Skip to main content

Including Parents in the Care of Premature Babies

We are lucky to live in an age of constant discovery and innovation to advance the care for babies and expectant mothers. Still, 1 out of 10 babies born in the U.S. is born prematurely.

We know some of the causes of high-risk pregnancies and preterm births, and we work hard to impact these risk factors before a baby arrives. But in the large majority of cases, we never know why babies come too early. As a neonatologist and researcher, it is my job to expect preterm babies and be ready with our team of experts to treat them with the best possible care, and to hopefully help them survive and thrive.

Advances in medicine, technology and research means that at places like Lucile Packard Children’s Hospital Stanford, where I work, many babies who wouldn’t have survived 20 to 30 years ago are eventually able to go home to their families. Our neonatal intensive care unit is a Level IV NICU, taking care of the smallest and sickest of newborns, many needing complex therapies due to arriving a bit too early.

But what about the parents? If you’re like most parents, a premature birth quickly turns what was supposed to be one of the happiest days of your life into a traumatic experience. One of the first things I tell parents, especially the mom, is not to blame themselves.

Giving birth to a preemie, especially when it’s unexpected, leaves many parents feeling unprepared and helpless. But we make it clear very early. “You, the parent, are a critical part of our medical team.” That’s right. Even in the heart of Silicon Valley where we’re located, two of our biggest assets are decidedly low-tech workers: the baby’s mom and dad.

Including parents in the care of preemies is a standard that was unheard of in the early days of neonatology, but is now used in leading NICUs for one critical reason: It works.

Here’s an example of how parents contribute. Studies have shown that skin-to-skin care, also known as kangaroo care, can have beneficial effects on preterm neonates, including improved temperature and heart rate stability. In many NICUs, you will see babies — clad only in a diaper and covered by a blanket — placed prone position on the chest of either the mother or the father. This intimate method of care provides a preterm baby a natural environment for rest, growth and healing.

Another key ingredient of parental involvement and a quicker recovery is mother’s milk. The research is clear. Breast milk is the best source of nutrition for all babies and it is especially beneficial for babies in the NICU. Preterm babies are at risk for serious health problems, and breast milk carries special nutrients and antibodies to help these very vulnerable babies fight off infection and illnesses. So, even though your baby may not be able to breastfeed during the first few weeks, your expressed milk, fed by feeding tube to your baby, can carry all the important nutrients to make it the best food you can offer your baby.

But what about the experience itself? Who better to know what a parent is going through, seeing their tiny, fragile baby in a NICU, than another parent who has been through the same thing?

At many leading NICUs, families who also have been through the experience of having a preemie will help guide and support you. This is extraordinarily valuable, and it’s a type of care that doctors cannot provide. At our hospital, we have a group of veteran preemie parents who provide peer-to-peer and group counseling to help answer parent questions and allay many of the fears associated with such a life-changing experience.

In the end, we know that each baby forges his or her own path, so there is no one guide to what happens to a preterm baby during and after its stay in a NICU. Some will develop normally and have regular checkups with pediatricians; others will need extra follow-up with specialists for individual concerns. We encourage parents to develop their own set of partnerships with medical staff based on what an individual child and family needs.

No matter when a baby is born, term or preterm, families know their children best. A parent’s contribution is critical to treating these most vulnerable of newborns. Neonatologists, NICU nurses and the many other health care professionals who dedicate their lives to caring for newborns believe that a partnership with parents is one of the keys to extraordinary care, and provides a direct value in helping a baby born too early survive and thrive.

Henry C. Lee, MD, MS, is a neonatologist at Lucile Packard Children’s Hospital Stanford and Stanford Children’s Health. He is also an assistant professor of pediatrics at the Stanford University School of Medicine, and is director of research for the California Perinatal Quality Care Collaborative .

More from U.S. News

10 Things No One Tells You About Breast-feeding

The Fertility Preservation Diet: How to Eat if You Want to Get Pregnant

The Best and Worst Exercises for Pregnant Women

Including Parents in the Care of Premature Babies originally appeared on usnews.com

Don’t Settle for Student Loans to Pay for Online Education

Online college programs are becoming a more popular choice for prospective students, with one study finding that more than 6 million students enrolled in at least one online course in fall 2015. The popularity of these courses can be attributed in part to their flexibility with working adults' schedules, students' ability to progress more quickly through online programs and, oftentimes, cheaper tuition. [See 10 low-cost online bachelor's programs for out-of-state students.]Online degrees can be beneficial to many college students, but some studies have shown online learners complete their programs at lower rates than students at traditional brick-and-mortar campuses. Individuals with student loans but no degree comprise two-thirds of defaulted borrowers. Though these numbers are not encouraging, just like for traditional programs, there are ways to reduce how much you'll need to borrow for an online program to ensure you won't become one of these statistics. Don't just settle on borrowing student loans to cover the whole cost of your program and living expenses. Instead, start thinking about how to cut costs and cover your balance in different ways, such as the following. -- Grants and scholarships: Even though you are taking an online course, you can still apply and receive grants and scholarships. But your first step should be to complete the Free Application for Federal Student Aid, commonly referred to as the FAFSA, which will allow you to receive a Pell Grant if your expected family contribution is low enough. The EFC criteria and award amounts are adjusted annually, but the 2017-2018 academic year awards range from $606 to $5,920, which could significantly lower the amount you borrow annually. Your next step is to apply for scholarships. You can start by checking online scholarship search engines, such as the Salt Scholarship Search, College Board's BigFuture and Peterson's. But don't forget to take advantage of local organizations and your school's financial aid office. Both may offer scholarships that you can't find with a national scholarship search. [Review these 10 sites to kick off your scholarship search.]For instance, organizations like the Elks Club, Knights of Columbus or the Rotary Club typically offer scholarships annually to local students. Just because you're going to school online doesn't mean you're ineligible. Visit your local library for scholarship listings, and ask around town. You might be surprised how many local organizations offer scholarships. While these scholarships typically aren't large, every little bit counts. Each dollar you receive in a scholarship is a dollar you don't have to borrow and pay interest on. -- Work-study: Another option for online students may be work-study awards. Not all students enrolled in online programs are eligible, but students at some schools -- including, for example, SUNY Empire State College and Liberty University -- are. Work-study awards are not given upfront like scholarships and grants. In most cases, they are an offer to earn up to the awarded amount if you secure an eligible work-study job. While there is a misconception that all work-study jobs must be on campus, students can work for off-campus, nonprofit or public employers as long as the work is in the public's interest. You may be able to work for a for-profit employer if the job is relevant to your course of study. No matter who the outside employer is, it will need to have an established agreement with your college for you to receive work-study funds. Remember, to be eligible for federal financial aid, you must be enrolled and pursuing a degree or certificate. If you're not working toward a credential, Pell Grants and work-study won't be option, but you may still be able to take advantage of private scholarships -- just be sure to read the eligibility criteria carefully. [Explore what to know about financial aid in online programs.]-- Pay as you go: One of the great benefits to enrolling online is the flexible schedule, which can allow you to complete your college coursework around your responsibilities. But prospective students often overlook using their part- or full-time job earnings as an option for paying for college. Almost 80 percent of college students in 2015 worked at least part time while attending classes, according to the National Center for Education Statistics. By budgeting and thinking strategically about your college costs, you can likely reduce your dependence on student loans by paying a portion out of pocket. Many -- but not all -- online programs are less expensive than traditional programs and often have shorter payment periods. Six, eight or 10 weeks are common course durations. Because of the frequency of payments in an online setting, you may be well-placed to pay as you go and possibly avoid borrowing altogether. Attending college online and avoiding student loans may be challenging, but if you are willing to put in the effort, you can limit the amount you need to borrow. More from U.S. News Q&A: Understanding Student Loan Discharge Eligibility Student Loan Refinancing Isn't Right for All Borrowers
Read Next Story