Benefits of Early Maternal Participation in Care of Low Birth Weight Infants Leading to Early Discharge

Karan, S; Rao, Shoma V.

doi:10.1093/tropej/29.2.115

Cited by 8 publications

(1 citation statement)

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“…Family-centred care (FCC) practices in neonatal units have been implemented in a variety of settings for the last 20–25 years 1 2. Initiatives from the Indian subcontinent have reported that involving mothers in the care of their infants in hospital and in the community reduces infant mortality, especially infection-related mortality 2–5. FCC approaches in small-scale step-down baby care units have shown reduction in length of stay (LOS) 6.…”

Section: Introductionmentioning

confidence: 99%

Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application

Banerjee

Aloysius

Mitchell

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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ObjectiveThe aim of the Integrated Family Delivered Care (IFDC) programme was to improve infant health outcomes and parent experience through education and competency-based training.DesignIn collaboration with veteran parents’ focus groups, we created an experienced co-designed care bundle including IFDC mobile application, which together with staff training programme comprised the IFDC programme. Infant outcomes were compared with retrospective controls in a prepost intervention analysis.Main outcome measuresThe primary outcome measure was the length of stay (LOS).ResultsBetween April 2017 and May 2018, 89 families were recruited; 37 infants completed their entire care episode in our units with a minimum LOS >14 days. From a gestational age (GA) and birth weight-matched retrospective cohort, 57 control infants were selected. Data were also analysed for subgroup under 30 weeks GA (n=20).Infants in the IFDC group were discharged earlier: median corrected GA (36+0 (IQR 35+0–38+0) vs 37+1 (IQR 36+3–38+4) weeks; p=0.003), with shorter median LOS (41 (32–63) vs 55 (41–73) days; p=0.022). This was also evident in the subgroup <30 weeks GA (61 (39–82) vs 76 (68–84) days; p=0.035). Special care days were significantly lower in the IFDC group (30 (21–41) vs 40 (31–46); p=0.006). The subgroup of infants (<30 weeks) reached full suck feeding earlier (median: 47 (37–76) vs 72 (66–82) days; p=0.006).ConclusionThis is the first reported study from a UK tertiary neonatal unit demonstrating significant benefits of family integrated care programme. The IFDC programme has significantly reduced LOS, resulted in the earlier achievement of full enteral and suck feeds.

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Section: Introductionmentioning

confidence: 99%

Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application

Banerjee

Aloysius

Mitchell

et al. 2019

Arch Dis Child Fetal Neonatal Ed

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can the special care neonatal unit admission cut-off be lowered down to 1500g babies?

Goswami

Ghosh²,

Sinha³

et al. 2009

Indian J Pediatr

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Current Challenges and Future Prospects of Neonatal Care in India

Bhakoo¹,

Prabhash

2012

Indian J Pediatr

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Maternal and neonatal health is the current focus of central and state governments as well as various funding organizations. There is a lot happening in terms of expansion of secondary healthcare facilities and training of the healthcare personnel. This offers an exciting opportunity like never before, for those interested in the welfare of the newborns. Although infant and neonatal mortality rates in our country have been falling progressively, the pace has been much slower than expected, especially for neonatal mortality and we are likely to miss the Millennium Development Goals. In this article, the authors critically review the current status of neonatal health, infrastructure for neonatal care, the current national programs, the peculiar challenges we face and offer suggestions for alternative approaches to the way forward. The authors propose that neonatal care should be delivered as a continuum through an integrated district based model run by empowered District Coordination Committees with a smooth flow of referral and back-referrals between different levels of care. The prioritization and planning should be based on local data, needs and geopolitical scenario rather than a single national plan, which can provide a broad guideline. The need of the hour is to revive and make the primary care system functional and accountable while expanding and ensuring quality of special care services.

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Benefits of Early Maternal Participation in Care of Low Birth Weight Infants Leading to Early Discharge

Cited by 8 publications

References 0 publications

Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application

Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application

can the special care neonatal unit admission cut-off be lowered down to 1500g babies?

Current Challenges and Future Prospects of Neonatal Care in India

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