Evidence map›Paper›PMID 41263207›Full record

ArticleChild: care, health and development2025

Impact of Premature Birth and Delayed Cuddling on Maternal Support Needs and Satisfaction With Postnatal Care and Changes in Support Over Time.

Achim Fieß, Alica Hartmann, Alexander K Schuster, Stephanie D Grabitz, Dirk Wackernagel, Michael S Urschitz, Jonas Tesarz, Manfred E Beutel, Mareike Ernst, Eva Mildenberger and 1 more

Abstract read
In one paragraph

Article in Child: care, health and development, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Achim FießDepartment of Ophthalmology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
Alica HartmannDepartment of Ophthalmology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.ORCID https://orcid.org/0000-0002-8721-6036
Alexander K SchusterDepartment of Ophthalmology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
Stephanie D GrabitzDepartment of Ophthalmology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
Dirk WackernagelDivision of Neonatology, Department of Paediatrics, University Medical Centre 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.
Jonas TesarzDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre of the Johannes Gutenberg University Mainz, University Medical Center Mainz, Mainz, Germany.
Manfred E BeutelDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre of the Johannes Gutenberg University Mainz, University Medical Center Mainz, Mainz, Germany.
Mareike ErnstDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre of the Johannes Gutenberg University Mainz, University Medical Center Mainz, Mainz, Germany.
Eva MildenbergerDivision of Neonatology, Department of Paediatrics, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.
Sandra GißlerDepartment of Ophthalmology, University Medical Centre of the Johannes Gutenberg University Mainz, Mainz, Germany.

Funding

Else Kröner-Fresenius-StiftungErnst-und-Berta-Grimmke-Stiftung
6 · The paper itself

Abstract

backgroundPreterm birth and early bonding disruptions such as delayed first cuddling may increase parental vulnerability and support needs in the postnatal period. However, little is known about how these factors interact to shape paternal perceptions of care and unmet support needs across different domains.

methodsThis retrospective cohort study drew on data from 1559 individuals aged 4-52 years and linked parental reports from 940 mothers and 614 fathers. Participants were categorised by gestational age of the children into extremely preterm (≤ 28 weeks), very preterm (29-32 weeks), moderately preterm (33-36 weeks) and term (≥ 37 weeks). Multivariable logistic regression was used to examine associations between gestational age, birth weight percentile and delayed first cuddling with maternal desires for administrative, social and medical support. Perceived quality of care from healthcare providers was also assessed.

resultsMothers of preterm infants who experienced delayed cuddling reported significantly higher needs for administrative, social and medical support compared to mothers of term infants. Delayed cuddling emerged as a consistent predictor of increased support needs across all domains. Mothers of preterm infants were more likely to rate physician care positively, while delayed cuddling and low birth weight percentile were associated with lower satisfaction with midwifery care. Fathers showed similar but less pronounced patterns, with administrative support needs elevated in preterm groups.

conclusionPreterm birth and delayed first cuddling are associated with greater maternal support needs and lower satisfaction with certain aspects of care, particularly midwifery services. These findings underscore the importance of early, well-coordinated and responsive postnatal support structures, especially for mothers of preterm infants and those who experienced bonding disruptions. Tailored interventions addressing administrative, social and emotional support needs may help reduce long-term stress and improve parent-infant outcomes.

Indexed as

Mother-Child RelationsMothersObject AttachmentPostnatal CarePremature BirthSocial SupportAdolescentAdultChildChild, PreschoolFemaleGestational AgeHumansInfant, NewbornInfant, PrematureMaledelayed cuddlingmaternal and paternal perceptionsparental support needspostnatal care qualitypreterm birth

Identifiers

PMID41263207
PMCPMC12631720

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.