5 Things Your NICU Baby Wants You to Know - Baby Chick
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5 Things Your NICU Baby Wants You to Know

Having a baby in the NICU can be a scary time. An occupational therapist shares 5 things a NICU baby would like their parents to know.

Updated July 17, 2024

by Aimee Ketchum

Pediatric Occupational Therapist
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Having a baby in the neonatal intensive care unit (NICU) can be a scary, emotional experience! As an occupational therapist in the NICU, I interviewed some babies, and this is what they would like mommy and daddy to know.

NICU, baby chick, occupational therapist, OT
Photo credit to Amelia Giangiulio

1. I Feel Your Energy as Soon as You Approach Me

As you come to the isolette or crib, think about the energy that you carry. Babies are very perceptive. Are you stressed, anxious, nervous, or hurried? Your baby will sense this. Take a deep breath before approaching your baby to be calm and serene as you enter their world. Talk in low voices, gently touch, and reassure your baby that you are calm and ready to care for them.

2. I Cannot Process Too Much Information at Once

Babies work very hard to take in all the information from their world. They need to process what they see, hear, feel, and taste all at once, and it is easier for them if they only need to process these senses one at a time. When baby is focusing on your face or bright lights are on, they are visually stimulated, limiting noise, movement, and touch. If you are rocking or stroking baby, limit visual stimulation. If you are talking to baby and they seem to focus on your voice, limit touch, movement, and visual stimulation. Newborns can be easily overstimulated.

3. I Can Smell You Coming

Babies’ sense of smell is very well-developed at birth, and mommy’s scent calms them. Consider leaving an article of clothing you just wore with your baby when you leave. You could also put a small burp cloth against your skin, then leave it with your baby when you are not there to keep them calm.

NICU, baby chick, occupational therapist, OT
Photo credit to Amelia Giangiulio

4. I Need Skin-To-Skin Touch

Kangaroo care (putting baby down mommy or daddy’s shirt) is excellent for baby’s development and bonding with the baby. This also helps to regulate baby’s temperature, heart rate, respiration, and brain development. You can also do infant massage for skin-on-skin contact. The developmental benefits of skin-on-skin contact are immeasurable!

5. I Feel Calm When I Hear Familiar Sounds

Babies hear in utero, and you can soothe your baby by recreating the sounds of utero. Mom’s voice is usually very calming for baby. You can do activities with your NICU baby, like singing, reading a book, and talking to them. Studies show that babies demonstrate familiarity with their mom’s voice just one day after birth.1 Babies are also calmed by white noise or ocean sounds, recreating the swishing sound of the amniotic fluid. Babies also like the sound of the heartbeat, and many baby sound machines play a heartbeat sound.

It can be very difficult to have a baby in the NICU, but remember, they are getting the care they need. You can take advantage of the knowledge of the NICU nurses, therapists, and neonatologists to give you lots of information before you bring your precious baby home.

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A woman with wavy brown hair, wearing a light blue shirt and brown pants, is sitting on the floor with her legs crossed, holding a smiling baby who is wearing a small pink bow and a diaper. They are both looking at the camera against a white background.
Aimee Ketchum Pediatric Occupational Therapist
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Dr. Aimee Ketchum is an Academic Fieldwork Coordinator and Assistant Professor of early child development at Cedar Crest College Occupational Therapy Doctoral Program. She continues practicing her skills as a pediatric occupational therapist in the Neonatal Intensive Care Unit (NICU) at UPMC Hospital, Lititz. Dr. Aimee Ketchum has worked as an occupational therapist specializing in pediatrics for the past 24 years, working in rehab, acute care, school systems, early intervention, brain injury, amputee, home health, skilled nursing facilities, and neonatal intensive care units. She is genuinely passionate about spreading awareness about early childhood development.

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