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Delivery room cuddles for extremely preterm babies and parents: concept, practice, safety, parental feedback
Paul Clarke1,2, Emma Allen1, Sheila Atuona1
1Neonatal Intensive Care Unit, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, UK.
Insights
Delivery room cuddles for extremely preterm babies are safe and feasible. This practice supports parental bonding, lactation, and maternal mental health, offering significant value in family-centered care.
Area of Science:
- Neonatal care
- Perinatal psychology
- Maternal-infant bonding
Background:
- Traditional neonatal care prioritizes immediate intensive care for extremely preterm infants, often delaying parental physical contact.
- Early parental-infant physical contact is increasingly recognized for its importance in bonding and maternal well-being.
- The practice of 'delivery room cuddles' for extremely preterm infants has not been widely studied.
Purpose of the Study:
- To review the safety and value of routinely implementing delivery room cuddles for extremely preterm infants.
- To assess the impact of delivery room cuddles on infant stability and parental experience.
Main Methods:
- A case-control review of infants born before 27 weeks' gestation who experienced delivery room cuddles between 2006 and 2017.
- A questionnaire survey of mothers who participated in the delivery room cuddle practice to gather feedback.
Main Results:
- No significant differences were observed in infant age or temperature upon admission to the neonatal unit.
- No instances of inadvertent extubation were associated with the delivery room cuddle practice.
- Mothers reported overwhelmingly positive feedback and experiences with the delivery room cuddles.
Conclusions:
- Delivery room cuddles are a feasible and safe family-centered care practice for extremely preterm infants, regardless of gestational age.
- Facilitating early physical contact through cuddles is highly valued by parents.
- This practice shows potential benefits for infant bonding, maternal lactation, and maternal mental health.
Aim:
Following extreme preterm birth, there has traditionally been felt an imperative to rush baby to the neonatal unit for ongoing intensive care. Immediate needs of parents to bond with their babies through direct early physical contact have often been overlooked; many weeks can pass before parents get to hold their babies for the first time. Recognition of the importance of early contact is growing. We aimed to review the safety and value of routinely practising delivery room cuddles for extremely preterm babies.
Methods:
We reviewed delivery room cuddles in babies born <27 weeks' gestation in our centre between 2006 and 2017 via case-control. We also conducted a questionnaire survey of mothers who experienced a delivery room cuddle to gain their feedback and perspectives.
Results:
We found no difference in age or temperatures on neonatal unit admission. There was no case of inadvertent extubation associated with cuddles. Parental feedback was very positive.
Conclusion:
With appropriate safeguards, delivery room cuddles are feasible and achievable for extremely preterm babies irrespective of birth gestation. Facilitation of the cuddle is an early and very important family-centred care practice which seems much appreciated by parents and which may improve bonding, lactation, and maternal mental health.
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