Topics & Abstracts

There is increasing evidence that optimizing time spent within targeted oxygen saturation limits improves clinical outcomes in premature infants. Recent randomized clinical trials show that preterm infants who spend more time above the target saturation range tend to have increased retinopathy of prematurity and bronchopulmonary dysplasia, while those infants who spend a considerable time below the target range tend to have more necrotizing enterocolitis and death. Hence it is imperative that we find out the best way to optimize oxygen saturation targeting in preterm infants. Education programs followed by implementation of oxygen titration guidelines for the bedside nursing staff have been shown to have some benefit. However, the ever-increasing NICU workload often makes it impossible for nurses to adhere to strict oxygen titration guidelines. Automated control of inspired oxygen may provide some respite to the nurses as this recent technology has not only been shown to reduce nursing workload but also to improve oxygen saturation targeting in preterm infants. This is an exciting new innovation which, with more refinement in technology and practice, has the potential of becoming the standard of NICU care in future.

Live Presentation Schedule Jun 13, 2018

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13-06-2018 15:00 13-06-2018 16:00 35 Automated Control of Inspired Oxygen…. Is it the Future of Oxygen Therapy in Preterm Infants? There is increasing evidence that optimizing time spent within targeted oxygen saturation limits improves clinical outcomes in premature infants. Recent randomized clinical trials show that preterm infants who spend more time above the target saturation range tend to have increased retinopathy of prematurity and bronchopulmonary dysplasia, while those infants who spend a considerable time below the target range tend to have more necrotizing enterocolitis and death. Hence it is imperative that we find out the best way to optimize oxygen saturation targeting in preterm infants. Education programs followed by implementation of oxygen titration guidelines for the bedside nursing staff have been shown to have some benefit. However, the ever-increasing NICU workload often makes it impossible for nurses to adhere to strict oxygen titration guidelines. Automated control of inspired oxygen may provide some respite to the nurses as this recent technology has not only been shown to reduce nursing workload but also to improve oxygen saturation targeting in preterm infants. This is an exciting new innovation which, with more refinement in technology and practice, has the potential of becoming the standard of NICU care in future. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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A common misconception among care providers and families is that babies born with an oral cleft cannot breastfeed/chestfeed. This presentation corrects that misconception by exploring cleft types and their expected breastfeeding/chestfeeding outcomes and sharing tools that lactation specialists can use to more effectively support parents when their baby is born with a cleft lip/palate. In particular, during the neonatal period, the lactation specialist is uniquely positioned to support parents to make informed decisions about their feeding choices and create a going home care plan to help them achieve their breastfeeding/chestfeeding goals in the long term.

Live Presentation Schedule Jun 13, 2018

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13-06-2018 19:00 13-06-2018 20:00 35 Back to Basics for Cleft Lip and Palate: An Overview of Strategies to Support Lactation in the Neonatal Period and Beyond A common misconception among care providers and families is that babies born with an oral cleft cannot breastfeed/chestfeed. This presentation corrects that misconception by exploring cleft types and their expected breastfeeding/chestfeeding outcomes and sharing tools that lactation specialists can use to more effectively support parents when their baby is born with a cleft lip/palate. In particular, during the neonatal period, the lactation specialist is uniquely positioned to support parents to make informed decisions about their feeding choices and create a going home care plan to help them achieve their breastfeeding/chestfeeding goals in the long term. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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This presentation highlights the impact of separation and closeness on the parent and infant but also the impact of the design in neonatal units on breastfeeding/feeding and relationships. Most neonatal units across the world are designed as Open-bay units with little privacy and few means for mothers to stay in close proximity with their infants. Such units are challenging for parents and even more so in terms of breastfeeding support. With single room units, new challenges appear and hence new strategies need to be sought. Through consideration of the literature and by examples from different studies I will try to illuminate the impact of neonatal units’ design on feeding and parenting.

Live Presentation Schedule Jun 11, 2018

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11-06-2018 15:00 11-06-2018 16:00 35 Closeness and Separation and Its Importance for Parenting and Feeding in NICUs This presentation highlights the impact of separation and closeness on the parent and infant but also the impact of the design in neonatal units on breastfeeding/feeding and relationships. Most neonatal units across the world are designed as Open-bay units with little privacy and few means for mothers to stay in close proximity with their infants. Such units are challenging for parents and even more so in terms of breastfeeding support. With single room units, new challenges appear and hence new strategies need to be sought. Through consideration of the literature and by examples from different studies I will try to illuminate the impact of neonatal units’ design on feeding and parenting. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Palliative care is a dynamic, multidisciplinary field of medicine that focuses on holistic care for patients with complex, serious, and life-limiting conditions. Neonatal/perinatal palliative care involves care for women pregnant with fetuses who have potentially life-limiting conditions, a holistic approach to family care and decision making, and care for infants with life-limiting or complex medical conditions. This session will discuss key aspects of neonatal/perinatal palliative care. We learn so much from our patients and families, and their stories will provide the framework as we work through important concepts in neonatal/ perinatal palliative care. Topics to be discussed include communication, shared decision making, managing uncertainty, pharmacologic and non-pharmacologic approaches to care, the role of hospice, and ethical issues involved in care of neonates at the end of life.

Live Presentation Schedule Jun 11, 2018

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11-06-2018 17:00 11-06-2018 18:00 35 Doing “Nothing” is Not an Option Palliative care is a dynamic, multidisciplinary field of medicine that focuses on holistic care for patients with complex, serious, and life-limiting conditions. Neonatal/perinatal palliative care involves care for women pregnant with fetuses who have potentially life-limiting conditions, a holistic approach to family care and decision making, and care for infants with life-limiting or complex medical conditions. This session will discuss key aspects of neonatal/perinatal palliative care. We learn so much from our patients and families, and their stories will provide the framework as we work through important concepts in neonatal/ perinatal palliative care. Topics to be discussed include communication, shared decision making, managing uncertainty, pharmacologic and non-pharmacologic approaches to care, the role of hospice, and ethical issues involved in care of neonates at the end of life. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Learning to breastfeed is the optimal and ideal method of feeding for any baby. For the baby born prematurely, however, there are factors related to the infant, to the environment and to the mother that can make this process more challenging. Many mother-baby dyads often leave the NICU not fully breastfeeding and continue to struggle once at home. This presentation will describe systematic, evidence based approaches to developing breastfeeding in the premature infant. It will review developmental and co-morbid factors affecting the infant’s feeding acquisition. A model pathway to develop breastfeeding will be outlined and this can serve as a template for varying NICU’s.

Live Presentation Schedule Jun 12, 2018

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12-06-2018 15:00 12-06-2018 16:00 35 Helping Premature Babies Learn to Breastfeed: We Can Do It! Learning to breastfeed is the optimal and ideal method of feeding for any baby. For the baby born prematurely, however, there are factors related to the infant, to the environment and to the mother that can make this process more challenging. Many mother-baby dyads often leave the NICU not fully breastfeeding and continue to struggle once at home. This presentation will describe systematic, evidence based approaches to developing breastfeeding in the premature infant. It will review developmental and co-morbid factors affecting the infant’s feeding acquisition. A model pathway to develop breastfeeding will be outlined and this can serve as a template for varying NICU’s. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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An evidence-based neonatal skin care guideline has been available since 2001, and the 4th edition of this guideline was published in 2018. The unique properties of newborn and premature infant skin places them at risk for potential toxicity and skin injury. Knowledge of these differences can inform providers about improved and safer techniques in the areas of bathing, skin disinfectants, use of medical adhesives, prevention and treatment of diaper dermatitis.

Live Presentation Schedule Jun 12, 2018

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12-06-2018 17:00 12-06-2018 18:00 35 Highlights from the Neonatal Skin Care Guideline An evidence-based neonatal skin care guideline has been available since 2001, and the 4th edition of this guideline was published in 2018. The unique properties of newborn and premature infant skin places them at risk for potential toxicity and skin injury. Knowledge of these differences can inform providers about improved and safer techniques in the areas of bathing, skin disinfectants, use of medical adhesives, prevention and treatment of diaper dermatitis. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Advances in pediatric ethics have helped identify ethical concerns that arise in the care of children as well as strategies for addressing these concerns. Despite these important innovations, some significant ethical problems persist in neonatology, which seem rooted in particular challenges involved in the care of newborns and their families. These include concerns regarding: excessive care for infants with limited prognoses; dismissive care toward projected disability; providing palliative care; parental roles and responsibilities; inadequate pain management; cross-cultural disagreements; and moral distress among staff and parents. These tensions commonly relate to: (a) difficulties in defining infants’ best interests; (b) tensions regarding the respective decisional authority of parents and health professionals; and (c) tragic situations where all treatment options seem wrong. Strategies for analyzing and reconciling these ethical concerns will be discussed.

Live Presentation Schedule Jun 12, 2018

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12-06-2018 15:00 12-06-2018 16:00 35 Newborns are Children too! Ethical Challenges in Neonatology Advances in pediatric ethics have helped identify ethical concerns that arise in the care of children as well as strategies for addressing these concerns. Despite these important innovations, some significant ethical problems persist in neonatology, which seem rooted in particular challenges involved in the care of newborns and their families. These include concerns regarding: excessive care for infants with limited prognoses; dismissive care toward projected disability; providing palliative care; parental roles and responsibilities; inadequate pain management; cross-cultural disagreements; and moral distress among staff and parents. These tensions commonly relate to: (a) difficulties in defining infants’ best interests; (b) tensions regarding the respective decisional authority of parents and health professionals; and (c) tragic situations where all treatment options seem wrong. Strategies for analyzing and reconciling these ethical concerns will be discussed. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Hypoglycemia is one of the most common problems encountered by the practitioner in newborn care. How low is too low and how does the age of the patient influence these thresholds? Moreover, when a patient’s blood glucose is found to be low, what are the best steps to take in order to normalize it? This is not your usual talk on hypoglycemia but rather one that looks at the journey one center took in its quest to answer these questions. On this path we encountered some results that were definitely “sweet” and others that left a “sour” taste in our mouths. In this talk you will be follow the story of our center which produced a cautionary tale that demonstrates that you shouldn’t always believe everything you read!

Live Presentation Schedule Jun 13, 2018

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13-06-2018 17:00 13-06-2018 18:00 35 Sweet and Sour: Hypoglycemia in the Newborn Hypoglycemia is one of the most common problems encountered by the practitioner in newborn care. How low is too low and how does the age of the patient influence these thresholds? Moreover, when a patient’s blood glucose is found to be low, what are the best steps to take in order to normalize it? This is not your usual talk on hypoglycemia but rather one that looks at the journey one center took in its quest to answer these questions. On this path we encountered some results that were definitely “sweet” and others that left a “sour” taste in our mouths. In this talk you will be follow the story of our center which produced a cautionary tale that demonstrates that you shouldn’t always believe everything you read! www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Storytelling is the foundation of the human experience and can be an extraordinarily powerful tool used to connect families and healthcare providers in the neonatal intensive care. The NICU is a fast-paced, high stress environment so it’s easy to lose site of the story, but it is the story that can make a difference, not only to the families you serve, but to you as well. It is through storytelling that a compassionate, real approach to care and medicine will bring change to the NICU experience, increase patient satisfaction, and decrease burnout and compassion fatigue. In this presentation you will learn how to develop more empathetic relationships with families on the basis of a deeper understanding of their human experience. Follow Jodi as she explores the principles of storytelling, evaluates the use of narrative medicine in NICU education, and teaches ground breaking strategies to recreate a positive and profound NICU experience through the power of human connections.

Live Presentation Schedule Jun 4, 2018

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04-06-2018 17:00 04-06-2018 18:15 35 The Power of Storytelling - The Human Experience in the Neonatal Intensive Care Storytelling is the foundation of the human experience and can be an extraordinarily powerful tool used to connect families and healthcare providers in the neonatal intensive care. The NICU is a fast-paced, high stress environment so it’s easy to lose site of the story, but it is the story that can make a difference, not only to the families you serve, but to you as well. It is through storytelling that a compassionate, real approach to care and medicine will bring change to the NICU experience, increase patient satisfaction, and decrease burnout and compassion fatigue. In this presentation you will learn how to develop more empathetic relationships with families on the basis of a deeper understanding of their human experience. Follow Jodi as she explores the principles of storytelling, evaluates the use of narrative medicine in NICU education, and teaches ground breaking strategies to recreate a positive and profound NICU experience through the power of human connections. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting.

Live Presentation Schedule Jun 18, 2018

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18-06-2018 17:00 18-06-2018 18:15 35 Touch a Life, Impact a Lifetime: The Therapeutic Value of YOU Early life adversity and the associated toxic stress literally gets under our skin and is embedded in our biology. Authentic nurturing experiences during early life, or the lack of them, are directly linked to mental health outcomes. The sense of touch plays a salient role in social relationships with important neurodevelopmental and psycho-socio-emotional outcomes. Healing presence and authenticity underlie caring actions, attitudes and behaviors. This talk will introduce the biological underpinnings of our unique therapeutic value in the clinical setting. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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This presentation will provide a general overview of neonatal abstinence syndrome (NAS) followed by a more detailed discussion of some of the more recently published approaches to treatment. This will include review of alternative dosing strategies for morphine as well as the use of buprenorphine for management of NAS symptoms.

Live Presentation Schedule Jun 11, 2018

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11-06-2018 19:00 11-06-2018 20:00 35 Updates in Pharmacotherapy for NAS This presentation will provide a general overview of neonatal abstinence syndrome (NAS) followed by a more detailed discussion of some of the more recently published approaches to treatment. This will include review of alternative dosing strategies for morphine as well as the use of buprenorphine for management of NAS symptoms. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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There are many challenges faced by mothers, families and staff with the hospitalization of a sick or premature infant that affect lactation and breastfeeding. These include mother-infant separation, initiation and maintenance of lactation by milk expression, compromised milk production, barriers to infant-mother-parent bonding, the need for family-centered care, and the many issues related to continuity of care both during the hospitalization and between facilities and caregivers. We will explore current evidence concerning the support of mothers’ and families’ choice to transition from milk expression to breastfeeding of their infants in intensive care. While our knowledge of the importance of human milk has grown immensely with respect to nutrition, acute and chronic disease risk reduction and prevention, neurodevelopment, physiology, and the intestinal microbiome among others, there remains a gap in the translation of this knowledge into the practice of transition of human milk feeding to breastfeeding in many countries, regions and individual intensive care units/wards. It can be done—we will explore the evidence for how!

Live Presentation Schedule Jun 4, 2018

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04-06-2018 08:00 04-06-2018 09:00 35 Best Practices to Support Breastfeeding in Neonatal Intensive Care There are many challenges faced by mothers, families and staff with the hospitalization of a sick or premature infant that affect lactation and breastfeeding. These include mother-infant separation, initiation and maintenance of lactation by milk expression, compromised milk production, barriers to infant-mother-parent bonding, the need for family-centered care, and the many issues related to continuity of care both during the hospitalization and between facilities and caregivers. We will explore current evidence concerning the support of mothers’ and families’ choice to transition from milk expression to breastfeeding of their infants in intensive care. While our knowledge of the importance of human milk has grown immensely with respect to nutrition, acute and chronic disease risk reduction and prevention, neurodevelopment, physiology, and the intestinal microbiome among others, there remains a gap in the translation of this knowledge into the practice of transition of human milk feeding to breastfeeding in many countries, regions and individual intensive care units/wards. It can be done—we will explore the evidence for how! www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Breastfeeding the late preterm newborn (34 0/7 to 36 6/7 weeks) presents unique challenges that differ from that of a health full term baby. By nature of their immaturity, late preterm infants are at higher risk for developing jaundice, hypoglycemia, falling sleeping during feedings, and being difficulty to wake. Unfortunately, this also puts them at a greater risk for formula supplementation, despite a family’s desire for exclusive breastfeeding. This presentation will help to illustrate the challenges in breastfeeding the late preterm infant, and techniques for preserving exclusivity in the hospital and post discharge.

Live Presentation Schedule Jun 4, 2018

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04-06-2018 08:00 04-06-2018 09:00 35 Navigating Pathways to Breastfeeding Success in the Late Preterm Infant Breastfeeding the late preterm newborn (34 0/7 to 36 6/7 weeks) presents unique challenges that differ from that of a health full term baby. By nature of their immaturity, late preterm infants are at higher risk for developing jaundice, hypoglycemia, falling sleeping during feedings, and being difficulty to wake. Unfortunately, this also puts them at a greater risk for formula supplementation, despite a family’s desire for exclusive breastfeeding. This presentation will help to illustrate the challenges in breastfeeding the late preterm infant, and techniques for preserving exclusivity in the hospital and post discharge. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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As the research on the importance of human milk increases, the use of donor human milk for premature, fragile babies is likewise increasing, New milk banks are being established all over the world. This development raises many practical, research and ethical questions. This talk covers: i) current research on the benefits, challenges and appropriate uses of donor human milk; ii) safety of pasteurized donor human milk; and iii) practical aspects of using banked human milk in NICUs and other hospital units.

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04-06-2018 08:00 04-06-2018 09:00 35 The Whys and Hows of Using Banked Donor Milk As the research on the importance of human milk increases, the use of donor human milk for premature, fragile babies is likewise increasing, New milk banks are being established all over the world. This development raises many practical, research and ethical questions. This talk covers: i) current research on the benefits, challenges and appropriate uses of donor human milk; ii) safety of pasteurized donor human milk; and iii) practical aspects of using banked human milk in NICUs and other hospital units. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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To most effectively help preterm babies learn to breastfeed, we need to first understand how preterm babies’ breastfeeding behaviors differ from term babies. This talk describes the research-based 7 preterm breastfeeding stages, the “road map” that shows parents and providers what to expect during this transition. It also includes strategies that can smooth the path and speed the journey to exclusive breastfeeding.

Live Presentation Schedule Jun 4, 2018

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04-06-2018 08:00 04-06-2018 09:00 35 Transitioning the Preterm Infant to the Breast To most effectively help preterm babies learn to breastfeed, we need to first understand how preterm babies’ breastfeeding behaviors differ from term babies. This talk describes the research-based 7 preterm breastfeeding stages, the “road map” that shows parents and providers what to expect during this transition. It also includes strategies that can smooth the path and speed the journey to exclusive breastfeeding. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Having a baby in the Neonatal Intensive Care Unit is one of the most stressful life events for a parent. The nervous system of babies and parents can go into survival mode, disrupting normal development, especially attachment and bonding. This presentation will detail the nervous system’s response to overwhelming births so that parents and professionals can better understand how to support themselves, their partners, parents and babies. Strategies for self-care and skills for increasing nervous system capacity for greater health will be presented. A successful story of reducing prematurity in a birth center will be presented.

Live Presentation Schedule Jun 4, 2018

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04-06-2018 08:00 04-06-2018 09:00 35 ‘He Fought Like a Lion’: Using Trauma Resolution Approaches to Support Professionals and Families with Babies in the Neonatal Intensive Care Unit Having a baby in the Neonatal Intensive Care Unit is one of the most stressful life events for a parent. The nervous system of babies and parents can go into survival mode, disrupting normal development, especially attachment and bonding. This presentation will detail the nervous system’s response to overwhelming births so that parents and professionals can better understand how to support themselves, their partners, parents and babies. Strategies for self-care and skills for increasing nervous system capacity for greater health will be presented. A successful story of reducing prematurity in a birth center will be presented. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Evidence has shown that attachment between a primary caregiver and their preterm infant can change the neurodevelopmental outcomes for the infant later in life. Attachment can be seen as a living organism between parent/caregiver and child, and with encouraged development and growth, the attachment relationship can have profound effects, even in the context of the most difficult of circumstances and medical diagnoses. The more NICU caregivers know how to encourage attachment, the likelier a family system will need less medical/psychological intervention after discharge from the hospital.

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04-06-2018 08:00 04-06-2018 09:00 35 Attachment and Neurodevelopmental Outcomes in Premature Infants: The Role of Interpersonal Neurobiology in the NICU Evidence has shown that attachment between a primary caregiver and their preterm infant can change the neurodevelopmental outcomes for the infant later in life. Attachment can be seen as a living organism between parent/caregiver and child, and with encouraged development and growth, the attachment relationship can have profound effects, even in the context of the most difficult of circumstances and medical diagnoses. The more NICU caregivers know how to encourage attachment, the likelier a family system will need less medical/psychological intervention after discharge from the hospital. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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The presentation will focus on the impact of NICU work on the mental health of the staff, how to care for one’s self and co-workers and how to recognize mental health issues. Specifically, self-care issues around sleep, nutrition, exercise and attitude will be discussed. Identifying the signs of compassion fatigue, burnout and posttraumatic stress disorder and how to treat them will complete the presentation.

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04-06-2018 08:00 04-06-2018 09:00 35 Caring for the Caregiver: Supporting Optimal Mental Health for NICU Staff The presentation will focus on the impact of NICU work on the mental health of the staff, how to care for one’s self and co-workers and how to recognize mental health issues. Specifically, self-care issues around sleep, nutrition, exercise and attitude will be discussed. Identifying the signs of compassion fatigue, burnout and posttraumatic stress disorder and how to treat them will complete the presentation. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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Hospitalization of a baby in a Neonatal Intensive Care Unit (NICU) has been described as a traumatic experience for both parents and baby leading to higher rates of postpartum depression and posttraumatic stress disorder in parents and to adverse developmental, cognitive and behavioral outcomes in their infants. The focus of care in the NICU has been broadening and evolving to emphasize the importance of supporting the family-infant relationship, since ultimately, the well-being of the family affects the well-being of the baby. Research documents that NICU parents both desire and benefit from psychosocial support from NICU staff, yet many staff, including neonatologists and neonatal nurses, do not feel they have adequate skills to support these needs. NICU staff need knowledge and tools beyond what typical healthcare education provides. Interdisciplinary recommendations for work toward best practice around psychosocial support of infants/parents and staff are presented.

Live Presentation Schedule Jun 4, 2018

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04-06-2018 08:00 04-06-2018 09:00 35 Interdisciplinary Neuroprotective Practice Standards and Perinatal Mental Health in the NICU Hospitalization of a baby in a Neonatal Intensive Care Unit (NICU) has been described as a traumatic experience for both parents and baby leading to higher rates of postpartum depression and posttraumatic stress disorder in parents and to adverse developmental, cognitive and behavioral outcomes in their infants. The focus of care in the NICU has been broadening and evolving to emphasize the importance of supporting the family-infant relationship, since ultimately, the well-being of the family affects the well-being of the baby. Research documents that NICU parents both desire and benefit from psychosocial support from NICU staff, yet many staff, including neonatologists and neonatal nurses, do not feel they have adequate skills to support these needs. NICU staff need knowledge and tools beyond what typical healthcare education provides. Interdisciplinary recommendations for work toward best practice around psychosocial support of infants/parents and staff are presented. www.goldneonatal.com GOLD Neonatal Online Conference false DD/MM/YYYY

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