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'Now she has become my daughter': parents' early experiences of skin-to-skin contact with extremely preterm infants.
Scand J Caring Sci. 2018 Jun; 32(2):545-553.SJ

Abstract

BACKGROUND

Based on the Family-Centred Care philosophy, skin-to-skin contact is a key activity in neonatal care, and use of this practice is increasing also with extremely preterm infants. Little is known about parents' immediate experiences of and readiness for skin-to-skin contact, while their fragile infant may still not be 'on safe ground'. Knowledge about parents' experiences might reduce doubt and reluctance among healthcare professionals to use skin-to-skin contact with extremely preterm infants and thus increase its dissemination in practice.

AIMS AND OBJECTIVES

To explore parents' immediate experiences of skin-to-skin contact with extremely preterm infants <28-week postmenstrual age.

METHODOLOGICAL DESIGN

A qualitative study using thematic analysis.

RESEARCH METHODS

Thirteen semi-structured interviews conducted in 2008 with 16 parents after skin-to-skin contact with their extremely preterm infants analysed using inductive thematic analysis.

FINDINGS

Parents' experiences were related to the process before, during and after skin-to-skin contact and moved from ambivalence to appreciating skin-to-skin contact as beneficial for both parents and infant. The process comprised three stages: (i) overcoming ambivalence through professional support and personal experience; (ii) proximity creating parental feelings and an inner need to provide care; (iii) feeling useful as a parent and realising the importance of skin-to-skin contact. Having repeatedly gone through stages 2 and 3, parents developed an overall confidence in the value of bonding, independent of the infant's survival.

CONCLUSIONS

Parents progressed from ambivalence to a feeling of fundamental mutual needs for skin-to-skin contact. Parents found the bonding facilitated by skin-to-skin contact to be valuable, regardless of the infant's survival.

Authors+Show Affiliations

Department of Neonatology and The Research Unit for Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.Department of Neonatology and The Research Unit for Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.Public Health, University of Copenhagen, Copenhagen, Denmark.Public Health, University of Copenhagen, Copenhagen, Denmark.The Research Unit for Women's and Children's Health, The Juliane Marie Centre, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28851054

Citation

Maastrup, Ragnhild, et al. "'Now She Has Become My Daughter': Parents' Early Experiences of Skin-to-skin Contact With Extremely Preterm Infants." Scandinavian Journal of Caring Sciences, vol. 32, no. 2, 2018, pp. 545-553.
Maastrup R, Weis J, Engsig AB, et al. 'Now she has become my daughter': parents' early experiences of skin-to-skin contact with extremely preterm infants. Scand J Caring Sci. 2018;32(2):545-553.
Maastrup, R., Weis, J., Engsig, A. B., Johannsen, K. L., & Zoffmann, V. (2018). 'Now she has become my daughter': parents' early experiences of skin-to-skin contact with extremely preterm infants. Scandinavian Journal of Caring Sciences, 32(2), 545-553. https://doi.org/10.1111/scs.12478
Maastrup R, et al. 'Now She Has Become My Daughter': Parents' Early Experiences of Skin-to-skin Contact With Extremely Preterm Infants. Scand J Caring Sci. 2018;32(2):545-553. PubMed PMID: 28851054.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 'Now she has become my daughter': parents' early experiences of skin-to-skin contact with extremely preterm infants. AU - Maastrup,Ragnhild, AU - Weis,Janne, AU - Engsig,Anne B, AU - Johannsen,Kirsten L, AU - Zoffmann,Vibeke, Y1 - 2017/08/29/ PY - 2017/04/12/received PY - 2017/04/23/accepted PY - 2017/8/30/pubmed PY - 2019/8/14/medline PY - 2017/8/30/entrez KW - ambivalence KW - bonding KW - extremely preterm infant KW - family-centred care KW - health care professionals KW - neonatal intensive care unit KW - parents’ experience KW - proximity KW - skin-to-skin contact SP - 545 EP - 553 JF - Scandinavian journal of caring sciences JO - Scand J Caring Sci VL - 32 IS - 2 N2 - BACKGROUND: Based on the Family-Centred Care philosophy, skin-to-skin contact is a key activity in neonatal care, and use of this practice is increasing also with extremely preterm infants. Little is known about parents' immediate experiences of and readiness for skin-to-skin contact, while their fragile infant may still not be 'on safe ground'. Knowledge about parents' experiences might reduce doubt and reluctance among healthcare professionals to use skin-to-skin contact with extremely preterm infants and thus increase its dissemination in practice. AIMS AND OBJECTIVES: To explore parents' immediate experiences of skin-to-skin contact with extremely preterm infants <28-week postmenstrual age. METHODOLOGICAL DESIGN: A qualitative study using thematic analysis. RESEARCH METHODS: Thirteen semi-structured interviews conducted in 2008 with 16 parents after skin-to-skin contact with their extremely preterm infants analysed using inductive thematic analysis. FINDINGS: Parents' experiences were related to the process before, during and after skin-to-skin contact and moved from ambivalence to appreciating skin-to-skin contact as beneficial for both parents and infant. The process comprised three stages: (i) overcoming ambivalence through professional support and personal experience; (ii) proximity creating parental feelings and an inner need to provide care; (iii) feeling useful as a parent and realising the importance of skin-to-skin contact. Having repeatedly gone through stages 2 and 3, parents developed an overall confidence in the value of bonding, independent of the infant's survival. CONCLUSIONS: Parents progressed from ambivalence to a feeling of fundamental mutual needs for skin-to-skin contact. Parents found the bonding facilitated by skin-to-skin contact to be valuable, regardless of the infant's survival. SN - 1471-6712 UR - https://www.unboundmedicine.com/medline/citation/28851054/'Now_she_has_become_my_daughter':_parents'_early_experiences_of_skin_to_skin_contact_with_extremely_preterm_infants_ L2 - https://doi.org/10.1111/scs.12478 DB - PRIME DP - Unbound Medicine ER -