Show simple item record

dc.contributor.authorBrekke, Stine Marie
dc.contributor.authorHalvorsen, Silje Torp
dc.contributor.authorBjørkvoll, Julie
dc.contributor.authorThorsby, Per Medbøe
dc.contributor.authorRønnestad, Arild Erland
dc.contributor.authorZykova, Svetlana
dc.contributor.authorBakke, Liv Hanne
dc.contributor.authorDahl, Sandra Rinne
dc.contributor.authorHaaland, Kirsti
dc.contributor.authorSiw Helen, Westby Eger
dc.contributor.authorSolberg, Marianne Trygg
dc.contributor.authorSolevåg, Anne Lee
dc.date.accessioned2023-05-24T10:53:38Z
dc.date.available2023-05-24T10:53:38Z
dc.date.issued2023-05-07
dc.description.abstractObjectives: Parent-infant interaction in the neonatal intensive care unit (NICU) promotes health and reduces infant stress. During the COVID-19 pandemic, however, NICUs restricted parent-infant interaction to reduce viral transmission. This study examined the potential relationship between pandemic visitation restrictions, parental presence and infant stress as measured by salivary cortisol. Methods: A two-NICU cross-sectional study of infants with gestational age (GA) 23–41 weeks, both during (n = 34) and after (n = 38) visitation restrictions. We analysed parental presence with and without visitation restrictions. The relationship between infant salivary cortisol and self-reported parental NICU presence in hours per day was analysed using Pearson's r. A linear regression analysis included potential confounders, including GA and proxies for infant morbidity. The unstandardised B coefficient described the expected change in logtransformed salivary cortisol per unit change in each predictor variable. Results: Included infants had a mean (standard deviation) GA of 31(5) weeks. Both maternal and paternal NICU presence was lower with versus without visitation restrictions (both p ≤0.05). Log-transformed infant salivary cortisol correlated negatively with hours of parental presence (r = − 0.40, p = .01). In the linear regression, GA (B = -0.03, p = .02) and central venous lines (B = 0.23, p = .04) contributed to the variance in salivary cortisol in addition to parental presence (B = -0.04 p = .04). Conclusion: COVID-19–related visitation restrictions reduced NICU parent-infant interaction and may have increased infant stress. Low GA and central venous lines were associated with higher salivary cortisol. The interaction between immaturity, morbidity and parental presence was not within the scope of this study and merits further investigation.en_US
dc.identifier.citationBrekke, Halvorsen, Bjørkvoll, Thorsby PM, Rønnestad AE, Zykova s, Bakke, Dahl S, Haaland K, Siw Helen, Solberg MT, Solevåg AL. The association between infant salivary cortisol and parental presence in the neonatal intensive care unit during and after COVID-19 visitation restrictions: A cross-sectional study. Early Human Development. 2023en_US
dc.identifier.cristinIDFRIDAID 2146097
dc.identifier.doi10.1016/j.earlhumdev.2023.105788
dc.identifier.issn0378-3782
dc.identifier.issn1872-6232
dc.identifier.urihttps://hdl.handle.net/10037/29257
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalEarly Human Development
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleThe association between infant salivary cortisol and parental presence in the neonatal intensive care unit during and after COVID-19 visitation restrictions: A cross-sectional studyen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record

Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)