Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland: Rooming-in according to mothers and maternity-ward staff
Mervi Hakala 1, 2  
Risto Bloigu 4,  
Leena Hannula 5,  
Satu Elo 2, 3
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Northern Ostrobothnia Hospital District, Oulaskangas Hospital, Oulainen, Finland
Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
Medical Research Center (MRC) Oulu university Hospital and University of Oulu, Oulu, Finland
Medical Informatics and Statistics Research Group University of Oulu, Oulu, Finland
Metropolia University of Applied Sciences, Helsinki, Finland
Publish date: 2018-08-23
Submission date: 2018-04-24
Final revision date: 2018-07-14
Acceptance date: 2018-07-26
Eur J Midwifery 2018;2(August):9
Rooming-in is an evidence-based practice during which postpartum mothers and infants stay together. Rooming-in benefits both the mother and infant, and is especially important for breastfeeding. This study aims to describe rooming-in (Step 7 of the BFHI), according to mothers and maternity-ward staff in Finnish maternity hospitals, as well as the factors associated with its implementation.

The presented research adopted a cross-sectional study approach. Questionnaires were used to collect data from mothers (n=111) who had given birth and the attending maternity-ward staff (f=1554 reported events) at 8 Finnish maternity hospitals. The data were analysed using descriptive statistics, as well as chi-squared, t-test, and Fisher, Mann- Whitney, Kruskal-Wallis tests. Answers to the open-ended questions were analysed using content specifications.

Rooming-in was utilised to a satisfactory extent, especially after vaginal birth. Most of the mothers regarded it as a very positive experience. Rooming-in was delayed mainly because of a mother’s tiredness and the infant’s condition. Factors such as a staff member’s age, work experience, and completion of breastfeeding counselling training (WHO 20-h), a mother’s parity, need for supplementation, and mode of childbirth, were found to be associated with the decision to implement rooming-in.

Rooming-in should be used more with infants born by caesarean section and primiparous mothers. The need for supplementation clearly increased when roomingin was not employed. The presented information could be crucial for effectively allocating maternity ward resources and demonstrating the importance of rooming-in to a diverse audience of health care professionals.

Mervi Hakala   
Northern Ostrobothnia Hospital District, Oulaskangas Hospital, Oulainen, Finland, Vanhatie 51, 86220 Merijärvi, Finland
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