Effect of Interpersonal Psychotherapy Oriented Child Birth Education on Stress and Role Adaption in Mothers with Premature Birth: A Randomized Clinical Trial

Abstract

Background: Preterm labor is the most stressful experience for mothers. Consultation by interpersonal psychotherapy (IPT) approach is a method to support mothers with pre-term labor.Objectives: This study aimed to assess the effect of interpersonal psychotherapy oriented child birth education on adaptation role and stress in mothers of infants admitted to the intensive care unit.Methods: This randomized interventional study investigated 92 primiparous women with a newborn admitted to the newborn intensive care unit of Kamali Hospital. The sampling method was convenient and samples were randomly assigned to two groups of control and intervention by four blocks randomization method. In addition to routine care, the intervention group received three IPT counseling sessions. The data collection tool in this study was parental stress questionnaire and maternal role adaptation questionnaire. Results:The results of repeated measure test indicated that the maternal stress score had a significant change over time (P < 0.001) with significant differences between the two groups (P < 0.001), and maternal role adaptation changed significantly over time (P < 0.001) with a significant difference between the two groups (P < 0.001). Conclusions:Considering the impact of interpersonal psychotherapy-oriented child birth education on maternal stress and maternal role adaptation, as well as the limited duration and cost of this program and the possibility of training it by nurses and midwives, it is suggested to include this training program in routine interventions for mothers with a premature baby.

Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: A systematic review and meta-analysis

“…Seven RCT studies, 30 , 31 , 33 , 37 , 42 , 45 , 46 two quasi-experimental studies, 34 , 43 and one case-–control study 40 investigated different nursing strategies on the stress level of mothers of preterm infants.…”

“…Eight studies 30 , 31 , 33 , 34 , 37 , 42 , 43 , 45 consisting of six RCTs and two quasi-experimental studies reported mothers’ stress as the study outcome with the same scale. Interventions were including educational programme, spiritual care, telenursing, parent support programme, SSC, and guided family centred care.…”

“…All of them were published in English from 2012 to 2021. Six studies were from Iran, 31,35,42,44,45,47 two from South Korea, 34,41 two from Norway, 28,39 two from the United States, 29,33 one was from Canada, 32 one from Japan, 38 one from Denmark, 30 one from Jordan, 46 one from France, 40 one from Italy, 36 one from Sweden, 43 and one from Turkey. 37 Regarding the studies' methodologies, nine studies used a RCT design, 15,[30][31][32][33]37,41,42,46 seven applied a quasi-experiment design, 28,29,[34][35][36]43,44 two used a cross-sectional, 38,47 one used a case-control, 40 and one used a prospective survey design.…”

The effect of a training program on maternal role adaptation and self-esteem of mothers with preterm infants: a quasi-experimental study

“…The results of a study by Pouyan et al (2019) suggested that the effect of interpersonal psychotherapy training on stress and adaptation to the maternal role for mothers with preterm delivery reduced maternal stress score and resulted in a better adaptation of mothers [ 30 ]. Similarly, the present study supported the positive effects of training for the mothers of preterm infants.…”

Evaluation of Clinical Risk Index for Babies to Predict Mortality and Morbidity in Neonates Admitted to Neonatal Intensive Care Unit

“…The CRIBӀӀ, the revised version on CRIB, consists of five variables of birth weight based on gestational age, congenital abnormality, gender, body temperature on admission, and maximal base excess. Some researchers believe that the CRIBII has a higher value in predicting mortality rate of premature neonates with birth weight less than 1500 g (17) compared to birth weight and gestational age variables (18), and helps predict hospital mortality rate among premature infants (19).…”