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Neonatal nursery noise: practice-based learning and improvement.

Sahar M A Hassanein1, Nehal M El Raggal, Amani A Shalaby

  • 1Department of Pediatrics, Ain Shams University, Cairo, Egypt. saharhassanein@med.asu.edu.eg

The Journal of Maternal-Fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
|November 30, 2012
PubMed
Summary

Loud noise in the Neonatal Intensive Care Unit (NICU) disrupts infant physiology, particularly in preterm infants. Staff education is crucial for reducing noise pollution and protecting neonatal health.

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Area of Science:

  • Neonatal physiology
  • Environmental acoustics
  • Pediatric intensive care

Background:

  • Neonatal Intensive Care Units (NICUs) are often noisy environments.
  • Excessive noise can negatively impact infant development and physiological stability.
  • International noise level guidelines exist to protect vulnerable neonates.

Purpose of the Study:

  • To assess the impact of loud, intermittent noise on physiological parameters in neonates within an NICU.
  • To implement and evaluate noise reduction strategies through staff training.

Main Methods:

  • Noise levels were measured across different times and events within the NICU.
  • Neonatal heart rate, respiratory rate, and oxygen saturation were monitored before and after noise exposure.
  • Staff received targeted training on noise reduction techniques, guided by sound level measurements.

Main Results:

  • The NICU critical care area exhibited high mean noise levels (up to 60.5 dB).
  • Noise levels were significantly lower inside incubators compared to the general NICU environment (p < 0.001).
  • Noisy events caused significant increases in heart and respiratory rates, especially in preterm infants (p < 0.05).

Conclusions:

  • NICU noise levels frequently surpassed recommended international standards.
  • Frequent noisy events destabilized neonatal physiology, with preterm infants being more susceptible.
  • Staff education is essential for mitigating noise pollution and its adverse effects on neonatal homeostasis.