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.

What Is Sound?

Understanding Frequence and dB(A)

Sound in Different Mediums

Feeling of a Decibel

Auditory Orientation and Language

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?
Evolution of NICU culture

Noise Affects Staff and Parents

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?

NICU Design and Noise Control

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 and the Developing Brain

Noise Reduction – A Group Effort

Noise Reduction – Belgium

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 Environment

Any questions?
We are happy to help.
“The things that happen during these early periods of life affect the development over the lifespan.”
Clinical studies and reviews

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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