10 Things Your NICU Nurses Wish You Knew

Parents who first enter the NICU may feel shocked, nervous, afraid, and yet yearning to be near their baby. It’s a normal reaction—one that most parents have when they first enter the world of the NICU.

You may first feel as if you have no idea how to handle the situation, but with time, new preemie parents often grow confident in their understanding of what is happening and what to expect. So even if you're feeling lost now, give these 10 suggestions below a try. They'll get you off to a good start.

1

Do Your Research, but Don't Overwhelm Yourself

Preemie being held by NICU nurse

Blend Images - ERproductions Ltd / Getty Images

When you’re about to go online to look up preemie-related questions, take a moment and ask yourself, "Do I really need this information right now?"

If it’s just going to make you anxious when you stumble across preemie stories with negative outcomes, then skip it. If you’re going to stress and fret all night long if you read about worst-case scenarios then it's just not worth it.

What to do instead? Ask your questions to your doctors and nurses, and consult with other NICU parents you meet.

If you must go online to do research because you feel you’re just not getting the answers you need, remember that the scary stuff and the negativity is not your baby and it’s not guaranteed for every baby. Stay focused on the positives.

2

Consider Personalizing Your Space

woman looking at baby in NICU crib

arabianEye arabianEye / Getty Images

The NICU is not a place that feels like home. Loud machines, plastic incubators, monitors beeping, and hospital smells make it hard to feel comfortable. There's very little that feels "homey," to say the least. It's certainly not what new parents dream of when they dream of their baby's first few days in their nursery.

You can change that—if only by a little bit—by bringing in items that help you feel at home.

Check with your NICU, but often parents can bring items such as:

  • Baby blankets (for a personal touch to remind them of home)
  • Baby clothes (when your baby is ready to be dressed in clothes)
  • Pictures of mom, dad, siblings, pets, family, etc., to tape to the incubator
  • Stuffed animals (to place near the bedside, not in bed with baby)
  • Items of spiritual significance, such as prayer cards or rosary beads (again, to place near the bedside, not in bed with baby)
  • Drawings from siblings, notes from parents, etc.

Why bother? Because when you feel a little bit more comfortable in your surroundings, it helps ease your anxiety and makes the time together more enjoyable, which is well worth it.

3

Acknowledge Your Feelings

NICU mom with depression

Don Bayley / Getty Images

Are you feeling worried because your baby is in the NICU? Well, that makes sense. Nobody is surprised by that emotion in the NICU. Feeling sad? Again, no surprise.

But are you feeling wild, insane jealousy? Jealous of your friends who are still pregnant, of the baby in the bed next to yours who is going home tomorrow, of every single mother who didn’t have to go through the NICU? You’re not alone. It’s natural to feel this way.

And then the next instant, are you feeling terrible guilt for not being able to carry your baby to full-term, for having a baby who isn’t as sick as the baby in the next bed, maybe feeling as though you've burdened your baby with faulty genetics? You’re not alone. It’s natural to feel this way, too.

These are all normal. Every single emotion imaginable has raced through the hearts and minds of parents of preterm infants. Fear. Anger. Rage. Depression. Anxiety. Hopelessness. Remorse. Grief. Confusion. Countless others. So please don’t feel surprised or alone because of them. They’re normal, and they will fade in time.

But they do require you pay attention to them and get help if they overwhelm you.

4

Take Good Care of Yourself

tired woman sleeping upright in a chair

 Roc Canals Photography/Getty Images

NICU parents who spend hours and days and months in the NICU are often desperately in need of help themselves. Some are utterly sleep-deprived and anxious 24/7, some are going through postpartum depression, while others may exhibit symptoms of post-traumatic stress disorder.

While parents of preterm infants are surrounded by doctors and nurses day in and day out in the NICU, it is the responsibility and priority of the NICU staff to focus on the health of the baby rather than the parents. Besides, the parents are often so worried about their preemie that they may overlook their own mental well-being as well.

Despite that many nurses at NICUs make an effort to the emotional strain that parents are feeling, this is not always the case. Some parents have said they received little to no emotional support from the NICU whatsoever. Fortunately more NICUs are starting to change that and are prioritizing the well-being of parents as well.

But it's up to you to reach out. Ask the NICU staff if there are social workers available help. Ask if there’s a support group for NICU parents (because they really do help). Seek a therapist. Or check out NICU Healing, an incredible online resource for navigating the emotions that come with everything about the NICU as well as the stress that comes with having a preemie.

Maybe you don’t feel you can or should focus on your own emotional health when your baby is suffering. But in order to be the best caregiver you can be for your baby it is crucial to take care of your own health as well.

5

Prepare for How the Experience Affects Relationships

upset couple sitting on couch

Peter Cade / Getty Images

The NICU will inevitably put a strain on your relationship. Each partner has a different way of handling the intense emotions that arise, and this difference often causes friction between partners.

Do what you can to take care of your relationship—your baby will only benefit from it as a result. Take walks together every once in a while, talk honestly about your emotions, and be extra patient with each other. Try your very best to honor the way your partner needs to cope with the ordeal and, at the same time, honor the way you need to cope, too.

The NICU can also strain relationships with other children in the family. It can feel as though you can't possibly meet everyone's needs. You can only do your best, remembering that everyone in the family is feeling the stress.

If your relationships were strained to begin with, or if you're feeling it getting too uncomfortable, now’s the time to get some help. Consider reaching out to a qualified marriage and family therapist.

6

Don't Judge Your NICU Parenting

Mother holding premature baby in NICU

Jill Lehmann Photography / Getty Images

Some parents fret over whether they're visiting too much, not often enough, whether they're asking too many questions, or not being involved enough. They're worried they're not "doing it right."

There is no right or wrong, so don’t try to do it “right” if it’s not what feels “right” to you. Just try to do what feels best to you. If you want to visit your baby often, great. If you want or need time away from the NICU, that’s fine, too. If you want to quietly read stories to your baby or sing lullabies, go for it. If you want to be included in more of your baby’s care, speak up and let the nurses know. 

If you meet resistance from the staff, try to work together with them, but be clear about your parenting goals. 

7

Stay Informed and Speak Up

NICU nurse and NICU mom talking

Dan Dalton / Getty Images

Ask lots of questions—right from the beginning and throughout your stay. The doctors and nurses are working for you. Their job is not only to care for your baby but also to help you understand what’s going on and why.

If you’re confused or worried or frustrated and you don’t speak up, the staff will never know. They will most likely think you understand everything that’s going on.

So ask. They've heard it all, and there are no dumb questions.

If you think about it, many different types of families come through the NICU. The staff really have no way of predicting what anyone wants. Don’t wait for the nurses or doctors to ask you. If there’s something you want to know, then please speak up.

And if you ever see something that makes you feel afraid for your baby, or if you believe mistakes have been made, definitely do not hesitate to speak up. Your baby is counting on you to be an advocate for them.

8

Insist on Kangaroo Care as Much as Possible

NICU mom holding preemie skin-to-skin

BSIP/UIG / Getty Images

Every NICU does it differently, but skin-to-skin holding or "kangaroo care" is undeniably beneficial, for babies and for parents. It’s great for your baby’s weight gain, temperature stability, oxygenation and more. It’s beneficial for parents, too, by enhancing bonding and providing a sense of being a needed and important part of your baby’s life.

Sometimes nurses are very busy, so on some days it might be up to you to ask for kangaroo care. Even as babies get older and are dressed in clothes, it's still important to the health and vitality of your preemie to practice skin-to-skin contact.

If in the odd chance your request is met with any resistance, you could always quote from an article on the topic or speak to the charge nurse or your baby’s doctor.

9

Ask for the Nurses You Like

NICU nurse holding preemie baby

Blend Images - ERproductions Ltd / Getty Images

If you've grown fond of one nurse in particular, you can ask about having that nurse be your baby’s primary nurse. Some hospitals don’t do primary nursing, but it never hurts to ask.

On the flip side, if you don’t like a particular nurse, you can ask not to have that nurse assigned to your baby. It is perfectly acceptable, and it does happen from time to time. And regardless, this is your baby, so you should feel comfortable with the people who are responsible for their care. The NICU journey can be a very long one, so make the most of it by asking to have the neonatal caregivers you prefer.

10

Look for the Positives

mother touching baby's foot in NICU

 Jill Lehmann Photography / Getty Images

It may take effort, but try to look for something positive amidst all of this. But you may be thinking, “How can there be anything good about my baby struggling to live?”

And yet, there are little bright moments in most days—a day of fewer bradycardia spells, or perhaps a tiny little weight gain? There is good in doing a diaper change for the first time, even if you felt terrified. ​There is good in the new friendships you make with other NICU parents. There’s the first time your little baby can wear clothes or takes a first full feeding. There’s feeling their tiny hand in yours. There's the strength you're gaining by getting up day after day and being there for your child.

It’s up to you to decide. Will you focus 100 percent of your attention to all the difficulty, stress, and anxiety, or can you spare a little energy looking for the good? If you can, you’ll feel a whole lot better. Give yourself permission to cherish these little joys. Give yourself permission to find reasons to smile and laugh and celebrate.

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  1. Arnold L, Sawyer A, Rabe H, et al. Parents' first moments with their very preterm babies: a qualitative study. BMJ Open. 2013;3(4). doi:10.1136/bmjopen-2012-002487

  2. Ionio C, Mascheroni E, Colombo C, Castoldi F, Lista G. Stress and feelings in mothers and fathers in NICU: identifying risk factors for early interventions. Prim Health Care Res Dev. 2019;20:e81. doi:10.1017/S1463423619000021

  3. American Academy of Pediatrics. Common Parent Reactions to the NICU. Updated November 21, 2015.

  4. Trumello C, Candelori C, Cofini M, et al. Mothers' Depression, Anxiety, and Mental Representations After Preterm Birth: A Study During the Infant's Hospitalization in a Neonatal Intensive Care Unit. Front Public Health. 2018;6:359. doi:10.3389/fpubh.2018.00359

  5. Ionio C, Colombo C, Brazzoduro V, et al. Mothers and Fathers in NICU: The Impact of Preterm Birth on Parental Distress. Eur J Psychol. 2016;12(4):604-621. doi:10.5964/ejop.v12i4.1093

  6. Shaw RJ, Sweester CJ, St john N, et al. Prevention of postpartum traumatic stress in mothers with preterm infants: manual development and evaluation. Issues Ment Health Nurs. 2013;34(8):578-86. doi:10.3109/01612840.2013.789943

  7. Holditch-davis D, Santos H, Levy J, et al. Patterns of psychological distress in mothers of preterm infants. Infant Behav Dev. 2015;41:154-63. doi:10.3109/01612840.2013.789943

  8. Bry A, Wigert H. Psychosocial support for parents of extremely preterm infants in neonatal intensive care: a qualitative interview studyBMC Psychol. 2019;7(76). doi:10.1186/s40359-019-0354-4

  9. Hall SL, Phillips R, Hynan MT. Transforming NICU Care to Provide Comprehensive Family Support. Newborn Infant Nurs Rev. 2016;16(2):69-73. doi:10.1053/j.nainr.2016.03.008

  10. Hall SL, Ryan DJ, Beatty J, Grubbs L. Recommendations for peer-to-peer support for NICU parents. J Perinatol. 2015;35 Suppl 1:S9-13. doi:10.1038/jp.2015.143

  11. Manning AN. The NICU experience: how does it affect the parents' relationship?. J Perinat Neonatal Nurs. 2012;26(4):353-7. doi:10.1097/JPN.0b013e3182710002

  12. Hynan MT, Steinberg Z, Baker L, et al. Recommendations for mental health professionals in the NICU. J Perinatol. 2015;35 Suppl 1:S14-8. doi:10.1038/jp.2015.144

  13. Sohn E. The New York Times. How to Handle Your Baby’s Stay in the NICU. April 18, 2020.

  14. Campbell-yeo ML, Disher TC, Benoit BL, Johnston CC. Understanding kangaroo care and its benefits to preterm infants. Pediatric Health Med Ther. 2015;6:15-32. doi:10.2147/PHMT.S51869

  15. Corner L. The Atlantic. Saving Babies' Lives by Carrying Them Like Kangaroos. February 7, 2017.

  16. Chandrasekharan P, Rawat M, Reynolds AM, Phillips K, Lakshminrusimha S. Apnea, bradycardia and desaturation spells in premature infants: impact of a protocol for the duration of 'spell-free' observation on interprovider variability and readmission rates. J Perinatol. 2018;38(1):86-91. doi:10.1038/jp.2017.174

  17. Eagleson C, Hayes S, Mathews A, Perman G, Hirsch CR. The power of positive thinking: Pathological worry is reduced by thought replacement in Generalized Anxiety Disorder. Behav Res Ther. 2016;78:13-8. doi:10.1016/j.brat.2015.12.017