Prematurity, maternal posttraumatic stress and consequences on the mother–infant relationship

Forcada-Guex, Margarita; Borghini, Ayala; Pierrehumbert, Blaise; Ansermet, François; Müller-Nix, Carole

doi:10.1016/j.earlhumdev.2010.09.006

Cited by 280 publications

(226 citation statements)

References 41 publications

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“…The physiological and socio-emotional benefits of early physical contact between hospitalized parents and infants have been well recognized in recent decades 22,35 . This result highlights the importance of fostering closeness and early physical contact (touching, talking, holding, etc.)…”

Section: Discussionmentioning

confidence: 99%

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal AbstractIntroduction: The birth of a child that requires hospitalization in a Neonatal Intensive Care Unit (NICU) can be very stressful for parents. Objective: To determine the stress level of parents of newborns (NB) hospitalized in a level III NICU in Santiago, and its association with clinical and sociodemographic variables. Patients and Method: Descriptive cross-sectional study. 373 admissions were evaluated. The sampling was non-probabilistic and included parents of RN admitted to the UPCN between 7 and 21 days of hospitalization. Only parents which have visited the RN at least three times were included. Instruments: i) Questionnaire to obtain data which could not be obtained from the medical record; ii) Parental Stress Scale: Neonatal Intensive Care Unit (PSS:NICU) which measures the perception of parents about stressors from the physical and psychological environment of the UPCN. Results: 100 parents of 59 hospitalized NB participated in the study. The average parental stress was 2.87±0.69. The subscale scores got higher was "Relationship with the baby and parental role". Complications in pregnancy, prenatal diagnosis or prenatal hospitalization, did not affect the stress level or the presence of prematurity, respiratory diseases, congenital malformations, genopathies or requirement of mechanical ventilation. Conclusions: Stress levels presented in parents are unrelated to gender and to the studied clinical variables.

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Section: Discussionmentioning

confidence: 99%

“…In addition, it has been seen that the context of a NICU affects the relationship between the parents and the NB 11,[18][19][20][21][22] . There is a separation between them, the possibilities of physical contact are interfered by medical interventions and other people spend more time with the baby.…”

Section: Introductionmentioning

confidence: 99%

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Palma¹,

et al. 2017

Rev. chil. pediatr.

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“…The subjective experience of parents may be likened to an "emotional roller-coaster" [6]. It is common for parents to find the experience stressful and disruptive [7] to their everyday routine, and the routines of their children at home. This may be the first time that parents are asked to make "life-or-death" decisions under significant pressure.…”

Section: Case Reflectionsmentioning

confidence: 99%

In Whose Best Interests? Critiquing the “Family-as-Unit” Myth in Pediatric Ethics

Raho¹

2016

Bioethics - Medical, Ethical and Legal Perspectives

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In pediatrics, parents are the presumed surrogate decision-makers for their children. Parents are generally obligated to make decisions in the child's best interest. When assessing what is in the child's best interests, parents should consider the child's experience of illness, potential for suffering (physical or psychological), and ability to understand and tolerate treatment. Yet, parents may consider a variety of factors other than best interest when making treatment decisions for their children. Moreover, parents may equate the child's best interest with their own (or their family's) and make decisions that, in some situations, will place children at significant risk of serious harm. Clinicians may be reluctant to challenge parents due to a perception that their obligations require treating the family "as a unit." After detailing a case from the author's own practice in clinical ethics, this essay will challenge the view that "family-centered" (as opposed to "patient-centered") care is an appropriate ethical model for pediatric decision-making. Specifically, the physician-patient relationship-or, in this context, the pediatrician-child relationshipought not to be reconceptualized into the pediatrician-parent-child relationship, since the latter perspective potentially misidentifies who the patient is and may inadvertently suggest there is warrant for "treating" the family's suffering at the expense of the child's welfare.

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“…La encuesta fue aplicada en el 5,9 ± 2,0 días de vida del recién nacido. El estrés parental total promedio fue de 3,1 ± 0,8, y la subescala rol parental fue aquella que puntuó más alto (3,6). Tener un menor nivel educacional, estar desempleado, no haber tomado al recién nacido en brazos y el requerimiento de apoyo ventilatorio se asociaron a mayor estrés parental.…”

Section: Introductionunclassified

“…[2][3][4] Diversos estudios han señalado que un alto nivel de estrés parental posterior al nacimiento de un hijo prematuro puede afectar el vínculo madre/hijo 5 y el establecimiento de un apego seguro. [6][7][8] El estrés parental y los síntomas depresivos maternos han mostrado ser factores de riesgo para el futuro desarrollo social, conductual y funcional del recién nacido prematuro. [9][10][11] Identificar los principales factores de riesgo asociado a estrés parental puede resultar útil para realizar intervenciones tempranas focalizadas, que aporten a la visualización del problema y a la sensibilización por parte del personal de salud que asiste a estos niños altamente vulnerables y a sus familias.…”

Section: Introductionunclassified

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

Wormald

Tapia

Torres³

et al. 2015

Arch Argent Pediat

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Prematurity, maternal posttraumatic stress and consequences on the mother–infant relationship

Cited by 280 publications

References 41 publications

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

Estrés en padres de recién nacidos hospitalizados en una unidad de paciente crítico neonatal

In Whose Best Interests? Critiquing the “Family-as-Unit” Myth in Pediatric Ethics

Estrés en padres de recién nacidos prematuros de muy bajo peso hospitalizados en unidades de cuidados intensivos neonatales. Estudio multicéntrico

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