A different kind of battle: the effects of NICU admission on military parent mental health

Anchan, Joshua C.; Jones, Shallimar M.; Aden, Jay; Ditch, Sarah; Fagiana, Angela M.; Blauvelt, Donia; Gallup, Maria Cristina; Carr, Nicholas

doi:10.1038/s41372-021-00994-y

Cited by 5 publications

(2 citation statements)

References 31 publications

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“…(27,28) Studies have also shown that a NICU admission can cause a signi cant psychological impact and mental health burden on the parents. (29,30) The improvement of exclusive breastmilk use rates at discharge is another signi cant advantage of using prophylactic dextrose gel. This could be a direct result of the reduced separation of infants from mothers and has been shown in multiple prior studies.…”

Section: Discussionmentioning

confidence: 99%

Prophylactic Dextrose Gel Use in Newborns at Risk for Hypoglycemia

Dumpa,

Devarapalli,

Niven

et al. 2024

Preprint

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Objective: To assess the impact of prophylactic dextrose gel on short-term outcomes in infants at risk for hypoglycemia. Methods: Retrospective, single-center, pre and post-intervention study of neonates at risk for hypoglycemia -infants of diabetic mothers, large and small for gestational age infants, born between January 2015 and May 2023. Infants were categorized into two groups for analysis. 1. Pre- dextrose gel (01/2015 to 04/2018, n=788) and 2. Dextrose gel (01/2019 to 05/2023, n=1495). Infant demographic data and outcome variables were compared between the two groups. Results: 2283 infants were eligible. Prophylactic dextrose gel use was associated with decreased admission rates to NICU secondary to hypoglycemia (2.7% vs. 6.5%), reduced incidence of hypoglycemia in the first 48 hours (32% vs. 43.3%), and higher exclusive breastmilk use at discharge (47% vs. 37.3%). Conclusion: The use of prophylactic dextrose gel in certain high-risk newborns was associated with improved patient outcomes.

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Section: Discussionmentioning

confidence: 99%

Prophylactic Dextrose Gel Use in Newborns at Risk for Hypoglycemia

Dumpa,

Devarapalli,

Niven

et al. 2024

Preprint

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“…Caregivers of children with high-risk or medically complex needs, such as newborns in the neonatal ICU (NICU), are at risk for developing mental health conditions, including major depression, anxiety and posttraumatic stress (PTS) disorders [1 ▪ ,2 ▪ ,3 ▪ ]. Normal physiological changes in birthing parents combined with unique stressors from the NICU experience, such as uncertainty surrounding infant diagnosis and prognosis, parental role alteration, separation from normal support systems, preexisting mental health conditions and environment increase this risk [4 ▪ ,5 ▪ ,6,7 ▪ ]. NICU parents experience 20–30% higher rates of symptoms compared with other parents, particularly depression symptoms in mothers of preterm infants [8 ▪▪ ,9,10,11 ▪▪ ,12].…”

Section: Introductionmentioning

confidence: 99%

Addressing caregiver mental health in the neonatal ICU

Sadler

Okito

Soghier

2023

Current Opinion in Pediatrics

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Purpose of reviewThe neonatal ICU (NICU) setting is a unique opportunity to not only detect major changes in caregiver mental health through universal perinatal mood and anxiety disorder (PMAD) screening but also intervene with specialized support. We review evidence for addressing caregiver mental health in the NICU, explore current guidelines and models for integrated behavioural health programmes, and describe challenges specific to NICUs, particularly in standalone paediatric hospitals.Recent findingsParents of infants admitted to the NICU are at an increased risk for developing PMADs at rates well above the general postpartum community. Select NICUs within the United States and internationally have recognized the importance of having an embedded psychologist to address caregiver PMADs. However, organizational structures within paediatric healthcare systems are not equipped to manage the logistical, ethical, legal and practical needs of comprehensive caregiver mental health programmes.SummaryTo properly address caregiver mental health in NICU settings, clinical and administrative teams must work together to ensure seamless service provision. Systems that facilitate the development of unique parent medical records at the onset of paediatric care are likely to significantly reduce potential liability risks and solve several challenges related to caregiver-focused mental health support in the NICU.Video abstracthttp://links.lww.com/MOP/A70

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