The effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units: A systematic review and meta-analysis

Hamer, Oliver; Hill, James E.; Kuroski, Jennifer; Gupta, Rajesh Kumar; Appleton, Victoria; Georgiou, George; Thomson, Gill; Clegg, Andrew

doi:10.1016/j.jnn.2022.08.005

Cited by 5 publications

(3 citation statements)

References 37 publications

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“…Perawatan bayi baru lahir yang penting melibatkan perawatan segera pada saat kelahiran, dan perawatan penting selama seluruh periode bayi baru lahir (WHO, 2014). Intervensi memiliki beberapa komponen seperti kunjungan rumah, sesi pendidikan kesehatan dan dukungan yang bervariasi dalam frekuensi atau intensitas (Hamer, 2022). Penerapan home care merupakan bagian dari pemberian intervensi kesehatan bayi baru lahir utama berbasis masyarakat dengan melakukan kunjungan rumah.…”

Section: Pembahasanunclassified

Penerapan Home Care Bayi Baru Lahir Usia 0-28 Hari Pasca Pandemi COVID-19

2022

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Saat pandemic, Layanan kesehatan yang biasanya mudah diakses dengan biaya murah , namun terdapat perubahan salah satunya adanya penerapan home care yang diutamakan bagi pasien Ibu dan Bayi , untuk mencegah tingkat keparahan dan meningkatkan kesehatannya. Tujuan penelitian ini menggambarkan penerapan pemberian asuhan kebidanan pada neonatus dengan home care saat pasca pandemi. Metode yang digunakan dalam penelitian adalah metode kualitatif berjenis deskriptif dengan pendekatan studi kasus. Pada asuhan kebidanan ini digunakan metode pendekatan manajemen kebidanan dengan metode SOAP. Homecare Asuhan kebidanan yang diberikan saat kehamilan pada Ny. W usia kehamilan 39 minggu yang melahirkan secara spontan pada 13 Februari 2022 ditolong oleh bidan. Bayi lahir dengan BB 2800 gram, PB 46 cm, LK 33 cm, LD 30 cm, berjenis kelamin perempuan usia 0-28 hari. Dengan respondennya yaitu seorang ibu yang mempunyai bayi berusia 0-28 hari bertempat di PMB serta di rumah Ny. W. Pemberian asuhan kebidanan pada neonatus meliputi pencegahan infeksi, melakukan penilaian pada bayi, pencegahan kehilangan panas bayi, pembebasan jalan nafas, menyusui dengan ASI eksklusif dan cara merawat tali pusat yang benar, KIE tanda bahaya pada neonatus serta imunisasi. Tidak ada perubahan layanan home care pada bayi baru lahir 0 – 28 hari saat pasca pandemic, dalam hal ini layanan home care lebih ditekankan pada penggunaan APD ( Alat Pelindung Diri ) pada tenaga kesehatan ( bidan ) saat memberikan layanan home care.

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Section: Pembahasanunclassified

Penerapan Home Care Bayi Baru Lahir Usia 0-28 Hari Pasca Pandemi COVID-19

2022

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“…Transitioning to home‐based care might add to parental stress if discharge planning and preparations are not well executed 3,18–22 . Parental pre‐discharge preparation programmes ensure that parents administer medications and other therapies correctly, are able to safely manage non‐acute medical problems, and know when to seek medical attention 5,13,18,23,24 . The use of institutional guidelines and policies can standardise this process and decrease variability 23,25 …”

Section: Introductionmentioning

confidence: 99%

“…3,[18][19][20][21][22] Parental pre-discharge preparation programmes ensure that parents administer medications and other therapies correctly, are able to safely manage non-acute medical problems, and know when to seek medical attention. 5,13,18,23,24 The use of institutional guidelines and policies can standardise this process and decrease variability. 23,25 After discharge, assigned staff should be available to guide parents in infant care and to follow up.…”

Section: Introductionmentioning

confidence: 99%

Nordic survey showed wide variation in discharge practices for very preterm infants

et al. 2023

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AimWe aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units.MethodsMedical directors of all 89 level‐2 and level‐3 units in Denmark, Finland, Iceland, Norway, and Sweden were invited by e‐mail to complete a web‐based multiple‐choice survey with the option to make additional free‐text comments.ResultsWe received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post‐discharge home visits and video‐consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the two last weeks of hospital stay.ConclusionDischarge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge.

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