AbstractsChildren Clinic/Academic Medical Center in Amsterdam the Netherlands was a complicated process. Methods A multidisciplinary workgroup, 5 nurses, 5 neonatologists and a pharmacist composed a phased implementation procedure which consisted of the following activities:A multidisciplinary meeting before and 10 months after implementation; Existing protocols were made evidence based; Working visits were made; A centre of expertise was established; A group of experienced nurses and doctors were steered as leaders in the care; Clinics and workshops for leading nurses; Clinics for all professionals concerned; Sessions for nurses to reflect and learn from each other; Evaluation of the implementation; and an Inventory to readjust existing guideline. Results Due to media attention, an early start was forced. Protocols were not ready, material and equipment not available. The number of infants was higher than expected. The decision to perform the care for these infants by leading nurses resulted in agitation amongst other nurses. Their opinion was that complex nursing care should be performed by all experienced nurses. New rules resulted in a lack of clarity. Conclusions Well-considered choices were made, however it appeared that nurses were in need of training on the job instead of planned theoretical training in advance. STUDYING THE HOSPITALIZATION CAUSES OF NEONATES FROM FARS PROVINCE AT THE NURSERY WARDS Materials and MethodsThis study is a descriptive research. The samples were consisting of 60 immature neonates less than 37 weeks and weight of below 2500 grams who had been hospitalized at the nursery wards of Shiraz city. These neonates were selected by simple sampling method.Results The results of the study showed that, 53.5% of hospitalization causes of immature neonates at the hospital were affection to the Jaundice and Respiratory Distress Syndrome followed by Pneumonia which was the cause of 30.0% of cases. While, affection to the diseases like Sepsis, Hypoglycemia, Necrosing Enterocolitis, Metabolic disorders and Nosocomial infection were the cause of 8.3%, 5.0%, 3.3%, 1.7% and 1.7% of the hospitalization cases respectively. None of them were hospitalized due to the intra cerebral hemorrhage in this study. Discussion and conclusion In this study, Jaundice, RDS and Pneumonia are among the most prevalent causes of hospitalization of immature neonates in the hospital. It is recommended for the health care givers to have sufficient information in this regard and while facing immature neonates, pay more attention to their respiratory condition.

Background and Aim Danish studies show that prematuremothers develop PTSD symptoms more frequent than the rest of the population. Little research has been conducted on familiy life the first year after birth of a late preterm infant (GW 32-37) and they are discharged to normalcy without extra health care sevices. Methods A Phd in anthropology is research frame. My one and a half year fieldwork in danish families after birth of a late preterm child consists of participant observation in every day life and interviews. Health care nurse visits are included as well as peer groups of mothers. Results My preliminary findings show a heavy focus on monitorring child development and health being associated with good parenting. Parenthood is a professionalized and highly moral practice. In spite of an eccesive amount of knowledge on babycare parents experience much uncertainty in the multiple daily choises on sleep, stimulation, contact, food etc. The premature birth as event with hospitalisation and an experience of risk, accentuates the insecurity as it is difficult to make sure wheather or not the child is to be cosidered normal. Peer Groups of mothers are thought to be a place of recognition and sharing, but can negatively cotribute to the stigma of premature families in the process of mutual assesment that is practiced in the groups. Conclusion The development and health oriented focus in Denmark 2012 has generated a monitoring practice that contributes to parental insecurity and a sense of difference in stead of being empowered.