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Objective: to construct, validate and evaluate an app for mobile devices on humanized care practices for newborns at habitual risk in maternity wards, aimed at health professionals and family members. Method: a methodological study in seven stages: Literature review; Content organization; App construction; Validation by experts; Suitability after validation; Evaluation by the target audience; and Suitability after evaluation. A total of 22 experts took part in the validation and 21 individuals from the target audience in the evaluation. The instruments addressed content, face and/or motivation, with the System Usability Scale for usability. The following was calculated: Concordance Index and Usability Score. Results: in the validation process, the app achieved a Concordance Index of 0.97; ranging from 0.82 to 1.0 across the items analyzed. In the evaluation, the index was 0.99, varying from 0.95 to 1.0. In usability of the first version, the Concordance Index was 0.92 and the Usability Score was 93. In the second version, the index was 0.93 and the score was 94, indicating better usability achieved since the first version. Conclusion: the “ Nasci Bem ” app proved to be comprehensible, relevant, pertinent, efficient, easy to use, with low inconsistency, and with excellent potential to use it as educational technology for professionals and family members.

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Copyright of Ciencia, Cuidado e Saude is the property of Universidade Estadual de Maringa and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

BackgroundIn March 2020, the World Health Organization (WHO) published clinical guidance for the care of newborns of mothers with COVID-19. Weighing the available evidence on SARS-CoV-2 infection against the well-established harms of maternal-infant separation, the WHO recommended maternal-infant proximity and breastfeeding even in the presence of maternal infection. Since then, the WHO’s approach has been validated by further research. However, early in the pandemic there was poor global alignment with the WHO recommendations.MethodsWe assessed guidance documents collected in November and December 2020 from 101 countries and two regional agencies on the care of newborns of mothers with COVID-19 for alignment with the WHO recommendations. Recommendations considered were: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3) rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) relactation; (10) psychological support for separated mothers; and (11) psychological support for separated infants.ResultsIn less than one-quarter of country guidance were the three key breastfeeding facilitation practices of skin-to-skin contact, rooming-in, and direct breastfeeding recommended. Donor human milk was recommended in under one-quarter of guidance. Psychological support for mothers separated from their infants was recommended in 38%. Few countries recommended relactation, wet nursing, or psychological support for infants separated from mothers. In three-quarters of country guidance, expressed breastmilk for infants unable to directly breastfeed was recommended. The WHO and the United Kingdom’s Royal College of Obstetricians and Gynecologists were each cited by half of country guidance documents with the United States Centers for Disease Control and Prevention directly or indirectly cited by 40%.ConclusionDespite the WHO recommendations, many COVID-19 maternal and newborn care guidelines failed to recommend skin-to-skin contact, rooming-in, and breastfeeding as the standard of care. Irregular guidance updates and the discordant, but influential, guidance from the United States Centers for Disease Control may have been contributory. It appeared that once recommendations were made for separation or against breastfeeding they were difficult to reverse. In the absence of quality evidence on necessity, recommendations against breastfeeding should not be made in disease epidemics.

BACKGROUND:Few coordinated treatment programs address the needs of infants and families struggling with the effects of substance use. In 2003 a large Southeastern regional hospital launched the Managing Abstinence in Newborns (MAiN) program, providing multidisciplinary, coordinated, community-based care for neonatal abstinence syndrome (NAS). A hypothesis-generating study was conducted to compare the outcomes of MAiN infants to comparable NAS infants receiving traditional care from 2006 through 2014 in South Carolina. METHODS:De-identified sociodemographic and clinical data on MAiN infants, as well as NAS infants not treated with MAiN, were obtained from South Carolina statewide databases. Study measures included medical and safety outcomes, health services utilization, child protective services involvement, emergency services utilization, and inpatient readmissions. RESULTS:Some 110 infants were identified who received the MAiN intervention and 356 NAS infants, also in South Carolina, who were potentially MAiN eligible. Overall, there were no significant differences in the two groups regarding medical or safety outcomes or child protective services involvement. Traditional care NAS infants were more likely to be treated in a higher-level nursery (68.8% vs. 0%). MAiN infants had $8,204 less per birth in median charges (p

Objectives: We aimed to assess the effects of rooming-in kangaroo mother care (KMC) on the breastfeeding and behavioral status of full-term newborns., Materials and Methods: Full-term newborns born from June to December 2021 were divided into Group A (n = 50) and Group B (n = 50) using a random number table. The rooming-in routine nursing intervention and KMC were given to Group A (n = 50) and Group B, respectively. The outcomes were compared., Results: The scores of breastfeeding knowledge, breastfeeding skills, and sense of responsibility for breastfeeding of Group B were higher than those of Group A (p < 0.05). The breastfeeding rate and lactation yield within 3 days of Group B were higher than those of Group A (p < 0.05). Compared with Group A, Group B had higher effective sucking times of newborns and lower behavioral status scores 1, 2, and 3 days after birth, and shorter duration of crying after invasive operation (p < 0.05). The newborns in Group B had better sleep quality, longer sleep time, and lower procedural pain score than those of Group A (p < 0.05)., Conclusion: Rooming-in KMC improves the maternal breastfeeding self-efficacy, breastfeeding rate, and lactation yield, ameliorates the behavioral status and sleep quality of newborns, shortens the crying time and relieves the procedural pain., (© 2024 Japan Society of Obstetrics and Gynecology.)

Neonatal opioid withdrawal syndrome is pervasive, reflected in a case rate increase among most demographics in the United States from 4.0 newborns per 1,000 hospitalized births in 2010 to 7.3 newborns per 1,000 hospitalized births in 2017. Historically, assessments have been based on present symptomatology, excluding the mother's input, and increasing the likelihood of pharmacotherapy. The Eat, Sleep, Console approach provides an opportunity for the mother to act as the treatment for her newborn as she performs nonpharmacologic interventions that reduce withdrawal severity. Maternal confidence to help her newborn grows with this level of involvement and mother/infant dyad care improves, as do nurse and mother interactions. Assessments are less subjective and less time-consuming for nurses to conduct than those of the often-used Finnegan tool, and are conducted in collaboration with the mother. Facilities implementing this approach have seen a reduction in newborn hospital length of stay, pharmacotherapy, associated medical costs, and improved breastfeeding rates. Implementing an Eat, Sleep, Console protocol involves a stepwise approach to ensure all stakeholders are effectively prepared for the transition. We present strategies to implement an Eat, Sleep, and Console clinical protocol. A stepwise approach to implementation along with a clinical nursing maternal education protocol exemplar is included. Methods to overcome barriers to implementation and recommendations for further development are discussed. Eat, sleep, console is being incorporated into care of the newborn with neonatal opioid withdrawal syndrome. Most of the published data is from quality improvement projects, however results appear promising in centering the mother as a caregiver and decreasing pharmacologic therapy and associated length of hospital stay. A review of the evidence is presented with strategies to implement the eat, sleep, console approach in the hospital setting. [ABSTRACT FROM AUTHOR]

OBJECTIVE: To investigate the frequency of neonatal jaundice and use of phototherapy, along with the risk factors associated with phototherapy in a rooming-in care (RC) setting. METHODS: This retrospective study included newborns with gestational ages ≥ 35 weeks seen in an RC setting at a tertiary hospital between October and December 2017. The subjects were divided into two groups, each featuring newborns treated or not treated with phototherapy. All newborns with a gestational age ≥ 35 weeks without congenital anomalies seen in an RC setting were included. Subjects requiring admission to the neonatal ward were excluded. Clinical data relative to the mothers, pregnancies, newborns, and care practices were analyzed. Endpoint: use of phototherapy. Associations between groups were assessed via Student’s t-test and the chi-squared test. Multiple logistic regression was employed to identify independent factors associated with the use of phototherapy. RESULTS: Almost half (47%) of the 376 newborns included in the study developed jaundice, of which 66 (18%) were provided phototherapy. The treated group had a lower gestational age (38 vs. 39 weeks), higher umbilical cord bilirubin levels (2 vs. 1.5 mg/dL), greater weight loss (7 vs. 6%), greater incidence of ABO incompatibility (35 vs. 10%), and longer hospital stays (79 vs. 50 hours). Logistic regression found the following independent risk factors for phototherapy: gestational age (OR=6), umbilical cord bilirubin (OR=16), ABO incompatibility (OR=12), and weight loss (OR=1.24). CONCLUSION: Jaundice was a frequent finding in newborns on RC. Almost 20% of the newborns with jaundice unwere provided phototherapy. Weight loss was the only preventable risk factor for needing phototherapy. No protective factor was found.

Objectives: To assess of the time of breastfeeding initiation, identify reasons for delay, if any and to assess if any prelacteal feeds were offered. Methods: An observational study was conducted among the inpatients of a tertiary care centre in Bhubaneswar, India. A total of 385 mothers, without contraindications to breastfeeding were interviewed at the earliest after childbirth. Results: Only 36.4% mothers initiated breastfeeding “timely.” Those who had undergone vaginal delivery scored better than cesarean sections with 41.3% (CI 95%; P = 0.016). Rooming in helped at 37.6% (CI 95%; P = 0.006). Multiparous homemakers from nuclear families and those who had previously breast fed initiated earlier than their counterparts. Less than 5% (CI 95%; P = 0.056) offered prelacteal feeds, mostly water. Conclusions: Our study reveals an alarming decline in the timely initiation of breastfeeding in Odisha, India from 68.5% to 41.6%.

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Best practices in postpartum care encourage rooming-in to promote early breastfeeding and mother-newborn bonding. However, when the medical records of mothers and newborns are stored separately in the postpartum ward and the neonatal nursery, respectively, nurses encounter difficulties in accessing complete information about the mother-infant dyad, which results in suboptimal care quality. Accordingly, the authors designed an integrated electronic information (e-information) system linking the medical records of newborns and their mothers and implemented it in April 2022 at a medical center in Taiwan. System effectiveness assessment results indicated that before the implementation of the e-information system, the nursing care completion scored 72.4 out of 100, and the nurse satisfaction scored 80.9 out of 100. After the implementation of the system, the nursing care completion increased to 97.8 (p < .001), while the nurse satisfaction rose to 95.8 (p < .001), demonstrating significant improvements.

Introduction: Guidance for pregnant women has been particularly problematic since the beginning of the COVID-19 pandemic. The aim of this study was to describe the characteristics and outcomes of pregnant women with SARS-CoV-2 infection and their newborns. Material and Methods: Case review of clinical records of pregnant women with SARS-CoV-2 infection admitted for delivery and their newborns from April to December 2020 at a hospital in the Lisbon metropolitan area. Results: From 1755 births, 81 (4.6%) were from SARS-CoV-2 positive mothers. Most (83.9%) were term newborns. Almost 16% were preterm, while there was an overall prematurity rate of 9.9%. Most women (88.6%) were asymptomatic. Rooming-in occurred in 80.8% cases and 19.2% newborns were admitted to the Neonatal Intensive Care Unit. From the total, 56.7% newborns were breastfed from birth and 43% had mixed feeding. None of the newborns had symptoms related to COVID-19 infection, and all had negative rt-PCR for SARS-CoV-2 at birth and at 48 hours of life. The majority (85.2%) was discharged home with their mothers. Discussion: Pregnant women with COVID-19 have shown immune characteristics resembling healthy pregnancies, and it is not yet clear if SARS-CoV-2 can be vertically transmitted. Recent updates on neonatal guidance now recommend rooming-in and support the relative safety of breastfeeding. Conclusion: This study supports other published articles regarding maternal and neonatal outcomes of SARS-CoV-2 infected pregnant women, including the absence of short-term adverse outcomes with rooming-in and breastfeeding.

Objectives: To assess of the time of breastfeeding initiation, identify reasons for delay, if any and to assess if any prelacteal feeds were offered. Methods: An observational study was conducted among the inpatients of a tertiary care centre in Bhubaneswar, India. A total of 385 mothers, without contraindications to breastfeeding were interviewed at the earliest after childbirth. Results: Only 36.4% mothers initiated breastfeeding "timely." Those who had undergone vaginal delivery scored better than cesarean sections with 41.3% (CI 95%; P = 0.016). Rooming in helped at 37.6% (CI 95%; P = 0.006). Multiparous homemakers from nuclear families and those who had previously breast fed initiated earlier than their counterparts. Less than 5% (CI 95%; P = 0.056) offered prelacteal feeds, mostly water. Conclusions: Our study reveals an alarming decline in the timely initiation of breastfeeding in Odisha, India from 68.5% to 41.6%. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT Objectives: to construct and validate an instrument for the classification of mother-baby binomials that subsidizes personnel Staffing in in-rooming units. Method: methodological study. The construction was based on theoretical and legal references. Content validity was performed by experts through the content validity index measurement. Then, the instrument was applied to a sample of 122 binomials, and exploratory factor analysis was performed using the principal components analysis. Results: the instrument consisted of seven care indicators: Birth route; Maternal morbidity; Neonatal morbidity; Breastfeeding; Social aggravating factors; Care guidance; and interaction and bonding. All with content validity index of 1. The construct was composed of 3 domains, with Cronbach’s alpha of 0.62, 0.85 and 0.89. Conclusions: the classification instrument of mother-baby binomials allows the classification of mother-baby binomials and may support personnel Staffing in in-rooming units.

Objective: to compare pain scores in term newborns submitted to music and swaddling interventions during venipuncture. Methods: pilot study of a clinical trial, carried out with 11 newborns in rooming-in care who received venipunctures. The newborns were randomly allocated into two groups: Experimental (20 minutes of music + swaddling) and Control (swaddling). Newborns were filmed and pain was assessed by the Neonatal Facial Coding System at baseline, procedure, and initial recovery phases. Results: the Experimental Group at baseline, procedure (antisepsis, puncture, and milking), and recovery showed less pain reactions and lower heart rate mean and variation (p

Objectives: to develop and validate a care complexity assessment system adapted for mothers and newborns, based on two pre-existing scales. Methods: this is a cross-sectional study of psychometric validation of instruments, applied in a roomming-in, in 2016. The instrument has 13 indicators, submitted to the evaluation of a panel of judges for validation. For the psychometric analysis of the instrument, five criteria were adopted: a) internal consistency through Cronbach's alpha (

Objective: to analyze the guidance given by professionals of low risk maternity hospitals regarding the care of the newborn in the rooming-in. Method: quantitative study where an instrument was used that contained the main variables pertinent to the study, it was applied in three maternity hospitals in different municipalities os the 17th Regional Health. Results: it was possible to analyze that adolescents, multiparous, without partners and low schooling received less information, while women 30 years of age and older showed a higher index of breastfeeding and first care. Conclusion: that guidance provided in maternity wards does not yet cover all women. [ABSTRACT FROM AUTHOR]

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The objective of the study was to describe occurrences of newborn falls in the hospital environment. A descriptive study was conducted in a maternity of a public, teaching hospital in the city of São Paulo. Information was obtained from records of notification sheets and medical records of newborns who suffered falls in rooming-in care in 2013. Records of four newborn unintentional falls were found, showing an incidence of 11.36 falls per 10,000 live births. Three cases occurred during the night. Consequences for neonates range from no harm to moderate injuries, such as edema, hyperemia in temples and knees, fracture of the parietal bone, and hematoma that evolved in good conditions. Findings on circumstances of falls might help understand these accidents and show the need for implementation of fall prevention strategies that provide multidisciplinary care in a safe environment and promote education of mothers, families, and professionals.

Objective: To establish the perception level of the implementation of the BFHI initiative steps in health institutions in Cartagena in 2012. Material and methods: Descriptive study in a population constituted by 21 public and private institutions, as well as all trained personnel in the initiative of baby friendly hospitals ,who work in these institutions, with a sample of 8 institutions. Infor-mation was collected by means of two instruments: “Assessment of the implementation levels of the initiative baby friendly hospitals’ strategy” and “Application form of self-perception and application in hospitals and in ambulatory level”. Results: The implementation level varies de-pending on the characteristics of each assessed institution. At hospital level the steps number 1, 2, 4 y 6 showed a middle implementation level, while the step number 10 indicated a low level. While at ambulatory level the steps number 1, 4, 5 and 10 presented a middle level, the others steps showed a high level. No institution offers pacifiers or baby bottles. Conclusion: Implemen-tation of the BFHI initiative in health institutions is in a high and middle level in ambulatory institutions, while in hospitals it is in high, middle and low levels.

Introduction: According to World Health Organization (WHO) 2001 statistics, hearing disorders are the most common congenital disease, and the incidence rate among high-risk newborns is as much as ten times as high as that in healthy neonates. However, 78% of screening test failures are well-baby nursery babies. The Joint Committee on Infants’ Hearing (JCIH) has emphasized the importance of early diagnosis and treatment in neonates with hearing impairments in order to preserve their maximum linguistic skills. The aim of our study was to compare the prevalence of hearing loss among babies in the neonatal intensive care unit (NICU) and the rooming-in unit (RIU), and study their risk factors. Materials and Methods: Neonates born in three hospitals in Mashhad between 2008 to 2010 were studied prospectively and screened for auditory disorders using the oto acoustic emission (OAE) test at the time of discharge and 3 weeks later. To confirm hearing loss, the auditory steady state response (ASSR) test was used among those participants who failed both OAE tests. Results: Two-thousand and sixty-three neonates from the NICU were screened and compared with a control group consisting of 8,724 neonates from the RIU or the well-baby nursery. At the end of the study, hearing impairment as confirmed by failure in the ASSR test was diagnosed in 31 neonates (26 in the control group [0.30%] and five in the NICU group [1.94%]). Conclusion: In our study, the prevalence of hearing disorders among NICU neonates was 6.5-times greater than that among babies from the RIU or well-baby unit. This observation demonstrates the importance of universal screening programs particularly for high-risk population neonates.

Objective: To identify the main recommendations found in systematic reviews regarding exclusive breastfeeding protective factors. Data source: Integrative review based on the guiding question: What evidence is found in literature regarding the protective factors of exclusive breastfeeding during the intrahospital period? A search was conducted in the Cochrane Library, PubMed/ MEDLINE and LILACS database using the keyword "Breast Feeding" and the word "Breastfeeding". Systematic reviews published from 2007 to 2016 that answered the guiding question were included in the study, whereas systematic reviews that analyzed breastfeeding of preterm infants and breastfeeding of children with orofacial malformation were excluded. The sample included eight systematic reviews. Data synthesis: The recommendations related to the protective factors for exclusive in-hospital breastfeeding found in the systematic reviews were: early skin-to-skin contact, rooming-in care, intervention for treating painful nipples during breastfeeding, restriction of infant supplementation, baby-led breastfeeding and educational interventions and support for mothers during hospital stay. The proposed measures included the six practices presented as protective factors. Conclusions: The review enabled the identification of evidence to support the recommended measures from delivery room to hospital discharge, with the aim of encouraging breastfeeding and preventing intrahospital weaning, [ABSTRACT FROM AUTHOR]

Objectives: understanding the experience of puerperal womenwith newborn in phototherapy treatment in rooming-in care. Methods: qualitative research analyzed according to the Grounded Theory and the results discussed in the light of Symbolic Interactionism. The interviews were audiotaped and transcribed in full. The theoretical saturation was based on the analysis of the 15th interview with puerperal women, undergoing the experience in the maternity of the Public Hospital of São Paulo State. Results: from the analysis emerged four categories (sub processes): getting disappointed with the bad news; feeling recluse, separated from her baby, accountable and with not enough support for care; resigning to the protective role of mother of a baby in suffering and at risk; seeking strategies to deal with the situation. From the realignment of these categories (sub processes) emerged the core category (process): from suffering to resignation in order to deal with the maternal experience with NB in phototherapy. Conclusions: the symbolic intervening component, mother's protective role, prompted her to attempt to cope with the challenging experience by feeling compelled to exercise the function of caretaker. The same way that the rooming-in care team emerged in the experience of the mother, using the same symbol, to hold her accountable for constant vigilance in maintaining the integrity of baby's vision. [ABSTRACT FROM AUTHOR]

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background: Current standard therapy for moderate to severe neonatal abstinence syndrome (NAS) includes opioid administration and often results in separation of mother and infant. Impaired maternal-infant bonding and extended neonatal opiate exposure may be associated with adverse developmental outcomes. Increased use of nonopioid adjunctive NAS therapies may decrease postnatal opioid exposure and length of stay (LOS), thereby promoting positive developmental outcomes for NAS-affected infants.Purpose: To review the efficacy of rooming-in care and acupuncture as nonpharmacologic adjunctive agents to reduce the magnitude of postnatal opioid exposure and LOS.Methods: PubMed, Ovid Medline, Embase, and CINAHL databases were searched for primary studies on rooming-in care and acupuncture as adjunctive treatments for NAS; 8 are included in this review.Findings: Rooming-in care may decrease postnatal opioid exposure and LOS in NAS-affected infants. Acupuncture is safe in NAS patients; however, its definitive effect on narcotic use and length of hospitalization are inconclusive.Implications For Practice: Rooming-in care should be offered to NAS patients. Strong evidence does not exist to recommend acupuncture as a routine NAS treatment.Implications For Research: Additional randomized clinical trials are necessary to assess the efficacy of acupuncture and to confirm the effect of rooming-in care on NAS outcomes, and delineate optimal elements of a rooming-in care model. [ABSTRACT FROM AUTHOR]

Aim: to comprehend the parental perception about the father's support during the hospitalization of his wife and son in the rooming-in-care. Method: descriptive and exploratory qualitative approach, in the maternity of a private hospital in Porto Alegre. Semi-structured interviews were conducted with ten accompanying fathers, from September to October 2012. Results: from the analysis, two central categories that composed the discussion on the corpus emerged: “Understanding the meaning of being a father" and “The father as caregiver agent". In the investigated context, the perceptions of the parents about paternity showed that they sometimes do not identify themselves as potential care agents, although they feel prepared for it. Final thoughts: the study evidenced the need to implement humanization policies in the postpartum period, especially regarding the inclusion of fathers in the rooming-in, which would allow improvements in the parental bond and development of comprehensive health actions to the mother-father-child triad. [ABSTRACT FROM AUTHOR]

This study aimed to understand the perception of women regarding the care received during delivery/birth, and discuss the precepts of integrality according to humanization of care. This was a qualitative research study, performed at a tertiary care public hospital in Fortaleza, Ceará State, Brazil. The research subjects were 13 women whose deliveries were made in that unit, and invited to take part in the focal group featuring the following themes: women’s perception about the care received; the relationship with the professionals of the obstetrics and neonatal units; satisfaction with the assistance provided by the hospital at the time of delivery and birth. The data were subjected to thematic category content analysis. The women emphasized the good assistance received, consisting of care and dedication by the professionals. They showed the importance of correct and detailed information, but observed miscommunication and lack of a user-professional bond, due to the large number of professionals working in the unit. Nevertheless, they were satisfied with the assistance received. Positive aspects of the assistance were evidenced, but it is essential that the professional-user relationship be improved, in order to meet the humanization perspectives of care, which are also anchored on integrality.

OBJETIVO: Verificar a influência do ambiente hospitalar nos aspectos relacionados ao aleitamento materno e à comunicação na interação mãe/neonato durante o processo da amamentação. MÉTODOS: Estudo transversal, com 34 díades: 18 internadas em alojamento conjunto e 16 internadas em unidades de cuidados intermediários/médios de um hospital público. Cada díade foi observada no momento da oferta da mamada e os dados foram analisados considerando os aspectos padronizados pela UNICEF para o aleitamento materno. Foi verificada a comunicação verbal e não verbal estabelecida. RESULTADOS: Na comparação das variáveis estudadas, houve associação significativa para a posição da mãe em relação ao neonato e para as variáveis mãe estimula e mãe vocaliza para o neonato, com percentual favorável para a díade que se encontrava em alojamento conjunto. As demais variáveis não apresentaram diferenças. CONCLUSÃO: Condições importantes para o estabelecimento da amamentação e da comunicação entre mãe/neonato são influenciadas pelo local onde se encontra a díade, especialmente o ambiente hospitalar.PURPOSE: To investigate the influence of hospital environment on aspects related to breastfeeding and communication on the mother/newborn interaction during the breastfeeding process. METHODS: This consisted on a cross-sectional study composed by 34 dyads: 18 in rooming and 16 in intermediate/medium care units of a public hospital. Each dyad was observed at the time of breastfeeding, and data were analyzed considering the aspects standardized by UNICEF for breastfeeding. Verbal and nonverbal communication modes were observed. RESULTS: Comparison of variables showed significant associations between hospital environment and the position of the mother in relation to the newborn and mother stimulation and vocalization to the neonate, with favorable percentage for the dyad that was in rooming. The other variables did not differ. CONCLUSION: Important conditions for the establishment of breastfeeding and communication between mother and newborn are influenced by the location of the dyad, especially the hospital environment.

This descriptive, transversal study aimed to evaluate mothers’ knowledge about measures of hygiene applied to new-borns. It was carried out with 150 women who had recently given birth in a maternity ward in the city of Fortaleza in the state of Ceará. The data was collected between January and April 2010 through interviews, and was analyzed with the aid of descriptive statistics. It was ascertained that the new mothers knew most about frequency of bathing and bathwater temperature, the sequence of events involved in bathing a new-born, products for ‘tailing’ the baby (washing its bottom and genitals), putting on the diaper, frequency of cleaning the umbilical stump and the necessity for oral hygiene. The majority were unaware that it is not necessary to thoroughly clean the nipples before breast-feeding and about bath products, the sequence involved in cleaning the bottom and genitals, covering of the umbilical stump, and products for cleaning it. The study emphasizes the importance of nurse-led educational activities in the pre-natal and post-partum periods to help mothers with hygiene care of the new-born

This study aimed at learning about the feelings experienced by mothers while breastfeeding their premature babies in a rooming-in facility, by means of individual interviews with 33 mothers during the period of February to April 2006, at a maternity hospital in Natal/RN/Brazil. The main feelings referred by the mothers regarding their inability to breastfeed their premature babies immediately after delivery were: sorrow, guilt, disappointment, frustration, insecurity, and fear of touching, holding or harming the delicate babies while breastfeeding. However, the mother-child bond that was formed when the baby was discharged from the Neonatal Intensive Care Unit and taken to the rooming-in facility was reflected by feelings of fulfillment, pride, and satisfaction at experiencing the first breastfeeding.Estudio realizado con el objetivo de conocer los sentimientos de madres al amamantar a sus bebés prematuros en Sistema de Alojamiento Conjunto, realizándose entrevistas individuales con 33 madres acompañantes en el período comprendido entre febrero y abril de 2006, en una maternidad escuela de Natal / RN / Brasil. Los principales sentimientos referidos por esas madres resultaron en tristeza, culpa, decepción, frustración, inseguridad, miedo de tocar, asegurar o hasta incluso de perjudicar a sus delicados bebés mientras eran amamantados. No obstante eso, el vínculo creado por madres y bebés cuando los mismos reciben el alta de la Unidad de Terapia Intensiva Neonatal para el Sistema de Alojamiento Conjunto, se manifiesta en los sentimientos de realización y orgullo, los cuales son determinados por la satisfacción de la primera lactancia.Estudo teve o objetivo de conhecer os sentimentos de mães ao amamentarem seus bebês prematuros em Sistema de Alojamento Conjunto. Entrevistas individuais foram realizadas com 33 mães acompanhantes no período de fevereiro a abril de 2006, em uma maternidade-escola de Natal/RN/Brasil. Os principais sentimentos referidos por essas mães resultaram em tristeza, culpa, decepção, frustração, insegurança, medo de tocar, segurar ou até mesmo de prejudicar seus delicados bebês quando amamentados. Porém, o vínculo formado entre mães e bebês quando os mesmos recebem alta da Unidade de Terapia Intensiva Neonatal para o Sistema de Alojamento Conjunto se reflete nos sentimentos de realização e orgulho, os quais são marcados pela satisfação da primeira mamada.

O significado da maternidade deve ser aprofundado com os pais. O objetivo deste estudo foi conhecer os significados da maternidade frente às necessidades das puérperas no alojamento conjunto em um hospital de Porto Alegre, Rio Grande do Sul. Esta pesquisa seguiu o paradigma qualitativo de caráter exploratório descritivo. A coleta de dados foi composta por uma amostra de 15 mulheres entre 24 e 48 horas de puerpério. Pela análise de conteúdo, destacaram-se três categorias: significado de ser mãe, dificuldades do puerpério imediato e necessidades no puerpério imediato. Nos resultados, as puérperas definem a maternidade como a realização de um sonho aliada à responsabilidade e ao compromisso com o novo ser que se apresenta frágil e dependente de seus cuidados. Conclui-se que a maternidade para estas puérperas é um momento único, com sentimentos de insegurança para assumir os cuidados do recém nascido e autocuidado.El significado de la maternidad debe ser profundizado con los padres. El objetivo de este estudio ha sido conocer los significados de la maternidad frente a las necesidades de las puerperas en el alojamiento conjunto de un hospital general de Porto Alegre, Rio Grande do Sul, Brasil. Esta pesquisa ha seguido el paradigma cualitativo de carácter exploratorio descriptivo. La colecta de datos ha sido compuesta a partir de una muestra de 15 mujeres entre 24 y 48 horas de puerperio. Por medio del análisis de contenido se han destacado tres categorías: significado de ser madre, dificultades del puerperio inmediato y necesidades del puerperio inmediato. En los resultados las puerperas definen la maternidad como la realización de un sueño aliada a la responsabilidad y al compromiso con el nuevo ser que se presenta frágil y dependiente de sus cuidados. Se concluye que la maternidad para estas puerperas es un momento único, con sentimientos de inseguridad para asumir los cuidados del recién nacido y el autocuidado.The meaning of maternity must be deepen with parents. The goal of this study was know the meanings of maternity in face of the puerperal mothers' needs in the rooming-in of a general hospital in Porto Alegre, Rio Grande do Sul, Brazil. This research followed the qualitative paradigm of exploratory descriptive-like features. The data collection was taken from a sample composed of 15 women ranging from 24 to 48 hours of puerperium. By the content analysis three categories show off: the meaning of being a mother, difficulties of immediate puerperium and necessities of immediate puerperium. In the results puerperal mothers define maternity as a dream come true allied to the responsibility and commitment with the newest living being that shows up fragile and dependant on their care. We conclude that maternity for these puerperal mothers is a unique moment bearing feelings of insecurity for taking care of the newborns and self care.

Diante da escassez de parâmetros que possibilitem conhecer a carga de trabalho existente no Sistema de Alojamento Conjunto (SAC), torna-se necessário identificar as atividades de enfermagem na assistência ao binômio mãe-filho. O estudo teve como objetivos: identificar as atividades de enfermagem realizadas no Alojamento Conjunto do HU-USP; classificar as atividades em intervenções de enfermagem, segundo a Nursing Intervention Classification (NIC), e validar as intervenções. O levantamento das atividades foi realizado por meio dos registros e da observação direta da assistência de enfermagem, em todos os turnos. O conteúdo das intervenções foi validado com as enfermeiras da unidade, por meio da técnica de oficina de trabalho. Identificaram-se 43 intervenções diretas e indiretas de enfermagem, atividades associadas e atividades pessoais da equipe. O instrumento construído com as intervenções/atividades possibilitará, em futuros estudos, correlacionar o tempo despendido na execução dessas intervenções e, assim, propor parâmetros no dimensionamento de profissionais de enfermagem necessários ao SAC.Ante la falta de parámetros que posibiliten conocer la carga de trabajo existente en el Sistema de Alojamiento Conjunto (SAC), se vuelve necesario identificar las actividades de enfermería en la atención del binomio madre-hijo. El estudio tuvo como objetivos: identificar las actividades de enfermería efectuadas en la unidad Alojamiento Conjunto del HU-USP, clasificar las actividades en intervenciones de enfermería, de acuerdo con el Nursing Intervention Classification NIC y validar las intervenciones. El relevamiento de las actividades fue realizado a través de los registros y de la observación directa de la atención de enfermería en todos los turnos. El contenido de las atenciones fue validado con las enfermeras de la unidad, utilizándose la técnica de oficina de trabajo. Fueron identificadas 43 intervenciones directas e indirectas de enfermería, actividades asociadas y actividades personales del equipo. El instrumento construido con las intervenciones/actividades permitirá, en estudios futuros, correlacionar el tiempo consumido en la ejecución de tales intervenciones y así proponer parámetros para el dimensionamiento de profesionales de enfermería necesarios en el SAC.Considering the need of parameters to know the workload existent in Rooming-in (RI), it is imperative to identify nursing activities in the mother-child binomial. The objectives of the study are: to identify nursing activities in the Rooming-In Unit of the HU-USP; to classify activities in nursing interventions according to the Nursing Intervention Classification (NIC), and to validate the interventions. A survey of all activities was carried out by means of clinical records and direct observation of nursing assistance in all the shifts. The content of interventions was validated with the nurses of unit, by means of the workshop technique. It was identified 43 direct and indirect nursing interventions; activities associated and personal activities of the staff. The instrument built with the number of these interventions/activities will permit to, in further studies, correlate the time expended to perform these interventions/activities and thus to propose parameters to measure the need of nursing professionals in RI.

PurposeIn Kyung Hee East-West Neo Medical Center, Seoul, Korea, efforts to raise rooming-in care success rate have been undertaken since when the hospital was established in 2006. We intended to analyze our experience over the past 3 years of period and to discuss the advantages of rooming-in.MethodsWe analyzed the rooming-in practice rate, failure rate, and the breast feeding rate. Subjects were 860 normal healthy neonates from June 2006 to June 2009.ResultsAmong these 860 cases, 83 babies were required separation out of rooming-in in the middle of the course. Among these 83 cases, 70 cases had to stop the course due to poor condition of babies and 13 cases due to maternal condition. 70 cases of infant's causes consist of 68 cases of NICU admission and 2 cases of poor feeding support. The other 13 cases of separation include refusal by maternal condition. Therefore the success rate of rooming-in for the last 3 years was 90.3%, that is 777 cases among the total 860 cases. The percentage of exclusive breast feeding was 64%, that of mixed feeding with breast and formula feeding was 25%, and formula feeding only was 11%.ConclusionWe experienced successful rooming-in care for the last 3 years. Nursery facilities should educate and encourage the advantages of rooming-in, including the good formation of attachment between mother and infant, emotional stability, protection from infection, and increased breast feeding rate so that rooming-in care can be fully established.

Esta é uma reflexão sobre cuidado materno no alojamento conjunto, baseada nos conceitos de Preocupação Materna Primária, Cuidado Materno e Ambiente Suficientemente Bom, proposto por Winnicott. O alojamento conjunto é idealizado como um local propício ao estabelecimento, entre a mãe e a criança, de uma aproximação que favoreça o cuidado materno. Durante o período de permanência no alojamento conjunto a mãe vive um estado mental peculiar, a Preocupação Materna Primária, que se intensifica na gestação e chega ao máximo no parto. Ao perceber as maternidades brasileiras como espaços de cuidado, entendemos ser o cuidado de enfermagem um importante elo facilitador na interação da díade mãe-bebê, apoiando a mulher no peculiar estado mental em que se encontra.Esta es una reflexión acerca del cuidado materno en el alojamiento conjunto, basado en los conceptos de Preocupación Materna Primaria, Cuidado Materno y Ambiente Suficientemente Bueno, de acuerdo con Winnicott. El alojamiento conjunto establece entre la madre y el niño una aproximación favorable al cuidado materno. Durante su permanencia en el alojamiento conjunto, la madre vive en un estado mental particular, la Preocupación Materna Primaria, que aumenta en el embarazo y puede llegar al máximo en el parto. Nos damos cuenta de que las maternidades brasileñas son sitios de cuidado, así entendemos ser el cuidado de enfermería un importante eslabón facilitador en la interacion de la díada madre-bebé, apoyando la mujer en el peculiar estado mental en el que se encuentra.This is a theoretical reflection about maternal care in the context of Rooming-in. It is based on Winnicott's concepts of Primary Maternal Preoccupation, Maternal Care, and Good Enough Environment. Rooming-in is conceived as an adequate place for establishing a relationship between mother and child which is favorable to maternal care. While in Rooming-in, the mother lives a peculiar mental status, the primary maternal preoccupation, which goes stronger along pregnancy and is maximal during childbirth. Perceiving Brazilian maternity hospital as a place for care, we see nursing care as an important aid in the interaction between mother and baby, supporting women along this peculiar state of mind.

OBJETIVOS: conhecer o cotidiano no alojamento de mães, cujas crianças estão internadas em uma Unidade de Terapia Intensiva Neonatal. MÉTODOS: pesquisa qualitativa realizada no Hospital Sofia Feldman, em Belo Horizonte, Minas Gerais, Brasil. Os dados foram obtidos por meio de observação participante e grupo focal, e os instrumentos utilizados para registro dos dados foram os diários de campo, gravadores e fitas. Para análise dos dados utilizou-se a análise de conteúdo. RESULTADOS: ao decidir permanecer no alojamento materno a mãe se sente dividida entre atender as necessidades do filho hospitalizado, as demandas da família e as suas próprias necessidades. A vivência no ambiente hospitalar exige que a mãe se adapte a uma nova dinâmica, determinada pelas rotinas e normas institucionais. A permanência no alojamento materno, ao mesmo tempo em que surge como uma possibilidade das mães estabelecerem relações de amizade e solidariedade, é um espaço de relações conflituosas entre elas. CONCLUSÕES: na adaptação da mãe ao novo cotidiano, revelou-se importante a convivência entre as mães, a família e os profissionais de saúde. O estudo aponta para a importância do profissional de saúde aproximar-se da realidade vivenciada pelas mães, para facilitar sua adaptação.OBJECTIVES: to investigate the daily routine of mothers rooming-in at the Neonatal Intensive Care Unit. METHODS: qualitative research carried out at the Sofia Feldman Hospital in Belo Horizonte, in the State of Minas Gerais, Brazil. The data was obtained by way of participant observation and a focus group and the instruments used to record the data were field diaries, recorders and tapes. Content analysis was used to analyze the data. RESULTS: when deciding to room in, the mothers feel divided between meeting the needs of the hospitalized child, the demands of the family and their own needs. Living in a hospital environment requires that mothers become detached from her daily routine and adapt to a new pattern which is determined by the institutional routines and norms. Rooming presents mothers with the opportunity to establish relationships of friendship and solidarity, but it is also a time of conflicting relations for them. CONCLUSIONS: the relationships between the mothers, and with their families and health workers were shown to be important for adaptation to the rooming-in process. The study showed the importance for health workers to get more involved in the real-life situation of the mothers in order to facilitate their adaptation to the new daily routine.