Parenting very preterm infants and stress in Neonatal Intensive Care Units

Baía, Inês; Amorim, Mariana; Silva, Susana; Kelly-Irving, Michelle; Freitas, Cláudia de; Alves, Elisabete

doi:10.1016/j.earlhumdev.2016.04.001

Cited by 100 publications

(64 citation statements)

References 35 publications

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“…Furthermore, neonatal home care with support from a NICU team has been introduced at many NICUs and is shown to normalise the family life at an earlier stage, activating the family's own resources and is a proven safe form of care (15,16). However, despite these efforts, there are still stressful elements for the parents such as the NICU environment and their altered parental role (17).…”

Section: Introductionmentioning

confidence: 99%

The impact of an individualised neonatal parent support programme on parental stress: a quasi‐experimental study

Månsson

Sivberg

Selander

et al. 2019

Scandinavian Caring Sciences

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Aim To evaluate the impact on parental stress of an individualised neonatal parent support programme. Method A quasi‐experimental design. Parents of preterm infants, at a level II NICU, were consecutively assigned to a control group (n = 130) and to an intervention group (n = 101). The programme focused on person‐centred communication and consisted of four individual nurse–parent dialogues during the infants’ hospitalisation. The Swedish version of the Parental Stressor Scale: Neonatal Intensive Care Unit was used to assess parental stress. Result The total stress scores did not vary significantly between the control and intervention groups either for mothers or for fathers. However, on item‐level, some items were significantly more distressed for mothers in the control group compared to the intervention group; other sick babies being cared for in the room (p = 0.016); my baby's unusual or abnormal breathing patterns (p = 0.025); not being able to hold my baby (p = 0.014); sometimes forgetting what my baby looks like (p = 0.042); being afraid of touching or holding my baby (p = 0.030); feeling the staff is closer to my baby than I am (p = 0.006). Comparing stress between mothers and fathers in the control group demonstrated a significant higher overall stress level for mothers compared to fathers (p < 0.005). The same result was found in the subscales Infant's behaviour and appearance (p = 0.016) as well as Parental role alteration (p = 0.001). No significant differences revealed between parents in the intervention group except for one item not being able to feed the babies themselves. It was significantly more distressed for mothers (p < 0.001). Conclusion In this study, there was a decreased stress experience on item level in different subscales amongst mothers, but the study did not demonstrate any impact of the intervention on total stress experience either for mothers or for fathers.

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Section: Introductionmentioning

confidence: 99%

The impact of an individualised neonatal parent support programme on parental stress: a quasi‐experimental study

Månsson

Sivberg

Selander

et al. 2019

Scandinavian Caring Sciences

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“…A pediatric science textbook (Carlo, 2016) introduced eight body systems, namely the respiratory, cardiovascular, hematologic, gastrointestinal, metabolic-endocrine, central nervous, and renal systems, or the infectious disease categories of the most common diseases in premature infants. On the basis of previous studies (Baía et al, 2016;Lee et al, 2005), parental perceptions of anxiety regarding preterm infants were recorded at each of the following time points (TP): before and after birth (TP 0 and 1), on the third and seventh postnatal days (TP 2 and 3) of hemodynamic instability such as hypotension (Seri, 2006), before discharge (TP 4), and in the first week after discharge (TP 5).…”

Section: Methodsmentioning

confidence: 99%

“…The mental stress experienced by parents due to the birth of the premature infant is due to not only the infant's prematurity or condition but also other factors. These include self-condemnation; guilt; loss of parental role due to admission of the infant to specialized care departments, which interrupts the parent-child bonding; and the trauma from the sounds of medical equipment in the Neonatal Intensive Care Unit (NICU) (Baía et al, 2016;Chang Lee et al, 2009;Han & Chae, 2016;Ichijima et al, 2011;Lee, Norr, & Oh, 2005;Tandberg, Sandtrø, Vårdal, & Rønnestad, 2013). Therefore, a study was proposed to identify and mediate the mental stress of parents of premature infants, as disruption of the bonding process affects the development of the child (Deave, Heron, Evans, & Emond, 2008).…”

Section: Introductionmentioning

confidence: 99%

Parental anxiety regarding premature infants and factors affecting parental concern

Lee

Yeon

et al. 2019

Specialist Pediatric Nursing

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Purpose Premature births have a great impact on the parents. The purpose of this study was to investigate the anxieties of parents of premature infants regarding infantile diseases and to help medical staff better communicate with parents of premature infants. Design and Methods This study included premature infants <37 weeks of age who were admitted to the Neonatal Intensive Care Unit of Kosin University Gospel Hospital between August 1, 2017, and December 31, 2017. The eligible subjects included 51 premature infants with their 75 parents (45 mothers and 30 fathers) listed in the children's medical records. Parental anxieties regarding the infants were determined by retrospective interviews at various time points as follows: before and after the birth, on postnatal Days 3 and 7, before discharge, in the first week after discharge, and at “whenever” time point. Results The highest parental anxiety during all time points was regarding the respiratory system of the premature infants. Parental concerns regarding the metabolic–endocrine system of their infants significantly correlated with the presence of maternal diabetes mellitus. Parental anxiety significantly differed depending on the use of resuscitation after birth. A statistically significant difference in parental anxiety was observed in relation to the birth weight before discharge. The premature infants with bronchopulmonary dysplasia showed a significant difference in the level of parental anxiety concerning the infant's illness in the first week after discharge. Conclusions The parents of the premature infants were greatly concerned about their infants’ respiratory system. Careful prenatal counseling and support are needed for mothers with diabetes.

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“…Being the mother of a premature baby hospitalized in NICU is a condition associated with emotional stress (Baía et al, 2016;Nardi, Rodrigues, Melchiori, Salgado, & Tavano, 2015), which may give rise to feelings of despair, impotence and frustration (Al Maghaireh, Abdullah, Chan, Piaw, & Al Kawafha, 2016). Ncube, Barlow and Mayers (2016) emphasize that in the NICU, the bonds between mothers and children may be compromised and increase maternal anxiety.…”

mentioning

confidence: 99%

Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI Neonatal1

Chvatal

Vasconcellos

Rivorêdo

et al. 2017

Paidéia (Ribeirão Preto)

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Adolescent motherhood, in the context of neonatal hospitalization, causes the health professional to need to understand the specificities of this phase of the life cycle and peculiarities of the mother-hospitalized baby dyad. This study aims to analyze life experiences in the puerperium of first-time adolescent mothers with premature babies hospitalized in the neonatal ICU. We use the Clinical-Qualitative Method, with intentional sampling, in 7 adolescents aged between 13-19 years old. Semi-directed interviews were used and the data underwent thematic analysis and are discussed in a psychodynamic approach. We observed that to deal with the conflicting feelings of omnipotence, affliction, ambivalence, estrangement, shock, confusion, surprise, anger, fear, sadness, anguish, pain, guilt, joy and affection, these adolescents used primitive defense mechanisms: denial, dissociation, splitting and idealization, which are inefficient and require great expenditure of psychic energy. Identifying these defense mechanisms is fundamental to an appropriate therapeutic formulation.Keywords: puerperium, adolescent pregnancy, premature birth, defense mechanisms, qualitative research Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI NeonatalResumo: A maternidade entre adolescentes, no contexto de internação neonatal, traz ao profissional de saúde uma demanda de compreensão sobre especificidades desta fase do ciclo vital e peculiaridades da díade mãe-bebê internado. Este artigo teve por objetivo explorar as vivências no puerpério de adolescentes primíparas com bebês prematuros internados em UTI Neonatal. Utilizamos método clínico-qualitativo com amostragem intencional fechada pelo critério de saturação. Aplicamos entrevistas semi-dirigidas em sete adolescentes entre 13 e 19 anos. Os dados foram tratados por análise temática de conteúdo e discutidos em referencial psicodinâmico. Na composição das categorias constatamos que para lidar com os sentimentos conflitantes de onipotência, aflição, ambivalência, estranhamento, choque, confusão, surpresa, impotência, medo, tristeza, angústia, dor, culpa, afeto e alegria utilizaram mecanismos de defesa de natureza primitiva: negação, dissociação, divisão (splitting) e idealização, que são ineficazes e exigem grande dispêndio de energia psíquica. A identificação desses mecanismos de defesa é fundamental para uma adequada formulação terapêutica.Palavras-chave: puerpério, gravidez na adolescência, nascimento prematuro, mecanismos de defesa, pesquisa qualitativa Los Mecanismos de Defensa Utilizados por Adolescentes con Bebés Prematuros em la UCIResumen: Maternidad adolescente en contexto hospitalario neonatal aporta una comprensión de la demanda de profesionales acerca de características específicas de esta fase del ciclo de vida y peculiaridades de la díada madre-hijo hospitalizados. Este artículo objetivó Analizar las experiencias adolescentes primíparas posparto con bebés prematuros. Utilizamos método Clínico-cualitativo con muestreo intencional cerrado por...

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Parenting very preterm infants and stress in Neonatal Intensive Care Units

Abstract: This study raises awareness for the need to develop sensitive instruments that take notice of gender, social support and family-centered care. The implementation of interventions focused on reducing parental stress is crucial to diminish disparities in family health.

Cited by 100 publications

References 35 publications

The impact of an individualised neonatal parent support programme on parental stress: a quasi‐experimental study

The impact of an individualised neonatal parent support programme on parental stress: a quasi‐experimental study

Parental anxiety regarding premature infants and factors affecting parental concern

Mecanismos de Defesa Utilizados por Adolescentes com Bebês Prematuros em UTI Neonatal1

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