Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy

Abstract Background Studies on the application of developmental care initiatives in Italian NICUs are rather scarce. We aimed to assess parental access to the NICUs and facilities offered to the family members and to test “the state of art” regarding kangaroo mother care (KMC) and breastfeeding poli...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Claudia Artese, Fabrizio Ferrari, Silvia Perugi, Paola Cavicchioli, Giuseppe Paterlini, Fabio Mosca, the Developmental Care Study Group of Italian Society and Neonatology
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Developmental care Parental access Premature newborn Breastfeeding Skin-to-skin contact Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/5bbbc87f97014e4e89bfa436d1d690fc
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5bbbc87f97014e4e89bfa436d1d690fc
record_format	dspace
spelling	oai:doaj.org-article:5bbbc87f97014e4e89bfa436d1d690fc2021-12-05T12:25:56ZSurveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy10.1186/s13052-021-01164-81824-7288https://doaj.org/article/5bbbc87f97014e4e89bfa436d1d690fc2021-12-01T00:00:00Zhttps://doi.org/10.1186/s13052-021-01164-8https://doaj.org/toc/1824-7288Abstract Background Studies on the application of developmental care initiatives in Italian NICUs are rather scarce. We aimed to assess parental access to the NICUs and facilities offered to the family members and to test “the state of art” regarding kangaroo mother care (KMC) and breastfeeding policies in level III Italian NICUs. Methods A questionnaire both in paper and in electronic format was sent to all 106 Italian level III NICUs; 86 NICUs (i.e., 80% of NICUs) were completed and returned. The collected data were analysed. In addition, a comparison between the 2017 survey results and those of two previous surveys conducted from 2001 to 2006 was performed. Results In total, 53 NICUs (62%) reported 24-h open access for both parents (vs. 35% in 2001 and 32% in 2006). Parents were requested to temporarily leave the unit during shift changes, emergencies and medical rounds in 55 NICUs (64%). Some parental amenities, such as an armchair next to the crib (81 units (94%)), a room for pumping milk and a waiting room, were common, but others, such as family rooms (19 units (22%)) and adjoining accommodation (30 units (35%)), were not. KMC was practised in 81 (94%) units, but in 72 (62%), i.e., the majority of units, KMC was limited to specific times. In 11 (13%) NICUs, KMC was not offered to the father. The average duration of a KMC session, based on unit staff estimation, was longer in 24-h access NICUs than in limited-access NICUs. KMC documentation in medical records was reported in only 59% of questionnaires. Breastfeeding was successful in a small proportion of preterm infants staying in the NICU. Conclusion The number of 24-h access NICUs doubled over a period of 13 years. Some basic family facilities, such as a dedicated kitchen, rooms with dedicated beds and showers for the parents, remain uncommon. KMC and breastfeeding have become routine practices; however, the frequency and duration of KMC sessions reported by NICU professionals still do not meet the WHO recommendations.Claudia ArteseFabrizio FerrariSilvia PerugiPaola CavicchioliGiuseppe PaterliniFabio Moscathe Developmental Care Study Group of Italian Society and NeonatologyBMCarticleDevelopmental careParental accessPremature newbornBreastfeedingSkin-to-skin contactPediatricsRJ1-570ENItalian Journal of Pediatrics, Vol 47, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Developmental care Parental access Premature newborn Breastfeeding Skin-to-skin contact Pediatrics RJ1-570
spellingShingle	Developmental care Parental access Premature newborn Breastfeeding Skin-to-skin contact Pediatrics RJ1-570 Claudia Artese Fabrizio Ferrari Silvia Perugi Paola Cavicchioli Giuseppe Paterlini Fabio Mosca the Developmental Care Study Group of Italian Society and Neonatology Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
description	Abstract Background Studies on the application of developmental care initiatives in Italian NICUs are rather scarce. We aimed to assess parental access to the NICUs and facilities offered to the family members and to test “the state of art” regarding kangaroo mother care (KMC) and breastfeeding policies in level III Italian NICUs. Methods A questionnaire both in paper and in electronic format was sent to all 106 Italian level III NICUs; 86 NICUs (i.e., 80% of NICUs) were completed and returned. The collected data were analysed. In addition, a comparison between the 2017 survey results and those of two previous surveys conducted from 2001 to 2006 was performed. Results In total, 53 NICUs (62%) reported 24-h open access for both parents (vs. 35% in 2001 and 32% in 2006). Parents were requested to temporarily leave the unit during shift changes, emergencies and medical rounds in 55 NICUs (64%). Some parental amenities, such as an armchair next to the crib (81 units (94%)), a room for pumping milk and a waiting room, were common, but others, such as family rooms (19 units (22%)) and adjoining accommodation (30 units (35%)), were not. KMC was practised in 81 (94%) units, but in 72 (62%), i.e., the majority of units, KMC was limited to specific times. In 11 (13%) NICUs, KMC was not offered to the father. The average duration of a KMC session, based on unit staff estimation, was longer in 24-h access NICUs than in limited-access NICUs. KMC documentation in medical records was reported in only 59% of questionnaires. Breastfeeding was successful in a small proportion of preterm infants staying in the NICU. Conclusion The number of 24-h access NICUs doubled over a period of 13 years. Some basic family facilities, such as a dedicated kitchen, rooms with dedicated beds and showers for the parents, remain uncommon. KMC and breastfeeding have become routine practices; however, the frequency and duration of KMC sessions reported by NICU professionals still do not meet the WHO recommendations.
format	article
author	Claudia Artese Fabrizio Ferrari Silvia Perugi Paola Cavicchioli Giuseppe Paterlini Fabio Mosca the Developmental Care Study Group of Italian Society and Neonatology
author_facet	Claudia Artese Fabrizio Ferrari Silvia Perugi Paola Cavicchioli Giuseppe Paterlini Fabio Mosca the Developmental Care Study Group of Italian Society and Neonatology
author_sort	Claudia Artese
title	Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
title_short	Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
title_full	Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
title_fullStr	Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
title_full_unstemmed	Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy
title_sort	surveying family access: kangaroo mother care and breastfeeding policies across nicus in italy
publisher	BMC
publishDate	2021
url	https://doaj.org/article/5bbbc87f97014e4e89bfa436d1d690fc
work_keys_str_mv	AT claudiaartese surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT fabrizioferrari surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT silviaperugi surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT paolacavicchioli surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT giuseppepaterlini surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT fabiomosca surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly AT thedevelopmentalcarestudygroupofitaliansocietyandneonatology surveyingfamilyaccesskangaroomothercareandbreastfeedingpoliciesacrossnicusinitaly
_version_	1718371902305599488

Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy

Ejemplares similares