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Parental Acceptability and Experiences of In-Bed Resuscitation at Birth : Findings From a Cross-Sectional Survey

Wilander, Maria LU orcid ; Thies-Lagergren, Li LU orcid ; Santesson, Anna LU ; Patriksson, Katarina ; Rabe, Heike ; Andersson, Ola LU orcid and Ekelöf, Katarina LU (2026) In Journal of Pediatrics: Clinical Practice 21.
Abstract

Objective: To assess parental acceptability and experiences of in-bed intact cord resuscitation (ICR) vs standard care during neonatal resuscitation in the Sustained Cord Circulation and Ventilation (SAVE) trial. Study design: A national cross-sectional electronic survey was administered 1 month postpartum (2022-2025). A questionnaire initially developed by Katheria et al was used to assess parental acceptability and experiences of ICR. The survey targeted parents of neonates enrolled in the SAVE trial, a randomized controlled trial investigating ICR for ≥180 seconds with standard care. Data were analyzed using descriptive and inferential statistics. Acceptability was compared between groups using χ2 tests, with ORs... (More)

Objective: To assess parental acceptability and experiences of in-bed intact cord resuscitation (ICR) vs standard care during neonatal resuscitation in the Sustained Cord Circulation and Ventilation (SAVE) trial. Study design: A national cross-sectional electronic survey was administered 1 month postpartum (2022-2025). A questionnaire initially developed by Katheria et al was used to assess parental acceptability and experiences of ICR. The survey targeted parents of neonates enrolled in the SAVE trial, a randomized controlled trial investigating ICR for ≥180 seconds with standard care. Data were analyzed using descriptive and inferential statistics. Acceptability was compared between groups using χ2 tests, with ORs calculated to quantify effect size. Results: The response rate was ∼75% and the final analyses included 333 surveys. Most responses were received from mothers. Parents experiencing in-bed ICR reported greater opportunities to see, touch, and maintain proximity to their neonate (OR, 3.88; 95% CI, 2.32-6.48, for physical contact). The in-bed ICR group also expressed a stronger sense of safety and more positive perceptions of study participation compared with those whose neonates received standard care. No differences between the groups were observed in communication with healthcare professionals. Baseline maternal, perinatal, and neonatal characteristics were comparable between the groups. Conclusions: These findings demonstrate the psychosocial benefits of in-bed ICR, enhancing parental proximity, safety perceptions, and physical contact during neonatal resuscitation and stabilization. These results provide a vital parental perspective that complements clinical outcomes and supports future considerations of zero-separation practices for resuscitated neonates.

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author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
acceptability, cross-sectional, intact cord, parents, resuscitation
in
Journal of Pediatrics: Clinical Practice
volume
21
article number
200222
publisher
Elsevier
external identifiers
  • scopus:105043518927
  • pmid:42433321
ISSN
2950-5410
DOI
10.1016/j.jpedcp.2026.200222
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2026 The Author(s). Published by Elsevier Inc. This is an open access article under the CC BY license. http://creativecommons.org/licenses/by/4.0/
id
e27520b3-f3b8-4efa-9318-ffe267872695
date added to LUP
2026-07-20 09:08:35
date last changed
2026-09-14 12:48:06
@article{e27520b3-f3b8-4efa-9318-ffe267872695,
  abstract     = {{<p>Objective: To assess parental acceptability and experiences of in-bed intact cord resuscitation (ICR) vs standard care during neonatal resuscitation in the Sustained Cord Circulation and Ventilation (SAVE) trial. Study design: A national cross-sectional electronic survey was administered 1 month postpartum (2022-2025). A questionnaire initially developed by Katheria et al was used to assess parental acceptability and experiences of ICR. The survey targeted parents of neonates enrolled in the SAVE trial, a randomized controlled trial investigating ICR for ≥180 seconds with standard care. Data were analyzed using descriptive and inferential statistics. Acceptability was compared between groups using χ<sup>2</sup> tests, with ORs calculated to quantify effect size. Results: The response rate was ∼75% and the final analyses included 333 surveys. Most responses were received from mothers. Parents experiencing in-bed ICR reported greater opportunities to see, touch, and maintain proximity to their neonate (OR, 3.88; 95% CI, 2.32-6.48, for physical contact). The in-bed ICR group also expressed a stronger sense of safety and more positive perceptions of study participation compared with those whose neonates received standard care. No differences between the groups were observed in communication with healthcare professionals. Baseline maternal, perinatal, and neonatal characteristics were comparable between the groups. Conclusions: These findings demonstrate the psychosocial benefits of in-bed ICR, enhancing parental proximity, safety perceptions, and physical contact during neonatal resuscitation and stabilization. These results provide a vital parental perspective that complements clinical outcomes and supports future considerations of zero-separation practices for resuscitated neonates.</p>}},
  author       = {{Wilander, Maria and Thies-Lagergren, Li and Santesson, Anna and Patriksson, Katarina and Rabe, Heike and Andersson, Ola and Ekelöf, Katarina}},
  issn         = {{2950-5410}},
  keywords     = {{acceptability; cross-sectional; intact cord; parents; resuscitation}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Pediatrics: Clinical Practice}},
  title        = {{Parental Acceptability and Experiences of In-Bed Resuscitation at Birth : Findings From a Cross-Sectional Survey}},
  url          = {{http://dx.doi.org/10.1016/j.jpedcp.2026.200222}},
  doi          = {{10.1016/j.jpedcp.2026.200222}},
  volume       = {{21}},
  year         = {{2026}},
}