How can KMC & High Technology Care be Compatible? Try to convince all professionals in your NICU of the positive effects of the KMC method, even in high technology NICU environment Reach an interdisciplinary agreement about practical, evidence based guidelines that ensure safe & consistent care

Family Centered Care  Flexible visiting hours  Provide facilities & services to meet parental special needs; especially mother  Communication, Shared information  Encourage parents to participate in learning to care for their baby  Family support services Family consultant Provide breastfeeding support and care

Maliheh Kadivar MD; April 2007

Regarding KMC; Tell the Mother  You are the best person to initiate & continue with individualized care, reciprocal care in NICU  The first step in the process reciprocity is understanding your baby’s messages Trying to eliminate as fully as possible any activity that produce distress  The second step is to shape the environment within NICU Least disruptive The most comforting to your infant; even in your absence

Modify the Environment & Contribute to Individualized Care in NICU  Assess the light in the environment  Assess the noise level  Assess the layout of the intensive care unit  Assess the nap time  Establish day-night cycling  Positioning

Preparing for KMC  Clear guideline  Teaching Medical team Parents

Equipment  Comfortable chair  Infant hat for small babies  Warm blankets  Privacy screen

Exempt Patients for KMC  Infants who are not medically stable or who have had an acute or sudden deterioration in condition within the past 24 hours  Infants with a chest tube and/or intracardiac line (RA or LA)

Maliheh Kadivar MD; April 2007

گر طبيبانه بيايي به سر بالينم به دو عالم ندهم لذت بيماري را