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Parental participation during therapeutic hypothermia for neonatal hypoxicischemic encephalopathy
Univ Hosp, Neonatal Intens Care Unit, Uppsala, Sweden.
Univ Hosp, Neonatal Intens Care Unit, Uppsala, Sweden.
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Perinatal, neonatal och barnkardiologisk forskning. Univ Hosp, Neonatal Intens Care Unit, Uppsala, Sweden.ORCID-id: 0000-0003-3498-6069
Uppsala universitet, Medicinska och farmaceutiska vetenskapsområdet, Medicinska fakulteten, Institutionen för kvinnors och barns hälsa, Forskargrupper (Inst. för kvinnor och barns hälsa), Perinatal, neonatal och barnkardiologisk forskning. Univ Hosp, Neonatal Intens Care Unit, Uppsala, Sweden.
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2019 (engelsk)Inngår i: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 20, s. 77-80Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Objectives: To examine parental participation in the care of newborn infants receiving therapeutic hypothermia, and to explore the possible impact of in-born vs out-born status, and location of hospital accommodation. Study design: Retrospective, quantitative and descriptive design. Main outcome measures: Infants medical charts were reviewed for defined aspects of parental participation (infant holding, tube feeding, and diaper change), and related to their in-born vs out-born status, and whether the parents were accommodated in the NICU or elsewhere. All infants have been cared for at the University Hospital Neonatal Intensive Care Unit, serving as a regional referral center for hypothermia treatment. This study is a part of a population-based regional cohort of asphyxiated newborn infants (n = 112) that received therapeutic hypothermia in 2007-2015. Results: Parents engaged in holding (60/112, 54%) or tube feeding (59/112, 53%) their infant. Parents of inborn infants (24/112, 21%) were more likely to check the placement of the feeding tube (11/24, 46% vs 15/88, 17%; p < 0.01) and change diapers (9/24, 38% vs 14/88, 16%; p < 0.05) than parents of out-born infants (88/112, 79%). A similar pattern of more extensive involvement was observed for both mothers and fathers who stayed at the neonatal intensive care compared to those accommodated elsewhere (p < 0.05). Conclusions: Active parental participation is feasible at the NICU even during therapeutic hypothermia. Timely postnatal transfer of parents of out-born/transported infants, and the provision of on-site accommodation may influence the quality of parental involvement.

sted, utgiver, år, opplag, sider
ELSEVIER IRELAND LTD , 2019. Vol. 20, s. 77-80
Emneord [en]
Neonatal intensive care, Chart review, Therapeutic hypothermia, Neonatal hypoxic-ischemic encephalopathy, Parental participation, Parental involvement
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Identifikatorer
URN: urn:nbn:se:uu:diva-387928DOI: 10.1016/j.srhc.2019.03.004ISI: 000470192400015PubMedID: 31084824OAI: oai:DiVA.org:uu-387928DiVA, id: diva2:1331866
Tilgjengelig fra: 2019-06-27 Laget: 2019-06-27 Sist oppdatert: 2019-06-28bibliografisk kontrollert

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