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. 2022 Apr;181(4):1643-1649.
doi: 10.1007/s00431-021-04337-z. Epub 2022 Jan 6.

The management of late preterm infants: effects of rooming-in assistance versus direct admission to neonatal care units

Carlo Dani  1   2 , Martina Ciarcià  3 , Francesca Miselli  3 , Michele Luzzati  3 , Caterina Coviello  3 , Federica Azzarelli  4 , Marianna Ferrara  5 , Ilaria Lori  5 , Marco Pezzati  5
Affiliations

The management of late preterm infants: effects of rooming-in assistance versus direct admission to neonatal care units

Carlo Dani et al. Eur J Pediatr. 2022 Apr.

Abstract

Late preterm infants (LPIs) represent a significant percentage of all neonates (6-8%), but there are limited published data on their postnatal management. Our aim was to compare the frequency of neonatal intensive care unit (NICU) admission and the breastfeeding rate of LPIs born at 35+0-36+6 weeks of gestation who were cared for by initial rooming in strategy rather than directly admitted to the special care unit (SCU) and, eventually, to the NICU. We carried out a retrospective study in the perinatal centers of Careggi University Hospital (CUH) and San Giovanni di Dio Hospital in Florence, Italy, where the first and second strategies were applied, respectively. Main outcomes were LPIs admission rate at SCU/NICU and breastfeeding rate at discharge. We studied 190 LPIs born at SGDH and 240 born at CUH. The admission rate in SCU (81 vs. 43%; P < 0.001) and NICU (20 vs. 10%; P = 0.008) was higher in SGDH than in CUH, as was the exclusive breastfeeding rate (36 vs. 22%; P < 0.001). However, infants who were assisted in rooming-in at CUH and infants with similar clinical characteristics at SGDH had similar mixed (60 vs. 69%) and exclusive (35 vs. 31%) breastfeeding rates. Conclusion: Postnatal assistance of LPIs in rooming-in, eventually followed by admission in SCU/NICU based on their clinical conditions, allowed to safely halve their hospitalization. The assistance of infants in rooming-in did not negatively affect their breastfeeding rate. These results support the possibility of assisting LPIs in rooming-in. What is Known: • Late preterm infants represent a significant percentage of all neonates. • Early rooming-in and breastfeeding is recommended for late preterm infants. What is New: • Postnatal assistance of late preterm infants in rooming-in, followed when necessary by admission in neonatal units based on clinical conditions, allowed to safely avoid about half the number of hospitalizations in comparison with direct admission in neonatal units. • This strategy did not affect breastfeeding rate. Infants who were admitted to SCU/NICU after initial rooming-in had worst breastfeeding rate.

Keywords: Breastfeeding; Infant; Late preterm; Rooming-in; Special care.

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References

    1. Shapiro-Mendoza CK, Lackritz EM (2012) Epidemiology of late and moderate preterm birth. Semin Fetal Neonatal Med 17:120–125 - DOI
    1. Natile M, Ventura ML, Colombo M, Bernasconi D, Locatelli A, Plevani C, Valsecchi MG, Tagliabue P (2014) Short-term respiratory outcomes in late preterm infants. Ital J Pediatr 40:52 - DOI
    1. Davidoff MJ, Dias T, Damus K, Russell R, Bettegowda VR, Dolan S, Schwarz RH, Green NS, Petrini J (2006) Changes in the gestational age distribution among U.S. singleton births: impact on rates of late preterm birth, 1992 to 2002. Semin Perinatol 30:8–15 - DOI
    1. Stark AR (2004) Levels of neonatal care. Pediatrics 114:1341–1347 - DOI
    1. Stewart DL, Wanda D, Barfield WD (2019) Committee on fetus and newborn. Updates on an at-risk population: late-preterm and early-term infants. Pediatrics 144:e20192760

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