Evidence map›Paper›PMID 41014036›Full record

ArticleActa paediatrica (Oslo, Norway : 1992)2026

Timing of First Cuddling After Preterm Birth Improved Over Five Decades, While Delays Were Linked to Negative Maternal Experiences.

Achim Fieß, Alica Hartmann, Alexander K Schuster, Mareike Ernst, Eva Mildenberger, Dirk Wackernagel, Stephanie D Grabitz, Michael S Urschitz, Norbert Pfeiffer, Manfred E Beutel and 2 more

Abstract read
In one paragraph

Article in Acta paediatrica (Oslo, Norway : 1992), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Achim FießDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Alica HartmannDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID 0000-0002-8721-6036
Alexander K SchusterDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Mareike ErnstDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Eva MildenbergerDivision of Neonatology, Department of Pediatrics, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Dirk WackernagelDivision of Neonatology, Department of Pediatrics, University Medical Center of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Stephanie D GrabitzDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Michael S UrschitzDivision of Paediatric Epidemiology, Institute of Medical Biostatistics, Epidemiology, and Informatics, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
Norbert PfeifferDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Manfred E BeutelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.
Sandra GißlerDepartment of Ophthalmology, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID 0000-0001-6052-3987
Jonas TesarzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany.

Funding

The Gutenberg Prematurity Study was supported by the Ernst und Berta-Grimmke Stiftung, Stufe 1 support of the University Medical Center Mainz and the Else Kröner-Fresenius-Stiftung
6 · The paper itself

Abstract

aimEarly physical contact after birth is critical for families of preterm infants, who face higher risks of psychological stress. This study examined changes in first cuddling over five decades and its relation to parental birth experiences and perceptions of early parenthood.

methodsThis retrospective cohort study was conducted at the University Medical Center Mainz, Germany. Parents completed questionnaires and structured interviews about birth experiences, timing of first cuddling and perceptions of parenthood. Multivariable logistic regression was used to analyse associations of gestational age and cuddling delay with parental outcomes.

resultsData were obtained from 940 mothers and 614 fathers of 1559 children (median age 15 years, range 4-52, 824 female). Time to first cuddling in extremely preterm infants decreased from several weeks in the 1970s to about 1 week in the 2010s. Mothers of preterm or delayed-cuddling infants more often perceived birth as an emergency, felt less prepared for discharge and reported negative feelings towards motherhood. Fathers showed similar but weaker associations.

conclusionThe time until first cuddling decreased markedly over five decades, reflecting greater clinical awareness. However, delayed cuddling remained strongly linked to negative maternal perceptions, underlining the importance of prioritising early physical contact in neonatal care.

Indexed as

MothersAdolescentAdultChildChild, PreschoolFemaleGermanyHumansInfant, NewbornInfant, PrematureMaleMiddle AgedRetrospective StudiesTime FactorsYoung Adultmaternal psychological birth traumaneonatal intensive careparental discharge preparednesspreterm birthtiming of skin‐to‐skin contact

Identifiers

PMID41014036
PMCPMC12687722

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