{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:51:43Z","timestamp":1791449503834,"version":"4.3.3"},"reference-count":13,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,3,5]],"date-time":"2019-03-05T00:00:00Z","timestamp":1551744000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["KL2TR001063"],"award-info":[{"award-number":["KL2TR001063"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Concerns for infant destabilisation often prohibit parental holding of infants during therapeutic hypothermia (<jats:styled-content style=\"fixed-case\">TH<\/jats:styled-content>). We assessed the feasibility of maternal holding during <jats:styled-content style=\"fixed-case\">TH<\/jats:styled-content>, as the inability to hold can impede bonding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Vital signs were assessed in stable infants before, at two\u2010minute intervals during and 30\u00a0minutes after a single 30\u2010minute holding session. The infant remained on the blanket throughout holding, and both infant and blanket were placed into the mother's arms on top of a thin foam insulating barrier. Mothers and nurses were surveyed about their experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten infants undergoing <jats:styled-content style=\"fixed-case\">TH<\/jats:styled-content> for neonatal encephalopathy had no equipment malfunctions or dislodgement. The mean temperature was 33.4\u00b0C prior to and 33.5\u00b0C (p\u00a0=\u00a00.18) after holding. There was no significant bradycardia (heart rate &lt;80 beats per minute), hypotension (mean arterial pressure &lt;40\u00a0mm Hg) or oxygen desaturation (&lt;93%). Nurses either strongly agreed (75%) or agreed (25%) with the statement \u2018After assisting with the holding protocol, I feel that holding during cooling is safe\u2019. Mothers (100%) strongly agreed that other parents would benefit from holding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a small sample of ten stable infants treated with <jats:styled-content style=\"fixed-case\">TH<\/jats:styled-content> for neonatal encephalopathy, holding resulted in no adverse events and positive feedback from mothers and nurses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.14743","type":"journal-article","created":{"date-parts":[[2019,2,5]],"date-time":"2019-02-05T20:35:43Z","timestamp":1549398943000},"page":"1597-1602","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":41,"title":["Maternal holding during therapeutic hypothermia for infants with neonatal encephalopathy is feasible"],"prefix":"10.1111","volume":"108","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6477-3390","authenticated-orcid":false,"given":"Alexa","family":"Craig","sequence":"first","affiliation":[{"name":"Maine Medical Center Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyle","family":"Deerwester","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Fox","sequence":"additional","affiliation":[{"name":"Maine Medical Center Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Walter Reed National Military Medical Center Bethesda MD USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Evans","sequence":"additional","affiliation":[{"name":"Maine Medical Center Portland ME USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,3,5]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-8-17"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.106.4.684"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)17946-X"},{"issue":"1","key":"e_1_2_11_5_1","first-page":"CD003311","article-title":"Cooling for newborns with hypoxic ischaemic encephalopathy","author":"Jacobs SE","year":"2013","journal-title":"Cochrane Database Syst 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