Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes

Author:

Stekelenburg Iza1ORCID,van den Hoogen Agnes1ORCID,de Lange Wendela2,Peels Barbara1,Vijlbrief Daniel C.1

Affiliation:

1. Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht Utrecht University Utrecht The Netherlands

2. The Healthcare Innovation Center, Julius Center for Health Sciences and Primary Care University Medical Center Utrecht Utrecht The Netherlands

Abstract

AbstractAimProlonged hospitalisation in the neonatal intensive care unit (NICU) can emotionally tax newborn infants and their families, resulting in developmental adversities and inadequate parent–infant bonding. This study aimed to assess the feasibility and value of the Baby@Home program in reducing prolonged hospital stays.MethodsThis is a retrospective cohort study of 26 infants from a tertiary neonatology department, using qualitative data (gathered through interviews with parents (n = 15) and professionals (n = 5)) and quantitative data (retrieved from medical records and the Luscii application).ResultsOur study included 26 newborn infants. 76% were premature, born at an average term of 35 weeks and 2 days. During the study period, all infants thrived, and only two adverse events occurred (an allergic reaction and respiratory incident necessitating readmission). Interviews were conducted based on six major themes concerning the feasibility and value of the program. Despite the challenges of application utilisation, the program's overall value was evident.ConclusionThe Baby@Home program effectively facilitated early discharge, promoted family reunification, and yielded favourable safety and health outcomes. Innovative solutions such as Baby@Home have the potential to pave the way for more sustainable and patient‐centred care models.

Publisher

Wiley

Reference17 articles.

1. World Health Organization.Preterm birth. WHOint.2023. Accessed May 10 2024.https://www.who.int/news‐room/fact‐sheets/detail/preterm‐birth

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4. The Late Preterm

5. Perined.Perinatale zorg in Nederland anno 2018: landelijke perinatale cijfers en duiding. VZinfonl2023. Accessed May 10 2024.https://www.vzinfo.nl/vroeggeboorte‐ondergewicht‐en‐of‐groeivertraging/zorg/nicu‐opnamen#:~:text=Kinderen%20die%20voor%20de%2037e eindigt%20met%20ontslag%20of%20overlijden

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