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J Pediatr Nurs. 2021 Sep 28; doi: 10.1016/j.pedn.2021.09.024. Epub 2021 Sep 28.

COVID-19 lockdown impacts the wellbeing of parents with infants on a Dutch neonatal intensive care unit.

Journal of pediatric nursing

Naomi Meesters, Monique van Dijk, Fernanda Sampaio de Carvalho, Lotte Haverman, Irwin K M Reiss, Sinno H P Simons, Gerbrich E van den Bosch

Affiliations

  1. Department of Pediatrics, Division of Neonatology, Erasmus MC -Sophia Children's Hospital, Rotterdam, the Netherlands. Electronic address: [email protected].
  2. Intensive Care and Department of Pediatric Surgery, Erasmus MC -Sophia Children's Hospital, Rotterdam, the Netherlands.
  3. Department of Pediatrics, Division of Neonatology, Erasmus MC -Sophia Children's Hospital, Rotterdam, the Netherlands.
  4. Emma Children's Hospital, Amsterdam UMC, University of Amsterdam, Child and Adolescent Psychiatry & Psychosocial Care, Amsterdam Reproduction and Development, Amsterdam Public Health, Amsterdam, the Netherlands.

PMID: 34642075 PMCID: PMC8482115 DOI: 10.1016/j.pedn.2021.09.024

Abstract

PURPOSE: Parents of infants admitted to a neonatal intensive care unit (NICU) experience additional stress due to restrictions on their presence and visits by other family members during the COVID-19 pandemic. Our study aims to describe how this impacted parents and how NICU staff could support them.

DESIGN AND METHODS: This was a cross-sectional study in which 25 parents (16 mothers, 9 fathers) of infants admitted to our NICU during the first COVID-19 lockdown completed online questionnaires with socio-demographic questions, the Parental Stressor Scale:NICU (PSS:NICU) and questions related to COVID-19.

RESULTS: Being separated from, and not being able to hold their infant at all times were among the most important PSS:NICU stressors. Parents experienced additional stress because other family members were not allowed to visit. They indicated that NICU staff could support them by clearly explaining the reasons for visitor restrictions and by ensuring that they felt heard. Most parents supported the restrictions, but also mentioned that less strict measures would really help them.

CONCLUSIONS: Parents who participated in this study found it very stressful that they could not be with their infant together with their partner and other family members. Furthermore, parents recommended the hospital management to continuously reconsider whether particular restrictions could be lifted in case of a new lockdown. Together with clear communication, this would result in less parenteral stress.

PRACTICE IMPLICATIONS: Hospital management should be cautious on restricting the presence of parents and other family members and scale restrictions back whenever possible.

Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.

Keywords: COVID-19; NICU; Parental stress; Restrictions

Conflict of interest statement

Declaration of Competing Interest None.

References

  1. J Obstet Gynecol Neonatal Nurs. 2017 Sep - Oct;46(5):737-747 - PubMed
  2. Acta Paediatr. 2012 Oct;101(10):1032-7 - PubMed
  3. Early Hum Dev. 2017 May;108:9-16 - PubMed
  4. BMC Health Serv Res. 2019 Jan 15;19(1):37 - PubMed
  5. Acta Paediatr. 2021 Jul;110(7):2008-2022 - PubMed
  6. Early Hum Dev. 2019 Dec;139:104839 - PubMed
  7. Pediatr Crit Care Med. 2012 Sep;13(5):568-77 - PubMed
  8. BMC Pregnancy Childbirth. 2013;13 Suppl 1:S12 - PubMed
  9. Acta Paediatr. 2012 Jun;101(6):597-603 - PubMed
  10. J Clin Nurs. 2016 Oct;25(19-20):2745-56 - PubMed
  11. Midwifery. 1991 Dec;7(4):193-203 - PubMed
  12. Adv Neonatal Care. 2020 Feb;20(1):48-58 - PubMed
  13. Early Hum Dev. 2011 Jan;87(1):21-6 - PubMed
  14. Sci Rep. 2019 Jan 24;9(1):450 - PubMed
  15. J Perinatol. 2020 Dec;40(12):1739-1752 - PubMed
  16. Occup Med (Lond). 2012 Dec;62(8):600-5 - PubMed
  17. BMC Pediatr. 2016 Jul 15;16:92 - PubMed
  18. Eur J Psychol. 2016 Nov 18;12(4):604-621 - PubMed
  19. J Obstet Gynecol Neonatal Nurs. 2017 Jul - Aug;46(4):576-587 - PubMed
  20. Aust Crit Care. 2019 Jan;32(1):63-75 - PubMed
  21. PLoS One. 2013;8(2):e54992 - PubMed
  22. J Perinatol. 2020 Oct;40(10):1576-1581 - PubMed
  23. Nurs Res. 1993 May-Jun;42(3):148-52 - PubMed
  24. J Perinatol. 2020 Sep;40(Suppl 1):36-46 - PubMed
  25. Cochrane Database Syst Rev. 2017 Feb 16;2:CD008435 - PubMed
  26. BMJ. 2020 Jun 12;369:m2326 - PubMed

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