Empowering NICU Parents Podcast Necrotizing Enterocolitis (NEC): What causes it and how is it managed in the NICU?

For the 49th episode on the Empowering NICU Parents’ Podcast, I discuss necrotizing enterocolitis (NEC). It is a life-threatening condition that involves ischemia and inflammation of the bowel. Necrotizing Enterocolitis is a complex disease that despite decades of research, is not well understood. The evidence continues to support the concurrent presence of several factors that when combined with a trigger, may lead to a disruption of the normal intestinal bacterial flora followed by an altered inflammatory host response. On this episode, I review the factors that place infants, especially premature infants, at an increased risk to develop NEC. I discuss both the common and subtle clinical symptoms that infants may display if they develop NEC and when they are most likely to occur. Next, I review the Bell staging system used to define the severity of each case of NEC, followed by the typical management used which is based on each infant’s clinical presentation. Finally, I review some common preventative measures being used in NICUS today to reduce the incidence of NEC and what the prognosis and mortality rate is for infants who have been diagnosed with NEC. The episode is a great overall review of NEC that will be beneficial for NICU parents and clinicians. Start listening now and get ready to be empowered!

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Empowering NICU Parents Podcast

A podcast specifically meant to educate and empower NICU parents as they endure their baby’s NICU journey. We provide you with tangible tips and support from my unique perspective as a Neonatal Nurse Practitioner (NNP) and a proud preemie Mama! Along with sharing answers to the NICU medical questions you have, Nicole will address and support you through the incredibly difficult emotional struggles that only a NICU parent can understand. Tune in and subscribe today!

To start 2024 out, our first episode focuses on marijuana use, its impact on pregnancy, the growing fetus and the child’s future development, as well as the implications of its use during breastfeeding.

Who would have thought that in 2024, we would be living in a time where marijuana use is so prominent and that it would be legal in 24 states as of January of 2024?!?

But, nonetheless, here we are! Because marijuana has been legalized in so many states, there are now false evolving perceptions on its general safety as well as its implications on the developing fetus and infant who are exposed to it either in utero or through breastmilk. In general, the perception of harm from marijuana is decreasing while the potency of marijuana is scarily increasing. Marijuana is the most widely used illegal drug during pregnancy in the United States. And, its use in gaining speed amongst all adult age groups, in both sexes, and in pregnant women.

For our 56th episode, I reviewed the most up-to-date literature and will share the findings from several studies that reveal both short and long-term negative effects on the pregnant mother and developing fetus if used during pregnancy, and its future implications on the growing infant, child, and their transition into the teenage years, and as an adult after prenatal exposure. I will also point out the general concentration of marijuana in breast milk if used by a nursing mother, as well as how long it stays in the breast milk, and how it may impact the exposed infant.

This episode is packed full of useful information and will be ideal for any healthcare worker or for family members and friends who care about a pregnant woman or nursing mother who is currently using marijuana and want to ensure that she is fully educated on the implications of its use on her growing fetus or infant. And last, but actually, the most important, I encourage ALL women who are either considering becoming pregnant or who are currently pregnant and use marijuana on a regular basis, to listen.

Although marijuana use is so prevelant, it is so crucial that we fully understand its potential impact on the fetus and the child’s future development if used during pregnancy and while breastfeeding.
You will not want to miss this one!

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