essential guide for new dads.

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I was a bit scared when we found out we were having a baby, obviously happy, but a bit scared and in the beginning I was a bit clueless. The child development part is my favourite bit, but there's things in there, like things about mental health, that I didn't know about and that I didn't know you needed to know about.

Ross, 22

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DadPad | The Essential Guide for New Dads | Support Guide for New Dads

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Developed with the NHS, DadPad gives new dads and dads-to-be the knowledge and skills needed to gain confidence and give their baby the best start in life.

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Reducing the risks of infection for your baby 

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Reducing the risks of infection for your baby 

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There are some key things that everyone can do to reduce the risk of serious infections in baby's. Its important to follow THANKS - Think Hands And No Kisses.

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It is important to try and keep babies safe from infection. Reduce the risk of by following this: THANKS - Think Hands And No KisseS

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Repatriation of your baby to your local neonatal unit

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Repatriation of your baby to your local neonatal unit

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This leaflet explains what repatriation is and the process of getting you and your baby back to your local neonatal unit.

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This video explains what may happen if your baby requires a transfer between neonatal units.

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Transfer Closer to Home: The neonatal repatriation of your baby

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You can download the healthier together app which will support you in getting the correct help if your baby becomes unwell at home.

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Babies under 3 Months :: Healthier Together

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Information of when your baby may receive their vaccinations.

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A full list of the routine vaccinations offered on the NHS and when they should be given.

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Government guidance on the right car seat for your baby.

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Children must normally use a child car seat until they're 12 years old or 135 centimetres tall, whichever comes first.

Children over 12 or more than 135cm tall must wear a seat belt.

You can choose a child car seat based on your child's height or weight.

Height-based seats

Height-based seats are known as 'i-Size' seats. They must be rear-facing until your child is over 15 months old. Your child can use a forward-facing child car seat when they're over 15 months old.

You must check the seat to make sure it's suitable for the height of your child.

Only EU-approved height-based child car seats can be used in the UK. These have a label showing a capital 'E' in a circle and 'R129'.

Weight-based seats

The seat your child can use (and the way they must be restrained in it) depends on their weight.

Only EU-approved weight-based child car seats can be used in the UK. These have a label showing a capital 'E' in a circle and 'ECE R44'.

You may be able to choose from more than one type of seat in the group for your child's weight.

0kg to 10kg

0

Lie-flat or 'lateral' baby carrier, rear-facing baby carrier, or rear-facing baby seat using a harness

0kg to 13kg

0+

Rear-facing baby carrier or rear-facing baby seat using a harness

9kg to 18kg

1

Rear- or forward-facing baby seat using a harness or safety shield

15kg to 25kg

2

Rear- or forward-facing child car seat (high-backed booster seat or booster cushion) using a seat belt, harness or safety shield

22kg to 36kg

3

Rear- or forward-facing child car seat (high-backed booster seat or booster cushion) using a seat belt, harness or safety shield

Manufacturers can now only make booster cushions approved as group 3. This won't affect any existing booster cushions in group 2 and you'll still be able to use them.

Fitting a child car seat

You must only use a child car seat if your car's seat belt has a diagonal strap, unless the seat is either:

specifically designed for use with a lap seat belt

fitted using ISOFIX anchor points

You must also:

deactivate any front airbags before fitting a rear-facing baby seat in a front seat

not fit a child car seat in side-facing seats

Children with disabilities or medical conditions

The same rules apply for children with disabilities or medical conditions, but they can use a disabled person's seat belt or a child restraint designed for their needs.

A doctor can issue an exemption certificate if a child is unable to use a restraint or seat belt because of their condition.

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The rules for child car seats and booster seats - height, weight, age, type of vehicle, car, minibus, licensed taxi

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ICON offers advice and support for you and your baby.

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Babies cry, you can cope When babies cry it can be stressful and overwhelming. Help is out there and all you need to do is ask. Latest news Testimonials

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Safe sleep advice provided by the Lullaby Trust.

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The safest cot is a clear cot

The safest cot for a baby is a clear cot. That means removing anything that isn't essential. Babies need just two items in their cot:

It's important to remove anything that isn't essential because items such as toys, blankets and bumpers could cover their face and obstruct their breathing.

When preparing your baby's sleep space, remember:

No pillows or duvets

No cot bumpers

No soft toys or comforters

No weighted or bulky bedding

No products designed to keep your baby in one sleeping position, such as wedges or straps

No pods or nests, rolled up towels or anything soft placed on top of the mattress.

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Safer sleep overview - The Lullaby Trust

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An easy guide to practicing safer sleep for your baby and reducing the risk of sudden infant death syndrome (SIDS, or cot death).

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Information for parents and carers.

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Infant milks for parents & carers — First Steps Nutrition Trust

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First Steps Nutrition Trust is a charity which provides clear, evidence-based and independent information and support for good nutrition from pre-conception to five years of age.

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Sterilising baby bottles and feeding equipment.

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It's important to sterilise all your baby's feeding equipment, including bottles and teats, until they're at least 12 months old.
This will protect your baby against infections, in particular diarrhoea and vomiting.

Before sterilising, you need to:

Clean bottles, teats and other feeding equipment in hot, soapy water as soon as possible after feeds.

Use a clean bottle brush to clean bottles (only use this brush for cleaning bottles), and a small teat brush to clean the inside of teats. You can also turn teats inside out then wash them in hot soapy water. Do not use salt to clean teats, as this can be dangerous for your baby.

Rinse all your equipment in clean, cold running water before sterilising.

You can put your baby's feeding equipment in the dishwasher to clean it if you prefer. Putting feeding equipment through the dishwasher will clean it but it does not sterilise it. Make sure bottles, lids and teats are facing downwards. You may prefer to wash teats separately by hand to make sure they are completely clean.

The advice about how to clean your baby's feeding equipment applies to all of the equipment, and whether you are using expressed breast milk or formula milk.

How to sterilise baby feeding equipment

There are several ways you can sterilise your baby's feeding equipment. These include:

cold water sterilising solution

steam sterilising

boiling

Cold water sterilising solution

Follow the manufacturer's instructions.

Leave feeding equipment in the sterilising solution for at least 30 minutes.

Change the sterilising solution every 24 hours.

Make sure there are no air bubbles trapped in the bottles or teats when putting them in the sterilising solution.

Your steriliser should have a floating cover or a plunger to keep all the equipment under the solution.

Steam sterilising (electric steriliser or microwave)

It's important to follow the manufacturer's instructions, as there are several different types of sterilisers.

Sterilising by boiling

Make sure the items you want to sterilise in this way are safe to boil.

Boil the feeding equipment in a large pan of water for at least 10 minutes, making sure it all stays under the surface.

Set a timer so you do not forget to turn the heat off.

Remember that teats tend to get damaged faster with this method. Regularly check that teats and bottles are not torn, cracked or damaged.

After you've finished sterilising

It's best to leave bottles and teats in the steriliser or pan until you need them.

If you do take them out, put the teats and lids on the bottles straight away.

Wash and dry your hands before handling sterilised equipment. Better still, use some sterile tongs.

Assemble the bottles on a clean, disinfected surface or the upturned lid of the steriliser.

Find out more about expressing breast milk and how to make up formula feeds.

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How to sterilise your baby's bottles and other feeding equipment safely and effectively, whether you're using boiling, steam or cold water sterilising equipment.

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Information on how to express and store your breast milk. Please speak to a member of staff about how to do this.

While your baby is on SCBU we use fresh milk within 48 hours of expressing, and have a freezer where you can store any other breast milk.

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Expressing milk means squeezing milk out of your breast so you can store it and feed it to your baby later.

You might want to express milk if:

How to express breast milk

You can express milk by hand or with a breast pump. How often you express your milk, and how much you express, will depend on why you're doing it.

Sometimes it takes a little while for your milk to start flowing. Try to choose a time when you feel relaxed. Having your baby (or a photo of them) nearby may help your milk to flow.

You may find it easier to express if you cover your breasts with a warm towel first, or after you have a shower or bath.

Expressing breast milk by hand

Some find it easier to express milk by hand, especially in the first few days or weeks. It also means you can express without needing a pump, or an electricity supply.

Hand expressing allows you to encourage milk to flow from a particular part of the breast. This may be useful, for example, if one of the milk ducts in your breast becomes blocked.

Hold a sterilised feeding bottle or container below your breast to catch the milk as it flows.

These tips may help:

Before you start, wash your hands with soap and warm water.

Have something clean ready to collect the milk in.

Some find gently massaging their breasts before expressing helps their milk to let down.

Cup your breast with one hand then, with your other hand, form a "C" shape with your forefinger and thumb.

Squeeze gently, keeping your finger and thumb a few centimetres away from your nipple, just outside the darker area around it (areola). Do not squeeze the nipple itself as you could make it sore. This should not hurt.

Release the pressure, then repeat, building up a rhythm. Try not to slide your fingers over the skin.

Drops should start to appear, and then your milk usually starts to flow.

If no drops appear, try moving your finger and thumb slightly, but still avoid squeezing the darker area near your nipple.

When the flow slows down, move your fingers round to a different section of your breast, and repeat.

When the flow from one breast has slowed, swap to the other breast. Keep changing breasts until your milk drips very slowly or stops altogether.

Watch a video about expressing milk by hand on the UNICEF website

Expressing milk with a breast pump

There are 2 different types of breast pump: manual (hand-operated) and electric.

Manual pumps are cheaper but may not be as quick as an electric pump.

You may be able to hire an electric pump. Your midwife, health visitor or a local breastfeeding supporter can give you details of pump hire services near you.

The suction strength can be altered on some electric pumps. Build up slowly. Setting the strength to high straight away may be painful or damage your nipple.

You may also be able to get different funnel (the part that goes over your nipple) sizes to fit your nipples. The pump should never cause bruising or catch your nipple as it's sucked into the funnel.

Always make sure that the pump and container are clean and sterilised before you use them.

Find out how to sterilise baby bottles

Storing breast milk

You can store breast milk in a sterilised container or in special breast milk storage bags:

in the fridge for up to 8 days at 4C or lower (you can buy fridge thermometers online) - if you're not sure of the temperature of your fridge, or it is higher than 4C, use it within 3 days

for 2 weeks in the ice compartment of a fridge

for up to 6 months in a freezer, if it's -18C or lower

Breast milk that's been cooled in the fridge can be carried in a cool bag with ice packs for up to 24 hours.

Storing breast milk in small quantities will help avoid waste. If you're freezing it, make sure you label and date it first.

Defrosting frozen breast milk

It's best to defrost frozen breast milk slowly in the fridge before giving it to your baby. If you need to use it straight away, you can defrost it by putting it in a jug of warm water or holding it under running warm water.

Once it's defrosted, give it a gentle shake if it has separated. Use it straight away. Do not re-freeze milk that's been defrosted.

Once your baby has drunk from a bottle of breast milk it should be used within 1 hour and anything left over should be thrown away.

Warming breast milk

You can feed expressed milk straight from the fridge if your baby is happy to drink it cold. Or you can warm the milk to body temperature by putting the bottle in a jug of warm water or holding it under running warm water.

Do not use a microwave to heat up or defrost breast milk. This can cause hot spots, which can burn your baby's mouth.

Storing breast milk if your baby is in hospital

If you're expressing breast milk because your baby is premature or sick, ask the hospital staff caring for your baby for advice on how to store it.

Read more about breastfeeding a premature or sick baby

If you're having difficulty expressing breast milk

If you're finding it difficult or uncomfortable to express your breast milk:

Ask your midwife, health visitor or breastfeeding supporter for help. They can also tell you about other breastfeeding support available near you.

Search online for breastfeeding support in your area.

Call the National Breastfeeding Helpline on 0300 100 0212 (9.30am to 9.30pm daily).

The Bliss website also has advice about expressing milk for a premature or sick baby

Community content from HealthUnlocked

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Everything you need to know about expressing and storing your breast milk, including tips on hand expressing and electric breast pumps, and how to freeze, defrost and warm breast milk.

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Tips for changing your baby's nappy.

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Tips for changing your baby’s nappy | Bliss

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Changing your premature or sick baby’s nappy is a great way to be involved in their care on the neonatal unit.

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Family Integrated Care.

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Family Integrated Care In the NICU, infants are physically separated from their parents and this often has an impact on the physical, psychological, emotional health of both the parents and the infants. Family Centered Care is an approach to planning and delivery of health care that encourages greater parent involvement in their infants care.

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These resources will help you build a relationship with your baby.

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Relationship building resources - Baby Friendly Initiative

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These resources cover a range of issues around supporting close and loving relationships between parents and babies.

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Newborn blood spot screening involves taking a blood sample to find out if your baby has 1 of 9 rare but serious health conditions.

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Every baby is offered newborn blood spot screening, also known as the heel prick test, ideally when they're 5 days old.

What is the blood spot test?

Newborn blood spot screening involves taking a blood sample to find out if your baby has 1 of 9 rare but serious health conditions.

Most babies won't have any of these conditions but, for the few who do, the benefits of screening are enormous.

Early treatment can improve their health, and prevent severe disability or even death.

What does the blood spot test involve?

When your baby is 5 days old, a healthcare professional will prick their heel and collect 4 drops of blood on a special card.

You can ease any distress for your baby by cuddling and feeding them, and making sure they're warm and comfortable.

Occasionally, the sample may need to be taken when your baby is 6, 7 or 8 days old.

Sometimes a second blood spot sample is needed. The reason for this will be explained to you. It doesn't necessarily mean there's something wrong with your baby.

The test doesn't carry any known risks for your baby.

Which conditions is the blood spot test for?

The blood spot test screens for the following 9 rare but serious conditions.

If you, your partner or a family member already has one of these conditions (or a family history of it), tell your healthcare professional straight away.

Sickle cell disease

About 270 babies are born with sickle cell disease in the UK each year. This is a serious inherited blood disease.

Sickle cell disease affects haemoglobin, the iron-rich protein in red blood cells that carries oxygen around the body.

Babies who have this condition will need specialist care throughout their lives.

People with sickle cell disease can have attacks of severe pain and get serious, life-threatening infections. They're usually anaemic because their blood cells have difficulty carrying oxygen.

The blood spot screening test means that babies with sickle cell disease can receive early treatment to help them live healthier lives. This may include vaccinations and antibiotics to prevent serious illnesses.

Pregnant women are also routinely tested for sickle cell disease early in pregnancy.

Read more about sickle cell disease.
GOV.UK also has a factsheet about sickle cell disease
Cystic fibrosis

About 1 in 2,500 babies born in the UK has cystic fibrosis. This inherited condition affects the digestion and lungs.

Babies with cystic fibrosis may not gain weight well and are prone to chest infections.

Babies with the condition can be treated early with a high-energy diet, medicines and physiotherapy.

Although children with cystic fibrosis may still become very ill, early treatment can help them live longer, healthier lives.

Read more about cystic fibrosis.
GOV.UK also has a leaflet for parents whose baby has suspected cystic fibrosis
Congenital hypothyroidism

About 1 in every 2,000 to 3,000 babies born in the UK has congenital hypothyroidism. Babies with congenital hypothyroidism don't have enough of the hormone thyroxine.

Without thyroxine, babies don't grow properly and can develop learning disabilities.

Babies who have the condition can be treated early with thyroxine tablets, and this allows them to develop normally.
The British Thyroid Foundation has more information about congenital hypothyroidism
Inherited metabolic diseases

It's important to let your healthcare professional know if you have a family history of a metabolic disease (a disease that affects your metabolism).

Babies are screened for 6 inherited metabolic diseases. These are:

About 1 in 10,000 babies born in the UK has PKU or MCADD. The other conditions are rarer, occurring in 1 in 100,000 to 150,000 babies.

Without treatment, babies with inherited metabolic diseases can become suddenly and seriously ill. The diseases all have different symptoms.

Depending on which one affects your baby, the condition may be life threatening or cause severe developmental problems.

They can all be treated with a carefully managed diet and, in some cases, medicines as well.

Severe combined immunodeficiency (SCID)

In some areas of England, screening for a condition called severe combined immunodeficiency (SCID) is also being offered as part of the newborn blood spot test. This is to help the NHS decide if screening for SCID should be offered to all babies in England.

SCID causes problems with the immune system. It makes it very hard for a baby to fight off infections like meningitis and pneumonia, which can be life-threatening. About 14 babies born each year in England have SCID.

Ask your midwife if screening for SCID is being offered in your area.
Great Ormond Street Hospital for Children has more information on severe combined immunodeficiency

Does my baby have to have the blood spot test?

The blood spot test is not compulsory, but it's recommended because it could save your baby's life.

You can choose to have screening for sickle cell disease, cystic fibrosis or congenital hypothyroidism individually, but you can only choose to have screening for all 6 inherited metabolic diseases or none at all.

If you don't want your baby to be screened for any of these conditions, discuss it with your midwife.

You should be given information about the blood spot test and the diseases it screens for in advance so you can make an informed decision for your baby.

If you change your mind, babies can be screened up to the age of 12 months for all the conditions except cystic fibrosis. Cystic fibrosis can only be screened for up to 8 weeks of age.

If you have any concerns about the tests, speak to your midwife, health visitor or GP.

When will we get the results?

You should receive the results either by letter or from a healthcare professional by the time your baby is 6 to 8 weeks old.

The results should be recorded in your baby's personal child health record (red book). It's important to keep this safe and take it with you to all your baby's appointments.

If you haven't received your baby's results, speak to your health visitor or GP.

You'll be contacted sooner if your baby screens positive. This means they're more likely to have one of the conditions tested for.

You'll be contacted:

the day the result is available, or the next working day, if your baby is thought to have congenital hypothyroidism (CHT) - you'll be given an appointment to see a specialist

before your baby's 4 weeks old if they're thought to have cystic fibrosis

before your baby's 6 weeks old if they're thought to have sickle cell disease

Screening for cystic fibrosis finds some babies who may be genetic carriers of the condition. These babies may need further testing.

Screening for sickle cell disease also finds babies who are carriers of this or other red blood cell diseases.

Carriers are healthy, although they can experience problems in situations where their bodies aren't getting much oxygen - for example, if they're having an anaesthetic.

Parents of babies who are found to be carriers should be told by the time they're 6 to 8 weeks old.

What do the results mean?

Most babies will have a normal result, which means it's unlikely that they have any of the conditions.

A small number of babies will screen positive for one of the conditions. This doesn't mean they have the condition, but they're more likely to have it. They'll be referred to a specialist for more tests.

It's important to know that screening isn't 100% certain. A baby with a negative screening result may later turn out to have the disease screened for. This is known as a false negative.

Babies with a positive result sometimes turn out not to have the disease - what's known as a false positive.

Occasionally, other medical conditions are picked up by blood spot test screening. For example, babies with beta thalassaemia major, a serious blood disease, will usually be detected. These babies also need to be referred for early treatment.

More information

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Your guide to the newborn blood spot (heel prick) test, including which diseases it screens for and when to expect the results

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Information on what happens straight after birth as well as the importance of giving vitamin k to your newborn.

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It's natural to focus on your baby's birth while you're pregnant. But it's a good idea to also know what to expect after labour.
Skin-to-skin contact really helps with bonding. It's a good idea to have your baby lifted onto you as soon as they're born and before the cord is cut so you can be close to each other straight away.

Either before, or just after the cord is clamped, your baby will be dried and then covered with a towel to stop them getting cold. You can continue to hold and cuddle your baby while this is done.

Your baby may have some of your blood on their skin and perhaps vernix, the greasy white substance that protects your baby's skin in the womb.

If you prefer, you can ask the midwife to dry your baby and wrap them in a blanket before your cuddle.

Mucus may need to be cleared out of your baby's nose and mouth.

Some babies need a bit of help to get their breathing established.

Your baby may be taken to another part of the room to have some oxygen. They'll be brought back to you as soon as possible.

Your baby will be examined by a midwife, neonatal nurse or paediatrician, then weighed and possibly measured, and given a wrist or ankle band with your name on.

Your midwife or maternity support worker will help you wash and freshen up before you go to the postnatal ward.

Vitamin K for newborn babies

You'll be offered an injection of vitamin K for your baby. This helps prevent a rare bleeding disorder called haemorrhagic disease of the newborn.

Your midwife should have discussed the injection with you while you were pregnant.

If you'd prefer for your baby not to have an injection, they can have vitamin K by mouth instead, but they'll need further doses.

Stitches for tears or cuts

Small tears and grazes are often left without stitches because they can usually heal without treatment.

If you need stitches or other treatments, you should be able to carry on cuddling your baby while this is being done.

If you have had a large tear or an episiotomy, you'll need stitches.

If you have already had an epidural, it can be topped up. If you haven't, you should be offered a local anaesthetic to numb the area.

Preventing bleeding after the birth

Postpartum haemorrhage (PPH) is a complication where you bleed heavily from the vagina after your baby's birth.

There are 2 types of PPH, depending on when the bleeding takes place:

primary or immediate - bleeding that happens within 24 hours of birth

secondary or delayed - bleeding that happens after the first 24 hours and up to 12 weeks after the birth

Sometimes PPH happens because your womb doesn't contract strongly enough after the birth.

It can also happen because part of the placenta has been left in your womb or you get an infection in the lining of the womb (endometritis).

To help prevent PPH, you'll be offered an injection of oxytocin as your baby is being born. This stimulates contractions and helps to push the placenta out.

Now read about you and your body after the birth.

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What to expect after your baby is born, including information on skin-to-skin contact, bonding, stitches and vitamin K injections.

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Scroll right to access the following topics.

-Columns/topics are titled for ease of use

-Scroll up and down through each column to find information/links

-Clink on the website link (if present) or video/photograph to open

-Scroll right through the topic

-You can choose as and when you access the information throughout your neonatal journey

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NHS information about ill and premature babies 

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NHS information about ill and premature babies 

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Information around babies born ill and premature from the NHS.

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Neonatal care in hospital

Special care for babies is sometimes provided on the ordinary postnatal ward and sometimes in a specialist newborn (neonatal) area.

Having a baby in neonatal care can be worrying, but the staff looking after your baby should make sure you receive all the information, communication and support you need.

Not all hospitals provide specialist neonatal services, so your baby may be transferred to another hospital if they need special care.

Why babies need special care

Your baby could be admitted to neonatal care for a number of reasons, including when they:

are born early (premature)

are very small and have a low birthweight

have an infection

have jaundice

had a very difficult birth

are waiting for, or recovering from, complex surgery

Touching and holding your baby

The special care baby unit may seem strange and confusing at first, especially if your baby is in an incubator or on a breathing machine. There may also be tubes and wires attached to their face and body.

Ask the nurse to explain what everything is for and show you how you can be involved in your baby's care. You may be able to change your baby's nappy, wash them and change their clothing.

Once your baby's stable, you'll be able to hold them. The nurses will be able to help you take your baby out of the incubator and show you how to have skin-to-skin contact.

Your baby will benefit greatly from physical contact with you. You can talk to your baby as well - this can help both of you.

You should wash your hands carefully and dry them thoroughly before touching your baby.

Feeding

To begin with, your baby may be too small or too sick to feed themselves. You can express some of your breast milk, which can be given to your baby through a tube.

A fine tube is passed through their nose or mouth into the stomach. This will not hurt them.

Talk to a midwife at the hospital about how you can express breast milk for your baby. The hospital may have breast pumps you can use.

Your milk has particular benefits, especially if your baby is sick or premature, as it's enriched with proteins (such as antibodies), fats and minerals.

If your baby is not able to have your milk to begin with, the milk can be frozen and given to them when they're ready.

When you go home, you can express milk for the nurses to give while you're away. There's no need to worry about how much milk you produce - every bit helps your baby.

Incubators

Babies who are very small are nursed in incubators rather than cots to keep them warm. You can still have a lot of contact with your baby.

Some incubators have open tops, but if your baby's incubator does not, you can put your hands through the holes in the side of the incubator to stroke and touch them.

Newborn babies with jaundice

Jaundice in newborn babies is common because their livers are not fully developed. Jaundice will make their skin and the whites of their eyes look a bit yellow.

Babies with severe jaundice may be treated with light therapy (phototherapy). The baby is undressed and put under a very bright light, usually with soft eye pads or a special box over their head to protect their eyes.

The special light helps break down the chemical that causes jaundice. It may be possible for your baby to have phototherapy by your bed in the postnatal ward so you do not have to be separated.

Light treatment may continue for several days, with breaks for feeds, before the jaundice clears up. Sometimes, if the jaundice gets worse, your baby may need a blood transfusion. This is not common.

Some babies have jaundice because of liver disease and need different treatment. A blood test that checks for liver disease is done before phototherapy is started.

Find out more about how newborn jaundice is treated.

Babies with jaundice after 2 weeks

Many babies are jaundiced for up to 2 weeks after they're born, or 3 weeks in premature babies.

It's more common in breastfed babies and does no harm. It is not a reason to stop breastfeeding.

It's important to see your doctor within a day or 2 if your baby is still jaundiced after 2 weeks, especially if their poo is chalky white. This can indicate a liver problem.

A blood test will distinguish between jaundice that'll go away by itself, or jaundice that may need urgent treatment.

Babies with disabilities

If your baby is disabled, talk to people about how you feel, as well as about your baby's health and future.

Your GP, a doctor for newborn babies (neonatologist), a children's doctor (paediatrician) or your health visitor can all help you.

You can also contact the hospital Patient Advice and Liaison Service (PALS) or your social services department (through your local authority on GOV.UK) for information about local organisations that may be able to help.

The organisations listed here can offer help and advice:

Talking to other parents with similar experiences can often help.

Worries and explanations

Hospital staff should explain what kind of treatment your baby is being given and why. If they do not tell you, ask them.

It's important that you understand what's happening so you can work together to make sure your baby gets the best possible care.

Some treatments need your consent to go ahead, and the doctors will discuss this with you.

It's natural to feel anxious if your baby needs special care. Talk over any fears or worries with the hospital staff. Hospitals often have their own counselling or support services, and a number of charities run support and advice services.

The consultant neonatologist or paediatrician should arrange to see you, but you can also ask for an appointment at any time if you wish.

The hospital social worker may be able to help with practical issues, such as travel costs or help with looking after children.

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Find out about the special care given to babies born early (prematurely) or those who are sick, jaundiced or born with a disability.

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This short video explains what neonatal units are and abit about neonatal care.

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Neonatal Animation: A guide for parents on what to expect when on a neonatal unit

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Hand washing will become part of your normal routine whilst on the neonatal unit, it so important to stop the spread of infections. Here is a video on how to wash your hands effectively...

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We will begin planning your baby's discharge with you early on so that you are both ready for home.

To be ready for home your baby generally needs to be

Feeding without an NG tube

Gaining weight

Maintaining their own temperature

Stable off of respiratory support

Not requiring treatment for jaundice

We will support you to make sure you are as confident as possible with all this. All parents and caregivers are given the opportunity to room in and care for their baby before discharge.

Your baby may go home on some medications such as

Abidec (a multivitamin)

Sytron (an iron supplement)

Breast milk fortifier

and you will be confident in drawing up and administering these before your baby goes home.

Sometimes babies go home tube feeding, on home oxygen or on specialist medication and we will organise for you to meet the community children's nursing team or the relevant team in advance if this is the case.

Your baby may be given an appointment for follow up with a paediatric consultant or physiotherapist, and you will be informed if this is the case. If your baby was born before 34 weeks, you and your baby will be invited to a specialist baby massage group run by paediatric physiotherapists.

At every discharge we inform your GP and health visitor so that they are aware of any treatment your baby has received during their stay.

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In Dorchester we can provide long term care to babies born at 32 weeks and 1250g onwards, and we can also provide short term high dependency care.

If your baby is born sooner that this, or smaller, they may require specialist transfer to another neonatal unit within the network. We can provide stabilising care to all babies but if your baby requires intensive care or needs specialist cardiac or surgical input, transfer will be discussed with you.

We work closely with our network colleagues in Poole, Salisbury, Winchester, Southampton and Portsmouth including our specialist neonatal transport team SONET to provide the care that your baby needs in the right place at the right time.

If you are not well enough to be discharged and travel with your baby, the postnatal coordinator will work with the hospital your baby has been transferred to to ensure that you can be reunited as soon as possible and continue postnatal care in that hospital.

Sometimes you will have been transferred to another unit while pregnant, and had your baby there. When your baby is ready to come back to Dorchester SCBU this will be discussed with you so that we can organise repatriation in a timely manner. In the mean time, Jackie, our repatriation link nurse will contact you to introduce herself and prepare you for coming back closer to home.

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Parent Information - Neonatal Network South East

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Some babies are well enough for Transitional Care, where they will remain with you on the postnatal ward or in one of our parents rooms throughout their stay but have specialist input from the neonatal nursing team and/or the postnatal midwifery team (shared care). You will be informed if your baby can be safely cared for in transitional care.

If your baby is born between 34+0 and 36+6 weeks they will be admitted to transitional care, unless they require a higher level of care in which case they will be admitted to SCBU.

Please see the above parent information leaflet

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We understand that having a baby in a neonatal unit can cause significant stress and pressure including financially.

While you are with your baby on SCBU (even if you are staying at home) we provide tea, coffee, breakfast, lunch and dinner as well as snacks. We have a dedicated parents kitchen that you can use 24/7.

In certain circumstances we can work with the trust and charities to provide money towards transport. Please speak to a member of staff for support with this.

While you are resident on SCBU you will be seen by a midwife as you normally would have if you were at home. We will inform your health visitor if your baby is admitted to SCBU so that they are aware and can make contact with you to support your transition to home.

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We encourage you to stay with your baby as much as possible and have 4 private parents rooms on the unit that facilitate this. As soon as you are well enough to be discharged from maternity, your midwife will speak to you about rooming in with your baby on SCBU. Dads/ partners are also welcome to stay overnight.

We do understand that you may have other responsibilities at home or may not wish to room in until closer to your baby's discharge home, but please speak to any member of staff if you do wish to come and stay.

Once your baby is stable, you will be encouraged to care for them in your room with the support of neonatal staff.

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If you have decided to bottle feed your baby, it is important that you do so safely and while you are on SCBU we can help you to learn that.

We do request that you bring in your own bottles so that your baby is used to them before they go home. We use cold water sterilising (milton) at DCH SCBU and provide you with everything you need for this.

Bottle feeding is not just for formula, some parents decide to bottle feed expressed breast milk. If you wish to exclusively breast feed, we would not encourage the introduction of a bottle early on.

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You will be supported to breastfeed your baby if this is what you wish to do. All neonatal and maternity staff are UNICEF BFI (Baby Friendly Initiative) trained to provide breastfeeding support.

Sometimes establishing breastfeeding is a skill that needs to be learned by mum and baby, and you will be supported through that journey to achieve exclusive breastfeeding by the time you and your baby are discharged home.

Where a baby is too unwell, premature or too small to exclusively breastfeed, you will be supported to establish a milk supply through a combination of feeding your baby at the breast, hand and pump expressing and this milk can then be given to your baby by finger feeding, cup or tube. Gradually, over time, your baby will be strong enough to feed just from the breast and we will support you with this in preparation for home.

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Hand expressing and pumping is something that staff can help you to learn and if your baby is not able to feed frequently at the breast and you would like to breast feed they are important skills to have to increase and maintain your milk supply.

Establishing and increasing your milk supply - The Breastfeeding Network

All staff are trained to teach hand expressing techniques and to teach you how to use our hospital grade double breast pumps. You are welcome to express wherever you like on the unit, and are encouraged to be next to your baby to help your milk supply.

While your baby is on SCBU you will be provided with your own colour coded expressing labels so that you can label your breast milk for your baby. We have a milk kitchen on SCBU where you can wash and sterilise feeding equipment and safely store your milk.

Where needed, we have a supply of donor expressed breastmilk that is screened and pasteurised in Southampton Neonatal Unit milk bank. If appropriate, a member of neonatal staff will discuss donor milk with you.

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As of October 2024, our unit is one of the 27 units in the wider neonatal network who are providing families in SCBU with Baby Steps: Neonatal Journey Cards.

These cards have been developed in conjunction with families who have experienced care in one or more of the neonatal units within the South and South East to enable parents to be as involved as possible in their baby's care, and to have access to helpful information.

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What is Family Integrated Care (FICare)?

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Family Integrated Care (FICare) is a model of neonatal care which promotes a culture of partnership between families and staff. This enables parents to become confident, knowledgeable and independent primary caregivers, supported by experienced neonatal staff.

We operate a well established model of working in this way at DCH SCBU, and we actively encourage you to be as involved as you would like to be in your baby's care.

What might this look like day to day?

Sitting with your baby

Talking to your baby

Skin to skin or cuddling your baby

Changing your baby's nappy or clothes

Feeding your baby including tube feeds

Expressing milk for your baby

Bathing your baby

Making up feeds

Giving your baby their medication

Having your baby in a parents room with you

Taking your baby for a walk around the hospital

During your baby's stay how you feel each day might change. We understand that having a baby in a neonatal unit can be a very difficult and emotional time for families and staff are here to support you however you would like to be supported.

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My name is Jenny and I am the Family Integrated Care lead for DCH SCBU and I am also one of the neonatal nurses who work clinically.

Like all of our nursing team, my clinical role involves attending births on the maternity unit where babies may need extra help when they are born, and admitting and looking after babies on SCBU if your baby is not well enough to remain with you on the maternity unit.

Babies require admission to neonatal units for many reasons, but some of the more common reasons are prematurity, being born small, breathing support, feeding support and requiring certain medications.

About Neonatal Care - BLISS information

If your baby needs admission to SCBU soon after they are born, you will be updated by a member of the medical team and where possible given time to see and cuddle your baby. Your birthing partner is welcome to come over to SCBU with your baby while they are admitted, and we endeavour to update you about your baby's clinical condition as soon as possible.

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You and your baby will meet a number of professionals during your stay.

Each day/ night your baby's care will be overseen by a named member of staff, whether that is a neonatal nurse or a neonatal health care support worker. The unit itself will be run by a small team of neonatal nurses and support workers, with the nurse in charge clearly stated on the board. Each shift, the staff member caring for your family should introduce themselves by name and designation, but please ask if you are unsure.

Debora is our neonatal matron who oversees the running of SCBU.

Kate is our Advanced Neonatal Nurse Practitioner (ANNP) and Nicki is our ANNP in training. If your baby needs reviewing, tests or procedures, this may be undertaken by an ANNP or one of our medical team.

Our medical team consists of a number of experienced paediatric consultants and registrars, and junior doctors.

Dorset County Hospital is also a teaching hospital so we often have students working under the supervision of our nurses.

We work closely with our physiotherapy and occupational therapy colleagues to provide specialist input as required. Not all SCBU babies will need to see physiotherapists or occupational therapists but you will be informed if your baby does.

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A very warm welcome to DCH SCBU. If you would like to have a virtual look around, please click the link above to see our unit tour.

Our direct phone numbers are 01305 254234 and 01305 254235.

Dorset County Hospital Map

We are located on level 1 of East Wing, opposite the maternity unit. We have an intercom system so please ring the buzzer and let us know who you are so that we can let you in.

Parents and caregivers are encouraged to spend as much time as they would like on SCBU with their babies and are welcome any time of the day and night. We have 4 double parents rooms located on the unit which makes staying with your baby easier.

Currently other visitors over the age of 16 are welcome to visit with a parent 2pm-7pm and siblings of the baby whatever their age from 8am-8pm but please let us know if this doesn't suit you and we will do our best to be accommodating.

Parking at Dorset County Hospital

Parking is free for parents of babies on SCBU and transitional care. When your baby is admitted, the nursing staff will issue you with a parking permit.

Public Transport

The hospital is located within a short walking distance of a bus stop and two train stations. Please see the above link for help with planning your journey.

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Explore Dorset County Hospital Special Care Baby Unit (SCBU) in 3D

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Take a virtual tour of the Neonatal unit at Dorset County Hospital.

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Welcome to Dorset County Hospital Special Care Baby Unit (SCBU)!

We are a small and welcoming level 1 neonatal unit who typically care for babies born after 32 weeks, and 1250g.

We also operate a Transitional Care service with our maternity colleagues which keeps parents and babies together where possible.

We work within the Thames Valley and Wessex Neonatal Network to ensure that your baby gets the right care in the right place at the right time.

This Padlet is divided in to sections that contain helpful information from reliable sources, and things that are specific to Dorchester SCBU. Scroll along to whichever section you wish to read, and then scroll down for more information.

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Thames Valley and Wessex ODN

The Thames Valley and Wessex (TVW) neonatal ODN covers an area where there are approximately 60,000 births each year. Across TVW there are 13 acute trusts and 14 hospitals delivering neonatal care.

The ODN area is not coterminous with commissioning areas, Local Maternity Neonatal Systems (LMNS) or even Trusts, as neonatal pathways cross boundaries.

Milton Keynes General Hospital sits within the East of England commissioning footprint however the neonatal clinical pathway for tertiary level care is Oxford that sits within the TVW ODN.

Salisbury, Dorchester and Poole sit in the south west commissioning hub, but have tertiary care and neonatal surgical pathways that flow into Southampton so sit within TVW ODN.

Wexham Park and St Richards, Chichester sit in TVW ODN but other neonatal units within their Trusts (Frimley Park and Worthing) have neonatal tertiary care pathways that sit in KSS neonatal ODN.

Neonatal surgical pathways are within the ODN with a neonatal surgical centre at Oxford and neonatal surgical and cardiac surgical centre at Southampton. TVW ODN is also the provider of choice for babies from the Channel Islands for a small number of babies who often have extended periods of neonatal care prior to repatriation due to geographical and local island care restraints.

TVW neonatal transport is provided by the Southampton Oxford Neonatal Transport service (SONeT), a dedicated team of specialist neonatal nurses and doctors. You can find out more about the service on the SONeT website.

Kent Surrey and Sussex ODN

The Kent Surrey and Sussex ODN supported by NHS England (NHSE) is hosted by Medway NHS Foundation Trust. There are 13 neonatal units in the network working collaboratively to provide care for our babies and their families.

The ODN area is not coterminous with commissioning areas, Local Maternity Neonatal systems (LMNS) or even Trusts as neonatal pathways cross boundaries.

Frimley Health Foundation Trust has 2 local neonatal units, Frimley Park which sits in KSS network and Wexham Park which sits in TVW network. They have different tertiary centre pathways within their own ODN.

University Hospitals Sussex has 1 NICU and 3 SCU all of which sit in KSS apart from St Richards Hospital in Chichester which sits in the TVW network and has tertiary pathways within TVW.

Neonatal surgery is provided within the ODN at the Royal Sussex County Hospital and also externally at St George's Hospital, Evelina Hospital, King's College Hospital and Southampton University Hospital.

KSS neonatal transport is provided by a dedicated team of specialist neonatal nurses and doctors. You can find out more about the service on our Transport Service webpage.

Structure and Governance

Each network has a formal governance and accountability structure. The networks regularly report to NHS England to monitor service and clinical quality against national standards, and the progress of agreed national, regional and local programmes of work.

We are committed to working in partnership with parents, families and staff to deliver, develop and improve neonatal services across the region. The parent voice is embedded within our networks with the inclusion of a Parent & Family Engagement Lead within each network team. The network Parent Advisory Groups are also pivotal in providing service user insight into projects, workstreams and guidance.

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Who we are - Neonatal Network South East

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The Thames Valley and Wessex (TVW) neonatal ODN covers an area where there are approximately 60,000 births each year. Across TVW there are 13 acute trusts and 14 hospitals delivering neonatal care. The ODN area is not coterminous with commissioning areas, Local Maternity Neonatal Systems (LMNS) or even Trusts, as neonatal pathways cross boundaries.