Barrera Chloe M, Nelson Jennifer M, Boundy Ellen O, Perrine Cria G
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Birth. 2018 Dec;45(4):432-439. doi: 10.1111/birt.12359. Epub 2018 May 27.
Rooming-in, or keeping mothers and infants together throughout the birth hospitalization, increases breastfeeding initiation and duration, and is one of the Ten Steps to Successful Breastfeeding.
The Centers for Disease Control and Prevention's (CDC) Maternity Practices in Infant Nutrition and Care (mPINC) survey is a biennial census of all birth facilities in the United States and its territories. Data from the 2007-2015 mPINC surveys were used to assess trends in the prevalence of hospitals with most (≥90%) infants rooming-in more than 23 hours per day (ideal practice). Hospital practices among breastfed infants not rooming-in at night and reasons why hospitals without ideal rooming-in practices removed healthy, full-term, breastfed infants from their mothers' rooms were also analyzed.
The percentage of hospitals with ideal practice increased from 27.8% in 2007 to 51.4% in 2015. Most breastfed infants who were not rooming-in were brought to their mothers at night for feedings (91.8% in 2015). Among hospitals without ideal rooming-in practices, the percentage removing 50% or more of infants from their mothers' rooms at any point during the hospitalization decreased for all reasons surveyed during 2007-2015; however, in 2015, hospitals still reported regularly removing infants for hearing tests (73.2%), heel sticks (65.5%), infant baths (40.2%), pediatric rounds (35.5%), and infant photos (25.4%).
Hospital implementation of rooming-in increased 23.6 percentage points during 2007-2015. Continued efforts are needed to ensure that all mothers who choose to breastfeed receive optimal lactation support during the first days after giving birth.
母婴同室，即在整个分娩住院期间让母亲和婴儿待在一起，可增加母乳喂养的开始率和持续时间，是成功母乳喂养十步骤之一。
疾病控制与预防中心（CDC）的婴儿营养与护理中的产科实践（mPINC）调查是对美国及其属地所有分娩机构进行的两年一次的普查。2007 - 2015年mPINC调查的数据用于评估每天有大多数（≥90%）婴儿母婴同室超过23小时（理想做法）的医院的患病率趋势。还分析了夜间未母婴同室的母乳喂养婴儿的医院做法，以及没有理想母婴同室做法的医院将健康、足月、母乳喂养的婴儿从母亲房间带走的原因。
有理想做法的医院比例从2007年的27.8%增至2015年的51.4%。大多数未母婴同室的母乳喂养婴儿在夜间被带到母亲身边喂奶（2015年为91.8%）。在没有理想母婴同室做法的医院中，在2007 - 2015年调查的所有原因中，在住院期间任何时候将50%或更多婴儿从母亲房间带走的医院比例有所下降；然而，在2015年，医院仍报告经常因听力测试（73.2%）、足跟采血（65.5%）、婴儿洗澡（40.2%）、儿科查房（35.5%）和婴儿拍照（25.4%）而带走婴儿。
2007 - 2015年期间，医院实施母婴同室的比例增加了23.6个百分点。仍需继续努力，以确保所有选择母乳喂养的母亲在产后头几天能获得最佳的泌乳支持。
