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Care and support of newborn during transport in and out of the hospital

Treatment for newborn babies in Hebbal, Bangalore

Manipal Hospitals, Hebbal CoE Neonatology department provide treatment for newborn babies in Hebbal, Bangalore for and support the vehicle of a newborn in and out of the hospital.

Transporting critically ill and high-risk newborns requires specialised equipment and skilled personnel. Having a neonatal transport team as part of a more extensive perinatal care system is ideal. This team includes a neonatal intensive care unit (NICU), a perinatal care unit, a cadre of pediatric specialists, and a neonatal outreach program in addition to a tertiary care neonatal intensive care unit.

Numerous neonates require emergency transfers to tertiary care centres because of medical, surgical, or postpartum complications. Known as "outborn" neonates, these babies were born elsewhere and transferred to the emergency facility of tertiary care centres.

Shortening interfacility transport times improves outcomes for the tiniest and most critically ill newborns. The term "inborn" neonate describes critically ill neonates born in the specialised centre, perhaps because the technical centre regularly delivers care to at-risk perinatal populations.

The outcome of an outborn neonate with serious medical or surgical problems (including extreme prematurity) remains worse than that of an inborn infant, so the primary focus must remain on prenatal diagnosis and subsequent in-utero (i.e. maternal) transfer whenever possible. The best transport incubators are usually mothers, regardless of advanced training and technology.

Transport of neonates, regionalisation of perinatal care, and development of neonatal intensive care units

Premature infant care exhibits at public expositions, such as the 1933 Chicago World's Fair, contributed to developing skills to care for ill or premature newborns. NICU and infant transport were not yet familiar, and these exhibits predated the emergence of NICUs.

Care for newborns born at home or in inadequately equipped centres became a priority after neonatal centres were established to treat ill neonates. Newborns from NICU were initially transported to speciality centres using clever adaptations of incubators that were otherwise carried in automobiles. 

Future Role of Neonatal Transport

To provide optimal care to the ill outborn neonate, the neonatal transport team plays a crucial role. Transport teams have expanded their role as technology has advanced and made it possible to provide sophisticated therapies to infants in the field. Tertiary centres can monitor and interact with the transport team in real time by integrating wireless Web-based cellular technology and telemedicine. In recent years, we have considered that early initiation of specific therapies, beginning during transport, may influence long-term outcomes.

Prospective studies are possible and are now being conducted in the transport arena, despite the challenges. As new technologies and therapies develop, the transport environment will change. Using clinical simulators to support education and training for transport teams and maintain their technical and clinical skills is essential. Interactions with outlying practitioners and team communication with medical control may be significantly changed by telemedicine and its use in transport. Infants who require specialised care will continue to require the assistance of neonatal transport teams as changes come. Consult with doctors at Manipal Hospitals now. 

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