Objective: The evidence-based science of maternal and neonatal care has been rapidly changing. As a result, clinical practice and the design of physical space have evolved in order to provide neuroprotection for the baby and meet expectations of family presence and participation.
Setting: The concept and practice of NICU Couplet Care supports positive health well-being/outcomes and early relationship building between the mother-baby-father/partner.
Results: Monitoring evidence-based measures and metrics of standardized care, performance competence, neuro-physical and psychosocial outcomes, environmental design, family and staff satisfaction, and sustainability are essential to the evolution of quality, safe, efficient, effective, ethical, and cost-effective care for the mother, baby, and family. Transparency in the dissemination of evidence, practice standards, and outcome data is important to guide parents/families and health professionals in making informed shared decisions regarding the clinical care provided and the environment where care takes place.
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Patient and public involvement in neonatal research - experiences and insights from parents and researchers.
Res Involv Engagem
January 2025
Department of Public Health, Faculty of Health, Aarhus University, Aarhus, Denmark.
Background: Involving parents in decisions about the care of their infant is common practice in most neonatal intensive care units. However, involvement is less common in neonatal research and a gap appears to exist in understanding the process of patient and public involvement. The aim of this study was to explore parents and researchers' experiences of patient and public involvement in a neonatal research project.
View Article and Find Full Text PDFEffect of couplet care on early parent-infant closeness among preterm infants.
Acta Paediatr
November 2024
Department of Clinical Medicine, University of Turku, Turku, Finland.
Aim: To evaluate the effect of couplet care on parent-infant closeness among preterm infants.
Methods: A comparison study in a Level III neonatal intensive care unit (NICU) before and after the introduction of couplet care, including stabilising infants in the delivery unit for early skin-to-skin contact, providing mothers' postpartum care in the infant's room and providing the father's bed in the infant's room. The study included parents of preterm infants born below 35 weeks.
Parents' Shared Experiences of Separation From Their Newborns After Birth in Denmark.
J Obstet Gynecol Neonatal Nurs
September 2024
Objective: To explore parents' shared experiences of separation from their newborns after birth in Denmark.
Design: Phenomenological hermeneutic design.
Setting: A NICU in the Capital Region of Denmark.
Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study.
J Perinatol
November 2024
Yale School of Medicine, Department of Pediatrics, New Haven, CT, USA.
Objective: Couplet care is an innovative approach to provide postpartum care in the neonatal intensive care unit (NICU) with little known about its impact on infant feeding outcomes and maternal stress.
Study Design: We compared breastfeeding outcomes and maternal NICU-related stress among mother-infant dyads based on exposure to couplet care in a prospective cohort study.
Result: Among 19 couplet-care exposed (CCE) dyads and 19 traditional postpartum care dyads, CCE mothers had lower self-reported stress related to parent-infant relationship as compared to traditional care (P < 0.
Couplet Care-The Next Frontier of Care in the Newborn Intensive Care Unit.
Crit Care Nurs Clin North Am
March 2024
Regional Newborn Program, Beacon Children's Hospital, 615 North Michigan Street, South Bend, IN 46601, USA. Electronic address:
Couplet care of mother and newborn intensive care unit (NICU) baby in the same room is a new, rapidly evolving option for the care of NICU babies. This change has structural and operational challenges that require careful planning but its successful implementation is likely to drive enhanced family participation in the care of their baby throughout the NICU stay as well as improve collaboration between obstetric and neonatal providers.
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