Teenage parents in NICU. 2007 NICU Teen mother project. Problem Identified Number of young mothers in NICU (anecdotal) . Awareness the NICU staff/mother communication and care planning did not meet the needs of teen mothers (nor engage them). Teenage mothers in NICU project group.
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Number of young mothers in NICU (anecdotal) .
Awareness the NICU staff/mother communication and care planning did not meet the needs of teen mothers (nor engage them)
Explore all available resources
Make appropriate changes
Increased risk of –
i.e. Smoking related cancers, Suicide , Violent inflicted injuries
BUT many of these are due to their poor social and developmental circumstances rather than teenage pregnancy itself
American Academy of Pediatrics 2001, Andreozzi et al 2002, Flanagan 1994, Horwitz et al 1991, McCullough 1991, National Center for Health Statistics 2006, Wilson et al 1990,Woodward et al 1999
High risk infant identified
American Academy of Pediatrics 2001 , Horwitz et al 1991, National Center for Health Statistics 2006
Wilson et al 1990,Woodward et al 1999
+ SICK NEWBORN
Referrals- ADHB Social work service, TEEN PARENT SUPPORT SERVICE, cultural support , consult Liaison, SLT, Mental health
Communication with MDT
Assess need for transport and accommodation
Offer meal vouchers
Ensure that teen mother receives ‘Teenage mother resource book', discuss this with her.
Explain daily routine, show around NICU, explain who is who
Develop clear lines of communication with mum i.e. TXT, email.
Develop a rapport with teenage mother, assist her to identify her own supports.
Give teen mother NICU young mum resource book and discuss document.
Develop infant care plan with parents and explain purpose of the document.
Establish responsibilities and complete the day to day care plan for baby together.
HEADDS assessment completed
Arrange Psycho educational session -Emotional self care, stress management session
MDT Discharge Planning - Document evidence in clinical notes of the following
Community follow up/support systems in place
On going schooling discussed
Follow up appointments for baby
Presentation / education sessions developed
Developmental issues for teenage parents
Communication Issues- tips for working with teenage parents
Today's issues -
social work access.
Change in services.
Accommodation/transport/financial assistance for teen mums (<18yrs) remains a challenge.
Particular issues for support/services for <16 yrs mothers
Audit care provided.