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Parental Presence and Activities in a Dutch Neonatal Intensive Care Unit: An Observational Study

Kim Kamphorst1, Annemieke J Brouwer, Irina E Poslawsky

  • 1Department of Neonatology, Lucas Hospital, Apeldoorn, the Netherlands (Ms Kamphorst); Department of Gynecology, Obstetrics, Reproductive Medicine and Children, Deventer Hospital, Deventer, the Netherlands (Ms Kamphorst); Faculty of Medicine, Clinical Health Sciences, University Utrecht, Utrecht, the Netherlands (Ms Kamphorst and Drs Brouwer, Poslawsky, Ockhuisen, and van den Hoogen); Department of Women and Baby, Wilhelmina Children's Hospital (Drs Brouwer and van den Hoogen), Division of Neuroscience (Dr Poslawsky), Center of Excellence for Rehabilitation Medicine, Brain Center Rudolf Magnus (Dr Ketelaar), and Department of Reproductive Medicine and Gynaecology (Dr Ockhuisen), University Medical Center Utrecht, Utrecht, the Netherlands; Faculty of Health Care, University of Applied Science Utrecht, Utrecht, the Netherlands (Dr Brouwer); and De Hoogstraat Rehabilitation, Utrecht, the Netherlands (Dr Ketelaar).

The Journal of Perinatal & Neonatal Nursing
|July 24, 2018
PubMed

Insights

Parental presence in neonatal intensive care units (NICU) is crucial. Factors like delivery type and proximity influence parent visit duration, with mothers present more often than fathers.

Area of Science:

  • Neonatal care
  • Parental well-being
  • Pediatric health

Background:

  • Parental presence in the neonatal intensive care unit (NICU) is vital for infant and parental well-being.
  • Understanding factors influencing parental presence is key to optimizing NICU environments.

Purpose of the Study:

  • To identify the frequency, duration, and activities of parental presence in the NICU.
  • To examine the relationship between parental presence and infant/parent characteristics.

Main Methods:

  • Observational study in a Dutch level III NICU.
  • Inclusion of 162 infants admitted for over 24 hours.
  • Data collection on parental presence duration, frequency, and activities.

Main Results:

  • Parents were present for a median of 3-4 hours daily.
  • 80% of parents participated in infant care after the first week.
  • Vaginal delivery, longer kangaroo care, higher birth weight, bronchopulmonary dysplasia, first child status, later admission weeks, and shorter driving distance correlated with longer parental presence.
  • Mothers showed significantly longer presence than fathers.

Conclusions:

  • Parental presence in the NICU is influenced by various infant and parental factors.
  • Policies, facilities, and physical conditions in NICUs should be reviewed to better support parental presence.

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