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Post Traumatic Stress Disorder in NICU Parents



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Aug 25, 2009 07:22 PM

Post Traumatic Stress Disorder in NICU Parents

by CrufflerJJ Premium Member

I saw this article on the NY Times website this morning. Apparently (and sadly), parents of infants in the NICU may suffer from acute stress & post-traumatic stress disorders. I wonder if parents/spouses of patients in a SICU/ MICU (& other ICUs) might also see similar PTSD reactions. See:

http://www.nytimes.com/2009/08/25/he...agewanted=1&em

For Parents on NICU, Trauma May Last

By LAURIE TARKAN
Published: August 24, 2009
Kim Roscoe’s son, Jaxon, was born three months early, weighing two and a half pounds. But for nine days he did exceedingly well in the neonatal intensive care unit, and Ms. Roscoe felt little different from the other new mothers.



Her nightmare started on Day 10.


“I had left him late the night before, in my arms, tiny but perfect,” said Ms. Roscoe, now 30, of Monterey, Calif. But when she returned to the NICU the next day, Jaxon was in respiratory and kidney failure, and his body had swollen beyond recognition.



“He was hooked up to ventilators, his skin was turning black, the alarms kept dinging over and over,” Ms. Roscoe recalled.



Jaxon is 16 months old now, and home with his family. But he was in the NICU for 186 days, and his days and weeks were punctuated by near-death episodes.
During the six-month ordeal, Ms. Roscoe had constant nightmares. She slept with her shoes on, expecting a call from the hospital at any moment. She became angry at the world, and so jumpy she thought a supermarket scanner was one of Jaxon’s monitors going off. Her husband, Scott, immersed himself in projects, took care of their daughter, Logan, now 6, and held things together emotionally.



About three months after her son’s birth, Ms. Roscoe asked to see a psychiatrist. She was given a diagnosis of post-traumatic stress disorder, or P.T.S.D. — a mental illness more often associated with surviving war, car accidents and assaults, but now being recognized in parents of premature infants in prolonged intensive care.
A new study from Stanford University School of Medicine, published in the journal Psychosomatics, followed 18 such parents, both men and women. After four months, three had diagnoses of P.T.S.D. and seven were considered at high risk for the disorder.


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19 Comments
No. 1
from madnurse2b
Old Aug 26, 2009, 08:51 AM

Default Re: Post Traumatic Stress Disorder in NICU Parents
Awesome article! Thanks for the extra info.
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No. 2
from leslie :-D
Old Aug 26, 2009, 12:58 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
our own soldiers cannot get the proper help they need w/their ptsd...
do you think nicu parents will?
maybe, only if they are proactive in seeking help.

good article.
thanks.

leslie
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No. 3
from Cherybaby
Old Aug 26, 2009, 01:15 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
In 1995, I gave birth to twins. One of my boys was stillborn. The other had to go to NICU for heart and lung defects. It was probably the most traumatizing experience of my life...moreso than my other son passing. It was a day to day vigil, never knowing what the outcome is going to be. I wasn't a nurse then, so everything was a mystery to me. I never knew what was going on...all I knew is that with every passing day, I loved this little person more and more. The possibility of him being stripped away from me was devastating.

When I went into nursing school, I begged my instructor to let me skip the NICU rotation. I got nervous, palms sweaty, got dizzy...felt like I was going to pass out during those clinicals. It was very overwhelming to go back into that scenario. There are certain noises/alarms that ring even now that make me think of the NICU and I have the same reaction.

I don't think a parent ever gets over spending that time in the NICU with their baby.
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No. 4
from canoehead
Old Aug 26, 2009, 01:15 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
I can't imagine having a child with a life threatening illness and NOT having some PTSD. I'm surprised that we didn't already KNOW this was a problem. It's not the hospital environment though, it's the situation. Nursing might be able to help by letting parents know to expect these symptoms, and talking about it.
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No. 5
from nikki915
Old Aug 26, 2009, 02:24 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
Very good article. Great to get the information out there..


I'm a former NICU mom to a beautiful little girl born at 26 weeks and 5 days at 2.2 lbs... it is definitely a life-altering experience.
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No. 6
from leslie :-D
Old Aug 26, 2009, 02:50 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
Originally Posted by Cherybaby View Post
I don't think a parent ever gets over spending that time in the NICU with their baby.
my son spent 3 mos in the nicu.
he was admitted w/lung problems but had other emergencies that kept him fighting for longer than anticipated.

thankfully, the ptsd part of it, was over by the time he was a yr old.
he was soooo active in utero, that i always considered him a little warrior.
and fight, he did.

i'm so, so sorry about your little guy who didn't make it.

nicu really IS unlike any other experience, for sure.

leslie
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No. 7
from judybsn
Old Aug 26, 2009, 04:15 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
I worked in NICU for awhile and when my own baby was born premature I felt I knew way too much and it scared the heck out of me. I think the experience of having a premie permanently altered the way I think. My daughter is law is pregnant right now and I find myself worrying all over again.
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No. 8
from Elvish
Old Aug 26, 2009, 05:07 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
A coworker had a preemie baby that was in our NICU but she was not at the time working at our hospital. When she interviewed she interviewed for NICU but as soon as she set foot in that NICU that she'd been in so many times, she got physically ill and had to leave. Needless to say, she ended up not working there but did get a job on mother/baby and is very good at it, especially with antepartums in preterm labor. She's been there/done that.
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No. 9
from dawngloves
Old Aug 26, 2009, 09:20 PM

Default Re: Post Traumatic Stress Disorder in NICU Parents
My child was in NICU less than a week and I definately have PTSD from it. When I'm at work, cetain smells or visual cues give me an overwhelming sense of sadness. This is rare and never enough to impede my duties, but I can't imagine how bad it mst be for those parents of 24 weekers or bad PPHN babies.
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