Loss & Complications

A quieter corner of the app. You're not alone here.

Whatever brought you to this page — we're sorry. This hub summarizes the main choices for miscarriage, stillbirth, and the NICU, and gives you one clear place to find urgent-care and crisis support. Educational only; final decisions belong to you and your care team.

Miscarriage

Pregnancy loss before 20 weeks — three management options.

Stillbirth & late loss

Loss at 20 weeks or later — care, choices, and support.

NICU basics

When your baby needs extra care after birth.

NICU basics — the main choices

The NICU — What to Expect and How to Be Involved

A parent-friendly orientation to the NICU: levels of care, common reasons for admission, the equipment and team, how to be involved, discharge criteria, and support.

  • If your hospital is Level I/II and your baby needs Level III/IV, transfer is standard — you can usually ride with the transport team or follow shortly after
  • Milk options: pumping your own, donor human milk from a milk bank (HMBANA), and formula — all can be part of a plan
  • Kangaroo care, feeding, bathing, and diaper changes can almost always be done by parents once the baby is stable — ask
  • Support: hospital social work, chaplaincy, Hand to Hold, March of Dimes NICU Family Support, PSI

When to call — tailored to nicu basics

Each row shows what's usually normal and the specific signs that mean call now.

  • The first hours after admission

    Within the range of normal

    A lot of people, a lot of equipment, and quick-moving conversations. Baby may be on a warmer, in an incubator, with an IV, oxygen, or breathing support.

    Call your healthcare team if

    You wouldn't 'call' — you're right there. But do ask (or ask again): 'What's the plan for the next hour? When can I touch or hold my baby? Who is the attending?'

  • Monitor alarms

    Within the range of normal

    Alarms go off constantly — most are movement artifact, a lead falling off, or a brief normal drop. NICU nurses respond by feel, not just sound.

    Call your healthcare team if

    You wouldn't call — but if you're worried, tell the nurse. Every real alarm gets a professional response; your role is not to interpret the monitor.

  • Feeding progress

    Within the range of normal

    Preterm babies often start on IV fluids, progress to tube feeds (NG/OG), and gradually take feeds by breast or bottle as their coordination develops (~34 weeks corrected).

    Call your healthcare team if

    Ask about feeding milestones weekly and about milk supply support (pump every 2–3 hours around the clock, hand expression in the first days). Loss of supply is common and preventable with early lactation help.

  • Your own recovery and mental health

    Within the range of normal

    Physical recovery still happens — bleeding, afterpains, milk, hormones — even when your attention is on the NICU.

    Call your healthcare team if

    Any adult postpartum warning sign (soaking a pad an hour, severe headache, chest pain, one calf swelling, fever, thoughts of harming yourself) applies here too. Ask for a mental-health referral before you feel you 'need' one — NICU PTSD is real and treatable.

  • Going home

    Within the range of normal

    Discharge usually requires: temperature stability in an open crib, taking all feeds by mouth (or a stable tube-feeding plan), no apnea events for ~5 days, car-seat tolerance test, and hearing/CCHD/newborn screens complete.

    Call your healthcare team if

    In the first weeks at home, follow the pediatrician's specific 'when to call' list. Any color change (blue or gray), stopping breathing, poor feeding, fewer wet diapers, or fever ≥100.4°F in a baby under 3 months — go in.

Read the full topic

Deeper explanation, evidence sources, and every "usually normal vs. call" variation.

Open NICU basics