Evidence map›Paper›PMID 34857018›Full record

Observational studyItalian journal of pediatrics2021

Surveying family access: kangaroo mother care and breastfeeding policies across NICUs in Italy.

Claudia Artese, Fabrizio Ferrari, Silvia Perugi, Paola Cavicchioli, Giuseppe Paterlini, Fabio Mosca, Developmental Care Study Group of Italian Society and Neonatology

Abstract readMulticenter StudyObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Italian journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Claudia ArteseNeonatology and Neonatal Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Fabrizio FerrariNeonatology and Neonatal Intensive Care Unit, University of Modena and Reggio Emilia Hospital, Via del Pozzo 71, 41125, Modena, Italy. ferrarif@unimore.it.ORCID http://orcid.org/0000-0003-1016-8360
Silvia PerugiNeonatology and Neonatal Intensive Care Unit, Careggi University Hospital, Florence, Italy.
Paola CavicchioliNeonatal Intensive Care Unit, Hospital "Dell'Angelo" Venezia Mestre, Venice, Italy.
Giuseppe PaterliniDepartment of Mother's and Child' Health, Neonatology and Neonatal Intensive Care Unit, Poliambulanza Foundation Hospital Institute, Brescia, Italy.
Fabio MoscaNeonatology and Neonatal Intensive Care Unit, Department of Clinical Sciences and Community Health, University of Milan, IRCCS Cà Granda Ospedale Maggiore Foundation, University Hospital, Milan, Italy.
Developmental Care Study Group of Italian Society and Neonatology

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies on the application of developmental care initiatives in Italian NICUs are rather scarce. We aimed to assess parental access to the NICUs and facilities offered to the family members and to test "the state of art" regarding kangaroo mother care (KMC) and breastfeeding policies in level III Italian NICUs.

methodsA questionnaire both in paper and in electronic format was sent to all 106 Italian level III NICUs; 86 NICUs (i.e., 80% of NICUs) were completed and returned. The collected data were analysed. In addition, a comparison between the 2017 survey results and those of two previous surveys conducted from 2001 to 2006 was performed.

resultsIn total, 53 NICUs (62%) reported 24-h open access for both parents (vs. 35% in 2001 and 32% in 2006). Parents were requested to temporarily leave the unit during shift changes, emergencies and medical rounds in 55 NICUs (64%). Some parental amenities, such as an armchair next to the crib (81 units (94%)), a room for pumping milk and a waiting room, were common, but others, such as family rooms (19 units (22%)) and adjoining accommodation (30 units (35%)), were not. KMC was practised in 81 (94%) units, but in 72 (62%), i.e., the majority of units, KMC was limited to specific times. In 11 (13%) NICUs, KMC was not offered to the father. The average duration of a KMC session, based on unit staff estimation, was longer in 24-h access NICUs than in limited-access NICUs. KMC documentation in medical records was reported in only 59% of questionnaires. Breastfeeding was successful in a small proportion of preterm infants staying in the NICU.

conclusionThe number of 24-h access NICUs doubled over a period of 13 years. Some basic family facilities, such as a dedicated kitchen, rooms with dedicated beds and showers for the parents, remain uncommon. KMC and breastfeeding have become routine practices; however, the frequency and duration of KMC sessions reported by NICU professionals still do not meet the WHO recommendations.

Indexed as

Breast FeedingHumansInfant, NewbornIntensive Care Units, NeonatalItalyKangaroo-Mother Care MethodOrganizational PolicySurveys and QuestionnairesBreastfeedingDevelopmental careParental accessPremature newbornSkin-to-skin contact

Identifiers

PMID34857018
PMCPMC8638249

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.