18-Month Follow-Up of Infants Cared for in a Single-Family Room Neonatal Intensive Care Unit

Lester, Barry M.; Salisbury, Amy L.; Hawes, Katheleen; Dansereau, Lynne M.; Bigsby, Rosemarie; Laptook, Abbot R.; Taub, Marybeth; LaGasse, Linda L.; Vohr, Betty R.; Padbury, Jamés F.

doi:10.1016/j.jpeds.2016.06.069

Cited by 107 publications

(123 citation statements)

References 28 publications

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“…9 Another recent report showed that good parent involvement in either room type was related to better cognitive and language outcomes. 30 These data lend support to targeting interventions towards parents, who can significantly alter the early experiences of preterm infants in the NICU. This in turn may have a lasting positive impact on the development of the child.…”

Section: Discussionmentioning

confidence: 81%

Auditory Exposure in the Neonatal Intensive Care Unit: Room Type and Other Predictors

Pineda

Durant

Mathur

et al. 2017

The Journal of Pediatrics

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Objective To quantify early auditory exposures in the neonatal intensive care unit (NICU) and evaluate how these are related to medical and environmental factors. We hypothesized that there would be less auditory exposure in the NICU private room, compared with the open ward. Study design Preterm infants born at ≤ 28 weeks gestation (33 in the open ward, 25 in private rooms) had auditory exposure quantified at birth, 30 and 34 weeks postmenstrual age (PMA), and term equivalent age using the Language Environmental Acquisition device. Results Meaningful language (P < .0001), the number of adult words (P < .0001), and electronic noise (P < .0001) increased across PMA. Silence increased (P = .0007) and noise decreased (P < .0001) across PMA. There was more silence in the private room (P = .02) than the open ward, with an average of 1.9 hours more silence in a 16-hour period. There was an interaction between PMA and room type for distant words (P = .01) and average decibels (P = .04), indicating that changes in auditory exposure across PMA were different for infants in private rooms compared with infants in the open ward. Medical interventions were related to more noise in the environment, although parent presence (P = .009) and engagement (P = .002) were related to greater language exposure. Average sound levels in the NICU were 58.9 ± 3.6 decibels, with an average peak level of 86.9 ± 1.4 decibels. Conclusions Understanding the NICU auditory environment paves the way for interventions that reduce high levels of adverse sound and enhancing positive forms of auditory exposure, such as language.

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Section: Discussionmentioning

confidence: 81%

Auditory Exposure in the Neonatal Intensive Care Unit: Room Type and Other Predictors

Pineda

Durant

Mathur

et al. 2017

The Journal of Pediatrics

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“…Participation in clinical rounds and perceived support from the healthcare team were also higher for parents in the single family room NICU compared with the open bay NICU. Others have also found improvements in parent involvement with a supportive physical environment (Lester et al, 2014(Lester et al, , 2016Vohr et al, 2017). A recent metaanalysis of 13 studies (n = 4,793 infants) comparing single family rooms to open bay units found that the incidence of sepsis was reduced and exclusive breastfeeding was higher.…”

Section: Interventions To Support Nicu Parentsmentioning

confidence: 99%

The evolution of family‐centered care: From supporting parent‐delivered interventions to a model of family integrated care

Franck

O’Brien

2019

Birth Defects Research

194

223

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There is increasing recognition that parents play a critical role in promoting the health outcomes of low birthweight and preterm infants. Despite a large body of literature on interventions and models to support family engagement in infant care, parent involvement in the delivery of care for such infants is still restricted in many neonatal intensive care units (NICUs). In this article, we propose a taxonomy for classifying parent‐focused NICU interventions and parent‐partnered care models to aid researchers, clinical teams, and health systems to evaluate existing and future approaches to care. The proposed framework has three levels: interventions to support parents, parent‐delivered interventions, and multidimensional models of NICU care that explicitly incorporate parents and partners in the care of their preterm or low birthweight infant. We briefly review the available evidence for interventions at each level and highlight the strong level of research evidence to support the parent‐delivered intervention of skin‐to‐skin contact (also known as the Kangaroo Care position) and for the Kangaroo mother care and family integrated care models of NICU care. We suggest directions for future research and model implementation to improve and scale‐up parent partnership in the care of NICU infants.

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“…We anticipated that a MotherBaby Care model could increase maternal/parental involvement in the care of their infant. High level maternal/parent involvement in the NICU are linked to greater weight gain (Lester et al, ; Levin, ; O'Brien et al, ), reduced length of stay (Örtenstrand et al, ), fewer painful procedures (Lester et al, ), and better cognitive and language scores at 18 months (Lester et al, ). MotherBaby Care provides an optimal care environment for continuous or extended intermittent skin to skin (STS) holding, also known as kangaroo care (KC).…”

Section: Introductionmentioning

confidence: 99%

Journey to mother baby care: Implementation of a combined care/couplet model in a Level 2 neonatal intensive care unit

Salaberry

Hait

Thornton

et al. 2019

Birth Defects Research

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“Why can't I have my postpartum care in the same room as my baby?” questioned Hilary, a neonatal intensive care unit (NICU) “alumni” parent, during a design event for the new British Columbia's Women's Hospital 70 single family room NICU. This simple yet provocative question was nearly dismissed and the idea of a combined care model lost, since most members of the team thought it was simply “not possible.” Hilary did not give up and continued to raise this idea throughout every design event. It was Hilary's fortitude and sharing of her NICU experience that was the inspiration for the MotherBaby Care unit. The voice of one woman has improved the birth experiences of potentially thousands of mothers and their at‐risk newborns. By honoring women's voices and values in health care, positive changes that matter to women, infants, and families can be made. Mothers also shared: “I knew what was best for me was to be with my baby,” “If I could stand up after my C‐section, I would drag my IV pole to be with my baby!”, “Teach me how to take care of my premature baby before I am ready to go home!” MotherBaby Care is a combined care or “couplet” care where one NICU nurse provides care for a postpartum mother and her at‐risk newborn in the Level 2 NICU. This review describes the journey from innovation and design to the implementation of the MotherBaby Care model.

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18-Month Follow-Up of Infants Cared for in a Single-Family Room Neonatal Intensive Care Unit

Cited by 107 publications

References 28 publications

Auditory Exposure in the Neonatal Intensive Care Unit: Room Type and Other Predictors

Auditory Exposure in the Neonatal Intensive Care Unit: Room Type and Other Predictors

The evolution of family‐centered care: From supporting parent‐delivered interventions to a model of family integrated care

Journey to mother baby care: Implementation of a combined care/couplet model in a Level 2 neonatal intensive care unit

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