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Effectiveness of neonatal early supported transfer to home interventions: implications for practise

Natalie Morgan1, Oluwaseun Helen Ibiwoye2, Candiss Argent3

  • 1NHS Royal Preston Hospital.

The Practising Midwife
|November 4, 2024
PubMed

Insights

Neonatal Intensive Care Unit (NICU) stays increase parental stress, impacting parent-infant relationships. Early supported discharge interventions show potential for reducing this stress, but more research is needed on their clinical effectiveness.

Area of Science:

  • Neonatal care
  • Parental mental health
  • Health services research

Background:

  • Over 38,000 preterm infants annually require Neonatal Intensive Care Unit (NICU) admission in the UK.
  • NICU stays and infant vulnerability heighten parental stress, potentially harming long-term parent-infant relationships.
  • Early interventions (educational, behavioral, psychological) may mitigate parental stress.

Purpose of the Study:

  • To critically appraise the 2022 systematic review by Hamer et al.
  • To synthesize evidence on the clinical effectiveness of early discharge interventions for infants from NICU.
  • To discuss implications for clinical practice regarding parental support post-NICU.

Main Methods:

  • Critical appraisal of a systematic review.
  • Literature synthesis on early discharge interventions.
  • Commentary on clinical implications.

Main Results:

  • A lack of synthesized literature exists regarding the clinical effectiveness of early discharge interventions.
  • The commentary expands on the findings of Hamer et al. (2022).

Conclusions:

  • Further research is needed to establish the clinical effectiveness of early discharge interventions.
  • Clinical practice should consider the parental stress associated with NICU stays and explore supportive measures.
  • Supported transfer to home interventions require robust evaluation for efficacy.

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