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Review
. 2021 May;41(5):1177-1179.
doi: 10.1038/s41372-021-00976-0. Epub 2021 Feb 19.

Neonatal family-centered care in a pandemic

Brian S Carter  1   2   3 , Tiffany Willis  4   5 , Angela Knackstedt  6
Affiliations
Review

Neonatal family-centered care in a pandemic

Brian S Carter et al. J Perinatol. 2021 May.

Abstract

Family-centered care (FCC) has become the normative practice in Neonatal ICUs across North America. Over the past 25 years, it has grown to impact clinician-parent collaborations broadly within children's hospitals as well as in the NICU and shaped their very culture. In the current COVID-19 pandemic, the gains made over the past decades have been challenged by "visitor" policies that have been implemented, making it difficult in many instances for more than one parent to be present and truly incorporated as members of their baby's team. Difficult access, interrupted bonding, and confusing messaging and information about what to expect for their newborn can still cause them stress. Similarly, NICU staff have experienced moral distress. In this perspective piece, we review those characteristics of FCC that have been disrupted or lost, and the many facets of rebuilding that are presently required.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Family-centered care determinants in COVID-19 times.
See this image and copyright information in PMC

References

    1. Harrison H. The principles for family-centered neonatal care. Pediatrics. 1993;92:643–50. - PubMed
    1. Als H, Gilkerson L. The role of relationship-based developmentally supportive newborn intensive care in strengthening outcomes of preterm infants. Semin Perinatol. 1997;21:178–89. doi: 10.1016/S0146-0005(97)80062-6. - DOI - PubMed
    1. Bracht M, Kandankery A, Nodwell S, Stade B. Cultural differences and parental responses to the preterm infant at risk: Strategies for supporting families. Neonat Netw. 2002;21:31–38. doi: 10.1891/0730-0832.21.6.31. - DOI - PubMed
    1. Clark PA. What residents are not learning: Observations in a NICU. Acad Med. 2001;76:419–24. doi: 10.1097/00001888-200105000-00008. - DOI - PubMed
    1. Curley MA, Meyer EC. Parental experience of highly technical therapy: Survivors and non-survivors of extracorporeal membrane oxygenation support. Pediatr Crit Care Med. 2003;4:214–9. doi: 10.1097/01.PCC.0000043915.79848.8D. - DOI - PubMed