{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T08:51:47Z","timestamp":1791449507987,"version":"4.3.3"},"reference-count":19,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000272","name":"National Institute for Health Research","doi-asserted-by":"publisher","award":["PB\u2010PG\u20101217\u201020020"],"award-info":[{"award-number":["PB\u2010PG\u20101217\u201020020"]}],"id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Currently, parents whose sick babies are undergoing three days of cooling therapy for hypoxic\u2013ischaemic encephalopathy\u00a0in neonatal intensive care units (NICUs) are not permitted to cuddle their cooled babies, due to concerns of warming the baby or dislodging breathing tubes or vascular catheters. Parents want to stay and care for their cooled babies and have reported that bonding is adversely affected when they are not permitted to hold them.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design and Participants<\/jats:title><jats:p>Qualitative interviews with 21 parents of cooled babies in NICU (11 mothers and 10 fathers) and 10 neonatal staff (4 consultants and 6 nurses) explored their views and experiences of an intervention to enable parents to cuddle their cooled babies (CoolCuddle). Thematic analysis methods were used to develop the themes and compare them between parents and staff.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five themes were produced. Three themes were comparable between parents and staff: Closeness, a sense of normality and reassurance and support. An additional parent theme reflected their mixed feelings about initial participation as they were apprehensive, but felt that it was an amazing opportunity. Parents and staff described the closeness between parents and babies as important for bonding and breastfeeding. Fathers particularly appreciated the opportunity to hold and bond with their infants. Parents valued the reassurance and support received from staff, and the cuddles helped them feel more normal and more like a family at a very stressful time. In a final staff theme, they discussed the skills, number of staff and training needed to undertake CoolCuddle in NICU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Parents cuddling their babies during cooling therapy enhanced parent\u2013infant bonding and family\u2010centred care in NICU and was positively received. Adverse perinatal mental health, impaired mother\u2013infant bonding and their effects on the establishment of breastfeeding may be ameliorated by introducing CoolCuddle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient Contribution<\/jats:title><jats:p>Our parent advisors contributed to the interview topic guides and endorsed the themes from the analysis.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13477","type":"journal-article","created":{"date-parts":[[2022,3,25]],"date-time":"2022-03-25T05:58:36Z","timestamp":1648187916000},"page":"1384-1392","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["\u2018Opportunity to bond and a sense of normality\u2019: Parent and staff views of cuddling babies undergoing therapeutic hypothermia in neonatal intensive care: \u2018CoolCuddle\u2019"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2366-008X","authenticated-orcid":false,"given":"Jenny","family":"Ingram","sequence":"first","affiliation":[{"name":"Centre for Academic Child Health, Population Health Sciences University of Bristol Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy","family":"Beasant","sequence":"additional","affiliation":[{"name":"Centre for Academic Child Health, Population Health Sciences University of Bristol Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Odd","sequence":"additional","affiliation":[{"name":"Population Medicine Cardiff University School of Medicine Wales UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ela","family":"Chakkarapani","sequence":"additional","affiliation":[{"name":"Neonatology, St Michael's Hospital University Hospitals Bristol and Weston NHS Foundation Trust Bristol UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2017-313707"},{"key":"e_1_2_9_3_1","unstructured":"NICE. Therapeutic hypothermia with intracorporeal temperature monitoring for hypoxic perinatal brain injury: NICEIPG347; May\u00a02010."},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v8i0.20539"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.15431"},{"key":"e_1_2_9_6_1","unstructured":"JordanE GrantM BhakthavalsalaS ChakkarapaniE. 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CoolCuddle study protocol and statistics analysis plan;\u00a02021. 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