Tips for Siblings: Helping Brothers and Sisters Adjust to a New Baby in the NICU

Simple, meaningful ways to help siblings adjust to a new baby while navigating the NICU experience.

Welcoming a new baby changes life for the entire family. When that baby needs care in the Neonatal Intensive Care Unit (NICU), the adjustment can be even more complex — especially for brothers and sisters.

Helping siblings adjust to a new baby during a NICU stay means supporting them emotionally, maintaining connection, and reassuring them that they’re still an important part of the family.

Explain the NICU in Simple, Age-Appropriate Terms

Help siblings understand where the baby is and why. Use gentle, clear language. For example:

“The baby was born a little early and needs extra help from special doctors and nurses so they can grow stronger before coming home.”

For more guidance, visit our Guide to Understanding the NICU Medical Team.

Keep Sibling Routines Steady

Maintaining familiar routines helps siblings adjust to a new baby without feeling like everything in their world has changed. If you can’t be there for every school drop-off or bedtime, ask friends or family to help.

Involve Siblings in the Baby’s Care (When Possible)

Involving siblings can help them feel connected. Depending on NICU policies, this might include:

• Visiting briefly

• Drawing a picture for the baby’s isolette

• Choosing a small blanket or stuffed animal

• Recording a short message to play by the baby’s bedside

Make One-on-One Time a Priority

Even short, daily moments — reading a bedtime story, sharing a snack, going for a quick walk — can reassure siblings as they adjust to a new baby in the family.

Encourage Open Conversations

Siblings may feel happy, sad, worried, or even jealous. Encourage them to share their feelings and let them know it’s okay to have mixed emotions. A simple, “I know this is hard for you too,” can go a long way.

Why This Matters

When siblings feel supported and included during a NICU stay, they adjust to a new baby more easily and the family as a whole becomes stronger.

Beyond Bill Pay: Resources for Your Whole Family

At Onsite Neonatal, we’re committed to supporting families beyond medical care. Explore our Family Resources section for practical tips and guidance at every stage of the NICU journey.

Looking for more family support during your NICU experience?

Contact us today or browse our growing library of family-focused resources.