New Delhi, Janury 23, 2017.
Norway India Partnership Initiative’ NIPI’, New Born Project team created a need based innovation “Family Centered Care (FCC)”.That is helping India’s four states.
FCC provides a setting wherein the family is empowered for newborn rearing practices. FCC creates a developmentally supportive environment for the sick baby and is responsive to the family needs. No additional human resources are required as the innovation can be implemented by the currently employed nurses and doctors.
Currently, the FCC innovation is being implemented with support from NIPI New Born Project (IPE Global Ltd) in select Special New born Care Units (SNCUs) of four states- Madhya Pradesh, Bihar, Odisha and Rajasthan.
Earlier families were not allowed entry into intensive care unit as fear of infection spreading was a real concern. However with the ‘Family Centered Care’ innovation, the approach has shifted to one of encouraging and empowering the mother for newborn rearing practices. The mothers and family members are first shown a video presentation on entering protocols in the Intensive Care Units to be followed. Hand washing and other hygiene practices like wearing gowns, caps and using only hospital slippers are also displayed. All the practices shown in the video are then reiterated through guided assistance in a ‘learn by doing’ method from the nurses under the expert eye of the doctor. Mothers are trained in all day-to-day routine activities of taking care of children by the nurses under the guidance of the doctors at the SNCU. They are taught the correct way of bending down and picking up their babies. For low birth weight babies ‘Kangaroo Mother Care’ (KMC) for at least one hour advised.
Special reclining chairs are provided in SNCU, Kangaroo Mother Care rooms as per Government of India guidelines where mothers secure their babies close to their chest’s bare skin and wrap a gown above it. It helps reduce any pain or discomfort the baby may have been feeling and is known to help in ensuring better bond with the new born, increase breast milk production and promote weight gain. In case the mother is unable to provide KMC, any member of the family- the mother in law or the father can also give KMC to the child. However if available the mother is the best person for the job as she can also continue the breastfeeding alongside.
Doctors and Nurses have shown both Shashi and Deepak of Niguisilwani, District Raisen, Madhya Pradesh how to carry out KMC on their twins by involving both the father and the mother. The doctors and nurses in Raisin SNCU in Madhya Pradesh encourage active participation by the mother in taking care of the newborn. This helps the mother become more aware and provide better quality care at home too.
(Inputs from Embassy of Norway in India)