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Advancements in Newborn Nursing

  • Doctors began to recommend mothers are separated from infants

    This separation of mother and infant led to a more mechanical level of care and has been found to be harmful to infants.
  • Dr. Creade's hot water double walled crib

    hot water circulated through double walled system of this crib, helped warm babies but not effectively or or very long.
  • Couveuse Incubator

    Couveuse, an insulated box with two chambers chambers. The lower chamber was filled with water heated by an oil lamp, which in turn warmed the air in the upper chamber, chamber, where the infant was kept.
  • Pavilion des Debiles is Established in France

    Budin, in 1893, along with Madame Henry established established the Pavilion des Debiles, the first special special unit for newborn infants to be cared for after birth. This unit was established in Europe.
  • 1st formula that closely mimicked the composition of human breast milk was created

    In 1921 a formula formula mimicking mimicking the composition composition of human milk, SMA (Synthetic (Synthetic Milk
    Adapted) Adapted) was produced produced by Wyeth Laboratories
  • The Vitamin K vaccine was administered to infants

    The Vitamin K vaccine was administered to infants
    Vitamin K is given IM in a single .5 mg dose
  • Hepatitis B vaccine administered to Infant

  • Emphasis on use of Breast Milk instead of cow's milk

    Dr. Pierre-Constant Budin pushed for the acceptance of the use of breastfeeding to nourish newborns especially in NICU setting.
  • The APGAR Test is Developed

    The APGAR Test is Developed
    The APGAR test: developed in 1952 by anesthesiologist named Virginia Apgar. APGAR stands for appearance, pulse, grimace, activity, and respiration. The Apgar test is given once 1 minute after birth and then again 5 minutes after birth
  • Misinformation in the early and mid 90s was prevalent in Nursing

    Misinformation in the early and mid 90s was prevalent in Nursing
    Dr. Sackett, a pediatrician in Miami in the 1960s advised his patients to feed newborns as young as two days old solid foods
  • Dr. Louis Gluck performs Key Experiment

    Dr. Louis Gluck performs Key Experiment
    Dr. Gluck's experiment led to the finding of causes behind pathogens spreading in the unit, led to greater sanitation practices and decreased mortality rates.
  • Dr. Gluck redesigns L/S ratio test

    The L/S ratio test was done to test infant lung maturity
  • Newborn Individualized Developmental Care and Assessment program was developed

    Newborn Individualized Developmental Care and Assessment program was developed
    This encouraged individualized plans of treatment for each baby and encouraged high levels of family involvement. Maternal bonding was emphasized during this time period and the preceding decade
  • 1992 there were 79 hospitals in in Missouri with specifically designated newborn nurseries

  • 1994 Old Guideline for jaundice

    1994 Old Guideline for jaundice
    In 1994, the American Academy of Pediatrics (AMA) published a guideline to provide a method to prevent and manage hyperbilirubinemia. However, this guideline did little to reduce neurological damage as a result of hyperbilirubinemia
  • Change in AAP recommendations

    By the year 1999, all nurses interviewed in Missouri placed infants on their back or sides for sleep. By this time, the AAP also changed their recommendation
  • 2004 New AAP Guidelines for Jaundice

    In 2004, the AAP published a new guideline to manage hyperbilirubinemia in newborn infants of 35 weeks gestational age or more