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      Systematic review shows the benefits of involving the fathers of preterm infants in early interventions in neonatal intensive care units

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          Abstract

          Aim

          This review identifies interventions involving the fathers of preterm infants that have been tested in neonatal intensive care units (NICU). It examines their effects on the fathers and infants and highlights any differences between fathers and mothers who took part in the same interventions.

          Methods

          A systematic search was performed in English from 1995 to 1 September 2020, using the CINAHL, Cochrane Central Register of Controlled Trials, Embase, PubMed and PsycINFO databases. We examined 14 peer‐reviewed studies that investigated NICU interventions involving 478 fathers, whose 511 infants were born before 37 weeks of gestation. These included empirical studies with clinical outcomes.

          Results

          Studies on fathers' interventions in NICUs were limited and mainly restricted to basic skin‐to‐skin contact or tactile interventions. The interventions had similar general positive effects on mothers and fathers when it came to infant physiological and behavioural reactions. There was also evidence of a positive effect on the fathers, including their mental health.

          Conclusion

          Including fathers as active partners in the care of their preterm newborn infants produced good outcomes for both of them. Further research is needed to develop new, multimodal and interactive interventions that provide fathers with positive contact with their preterm infants.

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          Most cited references60

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          Early skin-to-skin contact for mothers and their healthy newborn infants.

          Mother-infant separation post birth is common. In standard hospital care, newborn infants are held wrapped or dressed in their mother's arms, placed in open cribs or under radiant warmers. Skin-to-skin contact (SSC) begins ideally at birth and should last continually until the end of the first breastfeeding. SSC involves placing the dried, naked baby prone on the mother's bare chest, often covered with a warm blanket. According to mammalian neuroscience, the intimate contact inherent in this place (habitat) evokes neuro-behaviors ensuring fulfillment of basic biological needs. This time frame immediately post birth may represent a 'sensitive period' for programming future physiology and behavior.
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            Fathers Roles in the Care and Development of Their Children: The Role of Pediatricians

            Fathers' involvement in and influence on the health and development of their children have increased in a myriad of ways in the past 10 years and have been widely studied. The role of pediatricians in working with fathers has correspondingly increased in importance. This report reviews new studies of the epidemiology of father involvement, including nonresidential as well as residential fathers. The effects of father involvement on child outcomes are discussed within each phase of a child's development. Particular emphasis is placed on (1) fathers' involvement across childhood ages and (2) the influence of fathers' physical and mental health on their children. Implications and advice for all child health providers to encourage and support father involvement are outlined.
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              A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding.

              To evaluate the effects of almost continuous skin-to-skin contact (SSC) on salivary cortisol, parental stress, parental depression, and breastfeeding.
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                Author and article information

                Contributors
                manuela.filippa@unige.ch
                saliba.sahar@gmail.com
                Journal
                Acta Paediatr
                Acta Paediatr
                10.1111/(ISSN)1651-2227
                APA
                Acta Paediatrica (Oslo, Norway : 1992)
                John Wiley and Sons Inc. (Hoboken )
                0803-5253
                1651-2227
                11 June 2021
                September 2021
                : 110
                : 9 ( doiID: 10.1111/apa.v110.9 )
                : 2509-2520
                Affiliations
                [ 1 ] Neuroscience of Emotion and Affective Dynamics Lab Swiss Center for Affective Sciences and Faculty of Psychology and Educational Sciences University of Geneva Geneva Switzerland
                [ 2 ] Division of Development and Growth Department of Pediatrics Geneva University Hospitals Geneva Switzerland
                [ 3 ] Department of Psychomotor Therapy Faculty of Public Health Lebanese University Beirut Lebanon
                [ 4 ] Ethology, Cognition and Development Laboratory UPL University of Paris Nanterre Nanterre France
                [ 5 ] Department of Neonatal Medicine Hautepierre Hospital University Hospital, University of Strasbourg Strasbourg France
                [ 6 ] Centre National de la Recherche Scientifique and University of Strasbourg Institut des Neurosciences Cellulaires et Intégratives Strasbourg France
                Author notes
                [*] [* ] Correspondence

                Manuela Filippa, Neuroscience of Emotion and Affective Dynamics Lab, Swiss Center for Affective Sciences and Faculty of Psychology and Educational Sciences, University of Geneva, 1205 Geneva, Switzerland.

                Email: manuela.filippa@ 123456unige.ch

                Sahar Saliba, Department of Psychomotor Therapy, Faculty of Public Health, Lebanese University, Pierre Gemayel Campus‐Fanar, Beirut, Lebanon.

                Email: saliba.sahar@ 123456gmail.com

                Author information
                https://orcid.org/0000-0002-1310-8008
                https://orcid.org/0000-0002-2659-7955
                https://orcid.org/0000-0003-3132-481X
                Article
                APA15961
                10.1111/apa.15961
                8453504
                34053115
                7b94472d-5dde-419a-9ec2-4998f92e3d60
                © 2021 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 17 May 2021
                : 25 February 2021
                : 27 May 2021
                Page count
                Figures: 1, Tables: 3, Pages: 12, Words: 7566
                Categories
                Review Article
                Review Articles
                Custom metadata
                2.0
                September 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.7 mode:remove_FC converted:21.09.2021

                Pediatrics
                early intervention,father,neonatal intensive care unit,preterm infants,systematic review

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