Neonatology

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The medical-surgical resuscitation cares for newborns in vital distress who require high-tech care, particularly artificial ventilation.

intensive care unit takes care of newborns following resuscitation, but also newborns without vital distress who require continuous monitoring such as parenteral nutrition through a central venous catheter or invasive ventilation.

The routine care cares for newborns under 28 days old ( corrected age ) with a pathology without vital distress, or requiring support towards nutritional independence.

The mother-baby unit, known as the “ kangaroo unit ”, allows newborns (not requiring resuscitation or intensive care) in their mother's hospital room .

The HAD team provides home care for children aged 0 to 2 who still need medical care, within a radius of 30 to 35 km around Caen.

Childcare nurses : Eve Boucharain, Céline Cadiou, Sophie Gallier-Bazin, Juliette François and Agnès Le Roy

Presentation of the HAD on Allodocteurs.fr

As in maternity, various screenings are carried out during hospitalization in neonatology. Clear information is explained to parents and a signed authorization from them is necessary.

Different flyers on the different screenings are currently available below in the “available documents” section.

A team made up of a pediatrician and a nurse from the department provides, 24 hours a day, all year round, the inter-establishment transport of children under 3 years of age in vital distress.

It is a lactarium for internal use which ensures the collection, conservation, treatment (pasteurization) and preparation of breast milk for hospitalized children.

It also participates, internally, in collecting donations for milk banks for external use.

Lactarium team: Florence Feugueur, Vanessa Loufouma-Moussounda, Christelle Sébas, Childcare nurses , and Marion Ferreira, Béatrice Pann, Kathy Petron, Nadège Vaugeois, AS/AP

Whether your wish to breastfeed earlier or related to the circumstances of the birth of your baby(ies), the entire neonatology team will be there to support you.

Breastfeeding advisors: Dr Mélanie Alexandre, Dr Valérie Datin-Dorrière, Sophie Gallier-Bazin, Anaïs Guibout, Johana Lauret, Jennifer Lefrou and Vanessa Loufouma

Video “the colors of breastfeeding” (CH Annecy Genevois)

Video “Expressing milk manually” (Sikana)

Video “Breastfeeding” (Karine Lafargue)

=> Breast pump guide, currently available in the “Useful documents” tab

In the 1980s, H. Als, professor of psychology at Harvard University, introduced the notion of developmental care in the care of newborns hospitalized in neonatology. It is a concept of care (care of the newborn and integration of his parents) which aims to promote the neurodevelopment of the child and the parent-child bond .

The objectives are as follows:

• newborn stress factors
• Promote the baby's well-being by offering pleasant and adapted neuro-sensory experiences
• Integrate parents into care and thus promote understanding of their child's behavior

They have demonstrated their benefits in numerous scientific publications .

Practical guide
“Meeting your baby,
Better understanding to support their development”

Video “Newborn behavior”

Video “Developmental care”

Developmental Care Referrals: Dr Elodie Lecorps, Adeline Barteau, Mélanie Crauffon, Susie Delapierre, Caroline Delaunay, Carine Faroldi, Graziella Leconte, Emilie Kurtz, Audrey Lanos, Stessy Laronche, Jennifer Lefrou, Sophie Louaintier and Aurélia Vaucan

Coordination of the team ensured by Dr Valérie Datin-Dorrière and Claire Mesierz . Contact: nidcap@chu-caen.fr / 06 66 48 39 50

“ Newborn Individualized Developmental C ARE and Assessment Program ”
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Based on the work of Professor TB Brazelton on the observation of the behavior of full-term newborns, Professor H. Als and his team defined the NIDCAP in 1982, in Boston.

Established in France in 1998, by the Brest University Hospital team, and led by Professor J. Sizun and Dr N. Ratynski, NIDCAP constitutes an early, individualized care program, centered on the child and his family, integrated into usual medical and nursing care , and brings together a set of behavioral and environmental strategies .

This is an approach to premature babies intended to understand their stage of development and their needs according to the “synactive theory of neonatal development”; where the premature newborn is considered the main actor in his own development, and his parents as his “co-regulators” . Once the baby's needs have been identified, it is important to try to meet them, while systematically promoting the parent-child relationship.

The program is based on observing the child's behavior, before, during and after care , a meal, a diaper change, etc. There is no standard answer, each child is different.

Since 2008 , the Neonatology department of Caen Normandy University Hospital has been involved in this program of supportive care for premature newborns and their parents ( service project ). Currently , 6 professionals are NIDCAP certified (NIDCAP observers and developmental care specialists), 16 professionals are FINE certified (developmental care specialists), and 4 professionals are in training to obtain NIDCAP certification.

Video “What is NIDCAP?”

NIDCAP referents: Dr Valérie Datin-Dorrière, Audrey Daireaux, Sophie Gardinot, Agnès Le Roy, Claire Mésierz and Florence Turpin

Coordination of the NIDCAP-FINE team ensured by Dr Valérie Datin-Dorrière and Claire Mesierz. Contact: nidcap@chu-caen.fr / 06.66.48.39.50

Early vocal contact encourages parents to talk and sing to their baby in a close context such as skin-to-skin and is part of a child- and family-centered care strategy. Studies have shown that the fetus and then the newborn recognize the maternal voice and that the parental voice is modulated according to the baby's reactions, allowing true reciprocity between the two beings.

Early vocal contact allows for better physiological stability and better weight gain. It reduces pain during painful care and promotes the establishment of the parent-child bond.

So, don’t hesitate to talk or sing to your baby! To find out more, you can listen to the following podcasts, developed by the team from the Neonatology department of Caen University Hospital:
Talking and singing to your baby is good for him