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Single-family room design in the neonatal intensive care unit did not improve growth

Bente Silnes Tandberg1,2, Kathrine Frey Frøslie3, Trond Markestad2

  • 1Department of Pediatric and Adolescent Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.

Acta Paediatrica (Oslo, Norway : 1992)
|February 8, 2019
PubMed

Insights

Single-family room (SFR) care for premature infants encouraged greater parental involvement compared to open-bay (OB) units. However, this increased parental presence did not lead to significant differences in infant growth trajectories.

Area of Science:

  • Neonatal care and development
  • Pediatric growth monitoring
  • Parental involvement in infant care

Background:

  • Traditional open-bay (OB) neonatal units may limit parental presence and involvement.
  • Single-family room (SFR) environments are proposed to enhance family-centered care.
  • Understanding the impact of different unit designs on parental engagement and infant outcomes is crucial.

Purpose of the Study:

  • To compare infant growth in single-family rooms (SFR) versus open-bay (OB) neonatal units.
  • To assess parental involvement, measured by duration of presence and skin-to-skin contact, in both settings.
  • To determine if increased parental involvement in SFR units correlates with improved infant growth.

Main Methods:

  • A comparative study involving very premature infants (28-32 weeks gestational age) in Norway.
  • Infants were cared for in either an SFR unit (n=35) or an OB unit (n=42).
  • Parental presence and skin-to-skin contact were recorded; infant weight, length, and head circumference were tracked from birth to four months post-term.

Main Results:

  • Mothers in SFR units spent significantly more time with their infants and provided more skin-to-skin contact compared to mothers in OB units.
  • Fathers also showed increased involvement in SFR settings, though the difference was less pronounced.
  • Despite increased parental involvement in SFR care, infant growth trajectories (weight, length, head circumference) did not differ significantly between the two groups.

Conclusions:

  • Single-family room care facilitates greater parental involvement in the care of very premature infants.
  • Increased parental involvement associated with SFR environments does not appear to directly influence infant growth outcomes.
  • Further research may explore other potential benefits of SFR environments beyond physical growth.
Abstract

Keywords:
Family-centred careGrowthSingle-family roomSkin-to-skin contactVery premature infant

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