Lisa

We don’t use it but I don’t see how the catheter can prevent migration. It always seems to migrate in farther on tiny babies, likely due to umbilical cord and baby shrinkage.

Thank you!

We have only had one infant held so far and it went well—no temperature or vital sign instability. The baby was pretty stable and not on a vent but had umbilical lines. There didn’t seem to be a problem with the vEEG wires. We don’t have an actual protocol for this but with our project, the baby must be stable and is held for 30 minutes with vital signs and temperature from the monitor recorded every 5 minutes. It was the father who got to hold as the mother was still at the birth hospital after a C section. We are a children’s hospital so all of our babies are transported in, a definite disadvantage for C/S moms though they can see their babies 24/7 with the bedside camera and sometimes get a pass to visit day or 2 after birth.

We are starting a Neuro bundle as well and am interested to follow this topic. I will send what we have.

I bookmarked but how do I get it to show up as an icon?

I would love to see guideline. Email lisa.roth@ssmhealth.com We don’t encourage holding babies with umbilical lines but do allow holding only under the right circumstances (haven’t allowed cooling babies yet but we plan to start), the baby must be stable and usually the bigger babies.

We looked for evidence regarding safety and temperature stability and found one study of 10 infants (no intubated infants) held for 30 minutes on 2nd or 3rd day. There were no adverse events (stable VS, temp, no displacement of umbilical lines or EEG wires) and positive feelings of bonding and connection from moms and nurses Craig A, Deerwester K, Fox L, Jacobs J, Evans S. Maternal holding during therapeutic hypothermia for infants with neonatal encephalopathy is feasible. Acta Paediatr. 2019 Sep;108(9):1597-1602. doi: 10.1111/apa.14743. Epub 2019 Mar 5. PMID: 30721531; PMCID: PMC6682469. We are looking for expert opinions from various centers and plan to do a QI study Kathrynlm what are your criteria?

We are doing. QI project regarding parental holding while being cooled. Do you allow and if so do you have a holding protocol?