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Parents of Premature Infants Value Early Skin-to-Skin Care: A 10-Year Survey in France
Odile Dicky1,2, Pierre Kuhn3,4,5, Jacques Sizun1
1Neonatal Intensive Care Unit, University Hospital, Toulouse, France.
Insights
Early skin-to-skin contact (SSC) is highly valued by parents of very preterm infants. Starting SSC within the first three days after birth leads to a more positive experience and perceived optimal timing compared to later initiation.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Parent-infant bonding
Background:
- Skin-to-skin contact (SSC) is crucial for infant- and family-centered developmental care.
- Early initiation of SSC after birth is recommended for optimal infant outcomes.
Purpose of the Study:
- To evaluate the effects of early SSC (within 3 days) versus late SSC (from Day 4) in very preterm infants.
- To explore parents' subjective experiences with early versus late SSC.
Main Methods:
- An online parental survey was conducted over 10 years (2014-2024).
- Data included responses from parents of infants born before 32 weeks' gestation.
- 2212 responses were analyzed.
Main Results:
- 98% of parents initiating early SSC felt it was timely; 30% of late SSC starters felt it was too late.
- Early SSC practice was associated with a more comfortable hospital stay (aOR 1.64).
- Positive SSC experiences were linked to nursing support, privacy, and comfort.
Conclusions:
- Early skin-to-skin contact is highly beneficial and valued by parents of very preterm infants.
- Timely initiation of SSC significantly enhances parental satisfaction and comfort.
Aim:
Skin-to-skin contact (SSC) is a key aspect of infant- and family-centred developmental care and should be initiated as early as possible after birth. This study aimed to assess the effects of early SSC, within the first 3 days of life, compared to late SSC, from Day 4 onwards, in very preterm infants. It also explored parents' experiences of SSC.
Method:
Data were collected over 10 years, from 2014 to 2024, via an online parental survey created by parent associations and the French National Neonatal Society. We analysed only responses from parents of infants born before 32 weeks' gestation.
Results:
A total of 2212 responses were analysed. Findings revealed that 98% of parents who began SSC early believed it occurred at the right time, while 30% of those who started later felt it was too late. Parents who practised early SSC were more likely to report comfortable SSC during the hospital stay, with an adjusted odds ratio of 1.64 (95% confidence interval: 1.14-2.37). Key factors contributing to a positive SSC experience included support from nursing staff, a secure setting, privacy and a comfortable chair.
Conclusion:
Early SSC was highly valued by parents of very preterm infants.
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