The role of Occupational Therapists to promote preterm infant-parent attachment, within the neonatal environment
Citation
(2015) The role of Occupational Therapists to promote
preterm infant-parent attachment, within the neonatal
environment, no. 99.
Abstract
Preterm infants are considered those born before 37 weeks often requiring admission to a
specialised neonatal unit to receive care within a medical environment which can be
intimidating for parents. Premature birth means an increased chance of immature
development making it difficult for infants to cope with noise, lighting and interaction with
parents. Opportunities for parents to touch and hold their infant is influenced by the level
of care and equipment required, some parents may only be able to lightly touch their
infant. Parents of preterm infants face an uncertain traumatic experience causing
emotional stress whilst visiting an unfamiliar environment in which professionals may
appear to be the main carers.
Initiating and developing a parental relationship involves touching, holding and providing
all care needed which together gives the infant feelings of security and love. However,
the combination of preterm infants' immaturity and the neonatal unit can mean infantparent
relationships can feel more difficult to develop and parents can find it hard to
understand what best to do for their infant.
Literature suggests developing a supportive infant-parent relationship at an early stage
can continue through to childhood and positively influence development. Occupational
Therapy can assist parents within the neonatal environment to understand some of the
difficulties and encourage positive interactions through the use of parenting care activities.
The Neonatal Occupational Therapy Edinburgh Service (NOTES) will work with parents
and the infants during activities to develop understanding of infant movements and facial
expressions to try and understand what they need or what they are finding difficult.
NOTES will also encourage parents to share stories and experiences to provide support
within the neonatal unit.