Lee Yoo Min, Song Kang Hoon, Kim Young Mi, Kang Jin Sun, Chang Ji Young, Seol Hyun Joo, Choi Yong Sung, Bae Chong Woo
Department of Pediatrics, Kyung Hee University East-West Neo Medical Center, Seoul, Korea.
Korean J Pediatr. 2010 May;53(5):634-8. doi: 10.3345/kjp.2010.53.5.634. Epub 2010 May 31.
In Kyung Hee East-West Neo Medical Center, Seoul, Korea, efforts to raise rooming-in care success rate have been undertaken since when the hospital was established in 2006. We intended to analyze our experience over the past 3 years of period and to discuss the advantages of rooming-in.
We analyzed the rooming-in practice rate, failure rate, and the breast feeding rate. Subjects were 860 normal healthy neonates from June 2006 to June 2009.
Among these 860 cases, 83 babies were required separation out of rooming-in in the middle of the course. Among these 83 cases, 70 cases had to stop the course due to poor condition of babies and 13 cases due to maternal condition. 70 cases of infant's causes consist of 68 cases of NICU admission and 2 cases of poor feeding support. The other 13 cases of separation include refusal by maternal condition. Therefore the success rate of rooming-in for the last 3 years was 90.3%, that is 777 cases among the total 860 cases. The percentage of exclusive breast feeding was 64%, that of mixed feeding with breast and formula feeding was 25%, and formula feeding only was 11%.
We experienced successful rooming-in care for the last 3 years. Nursery facilities should educate and encourage the advantages of rooming-in, including the good formation of attachment between mother and infant, emotional stability, protection from infection, and increased breast feeding rate so that rooming-in care can be fully established.
自2006年韩国首尔庆熙东西新医疗中心成立以来,一直在努力提高母婴同室护理的成功率。我们旨在分析过去3年的经验,并探讨母婴同室的优势。
我们分析了母婴同室的实践率、失败率和母乳喂养率。研究对象为2006年6月至2009年6月期间的860名正常健康新生儿。
在这860例中,有83例在母婴同室过程中需要分开。在这83例中,70例因婴儿状况不佳而不得不停止,13例因母亲状况而停止。70例婴儿原因包括68例入住新生儿重症监护病房和2例喂养支持不佳。另外13例分开包括母亲状况拒绝。因此,过去3年母婴同室的成功率为90.3%,即860例中的777例。纯母乳喂养率为64%,母乳喂养与配方奶混合喂养率为25%,仅配方奶喂养率为11%。
过去3年我们成功实施了母婴同室护理。托儿所设施应教育并鼓励母婴同室的优势,包括母婴之间良好的依恋关系形成、情绪稳定、预防感染以及提高母乳喂养率,以便全面确立母婴同室护理。