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Investing in Todays Parents and Tomorrows Children
 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
 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
 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
 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
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
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

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NICU+presentation

  • 1. Investing in Todays Parents and Tomorrows Children
  • 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