Rooming-in in the Neonatal Care Unit: Effect on Breastfeeding in the First Six Months of Age
Abstract Background: Keeping hospitalised newborns in rooming-in with their parents 24 hours a day improves bonding, promotes kangaroo care and may contribute to successful breastfeeding. Material and methods: Longitudinal and retrospective study including 77 newborns admitted to our traditional shared design neonatal unit during 2016-2017 (pre-intervention group) and 97 hospitalised in single-family room design for rooming-in between 2019-2021 (post-intervention group). The reason for admission, duration (hours), and type of feeding at discharge and during the first 6 months were compared between the two groups. Results: 43 newborns (44 %) were admitted to rooming-in between 2019-2021. The highest percentage of exclusively breastfed newborns was recorded among newborns admitted to rooming-in, both at discharge (40 % vs 23 %; p = 0.06) and at 6 months (39 % vs 22 %; p = 0.14), with no significant differences. Between the newborns admitted for pathological jaundice, compared to those admitted in the neonatal unit, the breastfeeding rate was higher in all periods analysed and reached the statistical significance at six months (44 % vs 12 %, p = 0.039). Conclusions: Neonatal admission to rooming-in is associated with an increase in the proportion of infants exclusively breastfed, both at discharge and during the first months of life.
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2. Organización Mundial de la Salud, Fondo de las Naciones Unidas para la Infancia, Wellstart INternational. The Baby-friendly Hospital Initiative: monitoring and reassessment: tools to sustain progress. Ginebra, Organización Mundial de la Salud; 1999.
3. Braun K. The prefrontal-limbic system: development, neuroanatomy, function, and implications for socioemotional development. Clin Perinatol [Internet]. 2011;38(4):685-702. Disponible en: https://www.sciencedirect.com/science/article/pii/S0095510811001072
4. European standards of Care for newborn health [Internet]. EFCNI. 2017 [citado el 11 de septiembre de 2022]. Disponible en: https://www.efcni.org/activities/projects/escnh/
5. Van Veenendaal NR, van Kempen AAMW, Franck LS, O’Brien K, Limpens J, van der Lee JH et al. Hospitalising preterm infants in single family rooms versus open bay units: A systematic review and meta-analysis of impact on parents. EClinicalMedicine [Internet]. 2020;23(100388):100388. Disponible en: http://dx.doi.org/10.1016/j.eclinm.2020.100388
6. Rite Gracia S, Fernández Lorenzo JR, Echániz Urcelay I, Botet Mussons F, Herranz Carrillo G, Moreno Hernando J et al. Niveles asistenciales y recomendaciones de mínimos para la atención neonatal. An Pediatr (Barc) [Internet]. 2013 [citado el 11 de septiembre de 2022];79(1):51.e1-51.e11. Disponible en: https://www.analesdepediatria.org/es-niveles-asistenciales-recomendaciones-minimos-atencion-articulo-S1695403312004869.
7. Organización Mundial de la Salud. Indicators for assessing infant and young child feeding practices: definitions and measurement methods [Internet]. Who.int. World Health Organization; 2021 [citado el 11 de septiembre de 2022]. Disponible en: https://www.who.int/publications/i/item/9789240018389
8. Grundt H, Tandberg BS, Flacking R, Drageset J, Moen A. Associations between single-family room care and breastfeeding rates in preterm infants. J Hum Lact [Internet]. 2021;37(3):593-602. Disponible en: http://dx.doi.org/10.1177/0890334420962709
9. Domanico R, Davis DK, Coleman F, Davis BO. Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units. J Perinatol [Internet]. 2011;31(4):281-8. Disponible en: https://www.nature.com/articles/jp2010120
10. O’Brien K, Bracht M, Macdonell K, McBride T, Robson K, O’Leary L et al. A pilot cohort analytic study of Family Integrated Care in a Canadian neonatal intensive care unit. BMC Pregnancy Childbirth [Internet]. 2013;13(Suppl 1):S12. Disponible en: http://dx.doi.org/10.1186/1471-2393-13-s1-s12
11. Dieterich CM, Felice JP, O’Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin North Am [Internet]. 2013;60(1):31-48. Disponible en: https://www.sciencedirect.com/science/article/pii/S0031395512001575
12. Gómez A, Ballesteros R, Arjona JF, Salido MC, Del Pilar Montes Colorado M, Del Moral Chaneta MV et al. Mantenimiento del vínculo madre-hijo/a en recién nacidos hospitalizados a través del alojamiento conjunto. Puesta en marcha y experiencia en el Hospital Virgen de La Victoria. Revista de Enfermería Docente. 2018. Disponible en: https://www.semanticscholar.org/paper/933df0d3d843348e3aec25533a255b29706f4acc
13. Örtenstrand A, Westrup B, Broström EB, Sarman I, Åkerström S, Brune T et al. The Stockholm neonatal family centered care study: Effects on length of stay and infant morbidity. Pediatrics [Internet]. 2010;125(2):e278-85. Disponible en: http://dx.doi.org/10.1542/peds.2009-1511
Miñones Suarez, L., Fernández Morales, M., García Pérez, L., Huguet Gorriz, A., Fernández Romasanta, A., Aldaz Calvo, M., & Ramillete Bandrés, S. (2024). Rooming-in in the Neonatal Care Unit: Effect on Breastfeeding in the First Six Months of Age. Revista De Lactancia Materna, 2, e30790. https://doi.org/10.14201/rlm.30790
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