What are the different levels of NICU?


When you’re expecting twins, you have a higher probability that your babies will need to spend some time in the Neonatal Intensive Care Unit, or NICU, due to the higher chances of preemies with a multiples pregnancy. When choosing the hospital where you will deliver, make sure to ask about the level of the NICU; not all hospitals can offer the advanced treatment that preemies need.

If at all possible, you will want to choose a hospital with at least a level 3 NICU. This is really important because if your babies need intensive care or to see a neonatologist you will want to have that immediately available for them, as well as the ability to stay in the same hospital as them. This can be difficult for people living in rural areas who might have limited choices, but it’s good to be aware of the capabilities of your local hospitals in advance so you can mentally prepare for what’s to come.

We have outlined the differences in infant care offered at hospitals so you can understand what sets them apart.

Well Baby Nursery

1.  Well Baby Nursery

Babies who are born near their due dates and with no complications are typically cared for in the well baby nursery. This area is typically on the same floor as the postpartum rooms where moms are recovering from childbirth. The nursery provides newborn screenings, assessments, routine medical care, and feedings when mom needs to sleep.

Special Care Nursery

2.  Special Care Nursery

A level 2 NICU — or special care nursery — can accommodate babies born at 32 weeks, as well as full-term babies who need extra monitoring or antibiotics by IV after birth. This is a place for newborns who have minimal health problems, such as jaundice and trouble staying warm or trouble eating.

Level 3 NICU

3.  Level 3 NICU

A hospital with a level 3 NICU offers intensive care for babies born as early as 28 weeks, but this may vary from state to state, so give a call to the hospital to check. A level 3 NICU can provide respiratory support for babies who are having trouble breathing, and can deliver IV fluids to babies who cannot take milk feedings. According to some classification systems, a level 3 NICU is the highest level of neonatal care; under these classifications, a level 3 NICU can offer the same level of care as a level 4 NICU.


4.  Level 4 NICU

A level 4 NICU is an intensive care unit that can care for babies as young as 22 to 24 weeks gestational age (for states and hospitals who use this classification.) Level 4 NICUs can provide sophisticated types of respiratory support for very sick babies, and offer a wide variety of neonatal surgeries. These are usually found in children’s hospitals.

Related Articles

Top 10 Articles for Multiples in the NICU

Hospital Bag Checklist

A NICU Story: When your twins are an hour away

*          *          *

what to do when you're having two bookAre you a new twin parent? Check out Natalie Diaz’s new book “What To Do When You’re Having Two: The Twin Survival Guide From Pregnancy Through the First Year”, available in stores now!

The rate of twin births has risen 79 percent over the last three decades, and continues to increase. A mom of fraternal twins and a national guru on having two, Natalie Diaz launched Twiniversity, a supportive website with advice from the twin-trenches.

What to Do When You’re Having Two is the definitive how-to guide to parenting twins, covering how to make a Birth Plan checklist, sticking to one sleep schedule, managing double-duty breastfeeding, stocking up on all the necessary gear, building one-on-one relationships with each child, and more.

Accessible and informative, What to Do When You’re Having Two is the must-have manual for all parents of twins.

Nat-Twiniversity-ClassClick here for info on our expecting and new twin parent classes in New York City, Chicago, and online! 

*          *          *

Join our FREE forums and connect with parents of multiples all over the WORLD! Visithttps://www.twiniversity.com/join-twiniversity

Whether you’re a twin parent in the big city surrounded by scores of resources, or a triplet parent out in the country with no one around for miles — our multiples parenting forums are for YOU! Sign up for FREE and connect with people who are just like you — parents of multiples looking for advice, parenting tips, or even just people to chat with who will understand what you’re going through. Our forums are open to people all over the world and we offer scads of specialty rooms to find others who are going through the exact same thing as you. Check it out today!

*          *          *

Twiniversity is the #1 source for parents of multiples and we are growing faster every day!

Find us all over the web:






Or contact us by email at community@twiniversity.com

Leave a Comment