{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T15:44:53Z","timestamp":1789055093691,"version":"build-2803163510"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,1,4]],"date-time":"2021-01-04T00:00:00Z","timestamp":1609718400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Following extreme preterm birth, there has traditionally been felt an imperative to rush baby to the neonatal unit for ongoing intensive care. Immediate needs of parents to bond with their babies through direct early physical contact have often been overlooked; many weeks can pass before parents get to hold their babies for the first time. Recognition of the importance of early contact is growing. We aimed to review the safety and value of routinely practising delivery room cuddles for extremely preterm babies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We reviewed delivery room cuddles in babies born &lt;27\u00a0weeks\u2019 gestation in our centre between 2006 and 2017 via case\u2010control. We also conducted a questionnaire survey of mothers who experienced a delivery room cuddle to gain their feedback and perspectives.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found no difference in age or temperatures on neonatal unit admission. There was no case of inadvertent extubation associated with cuddles. Parental feedback was very positive.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>With appropriate safeguards, delivery room cuddles are feasible and achievable for extremely preterm babies irrespective of birth gestation. Facilitation of the cuddle is an early and very important family\u2010centred care practice which seems much appreciated by parents and which may improve bonding, lactation, and maternal mental health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.15716","type":"journal-article","created":{"date-parts":[[2020,12,11]],"date-time":"2020-12-11T09:16:31Z","timestamp":1607678191000},"page":"1439-1449","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Delivery room cuddles for extremely preterm babies and parents: concept, practice, safety, parental feedback"],"prefix":"10.1111","volume":"110","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6203-7632","authenticated-orcid":false,"given":"Paul","family":"Clarke","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich UK"},{"name":"Norwich Medical School University of East Anglia Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Allen","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Atuona","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4353-0656","authenticated-orcid":false,"given":"Paul","family":"Cawley","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Norfolk and Norwich University Hospitals NHS Foundation Trust Norwich UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,1,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.112.3.691"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.12719"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-002487"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13946"},{"key":"e_1_2_14_6_1","first-page":"CD003519","article-title":"Early skin\u2010to\u2010skin contact for mothers and their healthy newborn infants","volume":"11","author":"Moore ER","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015-2238"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12543"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-2063"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.2147\/PHMT.S51869"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.02.034"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2009.08.004"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/0012-1649.38.2.194"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15062"},{"key":"e_1_2_14_15_1","unstructured":"EFCNI BergmanN WestrupB KuhnP et al.European Standards of Care for Newborn Health: Very early and continuous skin\u2010to\u2010skin contact.2018.https:\/\/newborn\u2010health\u2010standards.org\/skin\u2010to\u2010skin\u2010contact\/"},{"key":"e_1_2_14_16_1","first-page":"52","article-title":"Delivery room cuddles for preterm babies: Should we be doing more?","volume":"15","author":"Bates S","year":"2019","journal-title":"Infant"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14975"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.14754"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000499361"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2014.09.049"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2017.09.006"},{"key":"e_1_2_14_22_1","unstructured":"BatesS.@SarahBates18 Today\u2019s *quiet* 2nd impromptu neoSIM was stabilisation of preterm at delivery practising implementation of the all important #deliveryroomcuddle #DRcuddle @GWH_NHS [Twitter]. 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