2. 3,801 premature infants were admitted to California NICU’s in
2006
While these infants fight for their lives physically, their parents
are often emotionally overwhelmed and unprepared.
Many parents report feelings of helplessness, disappointment,
anger, sadness, grief, and regret.
If such emotions are not addressed or dealt with, parents are at
an increased risk of developing Postpartum Depression or PTSD,
which occurred at a rate of 15% of mothers and 8% of NICU
fathers in recent study.
Crisis in the NICU
3. The problem: A mother with PPD or PTSD is unable to
meet the emotional and physical needs of her infant,
putting she and her infant at risk for a number of of
factors
Long term Attachment difficulties and a failure to bond
with Mom.
Long term Cognitive deficits
Longer hospitalization is likely
Increased stress experienced by the parent(s).
Effects of PPD and PTSD
4. Infant care education
Diapering
Sponge baths
Proper holding techniques
Instruct parents on how to feed a baby through their G-tube
Colostomy bag
Kangaroo Care
Parental Support and Care
Parent buddy program
Parent psychosocial education
Parent Education
5. A study conducted by Preyde (2003) showed that NICU mother’s
who receive some form of intervention report lower stress
C.O.P.E. (Creating Opportunities for Parent
Empowerment)
Mothers who participated in C.O.P.E. reported the
following:
Less stress while in the NICU
Increased parental beliefs and confidence regarding their
role as parents
Less anxiety and fewer signs of depression 2 months after
their child’s birth as compared with the control group
4 fewer days spent in the NICU for babies preterm at 26-
34 weeks
Benefits of Parent Education
Programs
6. Program Budget
Cost of employing a NICU Child Life Specialist
Dolls $52.00/per doll
Infant care brochure(s) 15.00/ per patient
Surveys and psychosocial
materials
$15.00/ per patient
Cost of Program Supplies
7. Cost-Effectiveness of a Parent Education Program
Investment Yearly Cost Short Term
Effects
Long Term
Effects
Overall cost
Parent Education
Program
$61,642 • Less parental
stress
• Increased parent
confidence
• Parent child
bonding
• Avg of 4 days
Shorter
hospitalization
• Healthy
mother/child
attachment
• Infant is more
likely to be
cognitively on par
and emotionally
stable
• a savings of
$5,000/per child
due to 4 less days
in the hospital.
• $5,000 x 3,801
premature babies
results in a
savings of
$19,005,000
annually.
No Program $0 • Anxiety remains
• Parents fail to
reach their full
potential
• Longer infant
hospitalization
• Cognitive deficits
• Attachment/relati
onal difficulties
• $5,000/per child
for 4+ days of
hospitalization
• $5,000 x 3,801 =
$19,005,000 more
dollars spent on
unnecessary
hospitalization