Noise In The NICU: How Sound Affects Premature Babies - Caregivers hand rests on premature baby in the nicu

Noise In The NICU: How Sound Affects Premature Babies

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Noise in the NICU presents complex issues for newborns. The challenge is protecting the baby from excessive noise levels, while allowing opportunities for positive sound stimulation. It is a delicate balance. So, when is loud too loud? What is noise and what is a healthy stimulus? How does sound contribute to the neurosupportive environment that these preemies need? We’ve spoken with experts from around the world to cover all aspects of this topic. Learn more about sound, how noise impacts preemies and everyone in the NICU and what can be done to make the changes needed to improve the auditory environment.

Physics of sound

Prof. Dr. rer. nat. Juergen Tchorz

Do you understand sound physically? Understand the feeling of a decibel, a-weighting, how sound moves through various mediums and what that means for infants.

Noise In The NICU: How Sound Affects Premature Babies - Juergen Tchorz – What is sound?
What Is Sound?
Noise In The NICU: How Sound Affects Premature Babies - Juergen Tchorz – Understanding frequence and dB(A)
Understanding Frequence and dB(A)
Noise In The NICU: How Sound Affects Premature Babies - Juergen Tchorz – Sound in Different Mediums
Sound in Different Mediums
Noise In The NICU: How Sound Affects Premature Babies - Juergen Tchorz – Feeling of a Decibel
Feeling of a Decibel
Noise In The NICU: How Sound Affects Premature Babies - Juergen Tchorz – Auditory orientation and Language
Auditory Orientation and Language
Draeger quick guide noise matters

Quick guide

If we can better understand sound, we can create a better environment for premature babies. Here is a quick overview of decibels, perceived loudness, what infants hear in the incubator and the effects of loud noises.

Noise matters: Hear from the experts

Carole Kenner, PhD, RN

The NICU has evolved in the past 30 years. How are we thinking about noise now? How is noise affecting you and the parents in your unit? What about positive sound stimulation?

Noise In The NICU: How Sound Affects Premature Babies - Carole Kenner – Evolution of NICU Culture
Evolution of NICU culture
Noise In The NICU: How Sound Affects Premature Babies - Carole Kenner – Noise Affects Staff and Parents
Noise Affects Staff and Parents
Noise In The NICU: How Sound Affects Premature Babies - Carole Kenner - Positive Sound Stimulation
Positive Sound Stimulation

Dr. Robert White, MD

What are the 3 things you must consider when it comes to noise control and NICU design? Are you monitoring noise in your NICU? Where should we be monitoring?

Noise In The NICU: How Sound Affects Premature Babies - Robert White – NICU Design and Noise Control
NICU Design and Noise Control
Noise In The NICU: How Sound Affects Premature Babies - Robert White – Monitoring Sound in the Incubator Compartment
Monitoring Sound in the Incubator Compartment

Mary Coughlin RN, MS, MNP

How do we know the infant is experiencing noise stress? How might this affect them later? Hear about some noise reduction best practices and how to get your hospital on board!

Noise In The NICU: How Sound Affects Premature Babies - Mary Coughlin – Noise and the developing brain
Noise and the Developing Brain
Noise In The NICU: How Sound Affects Premature Babies - Mary Coughlin – Noise Reduction – A Group Effort
Noise Reduction – A Group Effort
Noise In The NICU: How Sound Affects Premature Babies - Mary Coughlin – Noise Reduction – Belgium
Noise Reduction – Belgium
Noise In The NICU: How Sound Affects Premature Babies - Mary Coughlin – Quiet Time Initiative – Atlanta
Quiet Time Initiative – Atlanta

Dr. Andres Maturana MD, MSc.

“I think although we have some awareness of noise contamination in the NICUs, there’s still a huge amount of room for improvement.”

Noise In The NICU: How Sound Affects Premature Babies - Noise in the NICU Environment
Noise in the NICU Environment
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“The things that happen during these early periods of life affect the development over the lifespan.”
  Mary Coughlin

Clinical studies and reviews

Babyleo with-Ponta and Gemina Duo systems

Literature list

Nise in neonatology

Significance of noise in neonatology

music-in-the-nicu-3-2.jpg

Music in the NICU

Patient monitoring: design for clinical workspaces

Implementing sound solutions

How can we protect these babies from negative noise? What can design and technology do? Whether you are designing a brand new NICU, renovating existing space or trying to utilize your space and equipment in a new way, careful consideration to noise is important. By incorporating glass windows and doors, monitor visibility is increased and unwanted traffic can be minimized. When available, select devices, everything from monitors to incubators to phototherapy equipment, featured with elements that push sound away from the infant compartment. Utilize sound absorbing material on walls and ceilings. Incorporate the Sound Ear to raise awareness for caregivers and visitors. The Sound Ear can also be used as a tool to implement quality measure programs. Using architectural systems to mount devices can make moving devices quieter and easier.

Proper utilization of space can help improve patient outcomes, staff efficiency, and family satisfaction. Find a design that best fits your needs while still keeping noise in mind.

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