Support for Siblings During a NICU Stay
Having a baby in the NICU is difficult for the whole family. While attention naturally centers on the newborn, it's important to recognize how siblings are affected. Older children can feel confused, anxious, or left out. This post provides practical advice and tips for including siblings in the NICU experience so they feel informed, supported, and loved during this challenging time.
Understanding sibling reactions
When a new baby is in the NICU, brothers and sisters often respond in different ways. Typical reactions include:
Confusion: Young children may not understand why the baby isn’t home.
Anxiety: They may worry about the baby’s health and safety.
Jealousy: They can feel replaced or believe they’re getting less attention.
Regression: Younger children might revert to earlier behaviors, such as bedwetting or thumb-sucking.
Behavioral changes: Older children may show shifts in mood, appetite, or sleep.
Noticing these responses makes it possible to respond with empathy and support.
Age-appropriate explanations
Tailor your words to your child’s age and development. Suggestions:
Toddlers (2–3 years): Keep it very simple. Say something like, “The baby needs extra help to get stronger. The doctors and nurses are helping the baby.” Use pictures or dolls to show what you mean.
Preschoolers (4–5 years): Explain that the baby arrived early and needs special care in the hospital. Reassure them that it’s not their fault and that everyone loves the baby.
School-aged children (6–12 years): Offer more detail. Describe some of the equipment and why it’s used, but avoid too much technical information that could overwhelm them.
Teenagers (13+ years): Be honest and open. Teens may have more complex questions and emotions; invite them to ask questions and share how they feel.
Ways to Involve Siblings
Visit the NICU (if allowed): Check with the NICU staff about sibling visitation policies. Even a brief visit can help them feel connected.
Prepare a gift for the baby: This could be a drawing, a small toy, or a handmade card.
Choose a special blanket or stuffed animal: This item can stay with the baby in the NICU and be a source of comfort.
Read stories to the baby (in person or via video): Record a video of the sibling reading a story to the baby and send it to the NICU.
Decorate the baby's incubator (if allowed): Create drawings or paintings to personalize the baby's space.
Help with baby-related tasks at home: Folding baby clothes, preparing a room for the baby, or choosing a special outfit for when the baby comes home.
Addressing Sibling Feelings and Concerns
Validate their feelings: Let them know that it's okay to feel sad, angry, or confused.
Spend quality time with them: Make sure to schedule dedicated one-on-one time with each child, away from the hospital.
Reassure them of your love and attention: Remind them that the baby's NICU stay doesn't change your love for them.
Answer their questions honestly: Don't avoid difficult questions. Provide age-appropriate answers to their concerns.
Seek professional support if needed: If siblings are struggling to cope, consider seeking professional counseling or therapy.
Maintaining a Sense of Normalcy
While it's important to acknowledge the NICU experience, it's equally important to maintain a sense of normalcy for siblings.
Stick to routines as much as possible: Maintain regular meal times, bedtimes, and school schedules.
Encourage participation in extracurricular activities: Continue with sports, clubs, or hobbies.
Plan fun family activities: Set aside time for outings, games, or other activities that everyone enjoys.
By providing a stable and supportive environment, you can help siblings navigate the challenges of a NICU stay with greater resilience.
Key Takeaways
Supporting siblings during a NICU stay requires patience, understanding, and a willingness to address their emotional needs. By providing age-appropriate explanations, involving them in the baby's care, validating their feelings, and maintaining a sense of normalcy, you can help them cope with the situation and feel loved and valued during this challenging time. Remember that every child is different, and what works for one sibling may not work for another. Be flexible, adaptable, and most importantly, present for your children.
Helping NICU Siblings Feel Included 💛
When a baby is in the NICU, siblings often have big feelings too—confusion, worry, sadness, or simply missing their new baby brother or sister. Finding gentle ways to help them feel included can make a meaningful difference. From what I’ve seen in the NICU, siblings often sense more than we realize, even when they don’t fully understand what’s happening.
It can be a challenging balance to support your baby in the NICU while also caring for your family at home.
That’s why I created the Bright Sprout NICU Sibling Coloring Book—a printed coloring book designed to help siblings better understand the NICU experience in a child-friendly, comforting way. With gentle illustrations and familiar NICU themes, it gives children a safe outlet to ask questions, express emotions, and stay connected during a challenging season.
Whether you’re looking for a thoughtful NICU sibling gift or ways to support brothers and sisters of NICU babies, this book was created with your family in mind.
👉 Shop the NICU Sibling Coloring Book Here
As an NNP with over 25 years of NICU experience, supporting the entire family—including siblings—has always mattered deeply to me.
Jeri Power, RN, MSN, NNP-BC
