June 15, 2020
COVID-19 in the NICU: Impact on Shared Decision Making
In May of 2020, NANN released a joint position statement with the National Perinatal Association titled Mothers with COVID-19 and Their Newborn Infants. In this episode, Jill is joined by the author of the position statement, Tiffany Moore, PhD RN, to expand on the unique challenge of creating a culture of shared decision making between the mother and clinical team during the COVID-19 pandemic. Tiffany, whose research focuses on reducing chronic stress in mom and baby, will guide listeners through how to best support parents and babies during these stressful times.
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Mothers with COVID-19 and Their Newborn Infants
The National Association of Neonatal Nurses (NANN) and the National Perinatal Association (NPA) fully support the incorporation of a shared-decision model between the mother and the clinical team to determine the best care for the mother-newborn dyad.
NANN and NPA encourage the ideal scenario, which is to keep mother and newborn together while respecting the unique challenges individual institutions may encounter.
While we recognize the myriad uncertainties in understanding the best evidence-based practice for the mother-newborn dyad during the postpartum period, we encourage families and clinicians to remain diligent in learning up-to-date evidence and ultimately working in partnership for the safest and best practice for all parties involved.
NANN and NPA acknowledge the potential trauma and exacerbation of postpartum mental health issues that may negatively impact the fourth trimester.
We encourage healthcare providers to assist the mother to recognize the ideal versus realistic scenarios, acknowledge the uncertainty and grief over changing expectations, and consider higher-touch care in the weeks following delivery.