Department of Pediatrics, Albert Einstein College of Medicine and Children's Hospital at Montefiore, Montefiore Medical Center, Bronx, New York.
Department of Pediatrics, Children's Mercy Hospital, Kansas City, Missouri.
Pediatrics. 2020 Jun;145(6). doi: 10.1542/peds.2019-3567.
Parenting in the NICU is an intense journey. Parents struggle to build intimacy with their child amid complex emotions and medical uncertainties. They need to rapidly adapt their vision of parenthood to the realities of intensive care. The psychological impact of this journey can have important effects on their psychological health. For parents of sick older children, "good parent" beliefs have been shown to foster positive growth. This concept is also essential for parents of infants in the NICU, although their path is complex.We write as clinicians who were also families in the NICU. We suggest parents need to hear and internalize 3 important messages that overlap but are each important: you are a parent, you are not a bad parent, and you are a good parent. We offer practical suggestions to NICU clinicians that we believe will help NICU parents cope while their infant is in the NICU and afterward.
新生儿重症监护病房(NICU)中的育儿是一段充满挑战的旅程。父母在复杂的情绪和医疗不确定性中努力与孩子建立亲密关系。他们需要迅速调整自己对育儿的期望,以适应重症监护的现实。这段旅程的心理影响可能对他们的心理健康产生重要影响。对于患病年长儿童的父母来说,“好父母”的信念已被证明可以促进积极的成长。对于 NICU 中的婴儿父母来说,这个概念同样重要,尽管他们的道路很复杂。我们作为临床医生也是 NICU 中的家庭,提出父母需要听到并内化 3 个重要信息,这些信息虽然重叠但都很重要:你是父母,你不是坏父母,你是好父母。我们为 NICU 临床医生提供了一些实用建议,我们相信这些建议将有助于 NICU 父母在婴儿在 NICU 期间和之后应对。