A journey from Radiant Warmer to incubator & incubator to open bed !

radiant warmer

Some newborns rapidly lose their body temperature or some may can’t maintain their body temperature. Mainly this is seen in premature or low birth weight babies. 99% of premature or low birth weight babies need assistance to maintain their body temperature. They are born too soon before their organs are developed. Radiant warmers & incubators help in the survival of these babies by providing assistance for maintaining their body temperature.

Radiant warmers are used to heat up an infant’s body. Radiant warmers are good for keeping babies less than 1000 grams warmer than incubators. Because incubators drop temperature rapidly when the doors are open. Radiant warmers are not like incubators they have an open system. There’ll be a bed on which the baby to be placed. This makes easy access to the baby for resuscitation or procedures.

When an infant’s condition is stabilized which means no frequent procedures are needed they can be moved from radiant warmers to preheated incubators. Unlike radiant warmer, this is a closed system. Because premature babies lack body fat they are not able to regulate body temperature like others. Incubators also protect babies from infections, allergies or any other dangers.

When an infant reaches more than 1500 grams can breathe without support & able to maintain body temperature in an incubator operated in the air temperature control mode can be moved to an open bed from the incubator.

When premature babies can go home?

Premature babies can have a lot of health issues. They will be subjected to stay in the NICU until the time they were due to born. But that time is not guaranteed, because every baby is different. Some can go before this expected time, on the other hand, some may have to stay little more. Some parents will be enthusiastic about taking their little one to home.

Breathe without support

Premature babies may have breathing difficulties & in NICU they breathe with respiratory help. When your baby gets ready to breathe her/his own without any help is a good sign & you can move to your home soon after. Some may have breathing issue for long term & they will be sending home with oxygen support.

Maintain weight

Your premature baby can leave the hospital if she gains weight frequently & doesn’t lose that weight again. If your baby is born prematurely but he/she has enough weight as a full-term baby they will be having a lower chance to stay at the hospital for months.

Ready to take feedings through the mouth

Some babies may have problems in feeding because their intestines are not fully matured as the full term babies. So at beginning, they will feed through tubes. Once they get ready to take feedings through their mouth means they step one more step forward.

Able to keep themselves warm

In the beginning, they will be subjected to sleep in the incubator in order to maintain their body temperature because they can’t keep themselves warm as full-term babies. Once they maintain their body temperature in an open cradle means they are near to their goal.

These are all some symptoms shown by premature babies when they are ready to discharge from NICU. Your pediatrician will confirm that when your little one is ready to come with you. And take necessary instructions from the hospital staff for caring for your premature baby.

4 Types of Neonatal or Newborn Jaundice


Pediatric Doctors strongly recommending that all infants, especially LBW babies be checked for jaundice within 1 to 4 days of their birth. Jaundice is a common condition in newborns and can be treated well with the help of many NICU equipment, respective treatments, and facilities. The different types of jaundice are,

Normal (Physiological) Jaundice: As the newborn’s liver is still maturing, it may often appears within 2 to 4 days and disappears by 1 to 2 weeks.

LBW Jaundice (Prematurity): Their bodies are not much ready to discharge bilirubin effectively – they’ll be treated for required bilirubin levels.

Breastfeeding Jaundice: This kind of Jaundice happen when babies don’t get enough breast milk due to difficulty with breastfeeding or because the mother’s milk isn’t in yet.

Blood Group Mismatch Jaundice (RH/ABO): Either if the parents don’t have the same Rh Factor or when mother & child  have different blood types, the mother’s body might produce antibodies that destroy the infant’s red blood cells. This creates a sudden buildup of bilirubin in the baby’s blood.

5 Good Things About Having A NICU Baby


Fewer visitors :

Visitors were not allowed to enter into NICU to see the babies. Not that having visitors is necessarily a bad thing, but preemies are fragile and it’s critical to keep them healthy. Family and friends were very understanding that we didn’t want to have a ton of visitors at the NICU or even at home for a little while. However, when a child is in the NICU the situation is compounded by wanting to be there as often as possible.

A part of an elite group of mothers :

Despite having some benefits, being a NICU parent there’s something about to give a great appreciation for health and life. mother is someone who is always there for you, and she will do whatever it takes to make you happy. A mom is also someone who help you to run when something goes wrong or when you feel like your world is crumbling and you need some solid advice. She not only knows you but also may be the best inside source to give you advice for you best in life.

Lactation consultants & hospital-grade pumps :

Mothers get better training during the time of rounds in NICU. Whereas, the lactation consultants and mothers reported a concern regarding an overdependency on breastfeeding because breast pumps included the patterns of use, mothers’ experiences, and advantages and risks. mothers’ need to have greater control over the breastfeeding process and to quantify the amount of breastmilk. Due to this irregular quantity in breastmilk, Grade pumps were used in hospitals.

led phototherapy unit

Nurses :

Nurses are like angles, they develop a plan of care and make them safe underwings. Effective interaction towards patients is one of the foundations of good nursing care, this could improve patients satisfaction and get a clear atmosphere from the hospital. Nurses deserve a great respect for their hard work and care. The NICU doctors and nurses we had were absolutely incredible people and they were kind, informative and professionals.

Peace of mind :

NICU would tack an additional 5 days onto their stay. They wanted to be 100% sure that they were mature enough to go home. Babies were quite safe in NICU, Some poorly and premature babies will also need a respirator to help them breathe. So, NICU offers you peace of mind by providing skilled and sensitive management of high-risk pregnancies, as well as outstanding care for babies with special needs.

Evolution of Kangaroo Mother Care (KMC) from Conventional Cuddling Care (CCC)

During pregnancy, babies are absolutely attached to their mothers, by the way they can be—getting warm, food, protection, and oxygen from their mother’s body. Whenever possible, mothers and babies should be in direct contact for at least the first 1–2 hours after birth.

In the earlier years, it was difficult to treat low birth weight (LBW) infants because they lacked NICU technologies and related treatments that would keep those infants alive. During the 1970s, medical researchers began to study the benefits of skin-to-skin contact between the newborn & mother and also for the effective method to do the same by adopting conventional cuddling care concept (CCC), which was a simple and low cost method of newborn care. The basic Kangaroo Mother Care (KMC) program started in the year 1979 – (Dr Rey and Martinez) in Bogota, Colombia.

To compare kangaroo mother care (KMC) and conventional cuddling care (CCC) in premature and other infants; 30 mother-infants were assigned to the KMC and the CCC group. Both groups of mothers cuddled their babies for a minimum of two hours a day, five days a week while in the study, with the KMC group having skin-to-skin contact while the CCC group had contact through normal clothing. Infants in both groups experienced equivalent rise in temperature while out of the incubators, equal weight gain, equal period of stay in the hospital, and equal breastfeeding duration. The main outcome from KMC/CCC were infant weight gain, temperature maintenance during KMC and CCC, and length of hospital stay.

At the First International Workshop, Trieste, Italy, in 1996, analysed 30 different terms used, agreed to use KMC (Kangaroo Mother Care) as standard term to define the programme of skin-to-skin contact, breastfeeding and etc. Researches are still continue worldwide with many organization and companies; we proudly say that IBIS medical (India) also being the part of renovating the CCC, KMC concepts. The study after study has shown a lots of key benefits for babies who experience skin-to-skin care (kangaroo mother care’) with their mothers. When babies are held naked against their mother’s skin, it is the closest they can get to being back in the warmth and security of the womb. It is importance of doing skin-to-skin contact with baby right after birth and delivery to all newborns, Let join hands with IBIS to increase the application of KMC worldwide with more professional touch.

List of Diseases & Challenges, (LBW) Preterm Babies Might Face Generally.

Staying Warm (hypothermia): Preterm babies lose body heat frequently, it putting them the risk of “hypothermia”. They need extra energy and care to stay warm and grow. In premature infants, hypothermia increases morbidity and mortality. Hypothermia may be purely environmental or represent intercurrent illness (eg, sepsis). Maintaining an appropriate environmental temperature in the delivery room or operating room is critical in preventing hypothermia. Hypothermic infants should be rewarmed and any underlying condition must be diagnosed and treated. IBIS developed an advanced “Infant Radiant Warmers” for (I CORE 10 series) most effective Infant Thermal Management.

Infant jaundice: Excess bilirubin (hyperbilirubinemia) is the main cause of jaundice in LBW babies. Other Conditions that can cause Infant jaundice are a liver malfunction, incompatibility of blood group, other viral or bacterial infections, lack of breastfeeding, dehydration etc. The best preventive of infant jaundice is adequate feeding. Breast-fed infants should have eight to 12 feedings a day for the first several days of life. Key treatment option to severe neonatal jaundice is by light rays that is LED Phototherapy. IBIS Medical provides high-end equipments as such (I-Rex Series and Duo).

Eyes: Preterm babies’ eyes are not ready for the outside world. They can be damaged by abnormal growth of blood vessels in the retina. The condition is usually more severe in very premature babies and if they are given too-high a level of oxygen. This can result in visual impairment or blindness. Also, we want to care baby’s eyes during the phototherapy process. For this, IBIS Medical provides Neonatal Eye Protectors which are made with ultra-soft cotton material attached to elastic for adjusting the circumference and steady positioning. This eye protectors act as infant sunglasses and offer extra eye protection for babies during phototherapy treatment.

Feeding: Feeding a newborn is a round-the-clock commitment. It’s also a chance to start forming a connection with the newest member of your family. Preterm babies can have trouble feeding because the coordinated suck and swallow reflex is not yet fully developed. They may need additional support for feeding. If you’re having trouble with breastfeeding, ask your baby’s doctor for help.

Breathing: Many preterm babies start breathing on their own when they are born, but others need to be resuscitated. If the lungs are not fully developed and lack surfactant (a substance that helps keep the lungs expanded), preterm babies may have difficulty breathing. Sometimes, premature babies that start off breathing are not strong enough to continue on their own. They exhaust themselves and may stop breathing (apnoea).

Infections: Severe infections are more common among preterm babies. Their immune systems are not yet fully developed, and they have a higher risk of dying if they get an infection.If your baby has an infection, you may notice some the following signs:

  • Slow heart rate
  • Difficulty tolerating feedings
  • Lack of alertness
  • Inability to maintain body temperature
Brain: Preterm babies are at risk of bleeding in the brain, during birth and in the first few days after birth; about 1 in 5 babies weighing less than 2kg have this problem. Preterm babies can also have brain injuries from a lack of oxygen. Bleeding or lack of oxygen to the brain can result in result in cerebral palsy, developmental delays and learning difficulties.

Source: WHO (World Health Organization) Online


The UNICEF report says Kerala is backward in breastfeeding for Infants

UNICEF report says that Kerala is still reluctant to breastfeed younger infants in the first hour. Mothers who breastfeed within an hour of birth are only 64%. However, the relief that this figure is higher than the national average of 41.5%.

According to the UNICEF reports, the mortality rate of newborn babies in Kerala making steady progress in the right direction, whereas in breastfeeding there is an unstable situation in Kerala and gives a low breastfeeding rate. Breastfeeding rate in Kerala was 14.2% in 1992-93 and in 1998 – 99 is 4.9%, 55.4%  in 2005 – 06 from there it becomes 64.3% .

According to the report, Sri Lanka has been first in breastfeeding. Nearly 90 percent of the babies are taking breast-milk for the first hour. Whereas India stands on the 56th position from the census.



The study suggests that breastfeeding within an hour of birth can reduce the percentage of newborn mortality rate to some extent.UNICEF Head, Dr. Yasmin Ali said that this information is provided by UNICEF and the World Health Organization on the basis of lack of reluctance in breastfeeding.

Improving breastfeeding habits have helped to reduce the infant mortality rate in Kerala. Jaundice often will resolve itself with the increase inadequate amount of breast-milk.

However, Jaundice is more common in breastfed babies. Definitely, neonatal jaundice is an extreme condition. But with the improvisation of technology and the medical advancements, it can be removed by its root through a form of treatment called LED phototherapy. Breastfeeding jaundice is caused when the baby does not get enough milk. Jaundice is a condition where it occurs in newborn babies within 2-3 days of birth. so, these conditions could be avoided only by breastfeeding. For more details on neonatal jaundice, give a read on the latest advancements regarding the diagnosis, treatment, and cure of the prominent health issue of neonatal jaundice at http://ibismedical.net/

Credits : Manorama Online