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Am J Perinatol 2022; 39(02): 134-143
DOI: 10.1055/s-0040-1715525
Review Article

Measuring Parental Presence in the Neonatal Intensive Care Unit

Shelby A. Powers 
1   Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, North Carolina
,
Katherine Taylor
1   Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, North Carolina
,
Dmitry Tumin
1   Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, North Carolina
,
John A. Kohler  Sr.
1   Department of Pediatrics, Brody School of Medicine, East Carolina University, Greenville, North Carolina
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Abstract

Parental presence is believed to improve outcomes for infants hospitalized in the neonatal intensive care unit (NICU). As a result, NICU policies and procedures have evolved to support parental presence, and a growing number of studies examine the role of parental presence in the NICU. However, the measurement of parental presence is not standardized, complicating assessment of its impact on child and parent outcomes across studies. We reviewed 29 studies that presented 27 distinct methods of quantifying parental presence in the NICU and reported associations of presence with patient demographics, parental engagement in the NICU, and outcomes for both infants and parents. This overview provides a foundation for standardizing and improving routine measurement of parental presence in the NICU.

Key Points

  • NICUs encourage visiting ill newborns.

  • Measurement of presence is not standardized.

  • A uniform method to assess presence is needed.

Keywords

neonatal intensive care - father - mother - parental presence - parental engagement - family centered care


Publikationsverlauf

Eingereicht: 17. April 2020

Angenommen: 02. Juli 2020

Artikel online veröffentlicht:
20. August 2020

© 2020. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Harrison W, Goodman D. Epidemiologic trends in neonatal intensive care, 2007–2012. JAMA Pediatr 2015; 169 (09) 855-862
    CrossrefPubMedGoogle Scholar
  • 2 Saxton SN, Walker BL, Dukhovny D. Parents matter: examination of family presence in the neonatal intensive care unit. Am J Perinatol 2020; 38 (10) 1023-1030
    PubMedGoogle Scholar
  • 3 Fanaroff AA, Kennell JH, Klaus MH. Follow-up of low birth weight infants--the predictive value of maternal visiting patterns. Pediatrics 1972; 49 (02) 287-290
    CrossrefPubMedGoogle Scholar
  • 4 Hunter RS, Kilstrom N, Kraybill EN, Loda F. Antecedents of child abuse and neglect in premature infants: a prospective study in a newborn intensive care unit. Pediatrics 1978; 61 (04) 629-635
    CrossrefPubMedGoogle Scholar
  • 5 Subedi D, DeBoer MD, Scharf RJ. Developmental trajectories in children with prolonged NICU stays. Arch Dis Child 2017; 102 (01) 29-34
    CrossrefPubMedGoogle Scholar
  • 6 Klaus MH, Kennell JH. Mothers separated from their newborn infants. Obstet Gynecol Surv 1971; 26 (08) 584-586
    CrossrefPubMedGoogle Scholar
  • 7 Muller-Nix C, Forcada-Guex M, Pierrehumbert B, Jaunin L, Borghini A, Ansermet F. Prematurity, maternal stress and mother-child interactions. Early Hum Dev 2004; 79 (02) 145-158
    CrossrefPubMedGoogle Scholar
  • 8 Padden T, Glenn S. Maternal experiences of preterm birth and neonatal intensive care. J Reprod Infant Psychol 1997; 15 (02) 121-139
    CrossrefPubMedGoogle Scholar
  • 9 Segre LS, McCabe JE, Chuffo-Siewert R, O'Hara MW. Depression and anxiety symptoms in mothers of newborns hospitalized on the neonatal intensive care unit. Nurs Res 2014; 63 (05) 320-332
    CrossrefPubMedGoogle Scholar
  • 10 Örtenstrand A, Westrup B, Broström EB. et al. The Stockholm neonatal family centered care study: effects on length of stay and infant morbidity. Pediatrics 2010; 125 (02) e278-e285
    CrossrefPubMedGoogle Scholar
  • 11 Reynolds LC, Duncan MM, Smith GC. et al. Parental presence and holding in the neonatal intensive care unit and associations with early neurobehavior. J Perinatol 2013; 33 (08) 636-641
    CrossrefPubMedGoogle Scholar
  • 12 Gangi S, Dente D, Bacchio E, Giampietro S, Terrin G, De Curtis M. Posttraumatic stress disorder in parents of premature birth neonates. Procedia Soc Behav Sci 2013; 82: 882-885
    CrossrefPubMedGoogle Scholar
  • 13 Maree C, Downes F. Trends in family-centered care in neonatal intensive care. J Perinat Neonatal Nurs 2016; 30 (03) 265-269
    CrossrefPubMedGoogle Scholar
  • 14 Cross J. Attachment-keeping NICU Infants Safe. J Pregnancy Child Health 2016; 3 (02) 1-4
    CrossrefPubMedGoogle Scholar
  • 15 COMMITTEE ON HOSPITAL CARE and INSTITUTE FOR PATIENT- AND FAMILY-CENTERED CARE. Patient- and family-centered care and the pediatrician”s role. Pediatrics 2012; 129 (02) 394-404
    CrossrefPubMedGoogle Scholar
  • 16 Wigert H, Berg M, Hellström A-L. Parental presence when their child is in neonatal intensive care. Scand J Caring Sci 2010; 24 (01) 139-146
    CrossrefPubMedGoogle Scholar
  • 17 Raiskila S, Axelin A, Toome L. et al. Parents” presence and parent-infant closeness in 11 neonatal intensive care units in six European countries vary between and within the countries. Acta Paediatr 2017; 106 (06) 878-888
    CrossrefPubMedGoogle Scholar
  • 18 Lewis M, Bendersky M, Koons A. et al. Visitation to a neonatal intensive care unit. Pediatrics 1991; 88 (04) 795-800
    PubMedGoogle Scholar
  • 19 Allen DA, McGrade BJ, Affleck G, McQueeney M. The predictive validity of neonatal intensive care nurses” judgments of parent-child relationships: a nine-month follow-up. J Pediatr Psychol 1982; 7 (02) 125-134
    CrossrefPubMedGoogle Scholar
  • 20 Pineda RG, Neil J, Dierker D. et al. Alterations in brain structure and neurodevelopmental outcome in preterm infants hospitalized in different neonatal intensive care unit environments. J Pediatr 2014; 164 (01) 52-60.e2
    CrossrefPubMedGoogle Scholar
  • 21 Erdeve O, Arsan S, Canpolat FE. et al. Does individual room implemented family-centered care contribute to mother-infant interaction in preterm deliveries necessitating neonatal intensive care unit hospitalization?. Am J Perinatol 2009; 26 (02) 159-164
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 22 Erdeve O, Arsan S, Yigit S, Armangil D, Atasay B, Korkmaz A. The impact of individual room on rehospitalization and health service utilization in preterms after discharge. Acta Paediatr 2008; 97 (10) 1351-1357
    CrossrefPubMedGoogle Scholar
  • 23 Pineda RG, Stransky KE, Rogers C. et al. The single-patient room in the NICU: maternal and family effects. J Perinatol 2012; 32 (07) 545-551
    CrossrefPubMedGoogle Scholar
  • 24 Callahan EJ, Brasted WS, Myerberg DZ, Hamilton S. Prolonged travel time to neonatal intensive care unit does not affect content of parental visiting: a controlled prospective study. J Rural Health 1991; 7 (01) 73-83
    CrossrefPubMedGoogle Scholar
  • 25 Harris R, Gibbs D, Mangin-Heimos K, Pineda R. Maternal mental health during the neonatal period: Relationships to the occupation of parenting. Early Hum Dev 2018; 120: 31-39
    CrossrefPubMedGoogle Scholar
  • 26 Raiskila S, Lehtonen L, Tandberg BS. et al; Separation and Closeness Experiences in Neonatal Environment (SCENE) research group. Parent and nurse perceptions on the quality of family-centred care in 11 European NICUs. Aust Crit Care 2016; 29 (04) 201-209
    CrossrefPubMedGoogle Scholar
  • 27 Zeskind PS, Iacino R. Effects of maternal visitation to preterm infants in the neonatal intensive care unit. Child Dev 1984; 55 (05) 1887-1893
    CrossrefPubMedGoogle Scholar
  • 28 Northrup TF, Evans PW, Lillie ML, Tyson JE. A free parking trial to increase visitation and improve extremely low birth weight infant outcomes. J Perinatol 2016; 36 (12) 1112-1115
    CrossrefPubMedGoogle Scholar
  • 29 Pineda R, Bender J, Hall B, Shabosky L, Annecca A, Smith J. Parent participation in the neonatal intensive care unit: predictors and relationships to neurobehavior and developmental outcomes. Early Hum Dev 2018; 117: 32-38
    CrossrefPubMedGoogle Scholar
  • 30 Kamphorst K, Brouwer AJ, Poslawsky IE, Ketelaar M, Ockhuisen H, van den Hoogen A. Parental presence and activities in a Dutch neonatal intensive care unit: an observational study. J Perinat Neonatal Nurs 2018; 32 (03) E3-E10
    CrossrefPubMedGoogle Scholar
  • 31 Greene MM, Rossman B, Patra K, Kratovil A, Khan S, Meier PP. Maternal psychological distress and visitation to the neonatal intensive care unit. Acta Paediatr 2015; 104 (07) e306-e313
    CrossrefPubMedGoogle Scholar
  • 32 Gonya J, Nelin LD. Factors associated with maternal visitation and participation in skin-to-skin care in an all referral level IIIc NICU. Acta Paediatr 2013; 102 (02) e53-e56
    CrossrefPubMedGoogle Scholar
  • 33 Garten L, Maass E, Schmalisch G, Bührer C. O father, where art thou? Parental NICU visiting patterns during the first 28 days of life of very low-birth-weight infants. J Perinat Neonatal Nurs 2011; 25 (04) 342-348
    CrossrefPubMedGoogle Scholar
  • 34 Latva R, Lehtonen L, Salmelin RK, Tamminen T. Visits by the family to the neonatal intensive care unit. Acta Paediatr 2007; 96 (02) 215-220
    CrossrefPubMedGoogle Scholar
  • 35 Franck LS, Spencer C. Parent visiting and participation in infant caregiving activities in a neonatal unit. Birth 2003; 30 (01) 31-35
    CrossrefPubMedGoogle Scholar
  • 36 Giacoia GP, Rutledge D, West K. Factors affecting visitation of sick newborns. Clin Pediatr (Phila) 1985; 24 (05) 259-262
    CrossrefPubMedGoogle Scholar
  • 37 Daniels H, Casaer P, Buyse G, Eggermont E. Parental contact in the neonatal special care unit. Eur J Pediatr 1984; 143 (02) 153-155
    CrossrefPubMedGoogle Scholar
  • 38 Levy-Shiff R, Hoffman MA, Mogilner S, Levinger S, Mogilner MB. Fathers' hospital visits to their preterm infants as a predictor of father-infant relationship and infant development. Pediatrics 1990; 86 (02) 289-293
    CrossrefPubMedGoogle Scholar
  • 39 Latva R, Lehtonen L, Salmelin RK, Tamminen T. Visiting less than every day: a marker for later behavioral problems in Finnish preterm infants. Arch Pediatr Adolesc Med 2004; 158 (12) 1153-1157
    CrossrefPubMedGoogle Scholar
  • 40 Patel K, Cortright L, Tumin D, Kohler Sr JA. Fathers'visitation of very low birth weight infants in the neonatal intensive care unit during the first week of life. Am J Perinatol 2020; 38 (09) 909-913
    PubMedGoogle Scholar
  • 41 Tandberg BS, Frøslie KF, Flacking R, Grundt H, Lehtonen L, Moen A. Parent-infant closeness, parents' participation, and nursing support in single-family room and open bay NICUs. J Perinat Neonatal Nurs 2018; 32 (04) E22-E32
    CrossrefPubMedGoogle Scholar
  • 42 Brown LP, York R, Jacobsen B, Gennaro S, Brooten D. Very low birth-weight infants: parental visiting and telephoning during initial infant hospitalization. Nurs Res 1989; 38 (04) 233-236
    CrossrefPubMedGoogle Scholar
  • 43 Giblin PT, Poland ML, Waller Jr JB, Ager JW. Correlates of parenting on a neonatal intensive care unit: maternal characteristics and family resources. J Genet Psychol 1988; 149 (04) 505-514
    CrossrefPubMedGoogle Scholar