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Family-centered care for newborns: a global perspective and review

医学 奇纳 母乳喂养 心理信息 梅德林 医疗保健 家庭医学 护理部 以家庭为中心的护理 二元体 模式 发展中国家 儿科 心理干预 发展心理学 心理学 社会科学 社会学 政治学 法学 经济 经济增长
作者
Saverio Bellizzi,Catello M Panu Napodano,Paola Murgia
出处
期刊:Journal of Tropical Pediatrics [Oxford University Press]
卷期号:70 (5) 被引量:1
标识
DOI:10.1093/tropej/fmae026
摘要

Abstract Person-centered models of care built on newborn and family needs and rights, such as nonseparation immediately after birth and during the care process, can address the complex needs of the newborn, family, and health system. This is particularly important in low- and middle-income countries, where cost-effective modalities are highly needed to accelerate the survival of newborn babies. We conducted a systematic review to explore country experiences on implementation and challenges to implement and scale-up family-centered newborn care models of care. MEDLINE, CINAHL, EMBASE, and PsycINFO databases were searched to identify studies on patient-centered care and newborns between 1990 and 2023. Studies meeting our predefined inclusion criteria were quality assessed and relevant data extracted. We utilized the World Health Organization framework on integrated people-centered health services to summarize and analyze findings while highlighting patterns. Forty-one studies were included for review (including approximately 60% from low- and middle-income countries). Different research conducted over time highlighted how immediate and uninterrupted skin-to-skin care facilitates a series of critical processes for newborns, parents, and health system, including breastfeeding initiation and exclusivity rates, reduced incidence of post-partum depression, and prevention of infection and hospitalization. Thanks to the close contact of the kangaroo position or skin-to-skin contact, parents recount becoming more and more attached to and familiar with their baby, easily establishing a relationship. Overall, countries could transform the newborn care service in terms of family center care by adopting three simple rules: (i) minimizing mother–child separation; (ii) involving fathers; (iii) empowering parents from the time of birth. A paradigm shift is required to change the conventional model of provider-centric care to one of person-centered neonatal health care. Such an approach is feasible in diverse country settings and should be facilitated through political commitment and policies enabling early focus on the maternal–infant relationship. This could, in turn, help achieve improved dignity of care and help create a more efficient and responsive health system and society.

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