A1 Refereed original research article in a scientific journal

Separation after childbirth and the psychological, social and physical implications: ethnographic insights from a neonatal intensive care unit




AuthorsBjerregaard, Michella; Axelin, Anna; Poulsen, Ingrid; Brødsgaard, Anne

PublisherBMJ

Publication year2025

Journal: BMJ Open

Volume15

Issue11

First page e105199

ISSN2044-6055

eISSN2044-6055

DOIhttps://doi.org/10.1136/bmjopen-2025-105199

Publication's open availability at the time of reportingOpen Access

Publication channel's open availability Open Access publication channel

Web address https://doi.org/10.1136/bmjopen-2025-105199

Self-archived copy’s web addresshttps://research.utu.fi/converis/portal/detail/Publication/505228384


Abstract

Objective: To investigate the context of separations among mother, father and infant after childbirth, with a focus on the psychological, social and physical implications of these separations.

Design: A short-term ethnographic study, which included participant observations and informal interviews. Data were analysed by a partly deductive content analysis inspired by Graneheim and Lundman.

Setting: A '27-bed' Danish neonatal intensive care unit.

Participants: The study included parents (n=19) who had an infant in need of intensive care and were separated after childbirth.

Findings: The study identified an overarching theme of navigating family dynamics, caregiving and emotional challenges during separation. Three interconnected subthemes-Physical and virtual bonding as a necessity, Nurturing and caregiving shifts and Collective emotional impact of separation-shed light on the disjointed and emotional nature of parent-infant separation in neonatal care.

Conclusions: The findings revealed that the first hours in the neonatal intensive care unit were often characterised by disjointed rather than unified care, as nurses balanced their focus across the family while parents navigated the emotional strain of separation. Organisational and structural barriers further challenged reunification, highlighting the need for care models prioritising proximity, family bonding and minimised separation.

Keywords: Family; Neonatal intensive & critical care; Nursing Care; QUALITATIVE RESEARCH.

© Author(s) (or their employer(s)) 2025. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ Group.   


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Funding information in the publication
This work was supported by Novo Nordisk Fonden, grant number 0085855; Østifterne, grant number 2022-0003; Aarhus University; Hvidovre Hospital; Lån og Spar Fond; and a research grant from the European Society for
Peadiatric Research grant number RGP20222-NG-01/01.


Last updated on 2025-11-11 at 16:51