Abstract
Background
Hospitalization of a neonate is a significant stressor for the parents as well as family members especially when a high-risk neonate is admitted to the Neonatal Intensive Care Unit (NICU) requiring continued intensive care. This prolonged physical separation from parent can have a negative psychological effect on both the neonate and the parent. These adverse health effects may last beyond hospitalization, impacting parental behavior and causing long-term emotional complications and health alteration. The neonatal period is crucial for initiating interaction and bonding between mother and child. Undue stress during this period can compromise the establishment and maintenance of a healthy mother-child bonding, which may negatively impact their long-term relationship.
Methods
The systematic review will include hospital-based observational studies, cross-sectional surveys, descriptive studies, qualitative studies, and mixed-method studies from India. Studies will be retrieved from global databases like CINAHL via EBSCO host, MEDLINE via PubMed, EMBASE, SCOPUS, Ovid, Web of Science, ProQuest Medical Library, Microsoft academic, DOAJ, and Indian databases like Indian Citation Index, J-Gate, and Neonatal Database (JCDR) using database-specific keywords. Additionally, online hand searching will be done on Indian websites of relevant institutions, women and child welfare departments, NGOs, repositories, registries, search engines, pediatric journals, and grey literature. All the primary studies reference lists will be scrutinized for additional references. Two review authors will independently screen, extract data, and critically appraise included studies. In case of any disagreements, it will be resolved in consultation with a third reviewer. Results will be reported as per the PRISMA-P guidelines.
Discussion
This systematic review will identify and highlight the stress and stressors among high-risk neonates admitted to NICU and their parents, which will guide the health care team in planning and developing comprehensive family-centered programs or interventions to reduce stress and stressors among high-risk neonates and their parents.
Registration of systematic review:
Protocol is registered in PROSPERO (International prospective register of systematic reviews), Reg ID: CRD42021272323.