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. Author manuscript; available in PMC: 2023 Mar 21.
Published in final edited form as: Adv Neonatal Care. 2020 Feb;20(1):68–79. doi: 10.1097/ANC.0000000000000671
What we know:
  • FCC in NICUs was initiated to promote a respectful response to individual family needs and values.

  • FCC supports parental participation in care and decision-making for their infants.

  • FCC is reported to shorten length of infant hospitalization, reduce hospital readmissions, increase provision of human milk feeding, promote infant physical health, and improve infant neurodevelopmental outcomes.

What needs to be studied:
  • Comparison of maternal experiences in the NICU 2 decades ago with current experiences in NICUs where FCC is practiced.

  • Areas that remain problematic for mothers and families (eg, back-transport and maternity leave options).

  • Ideas for change that can further improve the NICU experience for mothers, infants, and families.

What we can do today:
  • Improve recognition and response when mothers have inadequate social support.

  • Recognize that some mothers may be hesitant to make choices about their infant’s care, even though they have preferences, and consider carefully how to model care and discuss caregiving options.

  • Assure comfort of mother and family in a private room or around the infant’s bedspace.

  • Orientate mothers to areas of the NICU where they can meet other mothers and/or relax privately outside of the infant’s bedspace or room.

  • Approach the topic of back-transport early in the infant’s hospitalization if the option is feasible.