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Closeness and separation in neonatal intensive care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, Pediatrics.
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2012 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 101, no 10, 1032-1037 p.Article, review/survey (Refereed) Published
Abstract [en]

In this paper, we highlight the need for acknowledging the importance and impact of both physical and emotional closeness between the preterm infant and parent in the neonatal intensive care unit. Physical closeness refers to being spatially close and emotional closeness to parental feelings of being emotionally connected to the infant (experiencing feelings of love, warmth and affection). Through consideration of the literature in this area, we outline some of the reasons why physical closeness and emotional closeness are crucial to the physical, emotional and social well-being of both the infant and the parent. These include positive effects on infant brain development, parent psychological well-being and on the parentinfant relationship. The influence of the neonatal unit environment and culture on physical and emotional closeness is also discussed.

Conclusions: Culturally sensitive care practices, procedures and the physical environment need to be considered to facilitate parentinfant closeness, such as through early and prolonged skin-to-skin contact, family-centred care, increased visiting hours, family rooms and optimization of the space on the units. Further research is required to explore factors that facilitate both physical and emotional closeness to ensure that parentinfant closeness is a priority within neonatal care.

Place, publisher, year, edition, pages
2012. Vol. 101, no 10, 1032-1037 p.
Keyword [en]
Family, Infant behaviour, Intensive care, Neonatal, Parents, Preterm birth
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-182403DOI: 10.1111/j.1651-2227.2012.02787.xISI: 000308206300015OAI: oai:DiVA.org:uu-182403DiVA: diva2:560305
Available from: 2012-10-12 Created: 2012-10-10 Last updated: 2012-10-23Bibliographically approved

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Flacking, Renee
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