Parental Evaluation of a Tour of the Neonatal Intensive Care Unit During a High-Risk Pregnancy

Griffin, Terry; Kavanaugh, Karen; Soto, Carmen Fraga; White, Melissa

doi:10.1111/j.1552-6909.1997.tb01508.x

Cited by 25 publications

(15 citation statements)

References 6 publications

(6 reference statements)

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“…28 The positive impact of prenatal visits to NICU on parents' is consistent with evidence that such visits decrease fear and reassure parents about the care their infant will receive. 29 The finding that touch is important for the parent-baby bond supports the principles of kangaroo care. Parents' worries about consequent infection or harm to the baby are in contrast to evidence that kangaroo care may lead to reduced infant morbidity and mortality.…”

Section: Discussionmentioning

confidence: 84%

Parents’ first moments with their very preterm babies: a qualitative study

et al. 2013

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ObjectivesTo assess parents’ first experiences of their very preterm babies and the neonatal intensive care unit (NICU).DesignQualitative study using semistructured interviews.Participants32 mothers and 7 fathers of very preterm babies (<32 weeks gestation).SettingThree neonatal units in tertiary care hospitals in South East England.ResultsFive themes were identified. The first describes parents’ blurred recall of the birth. The second shows the anticipation of seeing and touching their baby for the first time was characterised by contrasting emotions, with some parents feeling scared and others excited about the event. The third theme describes parents’ first sight and touch of their babies and their ‘rollercoaster’ of emotions during this time. It also highlights the importance of touch to trigger and strengthen the parent–baby bond. However, some parents were worried that touching or holding the baby might transmit infection or interfere with care. The fourth theme captures parents’ impressions of NICU and how overwhelming this was particularly for parents who had not toured NICU beforehand or whose first sight of their baby was on NICU. The final theme captures unique experiences of fathers, in particular that many felt excluded and confused about their role.ConclusionsThis study informs family-centred care by providing insight into the experiences of parents of very preterm infants at a time when they are most in need of support. Clinical implications include the importance of offering parents preparatory tours of the NICU and including fathers.

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Section: Discussionmentioning

confidence: 84%

Parents’ first moments with their very preterm babies: a qualitative study

et al. 2013

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“…12 The few studies [22][23][24] conducted about preparation of parents for their baby's admission to NICU focus on the prenatal introductory tour of the NICU for parents who expect premature birth but do not pertain to parents expecting a child with congenital anomaly. In a study about prenatal diagnosis of Down syndrome and decisions to continue with the pregnancy, 17 meetings or phone conversations with parents whose children had this syndrome were described as a great source of support and information.…”

Section: Preparing For Birthmentioning

confidence: 99%

“…[22][23][24] The tour benefits parents by decreasing fears of the unknown, inspiring hope for the infant's prognosis, providing reassurance about the care in NICU, and preparing parents for their child's hospitalization. [22][23][24] The tour benefits parents by decreasing fears of the unknown, inspiring hope for the infant's prognosis, providing reassurance about the care in NICU, and preparing parents for their child's hospitalization.…”

Section: Value Of the Introductory Nicu Tourmentioning

confidence: 99%

From Diagnosis to Birth

Askelsdóttir

Conroy

Rempel

2008

Advances in Neonatal Care

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Of 350,000 Canadian children born each year, 2% to 3% will have a serious congenital anomaly. Because of recent ultrasound diagnostic improvements and increased frequency of prenatal scans, many anomalies are determined prenatally, with more parents receiving disturbing, unanticipated news of an anomaly. This article highlights the experiences, concerns, and healthcare needs of parents who receive a prenatal diagnosis of congenital anomaly during routine ultrasound and choose to continue with the pregnancy. Examples from parent interviews describing their experience complement the sparse literature dealing with this phenomenon. Parents describe their experience from antenatal diagnosis and preparation for the child's birth and subsequent admission to the neonatal intensive care unit. Attention is paid to how neonatal nurses can positively influence this process by attending to parents' feelings or moods. The conclusion includes recommendations for neonatal nursing care for these vulnerable parents.

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“…A tour of the NICU may also be recommended and has been shown to be beneficial. 56 For some units, though, only the physician can initiate a neonatal consultation, which may be a source of ethical distress for the antepartum nurses. The unit protocol may be that neonatology is not consulted until the mother reaches 24 0/7 days gestation.…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Supporting Parents' Decision Making Surrounding the Anticipated Birth of an Extremely Premature Infant

Kavanaugh

Moro

Savage

et al. 2009

Journal of Perinatal &Amp; Neonatal Nursing

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Parents who are at risk for giving birth to an extremely premature infant, defined as 22 to 25 weeks' gestation, can find themselves faced with urgent treatment decisions for their unborn infant that have life-altering consequences. Despite the recommendation for involving parents in decision making for these infants, there is limited evidence regarding guidelines for involving parents. In this article, we describe a case from a larger collective case study that examines the decision making and the decision support needs of parents regarding life support decisions made over time (prenatally and postnatally) for extremely premature infants from the perceptions of parents, physicians, and nurses. For this case study, we describe decisions that were made during the antenatal hospitalization of the mother whose infant was stillborn, the support the parents received, and advice for healthcare professionals for improving care to families. For this case, the mother and father, a physician, and 2 nurses were interviewed before the birth of the infant. The findings in this case study demonstrate the importance of the nurse being present when information is given to parents, of informing with compassion, and helping parents to understand treatment options and decisions.

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Parental Evaluation of a Tour of the Neonatal Intensive Care Unit During a High-Risk Pregnancy

Cited by 25 publications

References 6 publications

Parents’ first moments with their very preterm babies: a qualitative study

Parents’ first moments with their very preterm babies: a qualitative study

From Diagnosis to Birth

Supporting Parents' Decision Making Surrounding the Anticipated Birth of an Extremely Premature Infant

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