Optimising care for babies in neonatal units
WaterWipes have been specifically developed to be as mild and pure as cotton wool and water, and provide safe cleansing for the most delicate new-born skin and are so gentle they can also be used on premature babies. This is one of the reasons that WaterWipes is proud to support Bliss, the Irish Neonatal Health Alliance (INHA), Project Sweet Peas & Miracle babies (USA) and Miracle babies (Australia).
Bliss (UK), the Irish Neonatal Health Alliance (INHA), Project Sweet Peas & Miracle Babies (USA), European Foundation for the Care of Newborn Infants (EFCNI) and Miracle Babies (Australia) all champion the right for every baby born premature or sick to receive the best care, and as part of this also advocate the principles of family centred care.
Here we share the example of Bliss, the leading UK charity for the 100,000 babies born needing neonatal care every year and how the organisation advocates family centred care through their work.
Premature or sick babies admitted to a neonatal unit are often physically, psychologically, and emotionally separated from their parents. When Bliss was first founded 40 years ago, only healthcare professionals provided care for these poorly babies, and this caused parents to feel relegated to a supportive role.
Bliss is passionate about family-centred care on neonatal units. This approach ensures parents are placed at the centre of their baby’s care, and this has been demonstrated to play a crucial role in improving babies’ future health.1,2,3,4
The 'Bliss Baby Charter'5 sets out a practical framework for neonatal units to self-assess the quality of family centred care they deliver against seven principles, with the ultimate goal of standardising the care and support babies, parents and families should receive during their stay on the neonatal unit.
"The Bliss Baby Charter standards are based on the United Nations Convention on the Rights of the Child (UNCRC)6 and are based on standards outlined in national guidance such as the Department of Health’s Toolkit for Neonatal Services7, All Wales Neonatal Standards8, and the Neonatal Care in Scotland: A Quality Framework9. The Bliss Baby Charter recommends a range of family-centred practices including, but not limited to:
Ensuring unrestricted parental access and involvement in daily cares
Providing access to psychosocial support for parents and siblings
Developing unit facilities to keep parents and their baby together
Actively engaging parents in all decision making processes for their baby
Bliss Baby Charter Principles
Principle 1 - Social, developmental and emotional needs: Every baby should be treated as an individual and with dignity, respecting their social, developmental and emotional needs, as well as their medical and surgical needs.
Principle 2 - Decision making: Neonatal care decisions are based on the baby’s best interest, with parents actively involved in their baby’s care. Decisions on the baby’s best interest are based on evidence and best practice, and are informed by parents, who are encouraged and supported in the decision-making process and actively participate in providing comfort and emotional support to their baby.
Principle 3 - Specialist services and staff: Babies receive the nationally-recommended level of specialist care in the nearest specialist unit to the baby’s family home.
Principle 4 - Benchmarking: Units encourage parents to be involved in plans and processes for continuous service improvement, and outcomes of care are benchmarked against local and national standards.
Principle 5 - Unit information and support for families: Parents are informed, guided and supported, so that they understand their baby’s care processes and become confident in caring for them.
Principle 6 - Feeding: Breast milk expression and breastfeeding are actively promoted, and mothers receive appropriate information and practical support to achieve successful lactation. Relevant health professionals are equipped with appropriate knowledge and skills to facilitate and support lactation following a preterm birth.
Principle 7 - Discharge: Discharge should be a seamless and supported transition from the neonatal unit to home. Discharge planning is facilitated and coordinated from admission to discharge to ensure both the baby and the family receive the appropriate care and access to resources.
"The Bliss Baby Charter is a growing programme, with over 170 neonatal units participating in the Charter across the UK.10 For more information about the Bliss Baby Charter please visit https://www.bliss.org.uk/health-professionals/bliss-baby-charter/what-is-the-bliss-baby-charter
Family Centered Care - Placing parents at the heart of their premature or sick baby’s care
It is important that parents feel supported to provide hands-on care for their babies during their time in hospital, but many parents do not know how they can get involved, especially when their baby is in an incubator, and frequently connected to feeding tubes and wires. Many parents report feeling helpless and distressed, and this level of separation can in some cases prevent them bonding fully with their baby.
Family-centred care is a pioneering approach helping people parent their baby on the neonatal unit, which is proven to lead to better health outcomes for babies.1-4
"There are a few key tasks parents can get involved with, in helping to care for their baby while on the neonatal unit:
Washing their baby and changing nappies - A product like WaterWipes(hyperlink WaterWipes product page website) can be used to do this as they provide convenient and safe cleansing for the most delicate new-born skin and are so gentle they can also be used on premature babies
Comforting and holding
Watching to learn how the baby shows their feelings
To promote a healthier future for sick or premature babies, it is equally as important to deliver family-centred care, as it is to deliver high quality clinical care.
For more information please visit the Bliss family centred care page.