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Updated: Dec 31, 2025
A Swine Model of Neonatal Asphyxia
Published on: October 11, 2011
An intervention to decrease time to parents' first hold of infants in the Neonatal Intensive Care Unit requiring
Kaitlin M Kenaley1, Annette L Rickolt2, Derek A Vandersteur2
1Pediatrics/Neonatology, Christiana Care Health System, Newark, DE, USA. Kaitlin.Kenaley@ChristianaCare.org.
Background:
There are many barriers to parental skin-to-skin contact for critically ill neonates. Our aims were to decrease median time to first parental hold of neonates requiring respiratory support from 6.4 to 3 days, and to increase the percentage of neonates held within the first 24 h after birth from 6 to 75%.
Methods:
Lean Six Sigma methodology was used to identify barriers to holding and opportunities for improvement.
Intervention:
A multifactorial improvement bundle was implemented to reduce the time to first parental hold of critically ill neonates.
Results:
Median time to first parental hold was reduced from 6.4 to 1.2 days (p < 0.01). Infants held within the first 24 h after birth increased from 6 to 35%. There was no increase in adverse events associated with parental holding.
Conclusions:
Implementation of an improvement bundle resulted in a significant reduction in time to first parental hold of infants requiring respiratory support.
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