Abstract Ref Number = APCP140
Breastfeeding of Family Centered NICU in Indonesia
Eva Devita Harmoniati
Breastfeeding Task Force, Indonesia Pediatric Society
Child Protection Task Force, Indonesia Pediatric Society
The impact of intimacy and attachment theories on neonate’s growth led to development of new policies towards involving families in neonates care plan. In this regards, Family Centered Care (FCC) as a care model or philosophy has been considered and endorsed by the American Academy of Pediatrics (AAP) and many other health care organizations. However, gaps have been demonstrated between the goals of family-centered care and its actual practice.
Family centered developmental care provides the strong supportive foundation for families in the neonatal intensive care unit (NICU) to optimize the lifelong relationship with their babies, and to optimize the baby’s physical, cognitive, psychosocial development, and support for breastfeeding. The Baby-Friendly Hospital Initiative (BFHI) launched by the United Nations Children Fund (UNICEF) and the World Health Organization(WHO), had included some guidelines on the expansion of the BFHI for NICU’s. It mentioned the role of staff attitude toward the mother and her situation to support lactation and breastfeeding, the importance of facility that provide family-centered care supported by the environment, and health care system that ensure continuity of care.
In Indonesia, since 2008 Management of Newborn and Low Birth Weight Babyincluded Kangaroo Mother Care (KMC) as one of the intervention to decrease the infant mortality rate and support breastfeeding. In 2014 Indonesia Newborn Action Plan (INAP) set one of the strategies to decrease the infant and mother mortality rate was to improve participation of family and population in healthy life behavior and self care during the neonatal period. One of the clinical interventions focused on early breastfeeding initiation, exclusive breastfeeding and KMC. Family-centered care in Indonesia is still a challenge, especially in the NICU, but some public and private hospitals has tried to practice it in stable condition babies.
Keywords: family-centered care, breastfeeding, neonates