Groopman’s article illustrates the many bioethical decisions that face NICU medical providers and parents. As consulting psychologists to a NICU, we often see new moms and dads who, after their premature baby is born, are suddenly confronted with barely manageable uncertainty. Their situation can lead to miscommunication, anger, and accusations of blame, and the acute anxiety can trigger post-traumatic stress disorder and postpartum depression. Moreover, since developmental outcomes at NICU discharge are largely unknown, this sense of uncertainty often follows a family home. NICU policies also need to address the family’s well-being. Trained professionals should be there throughout the process to guide parents as they come to terms with their fears, anxieties, and guilt. When these emotional strains aren’t dealt with, research suggests, behavioral outcomes are compromised. Parents’ emotional and psychological needs must be met if their baby’s developmental outcomes are to be maximized.

Zina Steinberg and Susan Kraemer

New York City


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