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Parents' Experiences With Couplet Care Following Caesarean Section in an Integrated Neonatal and Maternity Unit
Marianne Karstensen Mortensen1, Kristina Garne Holm, Louise Schlosser Mose
1Author Affiliations: Department of Gynecology and Obstetrics, University Hospital of Southern Denmark, Esbjerg, Denmark (Ms Mortensen); H.C. Andersen Children's Hospital, Odense University Hospital, Odense, Denmark (Dr Holm); Department for Clinical Research, Faculty of Health Sciences, University of Southern Denmark, Odense (Dr Holm); Department of Regional Health Research, University of Southern Denmark, Odense, Denmark (Dr Mose); and Research Unit of Neurology, University hospital of Southern Denmark, Esbjerg, Denmark (Dr Mose).
Background:
Couplet Care, which allows mothers and newborns to receive treatment together, has gained prominence in neonatal and maternity care settings. This model supports early bonding, skin-to-skin contact, and breastfeeding, benefiting both preterm and sick newborns.
Purpose:
The study aims to explore parents' experiences with Couplet Care after a caesarean section in an integrated neonatal and maternity unit, where both mother and newborn required treatment.
Methods:
A qualitative, semi-structured interview approach was employed. Eight mothers and 6 fathers participated, sharing their perspectives on Couplet Care through interviews conducted at a Danish hospital setting providing Couplet Care in 6 family rooms in a level II neonatal intensive care unit. Data were analyzed using content analysis inspired by Graneheim and Lundman.
Results:
Parents initially relied heavily on nurses, gradually gaining autonomy as their hospital stay progressed. Fathers played an essential role in caregiving, especially when mothers were immobile post-surgery. The study highlighted the importance of clear communication from nurses, which fostered parental confidence.
Implications For Practice And Research:
Couplet Care offers a supportive environment that promotes parental autonomy and emphasizes the critical role fathers play in caregiving. Future research should investigate the long-term effects on family dynamics and the mental health of both mothers and fathers following caesarean sections in similar settings.
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