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• W3201870157 abstract "<h3>Background</h3> Having a baby requiring admission to a neonatal intensive care unit (NICU) can be very distressing for families and there may be a significant period after birth where parents do not see or hold their baby. Facilitating delivery room cuddles (DRC) allows family integrated care to begin at the earliest opportunity. <h3>Objectives</h3> A collaborative project to facilitate cuddles at delivery for infants born <32 weeks gestation, or with congenital anomalies requiring NICU admission, without impacting safety or factors affecting mortality (such as hypothermia or hypoglycaemia). <h3>Methods</h3> Education was delivered to all staff attending deliveries to ensure safe facilitation prior to implementing the initiative. Data was collected, across three tertiary units, between 2018 and 2019 for infants <32 weeks gestation. One unit collected data over six months, expanding the initiative to consider DRC for all infants with a congenital anomaly requiring NICU admission. The decision to facilitate cuddles was at the discretion of the clinical team at delivery following assessment of stability of the infant. <h3>Results</h3> 161/224 infants (72%) received DRC. Details of the preterm and congenital anomaly groups are presented in table 1. During DRC, 61% received non-invasive respiratory support and 16% were ventilated. 82% of cuddled infants were normothermic (36.5–37.5°C) on admission compared to 68% of those not cuddled. Rates of normothermia in the cuddled infants were higher than the national average.¹ There was no increase in rate of hypoglycaemia for the cuddled infants. Of those with congenital anomalies who received DRC, 42% had congenital heart disease, 9% had a congenital diaphragmatic hernia, 27% had another surgical gastrointestinal condition (including gastroschisis and exomphalos), and 9% had renal abnormalities. Adverse events were mild and infrequent. There was one interruption to the ventilator tubing which was rectified immediately with no change to the infant’s vital signs. Two infants had a decrease in temperature promptly recognised; both were normothermic on admission. The most frequent reason for no DRC was maternal general anaesthetic (27/63;43%), followed by clinical instability (16/63, 25% received extensive resuscitation or had a significant oxygen requirement). <h3>Conclusions</h3> With appropriate monitoring and good thermal care, delivery room cuddles can be facilitated for infants requiring admission to NICU due to prematurity or congenital anomaly whilst maintaining normothermia and adequate glycaemic control. <h3>Reference</h3> National Neonatal Audit Programme (NNAP) 2020 annual report on 2019 data. RCPCH: London, 2020." @default.
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• W3201870157 date "2021-09-30" @default.
• W3201870157 modified "2023-09-23" @default.
• W3201870157 title "1205 Family integrated care from the delivery room: a multicentre approach" @default.
• W3201870157 doi "https://doi.org/10.1136/archdischild-2021-rcpch.472" @default.
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