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Family Integrated Care in Single Family Rooms and Neonatal Outcomes in Preterm Infants: A Multicenter Cohort Study

Hannah Hoeben1,2, Nicole R van Veenendaal1,2, Henriëtte van Laerhoven1

  • 1Department of Pediatrics and Neonatology, OLVG, Amsterdam, The Netherlands.

Neonatology
|February 4, 2026
PubMed

Insights

Family Integrated Care (FICare) in single family rooms (SFR) reduced infant length of stay (LOS) by approximately 2 days. This improvement was linked to infants acquiring feeding skills, leading to fewer days with tube feeding.

Area of Science:

  • Neonatal care
  • Pediatric outcomes
  • Healthcare delivery models

Background:

  • Standard neonatal care (SNC) in open bay units (OBU) is compared against Family Integrated Care (FICare) in single family rooms (SFR).
  • Evaluating the impact of FICare in SFR on infant outcomes is crucial for optimizing neonatal intensive care unit (NICU) environments.

Purpose of the Study:

  • To assess the effect of FICare in SFR versus SNC in OBU on infant outcomes.
  • To identify specific infant outcomes influenced by the FICare intervention in a single family room setting.

Main Methods:

  • A prospective cohort study involving preterm infants hospitalized for ≥7 days across three Dutch level II neonatal units.
  • Comparison between an intervention group receiving FICare in SFR and control groups receiving SNC in OBU.
  • Analysis of secondary outcomes including length of stay (LOS), breastfeeding, growth, sepsis, tube feeding duration, respiratory support, intravenous access, and readmissions using linear mixed models and mediation analyses.

Main Results:

  • FICare in SFR was associated with a significant reduction in LOS (approximately 2 days) compared to SNC in OBU.
  • Infants in the FICare group showed increased likelihood of discharge with tube feeding (TF) but fewer days with TF and intravenous access during hospitalization.
  • The reduction in LOS was fully mediated by reduced days with TF and intravenous access, indicating improved feeding independence.

Conclusions:

  • Family Integrated Care (FICare) implemented in single family rooms (SFR) demonstrates a positive association with decreased length of stay for preterm infants.
  • The benefits of FICare in SFR are partly mediated by enhanced feeding skills acquisition, leading to reduced reliance on medical interventions like tube feeding.
  • Future research should employ robust designs and consider diverse parental populations to further validate these findings and explore broader implications of FICare.

Keywords:
Family Integrated CareNeonatal careParent-partnered careParental participationPreterm birth

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