Evidence map›Paper›PMID 34192184›Full record

ArticleBMJ paediatrics open2020

Parental perceptions of the impact of neonatal unit visitation policies during COVID-19 pandemic.

Hemananda Muniraman, Mahmoud Ali, Paul Cawley, Jessica Hillyer, Adam Heathcote, Vennila Ponnusamy, Zoe Coleman, Kendall Hammonds, Chandni Raiyani, Eleanor Gait-Carr and 8 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ paediatrics open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Hemananda MuniramanDepartment of Pediatrics, Creighton University School of Medicine, Omaha, Nebraska, USA.ORCID 0000-0003-0254-2607
Mahmoud AliDivision of Neonatology, Department of Pediatrics, Baylor Scott and White McLane Children's Medical Center, Temple, Texas, USA.
Paul CawleyDivision of Neonatology, Department of Paediatrics, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.ORCID 0000-0002-4353-0656
Jessica HillyerDivision of Neonatology, Department of Pediatrics, Baylor Scott and White McLane Children's Medical Center, Temple, Texas, USA.
Adam HeathcoteNeonatal Intensive Care Unit, Jenny Lind Children's Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, Norfolk, UK.
Vennila PonnusamyNeonatal Intensive Care Unit, Ashford and St Peter's Hospitals NHS Foundation Trust, Chertsey, Surrey, UK.
Zoe ColemanSaint Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Kendall HammondsBaylor Scott and White Research Institute, Temple, Texas, USA.
Chandni RaiyaniBaylor Scott and White Research Institute, Temple, Texas, USA.
Eleanor Gait-CarrNeonatal Intensive Care Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.
Sarah MyersNeonatal Intensive Care Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.
Katie HuntDivision of Neonatology, Department of Paediatrics, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Vinayak GovandeDivision of Neonatology, Department of Pediatrics, Baylor Scott and White McLane Children's Medical Center, Temple, Texas, USA.
Anoo JainDivision of Neonatology, Department of Paediatrics, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Reese ClarkMEDNAX Inc, Sunrise, Florida, USA.
Cora DohertyNeonatal Intensive Care Unit, University Hospital of Wales, Cardiff and Vale University Health Board, Cardiff, UK.
Venkata RajuDivision of Neonatology, Department of Pediatrics, Baylor Scott and White McLane Children's Medical Center, Temple, Texas, USA.
Paul ClarkeNeonatal Intensive Care Unit, Jenny Lind Children's Hospital, Norfolk and Norwich University Hospitals NHS Foundation Trust, Norwich, Norfolk, UK.ORCID 0000-0001-6203-7632

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo ascertain parental perceptions of the impact of restricted visiting policies to neonatal intensive care units during the current COVID-19 pandemic.

designCross-sectional survey of parents impacted by visitation policies.

settingSix tertiary level neonatal units, four from the UK and two from the USA, participated in the study.

participantsParents and families of infants hospitalised in the participating centres between 1 May 2020 and 21 August 2020.

methodsOnline-based and/or paper-based survey, querying the visitation policies and their impact on parents' ability to visit, care for and bond with their infants.

resultsA total of 231 responses were received. Visitation limited to a single visitor with no restrictions on duration was the most frequently reported policy; 140/217 (63%). Visitation policies were perceived as being restrictive by 62% (138/219) of the respondents with 37% (80/216) reporting being able to visit less often than desired, 41% (78/191) reporting being unable to bond enough and 27% (51/191) reporting not being able to participate in their baby's daily care. Mild to severe impact on breast feeding was reported by 36% (75/209) of respondents. Stricter policies had a higher impact on families and were significantly associated with a lack of bonding time, inability to participate in care and an adverse impact on breast feeding.

conclusionsVisitation policies during the COVID-19 pandemic varied between centres and over time with stricter restrictions implemented earlier on in the pandemic. Parents reported significant impacts on their ability to visit, care for and bond with their infants with perceived severity of impact worse with stricter restrictions.

Indexed as

health services researchneonatology

Identifiers

PMID34192184
PMCPMC7661349

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.