Evaluation of the Beneficial Effects of rooming-in care, in icteric hospitalized neonates

Document Type: Original Article


1 Neonatal Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Professor of Shahid Beheshti University of Medical Sciences, Neonatal Health Research Center, Mofid Children’s Hospital, Tehran, Iran

3 Shahid Beheshti University of Medical Sciences, Neonatal Health Research Center, Mofid Children’s Hospital, Tehran, Iran


Background: Rooming-in, motivated by World Health Organization (WHO) strategies and baby-friendly hospital policies, is a practice followed in many maternity hospitals of Iran. Mother-infant dyad may easily be damaged by the separation caused by medical and surgical problems, which result in hospital stay. Regarding this, the aim of this study was to investigate the effects of the rooming-in practice in icteric newborns admitted to Mofid Children's Hospital of Tehran, Iran.
Methods: This study was conducted on 220 neonates admitted to Mofid Children's Hospital with the complaint of jaundice. Out of the 220 newborns, 124 cases were assigned into the intervention group (the rooming-in care) and 96 neonates were categorized into the control group (the routine-care). The two groups were compared in terms of the length of hospital stay, maternal satisfaction, nursing care time, and hospital stay complications. The data were collected by some trained mid-wives using a validated questionnaire. Data analysis was performed using paired sample t-test through SPSS version 16.
Results: According to the results of the study, about 55% of the neonates were male. The neonatal mean ages of the intervention and control groups were 6.6 ±3.7 and 7 ± 3.8 days, respectively. Maternal satisfaction with neonatal care and maternal comfort during hospital stay were significantly higher in the intervention group (P=0.027). Furthermore, the two groups had no significant difference regarding the complications of hospital stay (P=0.655).
Conclusion: As the findings of the present study demonstrated, in spite of the similarities of the health issues, nursery essentials, and hospital stay complications between the two groups, the rooming-in was more favorable according to the mothers’ viewpoints.


  1. Svensson K, Matthiesen AS, Widstrom AM. Night rooming-in: who decides? An example of staff influence on mother's attitude.Birth. 2005;32(2):99-106.
  2. 2. Ferber SG, Makhoul IR. The effect of skin-to-skin contact (kangaroo care)shortly after birth on the neurobehavioral responsesof the term newborn: a randomized, controlled trial. Pediatrics.2004; 113(4):858-65.
  3. Santos IS, Mota OM, Matijasevich A, Barros AJ,Barros FC. Bed-sharing at 3 months and breast­feeding at 1year in southern Brazii.J Pediatr. 2009;155(4):505-9.
  4. Smith PB, Moore K, Peters L. Implementing baby-friendly practices:strategies for success. MCN Am J Matem Child Nurs. 2012;37(4):228-33.
  5. 5.Labbok MH, Taylor EC, Nickel NC. Implementing the ten steps to successful breastfeeding in multiple hospitals serving low-wealth patients in the US: innovative research design and baseline findings. Int Breastfeed J. 2013; 8(1):5.
  6. Sarparast L, Farhadi R, Sarparast M, Shafai S. The effect of kangaroo mother care on neonatal outcomes in Iranian hospitals: a review. J Pediatr Rev. 2015; 3(1):el95.
  7. Stelfox S,Nagle C. The experience of new mothers who are separated from their newborninfants: a qualitative systematic review. JBI Libr Syst Rev.2011;9(16 Suppl):1-15.
  8. Afjeh A, Fallahi M, Jahaubeen M, Basiri A, Allaee M. Pre-discharge screening trans­cutaneous bilirubinometty in healthy newborns in Mahdieh hospital, Tehran.Iran J Pediatr.2015; 25(4):e2187.
  9. Hassanzadeh Bashtianl M, Annat MR, Khakshour A. Assessment of the recorded causes of neonatal hospitalization and the related factors in neonatal wards and NICUs in Bojnord. Iran JNeonatol. 2014; 5(2):21-4.
10. Eidelman AI, Schanler RJ, Johnston M, Landers S, Noble L, Szucs K, Viehmann L. Breastfeeding and the use of human milk. Pediatrics. 2012; 129(3):e827-41.

11. Venancio SI, de Almeida H. Kangaroo-Mother care:scientific evidence and impact on breastfeeding. J Pediatr (Rio J).2004; 80(5 Supple):S173-80.

12. Sontheimer D, Fischer CB, Buch KE. Kangaroo transport instead of incubator transport. Pediatrics.2004; 113(4):920-3.

13. Ahn SY, Ko SY, Kim KA, Lee YK, Shin SM. The effect of rooming-in care on the emotional stability of newborn infants.Korean J Pediatr. 2008 December; 51(12):1315-1319

14. Hodgson ZG, Abrahams RR. A rooming-in program to mitigate the need totreat for opiate in the newborn.J Obstet Gynaecol Can. 2012; 34(5):475-81.

15. Lee YM, Song KH, Kim YM, Kang JS, Chang JY, Seol HJ, et al. Complete rooming-in care of newborn infants. Korean JPediatr. 2010; 53(5):634-8.

16. Abrahams RR, Kelty SA, PayneS, Thiessen PN, Mackintosh J, Janssen PA. Rooming-in compared with standard care for newborns of mothers using methadone or heroin. Can Fam Physician. 2007; 53(10):1722-30.

17. Sasidharan CK, Gokul E, Anoop P, Vijayakumar M. Benefits of maternal participation in newborn nurseries. Indian JPediatr.2005; 72(10):829-33.

18. Garosi E, Mohammadi F, Ranikesh F.The relationship between neonatal jaundice and maternal and neonatal factors. Iran Journal of Neonatology. 2016; 7(1):37-40.

19.  Nickkhaha A. Investigation of the effect of training on promoting breast-feeding at baby-friendly hospital case study; Tohid Hospital in Jam, Bushehr. Iranian Journal of Neonatology. 2015;6(2):24-31.