“There are three types of nursery care facilities in Korea. First, completely separated nursery room between mother’s and baby’s. In this circumstance, mothers can spend time with their babies at limited meeting times for several minutes during their hospital stay. The entire course of care is given in the nursery room only. Second, partial rooming-in with mothers. Rooming-in nursery service gives an opportunity for babies to spend time with their mothers during their hospital stay, and the partial rooming-in gives not full time but partial time in a day for them because main procedures are taken in the nursery room, not the mother’s room. The last type of care is complete rooming-in care of babies and mothers. This nursery practice gives care for the baby in the same room with mother from their time of birth to their discharge from the hospital,” (1).
Lee, et al. (2010) published the results of a three-year, large-scale study of 860 neonates “required to be under rooming-in service”, with 9.7% who were excluded from the study due to either infant or maternal health concerns. The authors found an increased rate of exclusive breastfeeding (64%), as well as an, increased in “mixed feeding” of formula less than three times per day (26%), “if only some more intervention can be provided, breastfeeding rate will be increased.”
In their conclusion, they emphasized, “nursery facilities should educate and encourage the advantages of rooming-in such as the good formation of attachment between mother and infant, emotional stability [maternal], protection from infection [infant], and increased breastfeeding rate…”.
What is the “norm” in your area of the world? Are you seeing more facilities promoting full-time rooming-in of mother and infant? If not, what are the obstacles to this evidence-based care recommendation and requirement for the Baby-friendly Hospital Initiative (BFHI)? What do the staff say and what do new parents say about rooming-in?
Kathy Parkes, MSN-Ed, RN, IBCLC, FILCA CHC
Professional Development Educator
1. Lee, Y.M., Song, K.H., Kim, Y.M., Kang, J.S., Chang, J.Y., Seol, H.J., Choi, Y.S., and Bae, C.W. (2009). Complete rooming-in care of newborn infants. Korean J Pediatr; 53(5): 634-638. https://pubmed.ncbi.nlm.nih.gov/21189929/
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