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Closeness and separation in neonatal intensive care

  1. Renée Flacking1,2,
  2. Liisa Lehtonen3,
  3. Gill Thomson4,
  4. Anna Axelin5,6,
  5. Sari Ahlqvist7,
  6. Victoria Hall Moran4,
  7. Uwe Ewald1,
  8. Fiona Dykes4,
  9. the SCENE group

Article first published online: 2 AUG 2012

DOI: 10.1111/j.1651-2227.2012.02787.x

Issue

Acta Paediatrica

Acta Paediatrica

Volume 101, Issue 10, pages 1032–1037, October 2012

Additional Information

How to Cite

Flacking, R., Lehtonen, L., Thomson, G., Axelin, A., Ahlqvist, S., Moran, V. H., Ewald, U., Dykes, F. and the SCENE group (2012), Closeness and separation in neonatal intensive care. Acta Paediatrica, 101: 1032–1037. doi: 10.1111/j.1651-2227.2012.02787.x

Author Information

  1. 1

    Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden

  2. 2

    School of Health and Social Studies, Dalarna University, Falun, Sweden

  3. 3

    Department of Pediatrics, Turku University Hospital, and Turku University, Turku, Finland

  4. 4

    Maternal and Infant Nutrition and Nurture Unit (MAINN), School of Health, University of Central Lancashire, Preston, Lancashire, UK

  5. 5

    Department of Family Health Care Nursing, University of California, San Francisco, CA, US

  6. 6

    Department of Nursing Science, University of Turku, Turku, Finland

  7. 7

    Department of Psychology, Turku University, Turku, Finland

*Renée Flacking, School of Health and Social Studies, Dalarna University, SE-791 88 Falun, Sweden. Tel: +46 23 778541 | Fax: +46 23 778084 | Email: rfl@du.se

  1. Re-use of this article is permitted in accordance with the Terms and Conditions set out at http://wileyonlinelibrary.com/onlineopen#OnlineOpen_Terms

Publication History

  1. Issue published online: 29 AUG 2012
  2. Article first published online: 2 AUG 2012
  3. Accepted manuscript online: 19 JUL 2012 03:40PM EST
  4. Received 8 May 2012; revised 27 June 2012; accepted 12 July 2012.

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References

  • 1
    Meaney MJ, Szyf M. Maternal care as a model for experience-dependent chromatin plasticity? Trends Neurosci 2005; 28: 456–63.
  • 2
    Champagne FA. Epigenetic influence of social experiences across the lifespan. Dev Psychobiol 2010; 52: 299–311.
    Direct Link:
  • 3
    Welberg LA, Seckl JR. Prenatal stress, glucocorticoids and the programming of the brain. J Neuroendocrinol 2001; 13: 113–28.
  • 4
    Feng X, Wang L, Yang S, Qin D, Wang J, Li C, et al. Maternal separation produces lasting changes in cortisol and behavior in rhesus monkeys. Proc Natl Acad Sci U S A 2011; 108: 14312–7.
  • 5
    Braun K. The prefrontal-limbic system: development, neuroanatomy, function, and implications for socioemotional development. Clin Perinatol 2011; 38: 685–702.
  • 6
    Sullivan R, Perry R, Sloan A, Kleinhaus K, Burtchen N. Infant bonding and attachment to the caregiver: insights from basic and clinical science. Clin Perinatol 2011; 38: 643–55.
  • 7
    Hofer M. Psychobiological roots of early attachment. Curr Dir Psychol Sci 2006; 15: 84–8.
    Direct Link:
  • 8
    Bugental DB, Beaulieu D, Schwartz A. Hormonal sensitivity of preterm versus full-term infants to the effects of maternal depression. Infant Behav Dev 2008; 31: 51–61.
  • 9
    Morelius E, Nelson N, Gustafsson PA. Salivary cortisol response in mother-infant dyads at high psychosocial risk. Child Care Health Dev 2007; 33: 128–36.
    Direct Link:
  • 10
    Morelius E, Theodorsson E, Nelson N. Salivary cortisol and mood and pain profiles during skin-to-skin care for an unselected group of mothers and infants in neonatal intensive care. Pediatrics 2005; 116: 1105–13.
  • 11
    Als H, Duffy FH, McAnulty GB, Rivkin MJ, Vajapeyam S, Mulkern RV, et al. Early experience alters brain function and structure. Pediatrics 2004; 113: 846–57.
  • 12
    Milgrom J, Newnham C, Anderson PJ, Doyle LW, Gemmill AW, Lee K, et al. Early sensitivity training for parents of preterm infants: impact on the developing brain. Pediatr Res 2010; 67: 330–5.
  • 13
    Scher MS, Ludington-Hoe S, Kaffashi F, Johnson MW, Holditch-Davis D, Loparo KA. Neurophysiologic assessment of brain maturation after an 8-week trial of skin-to-skin contact on preterm infants. Clin Neurophysiol 2009; 120: 1812–8.
  • 14
    Feldman R, Weller A, Sirota L, Eidelman AI. Skin-to-Skin contact (Kangaroo care) promotes self-regulation in premature infants: sleep-wake cyclicity, arousal modulation, and sustained exploration. Dev Psychol 2002; 38: 194–207.
  • 15
    Pillai Riddell RR, Racine NM, Turcotte K, Uman LS, Horton RE, Din Osmun L, et al. Non-pharmacological management of infant and young child procedural pain. Cochrane Database Syst Rev 2011: CD006275.
  • 16
    Field T, Diego M, Hernandez-Reif M. Preterm infant massage therapy research: a review. Infant Behav Dev 2010; 33: 115–24.
  • 17
    Caskey M, Stephens B, Tucker R, Vohr B. Importance of parent talk on the development of preterm infant vocalizations. Pediatrics 2011; 128: 910–6.
  • 18
    Treyvaud K, Anderson VA, Howard K, Bear M, Hunt RW, Doyle LW, et al. Parenting behavior is associated with the early neurobehavioral development of very preterm children. Pediatrics 2009; 123: 555–61.
  • 19
    Feldman R, Eidelman A. Skin-to-skin contact (Kangaroo care) accelerates autonomic and neurobehavioural maturation in preterm infants. Dev Med Child Neurol 2003; 45: 274–81.
    Direct Link:
  • 20
    Montirosso R, Del Prete A, Bellù R, Tronick E, Borgatti R, the Neonatal Adequate Care for Quality of Life (NEO-ACQUA) Study Group. Level of NICU quality of developmental care and neurobehavioral performance in very preterm infants. Pediatrics 2012; 129: e1129–37.
  • 21
    Achenbach TM, Howell CT, Aoki MF, Rauh VA. Nine-year outcome of the Vermont intervention program for low birth weight infants. Pediatrics 1993; 91: 45–55.
  • 22
    Nordhov SM, Ronning JA, Dahl LB, Ulvund SE, Tunby J, Kaaresen PI. Early intervention improves cognitive outcomes for preterm infants: randomized controlled trial. Pediatrics 2010; 126: e1088–94.
  • 23
    Brandon DH, Tully KP, Silva SG, Malcolm WF, Murtha AP, Turner BS, et al. Emotional responses of mothers of late-preterm and term infants. J Obstet Gynecol Neonatal Nurs 2011; 40: 719–31.
    Direct Link:
  • 24
    Jackson K, Ternestedt BM, Schollin J. From alienation to familiarity: experiences of mothers and fathers of preterm infants. J Adv Nurs 2003; 43: 120–9.
    Direct Link:
  • 25
    Franck LS, Cox S, Allen A, Winter I. Measuring neonatal intensive care unit-related parental stress. J Adv Nurs 2005; 49: 608–15.
    Direct Link:
  • 26
    Miles MS, Holditch-Davis D, Schwartz T, Scher M. Depressive symptoms in mothers of prematurely born infants. J Dev Behav Pediatr 2007; 28: 36–44.
  • 27
    Arockiasamy V, Holsti L, Albersheim S. Fathers’ experiences in the neonatal intensive care unit: a search for control. Pediatrics 2008; 121: e215–22.
  • 28
    Flacking R, Ewald U, Nyqvist KH, Starrin B. Trustful bonds: a key to “becoming a mother” and to reciprocal breastfeeding. Stories of mothers of very preterm infants at a neonatal unit. Soc Sci Med 2006; 62: 70–80.
  • 29
    Melnyk BM, Feinstein NF, Alpert-Gillis L, Fairbanks E, Crean HF, Sinkin RA, et al. Reducing premature infants’ length of stay and improving parents’ mental health outcomes with the Creating Opportunities for Parent Empowerment (COPE) neonatal intensive care unit program: a randomized, controlled trial. Pediatrics 2006; 118: e1414–27.
  • 30
    de Alencar AE, Arraes LC, de Albuquerque EC, Alves JG. Effect of kangaroo mother care on postpartum depression. J Trop Pediatr 2009; 55: 36–8.
  • 31
    Huhtala M, Korja R, Lehtonen L, Haataja L, Lapinleimu H, Rautava P. Parental psychological well-being and behavioral outcome of very low birth weight infants at 3 years. Pediatrics 2012; 129: e937–44.
  • 32
    Habib C, Lancaster S. Changes in identity and paternal-foetal attachment across a first pregnancy. J Reprod Infant Psychol 2010; 28: 128–42.
  • 33
    Mercer J. Understanding attachment: parenting, child care and emotional development. Westport, CT: Praeger, 2006.
  • 34
    Lagercrantz H, Changeux JP. The emergence of human consciousness: from fetal to neonatal life. Pediatr Res 2009; 65: 255–60.
  • 35
    Parsons CE, Young KS, Murray L, Stein A, Kringelbach ML. The functional neuroanatomy of the evolving parent-infant relationship. Prog Neurobiol 2010; 91: 220–41.
  • 36
    Korja R, Latva R, Lehtonen L. The effects of preterm birth on mother-infant interaction and attachment during the infant’s first two years. Acta Obstet Gynecol Scand 2012; 91: 164–73.
    Direct Link:
  • 37
    Feldman R, Weller A, Leckman JF, Kuint J, Eidelman AI. The nature of the mother’s tie to her infant: maternal bonding under conditions of proximity, separation, and potential loss. J Child Psychol Psychiatry 1999; 40: 929–39.
  • 38
    Latva R, Korja R, Salmelin R, Lehtonen L, Tamminen T. How is maternal recollection of the birth experience related to the behavioral and emotional outcome of preterm infants? Early Hum Dev 2008; 84: 587–94.
  • 39
    Sullivan JR. Development of father-infant attachment in fathers of preterm infants. Neonatal Netw 1999; 18: 33–9.
  • 40
    Goulet C, Bell L, St-Cyr D, Paul D, Lang A. A concept analysis of parent-infant attachment. J Adv Nurs 1998; 28: 1071–81.
    Direct Link:
  • 41
    Forcada-Guex M, Pierrehumbert B, Borghini A, Moessinger A, Muller-Nix C. Early dyadic patterns of mother-infant interactions and outcomes of prematurity at 18 months. Pediatrics 2006; 118: e107–14.
  • 42
    Muller-Nix C, Forcada-Guex M, Pierrehumbert B, Jaunin L, Borghini A, Ansermet F. Prematurity, maternal stress and mother-child interactions. Early Hum Dev 2004; 79: 145–58.
  • 43
    Garel M, Dardennes M, Blondel B. Mothers’ psychological distress 1 year after very preterm childbirth. Results of the EPIPAGE qualitative study. Child Care Health Dev 2007; 33: 137–43.
    Direct Link:
  • 44
    Sweet L. Breastfeeding a preterm infant and the objectification of breastmilk. Breastfeed Rev 2006; 14: 5–13.
  • 45
    Uvnas-Moberg K, Eriksson M. Breastfeeding: physiological, endocrine and behavioural adaptations caused by oxytocin and local neurogenic activity in the nipple and mammary gland. Acta Paediatr 1996; 85: 525–30.
    Direct Link:
  • 46
    Nyqvist KH, Anderson GC, Bergman N, Cattaneo A, Charpak N, Davanzo R, et al. State of the art and recommendations. Kangaroo mother care: application in a high-tech environment. Acta Paediatr 2010; 99: 812–9.
    Direct Link:
  • 47
    White RD. The newborn intensive care unit environment of care: how we got here, where we’re headed, and why. Semin Perinatol 2011; 35: 2–7.
  • 48
    Teltsch DY, Hanley J, Loo V, Goldberg P, Gursahaney A, Buckeridge DL. Infection acquisition following intensive care unit room privatization. Arch Intern Med 2011; 171: 32–8.
  • 49
    Domanico R, Davis DK, Coleman F, Davis BO. Documenting the NICU design dilemma: comparative patient progress in open-ward and single family room units. J Perinatol 2011; 31: 281–8.
  • 50
    Ortenstrand A, Westrup B, Brostrom EB, Sarman I, Akerström S, Brune T, et al. The Stockholm Neonatal Family Centered Care Study: effects on length of stay and infant morbidity. Pediatrics 2010; 125: e278–85.
  • 51
    Carter BS, Carter A, Bennett S. Families’ views upon experiencing change in the neonatal intensive care unit environment: from the ‘baby barn’ to the private room. J Perinatol 2008; 28: 827–9.
  • 52
    Greisen G, Mirante N, Haumont D, Pierrat V, Pallás-Alonso CR, Warren I, et al. Parents, siblings and grandparents in the Neonatal Intensive Care Unit. A survey of policies in eight European countries. Acta Paediatr 2009; 98: 1744–50.
    Direct Link:
  • 53
    Davis L, Mohay H, Edwards H. Mothers’ involvement in caring for their premature infants: an historical overview. J Adv Nurs 2003; 42: 578–86.
    Direct Link:
  • 54
    Franck LS, Spencer C. Parent visiting and participation in infant caregiving activities in a neonatal unit. Birth 2003; 30: 31–5.
    Direct Link:
  • 55
    Latva R, Lehtonen L, Salmelin RK, Tamminen T. Visits by the family to the neonatal intensive care unit. Acta Paediatr 2007; 96: 215–20.
    Direct Link:
  • 56
    Yeo C, Ho SK, Khong K, Lau Y. Virtual visitation in the neonatal intensive care: experience with the use of internet and telemedicine in a tertiary neonatal unit. Perm J 2011; 15: 32–6.
  • 57
    Peters KL. Infant handling in the NICU: does developmental care make a difference? An evaluative review of the literature J Perinat Neonatal Nurs 1999; 13: 83–109.
  • 58
    Domanico R, Davis DK, Coleman F, Davis BO Jr. Documenting the NICU design dilemma: parent and staff perceptions of open ward versus single family room units. J Perinatol 2010; 30: 343–51.
  • 59
    Franck LS, Bernal H, Gale G. Infant holding policies and practices in neonatal units. Neonatal Netw 2002; 21: 13–20.
  • 60
    Bonet M, Blondel B, Agostino R, Combier E, Maier RF, Cuttini M, et al. Variations in breastfeeding rates for very preterm infants between regions and neonatal units in Europe: results from the MOSAIC cohort. Arch Dis Child Fetal Neonatal Ed 2011; 96: 450–2.
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