NICU Single Patient Rooms: Maternal and Family Effects
NICU Single Patient Rooms: Maternal and Family Effects
A total of 81 infants were enrolled in the study. Of these, 48% (n=39) were assigned to open-bay rooms and 52% (n=42) of infants were assigned to SPR. Table 1 contains descriptive statistics of the sample with P-values, investigating the differences in sample characteristics across room type. There were no differences between SPR and open-bay infants for the incidence of brain injury, gestational age at birth, initial medical severity, hours of intubation, presence of sepsis, patent ductus arteriosis, necrotizing enterocolitis, type of insurance, maternal age or gender.
Table 2 describes the amount of parent visitation, cuddle holding and skin to skin holding across the length of stay, as well as maternal health characteristics of the sample. There was a lot of variability in visitation, holding, and skin-to-skin practices, with some parents visiting and holding every day and others rarely present. Approximately 20% of mothers were considered to have postpartum depression, with a score of 13 or more on the Edinburgh Post Natal Depression Scale. Approximately 42% of mothers had moderate to severe levels of state anxiety, with a score of 40 or greater on the State Trait Anxiety Inventory-st.
Parents of infants hospitalized in the SPR demonstrated more hours of visitation over the first 2 weeks of life, after adjustment for potential confounding factors of gestational age, race, socioeconomic status, maternal age, length of intubation, brain injury and initial medical severity (Table 2; P=0.021). Similarly, more hours of visitation over weeks 3 and 4 (P=0.017) were observed and from birth to term equivalence (P=0.047). Differences in the amount of holding were not detected across room type, when the infant was first held.
After controlling for social support, mothers with infants in the SPR reported more NICU stress (P=0.040). No other significant associations were detected across room type in maternal depression, anxiety, life stress, coping style or parenting confidence (Table 2).
In all, 27% of infants in this sample received breast milk at discharge. There were 26% of infants with breast milk at discharge in the SPR and 30% with breast milk at discharge in the open-bay, which did not reach significance (P=0.751).
Results
A total of 81 infants were enrolled in the study. Of these, 48% (n=39) were assigned to open-bay rooms and 52% (n=42) of infants were assigned to SPR. Table 1 contains descriptive statistics of the sample with P-values, investigating the differences in sample characteristics across room type. There were no differences between SPR and open-bay infants for the incidence of brain injury, gestational age at birth, initial medical severity, hours of intubation, presence of sepsis, patent ductus arteriosis, necrotizing enterocolitis, type of insurance, maternal age or gender.
Table 2 describes the amount of parent visitation, cuddle holding and skin to skin holding across the length of stay, as well as maternal health characteristics of the sample. There was a lot of variability in visitation, holding, and skin-to-skin practices, with some parents visiting and holding every day and others rarely present. Approximately 20% of mothers were considered to have postpartum depression, with a score of 13 or more on the Edinburgh Post Natal Depression Scale. Approximately 42% of mothers had moderate to severe levels of state anxiety, with a score of 40 or greater on the State Trait Anxiety Inventory-st.
Parents of infants hospitalized in the SPR demonstrated more hours of visitation over the first 2 weeks of life, after adjustment for potential confounding factors of gestational age, race, socioeconomic status, maternal age, length of intubation, brain injury and initial medical severity (Table 2; P=0.021). Similarly, more hours of visitation over weeks 3 and 4 (P=0.017) were observed and from birth to term equivalence (P=0.047). Differences in the amount of holding were not detected across room type, when the infant was first held.
After controlling for social support, mothers with infants in the SPR reported more NICU stress (P=0.040). No other significant associations were detected across room type in maternal depression, anxiety, life stress, coping style or parenting confidence (Table 2).
In all, 27% of infants in this sample received breast milk at discharge. There were 26% of infants with breast milk at discharge in the SPR and 30% with breast milk at discharge in the open-bay, which did not reach significance (P=0.751).
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