University of Oulu

Hakala, M., Kaakinen, P., Kääriäinen, M., Bloigu, R., Hannula, L., Elo, S. (2018). Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland: Rooming-in according to mothers and maternity-ward staff. European Journal of Midwifery, 2(August).

Implementation of Step 7 of the Baby-Friendly Hospital Initiative (BFHI) in Finland : rooming-in according to mothers and maternity-ward staff

Saved in:
Author: Hakala, Mervi1,2; Kaakinen, Pirjo2; Kääriäinen, Maria2,3;
Organizations: 1Northern Ostrobothnia Hospital District, Oulaskangas Hospital, Oulainen, Finland
2Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
3Medical Research Center (MRC) Oulu university Hospital and University of Oulu, Oulu, Finland
4Medical Informatics and Statistics Research Group University of Oulu, Oulu, Finland
5Metropolia University of Applied Sciences, Helsinki, Finland
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.2 MB)
Persistent link:
Language: English
Published: European Publishing, 2018
Publish Date: 2021-03-08


Introduction: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

see all

Series: European journal of midwifery
ISSN: 2585-2906
ISSN-E: 2585-2906
ISSN-L: 2585-2906
Volume: 2
Issue: 9
Pages: 1 - 11
DOI: 10.18332/ejm/93771
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Copyright information: © 2018 Hakala M. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non Commercial 4.0 International License.