Enhancement of maternal-neonatal bonding during the COVID-19 pandemic: A quality improvement initiative.
J Paediatr Child Health
; 58(9): 1601-1607, 2022 09.
Article
in English
| MEDLINE | ID: covidwho-1868677
ABSTRACT
AIM:
The COVID-19 pandemic adversely affected the essential care of newborns. In a tertiary care hospital in India, all COVID-19 suspect post-natal mothers awaiting COVID results were transferred to a ward shared with symptomatic COVID suspect female patients from other clinical specialities, due to shortage of space and functional health workforce. Babies born to COVID-19 suspect mothers were moved to a separate ward with a caretaker until their mothers tested negative. Due to shortage of beds and delay in receiving COVID results, mothers and babies were often discharged separately 2-3 days apart to their home. This deprived babies of their mother's milk and bonding. We, therefore, undertook a quality improvement (QI) initiative aiming to improve rooming-in of eligible COVID-19 suspect mother-newborn dyads from 0% to more than 90% over a period of 6 weeks.METHODS:
A QI team was formed which ran multiple Plan-Do-Study-Act cycles. The results were reviewed at regular intervals and interventions were adopted, adapted or abandoned. These included advocacy, rearrangement of wards, counselling of mothers and caretakers regarding infection prevention practices and coordination between labour room, post-natal ward and nursery staff.RESULTS:
An improvement in rooming-in from 0% to more than 90% was achieved.CONCLUSION:
QI methodology is a systematic approach in addressing and solving unexpected unforeseen problems effectively.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Infant, Premature
/
COVID-19
Type of study:
Observational study
/
Prognostic study
/
Qualitative research
/
Systematic review/Meta Analysis
Limits:
Female
/
Humans
/
Infant, Newborn
Language:
English
Journal:
J Paediatr Child Health
Journal subject:
Pediatrics
Year:
2022
Document Type:
Article
Affiliation country:
Jpc.16051
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