Prevention and Clinical Management | Health Systems and Workforce | Strengthening Quality of Care | Focus: COVID-19 | Focus: Small and Sick Newborns | Focus: Mental Health Room: Roof Terrace Oral Abstracts
May 11, 2023 09:10 - 10:25(Africa/Johannesburg)
20230511T0910 20230511T1025 Africa/Johannesburg Preserving the Mother-Baby Dyad in and out of the Newborn Intensive Care Unit

Zero Separation of Mothers and Newborns in the Newborn Intensive Care Unit and Physiological Stabilization and Sleep State of Newborns

A multi-country randomized controlled trial, conducted in five countries (India, Ghana, Tanzania, Nigeria, and Malawi,) coordinated by the World Health Organization (WHO) (iKMC study), showed a 25% reduction in mortality by immediate kangaroo mother care (KMC) in neonates with birthweight 1 to 1.8 kg. To implement the immediate KMC intervention, mother and baby needed to be together continuously, which led to the concept of "Mother–Newborn Care Unit (MNCU)." An MNCU is a facility where sick and small newborns are cared for with their mothers 24x7 with all facilities of level II newborn care and provision for postnatal care to mothers. Neuroscience of zero separation suggests that neonates in skin-to-skin contact have better physiological stabilization and sleep state. Therefore, this study was planned to assess the physiological parameters and sleep state among low birthweight babies following immediate KMC in the MNCU.

Stress Outcomes of "Zero Separation" in the Mother-Newborn Dyad in Neonatal Intensive Care Units 

Conventionally, small sick newborns are separated from their mothers for care in neonatal intensive care units globally. A recent trial showed that providing newborns with continuous kangaroo mother care commenced immediately after birth with zero separation from the mother reduced neonatal mortality by 25%. We hypothesised that psychometric and biochemical stress would be less among mother-newborn dyads roomed in together as compared to conventional care.

Zero Separation. Together for Better Care! Infant and Family-Centred Developmental Care in Times of COVID-19: A Global Surve ...

Room: Roof Terrace International Maternal Newborn Health Conference 2023 information@imnhc.org
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Zero Separation of Mothers and Newborns in the Newborn Intensive Care Unit and Physiological Stabilization and Sleep State of Newborns

A multi-country randomized controlled trial, conducted in five countries (India, Ghana, Tanzania, Nigeria, and Malawi,) coordinated by the World Health Organization (WHO) (iKMC study), showed a 25% reduction in mortality by immediate kangaroo mother care (KMC) in neonates with birthweight 1 to 1.8 kg. To implement the immediate KMC intervention, mother and baby needed to be together continuously, which led to the concept of "Mother–Newborn Care Unit (MNCU)." An MNCU is a facility where sick and small newborns are cared for with their mothers 24x7 with all facilities of level II newborn care and provision for postnatal care to mothers. Neuroscience of zero separation suggests that neonates in skin-to-skin contact have better physiological stabilization and sleep state. Therefore, this study was planned to assess the physiological parameters and sleep state among low birthweight babies following immediate KMC in the MNCU.


Stress Outcomes of "Zero Separation" in the Mother-Newborn Dyad in Neonatal Intensive Care Units 

Conventionally, small sick newborns are separated from their mothers for care in neonatal intensive care units globally. A recent trial showed that providing newborns with continuous kangaroo mother care commenced immediately after birth with zero separation from the mother reduced neonatal mortality by 25%. We hypothesised that psychometric and biochemical stress would be less among mother-newborn dyads roomed in together as compared to conventional care.


Zero Separation. Together for Better Care! Infant and Family-Centred Developmental Care in Times of COVID-19: A Global Survey of Parents' Experiences 

The COVID-19 pandemic has created exceptional challenges, especially for the care of small and sick newborns. While most restrictions were necessary to stem virus transmission, some have impacted the provision and quality of health care, including infant and family-centred developmental care (IFCDC). This research explores parents' experiences regarding the impact of the restrictions on key characteristics of IFCDC, including prenatal care, parental access, infant nutrition and breastfeeding, health communication, and mental health, during the first year of the pandemic.


Immediate Kangaroo Mother Care: Process and Costs for Implementation Readiness at Five Hospitals in Uganda 

Preterm birth complications result in more than one million child deaths annually, mostly in low- and middle-income countries (LMICs). A World Health Organization (WHO)-led trial in hospitals with intensive care reported reduced mortality at 28 days among newborns weighing 1000–1799g who received immediate kangaroo mother care (KMC) compared to those who received standard care, prompting calls for scale-up of immediate KMC. Evidence is needed regarding the process and costs of implementing immediate KMC, particularly in hospitals without intensive care.

Zero Separation of Mothers and Newborns in the Newborn Intensive Care Unit and Physiological Stabilization and Sleep State of Newborns
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB)
Prevention and Clinical Management
Health Systems and Workforce
Presenters
S.
SURUCHI .
Student, VMMC & Safdarjung Hospital
Co-authors
SA
Sugandha Arya
Professor, VMMC & SAfdarjung Hospital
Harish Chellani
Professor, CHRD: Society For Applied Studies
Stress Outcomes of "Zero Separation" in the Mother-Newborn Dyad in Neonatal Intensive Care Units
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB), Mental Health
Strengthening Quality of Care
Strengthening Quality of Care
Presenters
NW
Nitya Wadhwa
Translational Health Science And Technology Institute, Translational Health Science And Technology Institute
Co-authors
LK
Leena Kaushik
Doctoral Fellow, DCR University Of Science & Technology, Murthal, Haryana, India
KN
Kiran Nehra
Professor, DCR University Of Science & Technology, Murthal, Haryana, India
TM
Tushar K Maiti
Professor, Regional Centre For Biotechnology
SA
Sugandha Arya
Professor, VMMC & SAfdarjung Hospital
Harish Chellani
Professor, CHRD: Society For Applied Studies
Zero Separation. Together for Better Care! Infant and Family-Centred Developmental Care in Times of COVID-19: A Global Survey of Parents' Experiences
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
COVID-19, Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Strengthening Quality of Care
Presenters Silke Mader
EFCNI, EFCNI - European Foundation For The Care Of Newborn Infants
Co-authors
JK
Johanna Kostenzer
Head Of Scientific Affairs, European Foundation For The Care Of Newborn Infants (EFCNI)
CV
Charlotte Von Rosenstiel-Pulver
Junior Project Manager, European Foundation For The Care Of Newborn Infants
JH
Julia Hoffmann
Senior Project Manager, European Foundation For The Care Of Newborn Infants
AW
Aisling Walsh
Senior Project Manager, European Foundation For The Care Of Newborn Infants
LZ
Luc J.I. Zimmermann
Senior Medical Director, European Foundation For The Care Of Newborn Infants
Immediate Kangaroo Mother Care: Process and Costs for Implementation Readiness at Five Hospitals in Uganda
Single Abstract 09:10 AM - 10:25 AM (Africa/Johannesburg) 2023/05/11 07:10:00 UTC - 2023/05/11 08:25:00 UTC
Small and Sick Newborns (SSNB)
Strengthening Quality of Care
Health Systems and Workforce
Presenters Melissa Medvedev
Associate Professor Of Neonatology, University Of California San Francisco
Co-authors
VT
Victor Tumukunde
Scientist And Trial Coordinator, 4Medical Research Council/Uganda Virus Research Institute And London School Of Hygiene & Tropical Medicine Uganda Research Unit
CK
Charity Kirabo-Nagemi
Health Economist, Medical Research Council/Uganda Virus Research Institute And London School Of Hygiene & Tropical Medicine Uganda Research Unit
EE
Elizabeth Ekirapa-Kiracho
Senior Lecturer And Head, Department Of Health Policy, Planning And Management, Makerere University
GG
Giulia Greco
Associate Professor In Health And Wellbeing Economics, The London School Of Hygiene & Tropical Medicine (LSHTM)
IM
Ivan Mambule
Scientist And Trial Coordinator, Medical Research Council/Uganda Virus Research Institute And London School Of Hygiene & Tropical Medicine Uganda Research Unit
KK
Kenneth Katumba
Health Economist, Medical Research Council/Uganda Virus Research Institute And London School Of Hygiene & Tropical Medicine Uganda Research Unit
Peter Waiswa
Professor, Makerere University
Cally Tann
Associate Professor Of Global Neonatal Health, Development & Disability, The London School Of Hygiene & Tropical Medicine (LSHTM)
DE
Diana Elbourne
Professor Of Healthcare Evaluation, The London School Of Hygiene & Tropical Medicine (LSHTM)
EA
Elizabeth Allen
Professor Of Medical Statistics, Dean Of The Faculty Of Epidemiology And Population Health, The London School Of Hygiene & Tropical Medicine (LSHTM)
CP
Catherine Pitt
Associate Professor Of Health Economics, The London School Of Hygiene & Tropical Medicine (LSHTM)
Joy Lawn
Professor , The London School Of Hygiene & Tropical Medicine (LSHTM)
Student
,
VMMC & Safdarjung Hospital
Translational Health Science and Technology Institute
,
Translational Health Science and Technology Institute
EFCNI
,
EFCNI - European Foundation for the Care of Newborn Infants
Associate Professor of Neonatology
,
University of California San Francisco
Dr. Olufunke Bolaji
Chair, Advocacy and Collaboration Committee
,
African Neonatal Association
 Amy Cannon
Maternal Newborn Health Advisor
,
Jhpiego
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