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Family-centered care to complement care of sick newborns: A randomized controlled trial

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Abstract

Objective

To assess the impact of family-centered care in delivery of care to sick newborns, on nosocomial infection rate.

Design

Randomized controlled trial

Setting

Tertiary referral nursery (October 2010 to March 2012).

Participants

295 neonates randomized at the time of hospitalization in neonatal intensive care unit.

Intervention

Parent-attendant of intervention group were trained using an indigenously developed and pretested, culturally sensitive, simple audio-video tool that covered domains of personal hygiene, hand washing, danger signs recognition and feeding of sick neonate. Control group received routine care by nurses and doctors.

Outcome measure

Primary: culture positive nosocomial infection rate. Secondary: culture negative nosocomial infection rate, duration of hospitalization, mortality and breastfeeding rate.

Results

Two-thirds of family caregivers were fathers/ mothers and about 20% were grandparents. About 60% of family care givers were either illiterate (25%) or primary/middle pass (34%). Incidence of nosocomial episodes of sepsis was not different between groups (incidence rate difference 0.74, 95 % CI -4.21, 5.6, P = 0.76). Pre-discharge exclusive breastfeeding rates were significantly higher in intervention group [80.4% vs 66.7% (P=0.007)].

Conclusions

There was no significant difference in nosocomial infection rate between the two groups. Translating and adapting principles of family-centered care was feasible, and improved the pre-discharge exclusive breastfeeding rates.

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References

  1. Forsythe P. New practices in the transitional care center improve outcomes for babies and their families. J Perinatol. 1998;18:119–28.

    Google Scholar 

  2. Jotzo M, Poets CF. Helping parents cope with the trauma of premature birth: An evaluation of a trauma-preventive psychological intervention. Pediatrics. 2005;115:915–19.

    Article  PubMed  Google Scholar 

  3. Melnyk BM, Fischbeck-Feinstein N, Alpert-Gillis L, Fairbanks E, Grean HF, Sinkin RA. Reducing premature infants' length of stay and improving parents' mental health outcomes with the COPE NICU program: A randomized clinical trial. Pediatrics. 2006;118:1414–37.

    Article  Google Scholar 

  4. Shields-Poe D, Pinelli J. Variables associated with parental stress in neonatal intensive care units. Neonatal Netw. 1997;16:29–37.

    CAS  PubMed  Google Scholar 

  5. Van Riper M. Family-provider relationships and wellbeing in families with preterm infants in the NICU. Heart Lung. 2001;30:74–84.

    Article  PubMed  Google Scholar 

  6. Eichner JM, Johnson BH. Family-centered care and the pediatrician's role policy statement. Pediatrics. 2003;112:691–96.

    Article  Google Scholar 

  7. Stoll BJ, Hansen N, Fanaroff AA, Wright LL, Carlo WA, Ehrenkranz RA, et al. Late-onset sepsis in very low birth weight neonates: The experience of the NICHD Neonatal Research Network. Pediatrics. 2002;110:285–91.

    Article  PubMed  Google Scholar 

  8. Bhutta Z, Khan I, Salat S, Raza F, Ara H. Reducing length of stay in hospital for very low birthweight infants by involving mothers in a stepdown unit: An experience from Karachi (Pakistan). BMJ. 2004;329:1151–5.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Mianaei S, Karahroudy F, Rassouli M, Tafreshi M. The effect of Creating Opportunities for Parent Empowerment program on maternal stress, anxiety, and participation in NICU wards in Iran. Iran J Nurs Midwifery Res. 2014;19:94–100.

    PubMed  PubMed Central  Google Scholar 

  10. Ortenstrand 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. 2010;125:278–85.

    Article  Google Scholar 

  11. 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. 2013;13:S12.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Hall SL, Ryan DJ, Beatty J, Grubbs L. Recommendations for peer-to-peer support for NICU parents. J Perinatol. 2015;35:9–13.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Neonatal Division, Department of Pediatrics, PGIMER and Dr. RML Hospital, Baba Kharak Singh Marg, New Delhi, 110 001, India

    Ankit Verma, Arti Maria & Arushi Verma

  2. Department of Microbiology, PGIMER and Dr. RML Hospital, New Delhi, India

    Charoo Hans

  3. Department of Biostatistics, AIIMS, New Delhi, India

    Ravindra Mohan Pandey

  4. Department of Management Studies, IIT, New Delhi, India

    Fahima Sherwani

Authors
  1. Ankit Verma
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  2. Arti Maria
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  3. Ravindra Mohan Pandey
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  4. Charoo Hans
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  5. Arushi Verma
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  6. Fahima Sherwani
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Corresponding author

Correspondence to Arti Maria.

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Verma, A., Maria, A., Pandey, R.M. et al. Family-centered care to complement care of sick newborns: A randomized controlled trial . Indian Pediatr 54, 455–459 (2017). https://doi.org/10.1007/s13312-017-1047-9

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  • DOI: https://doi.org/10.1007/s13312-017-1047-9

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