During the late 1800s and early 1900s, physician Martin Couney held incubator exhibits to demonstrate the efficacy of infant incubators throughout the US and Europe. At his exhibits, Couney demonstrated that isolating premature infants in an incubator ward could significantly decrease premature infant mortality and increased the use of incubators in the US.
In the May 1996 edition of The Annals of Surgery, John A. Morris and his collaborators published “Infant Survival After Cesarean Section for Trauma,” in which they evaluate the use of emergency cesarean sections for the treatment of pregnant trauma patients. During a cesarean section, a physician removes a fetus from a pregnant woman through an incision in her abdomen and uterus. When a pregnant woman experiences trauma, physicians can perform an emergency cesarean section to remove the fetus and administer medical treatments that would not be possible while the woman is pregnant. In their article, Morris and his colleagues examine the fetal outcomes following emergency cesarean sections to determine when the procedure should be used in a trauma setting. The authors support the use of emergency cesarean sections in trauma patients when those patients demonstrate high degrees of maternal and fetal distress. Morris and his team’s article is one of the first to focus on how trauma affects third trimester pregnancies and to develop an algorithm to help physicians treat those patients.
Etienne Stephane Tarnier was a physician who worked with premature infants in France during the nineteenth century. He worked at the Maternité Port-Royal in Paris, France, a hospital for poor pregnant women. Tarnier developed and introduced prototypes of infant incubators to the Maternité in 1881. Tarnier's incubators became standard in neonatal care, especially for premature infants, enabling doctors to save many such infants that previously would have died.
Alexandre Lion established incubator charities in the late 1890s in France to promote his infant incubator. Lion’s infant incubators kept premature infants warm and improved their chances of survival, but were expensive and not widely used. In order to promote his new technology, Lion displayed incubators that carried premature infants in storefronts and at fairs and expositions throughout Europe. After the public began paying admission to view the infants and incubators, the expositions became incubator charities. Admission fees went directly to the care of the premature infants. The charities treated roughly 8,000 premature infants and greater than 7,500 of them survived. The charities in France occurred in Paris, Nice, Marseille, Bordeaux, and Lyon. The charities in Belgium were located in Liège and Brussels.
In the 2003 article “Kangaroo Care Is Effective in Diminishing Pain Response in Preterm Neonates”, Celeste Johnston, Bonnie Stevens, Janet Pinelli, and their colleagues evaluate the effectiveness of the Kangaroo Mother Care position in decreasing the pain response of preterm infants who undergo a heel lance procedure for blood collection. Kangaroo Mother Care is a method of treatment for premature and low birth weight infants that involves exclusive breastfeeding and skin-to-skin contact between a mother and her infant in what is called the kangaroo position. After researchers supported the use of Kangaroo Mother Care for basic care, they began to search for other uses of Kangaroo Care in the neonatal intensive care unit, or NICU. In their article, the authors demonstrate that the skin-to-skin contact involved in the Kangaroo Mother Care decreased the amount of pain premature infants experienced during a heel lance, a frequently used NICU procedure.