Utility of Protocolized Maternal Training for Transitioning Stable Preterm Neonates: A Prospective Cohort Study

The transition of preterm infants from hospital to caregiver-based care is challenging due to unpreparedness in newborn care. Caregiver training may facilitate transition, but evidence thereof is limited. This study assessed the safety and feasibility of transitioning stable preterm neonates from the NICU to the postnatal ward after implementing a NICU-based protocolized maternal training programme. 'Stable' 28-33 wk neonates transitioned to 'ready' mothers were followed for defined outcomes, which were compared with historical unit data. The mean gestation and birth weight (n = 73) were 31 wk and 1450 g, respectively. Seventy-one neonates (97.2%, 95% CI: 89.9-99.8) were transitioned successfully, with two (2.7%) requiring NICU readmission. The weekly weight gain was 16.5 (8) g/kg/d, with a hospital stay of 25 (17-36) d, and 100% maternal 'absolute satisfaction' at discharge. The mean weight-for-age Z-score was -1.23, and the exclusive breastfeeding proportion was 57.5% at follow-up. Outcomes compared favourably with comparators, concluding that it is safe and feasible to transition stable preterm neonates.