The NICU during COVID-19 Pandemic: Impact on Maternal Pediatric Medical Traumatic Stress (PMTS).
Am J Perinatol
; 39(13): 1478-1483, 2022 10.
Article
in English
| MEDLINE | ID: covidwho-1559936
ABSTRACT
OBJECTIVE:
The objective of this paper was to assess how hospital and outpatient clinic policies changes due to the coronavirus disease 2019 (COVID-19) pandemic impact pediatric medical traumatic stress (PMTS) symptoms in mothers of newborns admitted in a neonatal intensive care unit (NICU). STUDYDESIGN:
Observational case-control study included the comparison between mothers of infants admitted in the NICU at birth during the COVID-19 pandemic and mothers of infants admitted in the NICU before the COVID-19 pandemic. The control group was selected matching 11 with the study group for the following infants' clinical variables gender, type of pathology, gestational age, weight at birth, day of recovery, ventilator time days, and associated malformations. The Italian version of the Impact of Event Scale-Revised (IES-R) was used as a measure of PMTS.RESULT:
Mothers of the study group (50) scored significantly higher than mothers of the control group on three of four scales of IES-R ("IES-R total" F = 6.70; p = 0.011; IES-R subscale "intrusion" F = 7.45; p = 0.008; IES-R subscale "avoidance" F = 8.15; p = 0.005). A significantly higher number of mothers in the study group scored above the IES-R total clinical cut-off compared with mothers of control group (72 vs. 48%; Chi2 = 6.00; p = 0.012).CONCLUSION:
The COVID-19 pandemic acted as superimposed stress in mothers of newborns admitted in the NICU at birth determining high levels of PMTS. Clinicians and researchers should identify and implement novel strategies to provide family-centered care during the COVID-19 pandemic and beyond. KEY POINTS · COVID-19 acted as superimposed stress on NICU population.. · PMTS in mothers got significantly worse during the COVID-19 pandemic.. · Alert on long-term consequences on child development..
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Intensive Care Units, Neonatal
/
COVID-19
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Topics:
Long Covid
Limits:
Child
/
Female
/
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
Am J Perinatol
Year:
2022
Document Type:
Article
Affiliation country:
A-1717-4021
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