Mental health of parents with infants in NICU receiving cooling therapy for hypoxic-ischaemic encephalopathy.

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Title: Mental health of parents with infants in NICU receiving cooling therapy for hypoxic-ischaemic encephalopathy.
Authors: Ingram, Jenny (AUTHOR), Odd, David (AUTHOR), Beasant, Lucy (AUTHOR), Chakkarapani, Ela (AUTHOR)
Source: Journal of Reproductive & Infant Psychology. Jun2026, Vol. 44 Issue 3, p803-817. 15p.
Subjects: Brain injury treatment, Competency assessment (Law), Health services accessibility, Edinburgh Postnatal Depression Scale, Breastfeeding, Patient safety, Research funding, Psychology of fathers, T-test (Statistics), Neonatal intensive care units, Induced hypothermia, Interviewing, Questionnaires, Logistic regression analysis, Neonatal intensive care, Postpartum depression, Father-child relationship, Parent attitudes, Tertiary care, Discharge planning, Postnatal care, Chi-squared test, Mann Whitney U Test, Descriptive statistics, Disease prevalence, Hospital care of newborn infants, Mother-infant relationship, Thematic analysis, Longitudinal method, Sound recordings, Parent-infant relationships, Research, Research methodology, Psychology of parents, Psychological tests, Social support, Medical needs assessment, Needs assessment, Data analysis software, Comparative studies, Access to information, Children
Geographic Terms: Wales, England
Abstract: Background: Parents cuddling their babies during intensive care to promote parent-infant bonding is usual practice in the neonatal intensive care unit (NICU). However, babies undergoing cooling therapy and intensive care are not routinely offered parent-infant cuddles due to concerns of impacting the cooling process or intensive care. We developed the CoolCuddle intervention to enable parents to cuddle babies safely during cooling therapy. We investigated whether CoolCuddle impacted parent-infant bonding and parent's mental health. Methods: We conducted parental interviews and compared mental health and bonding measures in two cohorts of parents; one with access to CoolCuddle and the other where CoolCuddle was not available. Results: Ten tertiary NICUs in England and Wales from 2019 to 2023 were involved and 107 families. There were high levels of post-delivery depression amongst all parents. However, at discharge mothers in the CoolCuddle group had significantly less depression, lower EPDS scores, and higher MIBS scores (consistent with better mother-infant bonding) than those where CoolCuddle was not available. All measures appeared similar when re-measured at 8 weeks. Parents reported they were not ready to access psychological support or information whilst on NICU and stressed the need of mental health support following discharge, which was not offered or available. Conclusion: The CoolCuddle intervention was associated with a lower prevalence of depression and enhanced bonding scores for mothers at discharge compared to those who did not cuddle their babies. Parents highlighted increased levels of postnatal depression following the sudden and traumatic admission of their infant to NICU after birth asphyxia. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Mental health of parents with infants in NICU receiving cooling therapy for hypoxic-ischaemic encephalopathy.
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  Data: <searchLink fieldCode="AR" term="%22Ingram%2C+Jenny%22">Ingram, Jenny</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Odd%2C+David%22">Odd, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beasant%2C+Lucy%22">Beasant, Lucy</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chakkarapani%2C+Ela%22">Chakkarapani, Ela</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Reproductive+%26+Infant+Psychology%22">Journal of Reproductive & Infant Psychology</searchLink>. Jun2026, Vol. 44 Issue 3, p803-817. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Brain+injury+treatment%22">Brain injury treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Competency+assessment+%28Law%29%22">Competency assessment (Law)</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Edinburgh+Postnatal+Depression+Scale%22">Edinburgh Postnatal Depression Scale</searchLink><br /><searchLink fieldCode="DE" term="%22Breastfeeding%22">Breastfeeding</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+fathers%22">Psychology of fathers</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+intensive+care+units%22">Neonatal intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Induced+hypothermia%22">Induced hypothermia</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+intensive+care%22">Neonatal intensive care</searchLink><br /><searchLink fieldCode="DE" term="%22Postpartum+depression%22">Postpartum depression</searchLink><br /><searchLink fieldCode="DE" term="%22Father-child+relationship%22">Father-child relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Parent+attitudes%22">Parent attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Tertiary+care%22">Tertiary care</searchLink><br /><searchLink fieldCode="DE" term="%22Discharge+planning%22">Discharge planning</searchLink><br /><searchLink fieldCode="DE" term="%22Postnatal+care%22">Postnatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Chi-squared+test%22">Chi-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22Mann+Whitney+U+Test%22">Mann Whitney U Test</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+prevalence%22">Disease prevalence</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+care+of+newborn+infants%22">Hospital care of newborn infants</searchLink><br /><searchLink fieldCode="DE" term="%22Mother-infant+relationship%22">Mother-infant relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Parent-infant+relationships%22">Parent-infant relationships</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Needs+assessment%22">Needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+information%22">Access to information</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
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– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Parents cuddling their babies during intensive care to promote parent-infant bonding is usual practice in the neonatal intensive care unit (NICU). However, babies undergoing cooling therapy and intensive care are not routinely offered parent-infant cuddles due to concerns of impacting the cooling process or intensive care. We developed the CoolCuddle intervention to enable parents to cuddle babies safely during cooling therapy. We investigated whether CoolCuddle impacted parent-infant bonding and parent's mental health. Methods: We conducted parental interviews and compared mental health and bonding measures in two cohorts of parents; one with access to CoolCuddle and the other where CoolCuddle was not available. Results: Ten tertiary NICUs in England and Wales from 2019 to 2023 were involved and 107 families. There were high levels of post-delivery depression amongst all parents. However, at discharge mothers in the CoolCuddle group had significantly less depression, lower EPDS scores, and higher MIBS scores (consistent with better mother-infant bonding) than those where CoolCuddle was not available. All measures appeared similar when re-measured at 8 weeks. Parents reported they were not ready to access psychological support or information whilst on NICU and stressed the need of mental health support following discharge, which was not offered or available. Conclusion: The CoolCuddle intervention was associated with a lower prevalence of depression and enhanced bonding scores for mothers at discharge compared to those who did not cuddle their babies. Parents highlighted increased levels of postnatal depression following the sudden and traumatic admission of their infant to NICU after birth asphyxia. [ABSTRACT FROM AUTHOR]
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  Group: Ab
  Data: <i>Copyright of Journal of Reproductive & Infant Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/02646838.2024.2423178
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      – Code: eng
        Text: English
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        PageCount: 15
        StartPage: 803
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      – SubjectFull: Brain injury treatment
        Type: general
      – SubjectFull: Competency assessment (Law)
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Edinburgh Postnatal Depression Scale
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      – SubjectFull: Breastfeeding
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      – SubjectFull: Patient safety
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      – SubjectFull: Research funding
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      – SubjectFull: Psychology of fathers
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      – SubjectFull: T-test (Statistics)
        Type: general
      – SubjectFull: Neonatal intensive care units
        Type: general
      – SubjectFull: Induced hypothermia
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Neonatal intensive care
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      – SubjectFull: Postpartum depression
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      – SubjectFull: Father-child relationship
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      – SubjectFull: Parent attitudes
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      – SubjectFull: Tertiary care
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      – SubjectFull: Discharge planning
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      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Chi-squared test
        Type: general
      – SubjectFull: Mann Whitney U Test
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Disease prevalence
        Type: general
      – SubjectFull: Hospital care of newborn infants
        Type: general
      – SubjectFull: Mother-infant relationship
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Parent-infant relationships
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      – SubjectFull: Research
        Type: general
      – SubjectFull: Research methodology
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        Type: general
      – SubjectFull: Psychological tests
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      – SubjectFull: Social support
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Needs assessment
        Type: general
      – SubjectFull: Data analysis software
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      – SubjectFull: Comparative studies
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      – SubjectFull: Access to information
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      – SubjectFull: Children
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      – SubjectFull: Wales
        Type: general
      – SubjectFull: England
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    Titles:
      – TitleFull: Mental health of parents with infants in NICU receiving cooling therapy for hypoxic-ischaemic encephalopathy.
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              M: 06
              Text: Jun2026
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