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These Standards were released during the Gravens' Conference, March 2020.
The Developmental Care Standards for Infants in Intensive Care is the Report of the First Consensus Conference on Standards, Competencies and Best Practices for Infant and Family-Centered Developmental Care in the Intensive Care Unit. It includes:
Two different competencies mention the use of a kangaroo care wrap/device:
Standard 1: Parents shall be encouraged and supported in early, frequent, and prolonged skin‐to‐skin contact (SSC) with their babies.
Competency 1.5: Parents should be provided with comfort including:
a) safe and comfortable seating or reclining accommodations that are readily available at baby's bedside;
b) support pillows;
c) secure wraps to support baby;
d) a mirror to see baby’s face;
e) hydration and nutrition for parents as needed;
f) privacy, if desired (in private rooms or by privacy screens); and
g) a quiet, therapeutic environment for being with their baby.
Competency 1.10: Parents should be allowed to fall asleep during SSC or Kangaroo Care (KC) when safety measures are in place that include:
a) parent and baby are in a non-rocking, reclining chair or bed;
b) baby is well secured by an appropriate wrap to parent's chest;
c) baby is electronically monitored, if indicated; and
d) an appropriate healthcare provider is immediately available.
During the presentation "Skin to Skin Contact with Intimate Family Members" by
Raylene Phillips, MD, MA, FABM, FAAP, IBCLC Joy Browne, PhD, PCNS‐BC, IMH‐E(IV)
a photo of a mom sleeping using The Zaky ZAK was shown. The Zaky ZAK is by Nurtured by Design.
One Frequently Asked Question is:
Answer: A Kangaroo Care Devices that, even without the hands and attention of the adult doing kangaroo care, the baby remains safe, supported, and well positioned. It must not need the hands of the parents to:
In addition, for hospital use with babies in intensive care units:
Please note that if the KC device is too loose around the torso, then the baby may slide and dislodge or worse, s/he may slide under the wrap (or fall). If it the wrap is too tight, then the baby's breathing may be compromised. It is always a good idea to ask the manufacturer of the kangaroo care wrap/device if they recommend parents sleeping during kangaroo care.
During the 3 year design of The Zaky ZAK we tried all closing mechanisms (snaps, hooks, velcro, ties, etc.) and zippers were the only one that could protect the baby consistently, reliably, quietly for every parent/baby. When our instructions are followed, the baby will remain safe even without the use of the parents' hands.
Yamile slept with Zachary during Kangaroo Care in the NICU, and she vowed to design The Zaky ZAK so that other parents could do the same. It was that special!
The ergonomic The Zaky ZAK is ergonomically engineered to support the baby even if the parents fall asleep during kangaroo care when these instructions are clearly followed for the safety of the baby, the comfort of the parent, and the peace of mind of the staff: