Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries

Carmen R Pallás-Alonso; Valentina Losacco; Alice Maraschini; Gorm Greisen; Veronique Pierrat; Inga Warren; Dominique Haumont; Björn Westrup; Bert J Smit; Jacques Sizun; Marina Cuttini; European Science Foundation Network

doi:10.1097/PCC.0b013e3182417959

Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries

Carmen R Pallás-Alonso, Valentina Losacco, Alice Maraschini, Gorm Greisen, Veronique Pierrat, Inga Warren, Dominique Haumont, Björn Westrup, Bert J Smit, Jacques Sizun, Marina Cuttini, European Science Foundation Network

53 Citationer (Scopus)

Abstract

OBJECTIVE: To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. DESIGN: Prospective multicenter survey. SETTING: Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). PATIENTS: Patients were not involved in this study. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). CONCLUSIONS: This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.

Originalsprog	Engelsk
Tidsskrift	Pediatric Critical Care Medicine
Vol/bind	13
Udgave nummer	5
Sider (fra-til)	568-77
Antal sider	10
ISSN	1529-7535
DOI	https://doi.org/10.1097/PCC.0b013e3182417959
Status	Udgivet - sep. 2012

Adgang til dokumentet

10.1097/PCC.0b013e3182417959

Citationsformater

Pallás-Alonso, C. R., Losacco, V., Maraschini, A., Greisen, G., Pierrat, V., Warren, I., Haumont, D., Westrup, B., Smit, B. J., Sizun, J., Cuttini, M., & European Science Foundation Network (2012). Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries. Pediatric Critical Care Medicine, 13(5), 568-77. https://doi.org/10.1097/PCC.0b013e3182417959

Pallás-Alonso, CR, Losacco, V, Maraschini, A, Greisen, G, Pierrat, V, Warren, I, Haumont, D, Westrup, B, Smit, BJ, Sizun, J, Cuttini, M & European Science Foundation Network 2012, 'Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries', Pediatric Critical Care Medicine, bind 13, nr. 5, s. 568-77. https://doi.org/10.1097/PCC.0b013e3182417959

@article{4de3ec34c65c481e9b186f30d104c556,

title = "Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries",

abstract = "OBJECTIVE: To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. DESIGN: Prospective multicenter survey. SETTING: Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). PATIENTS: Patients were not involved in this study. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). CONCLUSIONS: This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.",

author = "Pall{\'a}s-Alonso, {Carmen R} and Valentina Losacco and Alice Maraschini and Gorm Greisen and Veronique Pierrat and Inga Warren and Dominique Haumont and Bj{\"o}rn Westrup and Smit, {Bert J} and Jacques Sizun and Marina Cuttini and Gorm Greisen",

year = "2012",

month = sep,

doi = "10.1097/PCC.0b013e3182417959",

language = "English",

volume = "13",

pages = "568--77",

journal = "Pediatric Critical Care Medicine",

issn = "1529-7535",

publisher = "Lippincott Williams & Wilkins",

number = "5",

}

TY - JOUR

T1 - Parental involvement and kangaroo care in European neonatal intensive care units

T2 - a policy survey in eight countries

AU - Pallás-Alonso, Carmen R

AU - Losacco, Valentina

AU - Maraschini, Alice

AU - Greisen, Gorm

AU - Pierrat, Veronique

AU - Warren, Inga

AU - Haumont, Dominique

AU - Westrup, Björn

AU - Smit, Bert J

AU - Sizun, Jacques

AU - Cuttini, Marina

AU - European Science Foundation Network

PY - 2012/9

Y1 - 2012/9

N2 - OBJECTIVE: To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. DESIGN: Prospective multicenter survey. SETTING: Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). PATIENTS: Patients were not involved in this study. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). CONCLUSIONS: This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.

AB - OBJECTIVE: To compare, in a large representative sample of European neonatal intensive care units, the policies and practices regarding parental involvement and holding babies in the kangaroo care position as well as differences in the tasks mothers and fathers are allowed to carry out. DESIGN: Prospective multicenter survey. SETTING: Neonatal intensive care units in eight European countries (Belgium, Denmark, France, Italy, The Netherlands, Spain, Sweden, and the United Kingdom). PATIENTS: Patients were not involved in this study. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: A structured questionnaire was mailed to 362 units (response rate 78%); only units with ≥50 very-low-birth-weight annual admissions were considered for this study. Facilities for parents such as reclining chairs near the babies' cots, beds, and a dedicated room were common, but less so in Italy and Spain. All units in Sweden, Denmark, the United Kingdom, and Belgium reported encouraging parental participation in the care of the babies, whereas policies were more restrictive in Italy (80% of units), France (73%), and Spain (41%). Holding babies in the kangaroo care position was widespread. However, in the United Kingdom, France, Italy, and Spain, many units applied restrictions regarding its frequency (sometimes or on parents request only, rather than routinely), method (conventional rather than skin-to-skin), and clinical conditions (especially mechanical ventilation and presence of umbilical lines) that would prevent its practice. In these countries, fathers were routinely offered kangaroo care less frequently than mothers (p < .001) and less often it was skin-to-skin (p < .0001). CONCLUSIONS: This study showed that, although the majority of units in all countries reported a policy of encouraging both parents to take part in the care of their babies, the intensity and ways of involvement as well as the role played by mothers and fathers varied within and between countries.

U2 - 10.1097/PCC.0b013e3182417959

DO - 10.1097/PCC.0b013e3182417959

M3 - Journal article

C2 - 22760425

SN - 1529-7535

VL - 13

SP - 568

EP - 577

JO - Pediatric Critical Care Medicine

JF - Pediatric Critical Care Medicine

IS - 5

ER -

Parental involvement and kangaroo care in European neonatal intensive care units: a policy survey in eight countries

Abstract

Adgang til dokumentet

Fingeraftryk

Citationsformater