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The VNA & Hospice is committed to serving the needs of new parents, from childbirth education through to home visits after the baby arrives.
Certified Nurse Specialists
 
Providing care and instruction for parents and children at home:
• Home monitoring and management of high-risk pregnancies
• Well-baby examinations
• Bilirubin levels
• Postpartum assessment for mothers and infants
• Breast-feeding instruction and support
• Home safety teaching
• In-home parenting education
• Expectant-parent classes: 6-week series covering all aspects of preparation for childbirth
• High-risk newborn evaluations and monitoring
• Asthma education and management
• Pediatric care for high-risk children
• Bereavement counseling for SIDS parents
 
Newborn evaluations and postpartum visits are available for all patients through the VNA’s Parent Child Health Program. Referrals can be made through the Maternity Center staff at NARH for in-patients and by calling the agency at (413) 664-4536 for home patients. Nutrition, feeding and safety instruction is offered in addition to a physical exam of the newborn, including weight and heel sticks for bilirubin levels.
 
Indications for referral:
  • Infant/child risk factors
  • Low birth weight/2500 grams
  • Low Apgar score
  • 37 weeks or less gestation
  • Physical anomaly
  • Infection/sepsis
  • Convulsions
  • Feeding difficulties, e.g., reflux, formula intolerance
  • Poor weight gain, failure to thrive
  • Apnea, bradycardia requiring home monitoring, apnea monitoring, pulse oximetry, oxygen use and CPR instruction
  • Jaundice
  • Developmental delay
  • Prenatal exposure to drugs and/or alcohol
  • Anemia
  • Lead exposure
  • Multiple hospitalizations
  • Inadequate prenatal care
  • Head-lice infestation
  • Child safety (home, travel)
  • SIDS/neonatal death (first 27 days of life)
  • Asthma
 
High-Risk Pregnancies
  • Pregnancy-induced hypertension
  • Preterm labor
  • Hyperemesis gravidarum
  • Gestational diabetes
  • Abusers: smoking, ETOH, drugs
  • History of miscarriage, stillborn births or neonatal death
  • Emotional or physical problems
  • Teen pregnancy
  • Self-care deficits
 
Postpartum Risk Factors
  • Young, inexperienced or disadvantaged parent(s)
  • Infection/sepsis
  • Multigravida: pregnant more than three times
  • Anemia/chronic disease state
  • Breast-feeding problems
 
 

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