Effects of family integrated care on weight gain in extremely preterm infants
Jiangfeng Ou1, Xiaoyun Zhong1, Xiaoting Zhang2
1Department of Pediatrics, Women and Children's Hospital of Chongqing Medical University, Chongqing, China.
Insights
Family integrated care (FICare) significantly enhances weight gain in preterm infants. This approach partners families with neonatal intensive care units (NICUs) for improved infant health outcomes.
Area of Science:
- Neonatal Intensive Care
- Pediatric Health Outcomes
- Family-Centered Care
Background:
- Family integrated care (FICare) involves families as partners in neonatal intensive care units (NICUs).
- FICare has the potential to improve health outcomes for preterm infants.
- This study investigated the impact of FICare on extremely preterm infants.
Purpose of the Study:
- To explore the effect of Family Integrated Care (FICare) on extremely preterm infants.
- To evaluate the impact of integrating families into neonatal intensive care unit (NICU) care.
- To assess changes in weight gain and other health indicators in preterm infants under FICare.
Main Methods:
- A cohort of 182 preterm infants was studied from June 2017 to June 2018.
- Sixty-six infants were enrolled in the FICare group, with 66 matched controls.
- Statistical analysis, including linear regression, was performed using SPSS v. 20.0.
Main Results:
- The FICare group showed higher weight gain rates, oxygen exposure, hospitalization costs, and retinopathy of prematurity (ROP) incidence.
- Factors like elevated birth weight, maternal age, and hormone use influenced weight growth rates.
- The weight growth rate was significantly increased in the FICare group compared to the control group (P<0.001).
Conclusions:
- Family integrated care (FICare) significantly improves weight gain in preterm infants.
- FICare is beneficial for infants born at or before 32 weeks gestation.
- Integrating families into NICU care positively impacts infant growth during hospitalization.
Background:
Family integrated care (FICare) is a model that integrates families as partners in the modern neonatal intensive care unit (NICU) care and which can improve the health outcomes of preterm infants. Our study aimed to explore the effect of FICare on extremely preterm infants.
Methods:
Overall, 182 preterm infants with complete data were collected from June 2017 to June 2018 in the Chongqing Health Center for Women and Children. Sixty-six of 182 infants were enrolled into the FICare group, and another 66 matched subjects were in the control group. SPSS v. 20.0 software (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. The correlation between each factor and weight gain was analyzed by linear regression.
Results:
The rate of weight gain during hospitalization (t=4.32), oxygen exposure time (Z=1.967), hospitalization expenses (t=3.03) and the incidence of retinopathy of prematurity (ROP) (χ2=4.805) were higher in the FICare group (P<0.05). Elevated birth weight was associated with a decrease of the weight growth rate (P<0.001). The growth rate of small-for-gestational-age (SGA) infants was higher than normal gestational age infants, P=0.011. Every one year of increase in maternal age (P=0.016), each additional day for restoration days of birth weight (P=0.023), and each increment of δZ score (P<0.001) increased the weight growth rate. The irregular use of hormones reduced the weight growth rate (P=0.023). Compared with the control group, the weight growth rate of FICare group increased (P<0.001).
Conclusions:
FICare can significantly improve the weight gain in preterm infants ≤32 weeks during hospitalization.
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