Susan Hepworth, Mitchell Goldstein, MD, MBA, CML
This past August, the coalition released Safety in the NICU. The video emphasizes the ways in which infants do not always receive the health care they need due to current policies and systemic issues, and demonstrates how these problems can start to be fixed.
The text from the video follows. Please feel free to share it with your networks.
Sometimes the healthcare system treats infants like they are tiny adults, and it’s not just inaccurate—it can actually cause problems, especially when it comes to medications and medical devices used to treat infants in hospitals.
Caring for babies in the hospital often involves ventilators for breathing support, monitors to track vital signs and lung func- tion, incubators to normalize babies’ temperatures, and infusion pumps and tubing to deliver medication or nutrition. Accuracy and precision are critical, whether it’s fragile infants fighting for their lives in the NICU, or older babies receiving care elsewhere in the hospital.
Infants need healthcare that’s tailored to their age, weight, and medical condition; but, that’s not always what they receive. In- stead, they may be treated with devices and medications that were designed for adults, not for babies. That can lead to errors, such as unintentional medication overdoses, dangerously high oxygen levels, and variable blood sugar levels. These errors can lead to further illness, injury, or even death.
Infants deserve protection and the safest possible health care. That requires policies that promote the development of drugs and devices for infants under 2, and hospital systems that implement the use of these drugs and devices. With more tools designed specifically for tiny patients, more babies can receive the best hospital care.
References:
- National Coalition for Infant Health; Available from: https://www.infanthealth.org/prematurity
Disclosures: The authors have no disclosures
National Coalition for Infant Health Values (SANE)
Safety. Premature infants are born vulnerable. Products, treatments and related public policies should prioritize these fragile infants’ safety.
Access. Budget-driven health care policies should not preclude premature infants’ access to preventative or necessary therapies.
Nutrition. Proper nutrition and full access to health care keep premature infants healthy after discharge from the NICU.
Equality. Prematurity and related vulnerabilities disproportionately impact minority and economically disadvantaged families. Restrictions on care and treatment should not worsen inherent disparities.
Corresponding Author

Susan Hepworth
Director
National Coalition for Infant Health 2020 K Street NW
Suite 505
Washington, DC 20006
Email: info@infanthealth.org

Mitchell Goldstein, MD
Professor of Pediatrics
Loma Linda University School of Medicine
Division of Neonatology
Department of Pediatrics
mgoldstein@llu.edu