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Care procedures in the healthy full-term newborn infant: a territorial survey
G Maffei1, P Colarizi, M Orzalesi
1Sandro Pertini Hospital, Rome.
Insights
Newborn care routines need updates, particularly Vitamin K prophylaxis, breastfeeding, and rooming-in practices. Hospital stays are also excessively long, requiring significant modifications in many centers.
Area of Science:
- Pediatrics
- Neonatology
- Public Health
Background:
- Established assistance routines for healthy full-term newborns are widely implemented.
- Variations in practice may impact newborn health outcomes and parental bonding.
Purpose of the Study:
- To investigate current assistance routines for healthy full-term newborns in Italy.
- To identify areas for improvement in newborn care protocols.
Main Methods:
- An investigation was conducted by the Italian Academy of Pediatrics and the Italian Academy of Neonatology.
- Data was collected on routines including Vitamin K prophylaxis, feeding, rooming-in, and hospital stay duration.
Main Results:
- Significant modifications are needed in most centers.
- Vitamin K prophylaxis dosages are highly variable and often not repeated.
- Breast-feeding and rooming-in require greater encouragement.
- Hospital length of stay is excessive, particularly in the Lazio region.
Conclusions:
- Current newborn assistance routines require substantial revisions.
- Standardization of Vitamin K prophylaxis and increased support for breastfeeding and rooming-in are recommended.
- Reducing hospital length of stay is crucial for optimizing postpartum care.
Abstract:
The Italian Academy of Pediatrics and the Italian Academy of Neonatology have carried out an investigation regarding assistance routines for the healthy full-term newborn. The results confirm a need for modifications in the majority of the centers, especially with regard to Vitamin K prophylaxis which is implemented with extremely variable dosages and not repeated, and to breast-feeding and rooming-in, both of which should be more encouraged. The length of stay in hospital for both vaginal and cesarean deliveries, especially in Lazio, is excessive. Regarding ocular prophylaxis and allergic disease prophylaxis, the attitude is uniform and in agreement with recent literature.