Leaving hospital
Below you will find some of the more frequently asked questions about taking your baby home from our unit.
Frequently asked questions
We aim to get your baby home with you as soon as possible when medical care within the unit is no longer needed. Staff will talk with you about planning for home early in your baby's stay - some babies go home with support, such as nasogastric feeding tubes or home oxygen.
There's no specific weight for going home. If your baby is feeding orally on demand, gaining weight steadily and they can maintain their temperature in a cot, they will be ready to go home.
We'll give you lots of warning that your baby is nearly ready for home. You'll be taught to care for your baby at home, for example bathing, feeding, making up feeds and giving medication.
You may be invited to 'room in' with your baby, to care for them for 24 to 48 hours, with staff support if needed.
Yes. If one is much further ahead than the other, it's likely that they will go home before their sibling. The other twin can return with you to visit.
Your health visitor will be your main support once you're home. They'll have been regularly updated on your baby's progress during your their stay in the unit.
Hopefully, you'll have met or made contact with your health visitor before going home. They'll visit you at home within 48 hours of your discharge. Your baby will then be followed up regularly with clinic appointments.
Some babies with specific needs will have the support of the neonatal outreach service, also known as the neonatal home team.
The family care team are able to provide transition support for you and your family for up to 3 months after your baby is discharged from our neonatal unit.
Resources
Going home from the neonatal unit | Bliss
One of the national lead clinical psychologists for neonatal care has worked with a charity to develop online courses for families both on the neonatal unit, and after discharge. These are free to access, even though it appears that you need to purchase them. Here is a short video from Dr Davy Evans, clinical psychologist talking through what they involve, which you can watch on YouTube.
An online learning course is available for families at home, covering topics such as settling in at home, understanding your baby’s brain, how to respond to crying, developing health sleep patterns, understanding your baby’s feeding. You can find the course on the In Our Place website.
Follow up to see your baby after discharge will be arranged if this is required.
If your baby was born before 32 weeks and weighed 1500g or less, they'll be followed up as part of the neonatal neurodevelopmental follow programme. You'll be given information about this programme prior to discharge. These babies usually have follow up appointments until they're at least two or three years old. Some will be seen right up to school age. Babies who have had specific medical problems will also have follow up appointments.
You'll be sent home with two weeks supply of your baby's medication. After that you'll need to have a repeat prescription from your doctor (GP).
Your baby should stay on vitamins until they are fully weaned. This will generally be up to one year. After this, a healthy start multivitamin preparation can be given to your baby.
No. Some babies tolerate them better if they are given at separate feeds. Please find a routine that suits you.
If your baby needs to be re-admitted to hospital, they'll go to a paediatric ward at Southampton General Hospital.
Generally your house temperature should be between 18 and 20 degrees celsius. You do not need to have your house at the same temperature as the neonatal intensive care unit (25 degrees celsius).
Dress your baby in layers, which can be added to or taken away. Never use your baby's hands or feet as a guide to warmth, as they are generally cooler than their body. Your baby will adjust to their new environment.
The corrected age is the age a baby would have been if they'd been delivered at full term, or the age calculated from your estimated date of delivery.
Corrected age is used when monitoring premature babies' physical and speech development, such as sitting, walking and talking.
We usually stop correcting age when your child in two years old.
The actual age of your baby is used for immunisations and feeding or weaning.
There's no set answer for this question as all children develop at different rates. Try not to compare one child with another. The most important thing is for children to have playtime in all different positions to encourage their development.
If you have any concerns over your child's development you can discuss them with your consultant or bring your child to the Wednesday coffee morning for an assessment with the physiotherapist.
Yes. It is important that your baby has time to play on their tummy to encourage normal development patterns and head control. However this should only be done when your baby is awake and you are in the room with them.
Your baby must be placed on their back to sleep.