Assessing the impact of the COVID-19 pandemic on parental satisfaction in two European neonatal intensive care units

Background Neonatal units across the world have altered their policies to prevent the spread of infection during the COVID-19 pandemic. Our aim was to report parental experience in two European neonatal units during the pandemic. Methods Parents of infants admitted to each neonatal unit were asked to complete a questionnaire regarding their experience during the COVID-19 pandemic. At King’s College Hospital, UK (KCH), data were collected prospectively between June 2020 and August 2020 (first wave). At the Hospital Clínic Barcelona (HCM), data were collected retrospectively from parents whose infants were admitted between September 2020 and February 2021 (second and third wave). Results A total of 74 questionnaires were completed (38 from KCH and 36 from HCM). The parents reported that they were fully involved or involved in the care of their infants in 34 (89.4%) responses in KCH and 33 (91.6%) responses in HCM. Quality time spent with infants during the pandemic was more negatively affected at KCH compared with HCM (n=24 (63.2%) vs n=12 (33.3%)). Parents felt either satisfied or very satisfied with the updates from the clinical care team in 30 (79.0%) responses at KCH and 30 (83.4%) responses in HCM. The parents felt that the restrictions negatively affected breast feeding in six (15.8%) responses at KCH and two (5.6%) responses in HCM. Travelling to the hospital was reported overall to be sometimes difficult (39.2%); this did not differ between the two units (14 (36.8%) respondents at KCH and 15 (41.6%) from HCM). Furthermore, the self-reported amount of time spent giving kangaroo care also did not differ between the two countries. Conclusion Restrictive policies implemented due to the COVID-19 pandemic had a negative impact on the perception of quality of time spent by parents with their newborns admitted to neonatal units.

[1]  A. Walsh,et al.  Neonatal care during the COVID-19 pandemic - a global survey of parents’ experiences regarding infant and family-centred developmental care , 2021, EClinicalMedicine.

[2]  N. Patel,et al.  Neonatal healthcare workers' perceptions of the impact of the COVID‐19 pandemic , 2021, Acta paediatrica.

[3]  Amos S Hundert,et al.  A co-design of clinical virtual care pathways to engage and support families requiring neonatal intensive care in response to the COVID-19 pandemic (COVES study) , 2021, Journal of Neonatal Nursing.

[4]  N. Patel,et al.  Family integrated care: Supporting parents as primary caregivers in the neonatal intensive care unit , 2021, Pediatric investigation.

[5]  L. Franck,et al.  Supporting parents as essential care partners in neonatal units during the SARS‐CoV‐2 pandemic , 2021, Acta paediatrica.

[6]  M. Elhadi,et al.  Parental perception of neonatal ICU visitation during the COVID‐19 pandemic , 2021, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[7]  J. Ramos-Quiroga,et al.  Psychological impact and social support in pregnant women during lockdown due to SARS‐CoV2 pandemic: A cohort study , 2021, Acta obstetricia et gynecologica Scandinavica.

[8]  T. Hompes,et al.  Mental health status of pregnant and breastfeeding women during the COVID‐19 pandemic—A multinational cross‐sectional study , 2021, Acta obstetricia et gynecologica Scandinavica.

[9]  Gregory L. Watson,et al.  An evidence review of face masks against COVID-19 , 2021, Proceedings of the National Academy of Sciences.

[10]  V. Ponnusamy,et al.  Parental perceptions of the impact of neonatal unit visitation policies during COVID-19 pandemic , 2020, BMJ paediatrics open.

[11]  J. Petty,et al.  The implications of face masks for babies and families during the COVID-19 pandemic: A discussion paper , 2020, Journal of Neonatal Nursing.

[12]  Amy E Brown,et al.  Experiences of breastfeeding during COVID‐19: Lessons for future practical and emotional support , 2020, Maternal & child nutrition.

[13]  Maria Giatsi Clausen,et al.  Asynchronous video messaging promotes family involvement and mitigates separation in neonatal care , 2020, Archives of Disease in Childhood.

[14]  Robert D. White,et al.  Impact of restrictions on parental presence in neonatal intensive care units related to coronavirus disease 2019 , 2020, Journal of Perinatology.

[15]  Chavis A. Patterson,et al.  Parent Stress in Relation to Use of Bedside Telehealth, an Initiative to Improve Family-Centeredness of Care in the Neonatal Intensive Care Unit , 2020, Journal of patient experience.

[16]  G. Ginovart,et al.  Mothers’ masks should be improved or removed during pandemic as they inhibit bonding with neonates , 2020 .

[17]  Yuan Shi,et al.  A Qualitative Study on the Psychological Needs of Hospitalized Newborns’ Parents During COVID-19 Outbreak in China , 2020, Iranian Journal of Pediatrics.