Effect of Family Integrated Care on Breastfeeding of Preterm Infants: A Scoping Review

Overview

Journal Nurs Open

Specialty Nursing

Date 2023 Jun 12

PMID 37306324

Authors

Lijing Ding

Yanli Chen

Wenyan Zhang

Jianqi Song

Xiao Yao

Yue Wan

Rong Huang

Affiliations

Soon will be listed here.

Abstract

Aims: The aims are to describe the key components of family integrated care intervention for preterm infants in the neonatal intensive care unit (NICU) and assess the impact on breastfeeding outcomes for those infants.

Design: A scoping review.

Methods: We conducted a systematic study search based on the databases, including PubMed, Scopus, Cochrane, Web of Science, MEDLINE, CINAHL, CNKI and Wanfang Database in December 2022. The search time ranged from database establishment to 31 December 2022. Papers by manual searching were also listed on the references. We adopted Joanna Briggs Institute Reviewer's Manual methodology and followed the PRISMA guidelines for Scoping Reviews (PRISMA-ScR) to conduct the review. Two independent reviewers filtered the papers, extracted data and synthesized the findings. A table was used to extract data and synthesize results.

Results: After systematic searching, 11 articles that implemented family integrated care (FIcare) were finally included in this scoping review. By analysing the implementation of this nursing model, we identified seven main components: NICU staff training, parent education, parent participation in infants' care, parent involvement in medical plans, peer support, NICU environmental support and mobile app for parents. Based on the extracted breastfeeding data, this scoping review concludes that family integrated care shows a positive effect on increasing breastfeeding rates at discharge. Through this scoping review, we find that family integrated care is feasible and it can support breastfeeding of preterm infants. Further studies will be needed to provide more evidence that family integrated care could facilitate breastfeeding of preterm infants.

Impact: This scoping review provides evidence for the positive role of family integrated care on breastfeeding outcomes. The analysis may contribute to the implementation of family integrated care.

No Patient Or Public Contribution: No further public or patient contribution was made in view of the review-based nature of the research.

Citing Articles

Family-centered care in the neonatal intensive care unit: a meta-analysis and systematic review of outcomes for preterm infants.

Chen S, Shen H, Jin Q, Zhou L, Feng L Transl Pediatr. 2025; 14(1):14-24.

PMID: 39944875 PMC: 11811580. DOI: 10.21037/tp-24-373.

Strategies to support language development in neonatal intensive care unit: a narrative review.

Heo J, Kim E Clin Exp Pediatr. 2024; 67(12):651-663.

PMID: 39533738 PMC: 11621733. DOI: 10.3345/cep.2024.00087.

Human milk feeding for moderate and late preterm infants at age 2 months: Insights from a cluster randomized controlled trial 2-month follow-up.

Moe A, Brockway M, McNeil D, Afzal A, Benzies K PEC Innov. 2024; 5:100345.

PMID: 39391887 PMC: 11465735. DOI: 10.1016/j.pecinn.2024.100345.

Complications of Preterm Birth-The Importance of Care for the Outcome: A Narrative Review.

Zivaljevic J, Jovandaric M, Babic S, Raus M Medicina (Kaunas). 2024; 60(6).

PMID: 38929631 PMC: 11205595. DOI: 10.3390/medicina60061014.

Designing eHealth interventions for children with complex care needs requires continuous stakeholder collaboration and co-creation.

van de Riet L, Aris A, Verouden N, Van Rooij T, van Woensel J, van Karnebeek C PEC Innov. 2024; 4:100280.

PMID: 38596601 PMC: 11002852. DOI: 10.1016/j.pecinn.2024.100280.

References

Pillai A, Pournami F, Prabhakar J, Nair P, Jain N . Effect of Early Parent Participation Program on Physiological Stability in Preterm Infants: A Randomized Controlled Trial. Am J Perinatol. 2021; 39(16):1796-1804. DOI: 10.1055/s-0041-1726126. View

Peters M, Marnie C, Tricco A, Pollock D, Munn Z, Alexander L . Updated methodological guidance for the conduct of scoping reviews. JBI Evid Synth. 2020; 18(10):2119-2126. DOI: 10.11124/JBIES-20-00167. View

Franck L, Gay C, Hoffmann T, Kriz R, Bisgaard R, Cormier D . Neonatal outcomes from a quasi-experimental clinical trial of Family Integrated Care versus Family-Centered Care for preterm infants in U.S. NICUs. BMC Pediatr. 2022; 22(1):674. PMC: 9682629. DOI: 10.1186/s12887-022-03732-1. View

Ding L, Chen Y, Zhang W, Song J, Yao X, Wan Y . Effect of family integrated care on breastfeeding of preterm infants: A scoping review. Nurs Open. 2023; 10(9):5950-5960. PMC: 10416000. DOI: 10.1002/nop2.1888. View

Hsu C, Chen C, Lin M, Wang T, Hsu Y . Post-discharge body weight and neurodevelopmental outcomes among very low birth weight infants in Taiwan: A nationwide cohort study. PLoS One. 2018; 13(2):e0192574. PMC: 5812645. DOI: 10.1371/journal.pone.0192574. View

Tricco A, Lillie E, Zarin W, OBrien K, Colquhoun H, Levac D . PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2018; 169(7):467-473. DOI: 10.7326/M18-0850. View

Barrington J, Polley C, van Heerden C, Gray A . Descriptive study of parents' perceptions of paediatric ward rounds. Arch Dis Child. 2021; 106(8):786-790. DOI: 10.1136/archdischild-2020-320318. View

Pineda R, Bender J, Hall B, Shabosky L, Annecca A, Smith J . Parent participation in the neonatal intensive care unit: Predictors and relationships to neurobehavior and developmental outcomes. Early Hum Dev. 2017; 117:32-38. PMC: 5856604. DOI: 10.1016/j.earlhumdev.2017.12.008. View

Reiter A, De Meulemeester J, Kenya-Mugisha N, Tagoola A, Kabajaasi O, Wiens M . Parental participation in the care of hospitalized neonates in low- and middle-income countries: A systematic review and meta-analysis. Front Pediatr. 2022; 10:987228. PMC: 9453204. DOI: 10.3389/fped.2022.987228. View

10.

Benzies K, Aziz K, Shah V, Faris P, Isaranuwatchai W, Scotland J . Effectiveness of Alberta Family Integrated Care on infant length of stay in level II neonatal intensive care units: a cluster randomized controlled trial. BMC Pediatr. 2020; 20(1):535. PMC: 7697372. DOI: 10.1186/s12887-020-02438-6. View

11.

Melnyk B, Feinstein N, Alpert-Gillis L, Fairbanks E, Crean H, Sinkin R . Reducing premature infants' length of stay and improving parents' mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics. 2006; 118(5):e1414-27. DOI: 10.1542/peds.2005-2580. View

12.

Franck L, OBrien K . The evolution of family-centered care: From supporting parent-delivered interventions to a model of family integrated care. Birth Defects Res. 2019; 111(15):1044-1059. DOI: 10.1002/bdr2.1521. View

13.

Uniacke S, Kayali Browne T, Shields L . How should we understand family-centred care?. J Child Health Care. 2018; 22(3):460-469. DOI: 10.1177/1367493517753083. View

14.

Chan G, Valsangkar B, Kajeepeta S, Boundy E, Wall S . What is kangaroo mother care? Systematic review of the literature. J Glob Health. 2016; 6(1):010701. PMC: 4871067. DOI: 10.7189/jogh.06.010701. View

15.

Blencowe H, Cousens S, Oestergaard M, Chou D, Moller A, Narwal R . National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet. 2012; 379(9832):2162-72. DOI: 10.1016/S0140-6736(12)60820-4. View

16.

Cerasani J, Ceroni F, De Cosmi V, Mazzocchi A, Morniroli D, Roggero P . Human Milk Feeding and Preterm Infants' Growth and Body Composition: A Literature Review. Nutrients. 2020; 12(4). PMC: 7230190. DOI: 10.3390/nu12041155. View

17.

He S, Xiong Y, Zhu L, Lv B, Gao X, Xiong H . Impact of family integrated care on infants' clinical outcomes in two children's hospitals in China: a pre-post intervention study. Ital J Pediatr. 2018; 44(1):65. PMC: 5989344. DOI: 10.1186/s13052-018-0506-9. View

18.

Ouyang Z, Gao X, Du J, Li Y, Zhu X, Hei M . [Influence of family integrated care on the intestinal microbiome of preterm infants in the neonatal intensive care unit]. Zhonghua Er Ke Za Zhi. 2019; 57(4):265-271. DOI: 10.3760/cma.j.issn.0578-1310.2019.04.007. View

19.

Cooijmans K, Beijers R, Brett B, de Weerth C . Daily skin-to-skin contact in full-term infants and breastfeeding: Secondary outcomes from a randomized controlled trial. Matern Child Nutr. 2021; 18(1):e13241. PMC: 8710110. DOI: 10.1111/mcn.13241. View

20.

Blomqvist Y, Frolund L, Rubertsson C, Nyqvist K . Provision of Kangaroo Mother Care: supportive factors and barriers perceived by parents. Scand J Caring Sci. 2012; 27(2):345-53. DOI: 10.1111/j.1471-6712.2012.01040.x. View