Background: In December 2023, cotside cameras were installed at every bedspace in the 50-bed Neonatal Unit at Townsville University Hospital (TUH). The cameras allow parents to view livestream video of their baby via their own devices 24 hours a day. A pilot study completed at TUH in 2019 demonstrated multiple benefits of such technology including improved bonding, reduced parental anxiety and increased breastmilk supply. Implementing the cameras as the standard model of care is aimed at improving parent-infant attachment and encouraging continued participation in their baby’s care. 

Method: While cameras are available at every bedspace, use of the technology is optional and varies based on unit occupancy and parental interest. Parental surveys were conducted four months post-implementation of the cameras, assessing satisfaction and seeking feedback on how the technology impacts mothers’ experience of having an infant in the neonatal unit. Camera usage data was examined to evaluate parent participation and login behaviours.

Discussion:  Maternal feedback was overwhelmingly positive with a 100% satisfaction rate. Feedback presented themes of reassurance, relief and connection, with mothers finding it easier to leave their baby knowing they could see them via the camera. Several reported it helped their milk supply and relieved some of their anxiety. Tables 1 and 2 outline the average number of camera views and times most viewed.

Conclusion:  Implementation of cotside cameras provides the opportunity for parents to remain connected to their baby while away from the unit. Maternal feedback obtained from surveys, coupled with camera usage data, outlines the significance of this technology for families, with potential benefits to both parent and baby through enhanced parent-infant attachment, reduced parental anxiety and improving breastmilk supply.  Future research beginning in June 2024 will explore the impact of cotside cameras on maternal-infant attachment and breastfeeding rates in surgical neonates.