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Newborn and family-centered care: a scoping review on related newborn rights and principles
Andrea Togo1, Ornella Lincetto1, Jenny Bua2
1Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", WHO Collaborating Centre for Maternal and Child Health, Trieste, Italy.
Insights
Newborn rights and family-centered care principles are aligned with international human rights law. This review emphasizes newborn rights as an entitlement, not just a care model, for better outcomes.
Area of Science:
- Neonatal Care
- Human Rights Law
- Pediatric Health Outcomes
Background:
- Newborn- and family-centered care (N&FCC) is crucial for infant and parental well-being.
- Existing literature lacks a comprehensive review of newborn rights and N&FCC principles.
- This study addresses the need to identify, synthesize, and align newborn rights with N&FCC principles.
Purpose of the Study:
- To identify and synthesize rights of hospitalized newborns and principles of N&FCC.
- To assess the alignment of these rights with international human rights instruments.
- To examine the congruence between newborn rights and N&FCC principles and identify knowledge gaps.
Main Methods:
- A comprehensive literature search was conducted across major databases (PubMed, EMBASE, Web of Science, Google Scholar).
- Records explicitly describing newborn rights or N&FCC principles were thematically synthesized.
- Identified rights and principles were mapped to five fundamental international human rights instruments.
Main Results:
- Out of 13,447 records, 12 were included, identifying 40 rights and 57 principles.
- Thematic analysis revealed 12 sets of rights and 6 sets of principles with substantial mutual alignment.
- Newborn rights align with international human rights instruments, but N&FCC principles do not always explicitly identify newborns as the focus; most originated in high-income countries.
Conclusions:
- This review synthesizes newborn rights and N&FCC principles, confirming their alignment with international human rights law.
- N&FCC should be recognized as a rights-based entitlement for hospitalized newborns, not merely a care model.
- Future research should clarify N&FCC's focus, establish standards of care, and promote global implementation involving diverse economic contexts.
Background:
Newborn- and family-centered care (N&FCC) is essential for improving newborn and parental outcomes, yet no previous review focused on related newborn rights and principles. In this scoping review, we aimed to identify and synthetise related rights of hospitalised newborns and principles of N&FCC enunciated in the literature, assess correspondence of rights with international human rights instruments, examine alignments between rights and principles, and identify gaps.
Methods:
We searched PubMed, EMBASE, Web of Science, and Google Scholar up to 20 August 2025 for records that explicitly described the rights of hospitalised newborns or articulated principles relevant to N&FCC. We thematically synthesised the identified rights and principles into overarching sets, assessed them for mutual alignment, and mapped rights to five fundamental international human rights instruments.
Results:
Twelve of the 13 447 retrieved records were eligible for inclusion. We identified 40 enunciated rights and 57 principles, with no single source providing a comprehensive list of either. Thematic analysis yielded 12 overarching sets of rights and 6 overarching sets of principles which showed substantial mutual alignment. Each set of rights was supported by two or more international human rights instruments. The analysis of principles enunciated so far in the literature highlighted that newborns are not always explicitly identified as the intended subject of N&FCC. Newborn rights and N&FCC principles were predominantly developed by groups/initiatives in high income countries.
Conclusions:
This review provides a comprehensive synthesis of newborn rights and N&FCC principles, demonstrating correspondence between newborn rights and international human rights law instruments, and alignment between rights and principles, thereby strengthening conceptual foundations of N&FCC. Our findings suggest that N&FCC should be considered a rights-based entitlement of hospitalised newborns, rather than solely a model of care. Future work should clarify the intended focus of N&FCC, examine mechanism for translating newborn rights into standards of care, and involve stakeholders from both high- and low- and middle-income countries to support its wider implementation.
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