You are here

Why expecting parents need a BUMP

Image Source

“Better to have, and not need, than to need, and not have” - Franz Kafka

I think this quote can be used in a wide variety of circumstances, but, to me, it aptly sums up just why every family expecting a newborn should have a baby urgent medical plan, or BUMP, established ahead of labor and delivery.

Even in the most “normal” of pregnancies, unexpected complications can arise and cause lots of anxiety. This anxiety can be minimized through a little bit of thoughtful planning. Most babies are delivered without an issue, but 1 in 10 babies will require some kind of medical assistance at birth and 1 in 100 babies will need more extensive, resuscitative measures to sustain life and/or prevent adverse outcomes.

Being in the right place and having the right team to help navigate a difficult birth is vital, and time is precious. Every passing minute can make the difference between good and poor outcomes, between life and death.

If your baby requires a higher level of medical care, you have the right to ask for your baby to be transferred to the neonatal intensive care unit (NICU) of your choice. This is a critical decision. To plan for this possibility, specialists at Texas Children’s recommend all expecting parents to create a BUMP, listing preferences known to their doctors and families ahead of time.

Your BUMP will allow doctors and family to rapidly mobilize resources and/or request the transfer of your infant should the need arise rather than spend time attempting to figure out what to do or where to turn.

How to prepare your BUMP:

  1. First, review our list of 10 NICU considerations and discuss neonatal intensive care with your obstetrician.
  2. Identify and research the highest-level NICUs in your area and familiarize yourself with their services and levels of care.
  3. Document the address and contact information for your preferred facility, in addition to any special notes discussed with your obstetrician, and pack a copy in your hospital bag. Your BUMP is a natural and critical addition to a standard birth plan and will help make decisions easier when the unexpected happens.
  4. Advocate for your baby. You have the right to ask for your baby to be transferred to the NICU of your choice.
  5. If complications are detected before delivery, speak with your obstetrician about delivering at a high-risk center like Texas Children’s Pavilion for Women to help ensure a positive outcome.

If you do choose to deliver at Texas Children’s Pavilion for Women, you’ll have peace of mind knowing that full-service newborn care is available to your and your baby. 

Texas Children’s Hospital operates one of largest NICUs in the nation and offers the highest level of neonatal intensive care available. We treat more than 1,500 infants each year by providing critical services needed by critically-ill and premature babies, including on-site neonatologists, the highest level of respiratory support, a specialized transport team (Kangaroo Crew), advanced imaging, pediatric surgery and much more. If you’re interested in learning more about our NICU, click here.

Post by:

Caraciolo J. Fernandes, MD

Dr. Caraciolo Fernandes is an academic neonatologist whose clinical experience and training spans three different countries/continents (India/Asia, Australia and the United States) and over three decades. He has been at Texas Children’s and Baylor College of Medicine since 1994.

In Texas Children’s Hospital Newborn Center, he serves as the Medical Director for Neonatal Transport, and the Program Director for the Section of Neonatology’s Congenital Diaphragmatic Hernia and Extra-Corporeal Membrane Oxygenation (ECMO) programs.

As clinician-educator, he enjoys working with BCM students, residents and fellows whose questioning minds help him learn daily. He is actively involved in various aspects of Neonatology Fellows’ education, including crafting the Baylor Neo ‘Summer School’, mentoring fellows, clinical bedside teaching, ECMO rounds, etc.  He enjoys participating in multi-disciplinary clinical research, quality improvement initiatives, simulation training for fellows, and discussions about challenging diagnostic and ethical clinical cases.

He is a senior editor of “Guidelines for the Acute Care of the Neonate,” currently in its 26th annual revision, a handbook that has served as a resource for health-caregivers at Baylor-affiliated institutions for over two decades, and, currently, for practitioners in over 50 countries. In 2013, with a vision of improving neonatal care globally, the Baylor Neonatology Section made the .pdf version of the “Baylor Neo Guidelines” available for free download. 

Professional Interests:

  • Hypoxic-respiratory failure in the newborn
  • Neonatal Resuscitation
  • Neonatal Transport
  • Pulmonary Hypertension
  • Congenital Diaphragmatic Hernia
  • Neonatal ECMO (Extra Corporeal Membrane Oxygenation)