The Impact of Premature Childbirth on Parental Bonding

Hoffenkamp, Hannah N.; Tooten, Anneke; Hall, R.A.S.; Croon, Marcel A.; Braeken, Johan; Winkel, Frans Willem; Vingerhoets, A.J.J.M.; Bakel, H.J.A. van

doi:10.1177/147470491201000311

Cited by 54 publications

(63 citation statements)

References 48 publications

(72 reference statements)

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“…Because of a lack of norm-scores, we have to be careful with interpreting the PRAM-SBD. In a recent study with very preterm (born <31 weeks gestational age) and moderate preterm infants (born between 32–37 weeks gestational age) [55]), longitudinal analyses revealed that mothers’ PRAM-SBD scores decreased after moderately preterm delivery, whereas decreases in PRAM-SBD scores were observed in both parents after very preterm delivery. As lower PRAM-SBD scores represent stronger feelings of parent-infant connectedness, these findings suggest a higher degree of bonding after premature childbirth.…”

Section: Discussionmentioning

confidence: 99%

Pictorial representation of attachment: measuring the parent-fetus relationship in expectant mothers and fathers

Bakel

Maas

Vreeswijk

et al. 2013

BMC Pregnancy Childbirth

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BackgroundOver the past decades, attachment research has predominantly focused on the attachment relationship that infants develop with their parents or that adults had with their own parents. Far less is known about the development of feelings of attachment in parents towards their children. The present study examined a) whether a simple non-verbal (i.e., pictorial) measure of attachment (Pictorial Representation of Attachment Measure: PRAM) is a valid instrument to assess parental representations of the antenatal relationship with the fetus in expectant women and men and b) whether factors such as gender of the parent, parity, and age are systematically related to parental bonding during pregnancy.MethodsAt 26 weeks gestational age, 352 primi- or multiparous pregnant women and 268 partners from a community based sample filled in the PRAM and the M/PAAS (Maternal/Paternal Antenatal Attachment Scale, Condon, 1985/1993).ResultsResults show that the PRAM was significantly positively associated to a self-report questionnaire of antenatal attachment in both expectant mothers and fathers. Age and parity were both found significantly related to M/PAAS and PRAM scores.ConclusionsThe present findings provide support that the PRAM is as a valid, quick, and easy-to-administer instrument of parent-infant bonding. However, further research focusing on its capacity as a screening instrument (to identify parents with serious bonding problems) and its sensitivity to change (necessary for the use in evaluation of intervention studies) is needed, in order to prove its clinical value.

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Section: Discussionmentioning

confidence: 99%

Pictorial representation of attachment: measuring the parent-fetus relationship in expectant mothers and fathers

Bakel

Maas

Vreeswijk

et al. 2013

BMC Pregnancy Childbirth

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“…These results hint at a need for a more differential view on bonding between parents and preterm babies in the NICU. Firstly, parents may not per se be at higher risk for bonding difficulties, although the infant's hospitalization could be a trigger or an additional risk factor for such difficulties (Hoffenkamp et al, 2012). And secondly, MT might be especially effective for parents who obstacle to forming healthy bonding with their babies.…”

Section: Mother-to-infant Bonding Scale (Mibs)mentioning

confidence: 99%

Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study

Ettenberger

Cárdenas²,

Parker

et al. 2016

Nordic Journal of Music Therapy

103

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This article reports a mixed-methods study of Music Therapy (MT) with preterm infants and their parents in a NICU in Colombia. The aim was to find out whether live MT during kangaroo care had an effect on the physiological outcomes of the neonates and would help parents to decrease their anxiety levels and improve parent-infant bonding. The participants were 36 medically stable neonates born between the 28 th and 34 th week of gestation and their parents. The quantitative data collection included heart rate, oxygen saturation, weight gain, length of hospitalization, and re-hospitalization rate. The assessment measures for anxiety and bonding were the State-Trait Anxiety Inventory (STAI) and the Mother-to-Infant-Bonding Scale (MIBS). Thematic analysis was used to analyse the qualitative data collected with semi-structured interviews and questionnaires. The quantitative results showed statistically significant improvements in maternal stateanxiety (p = .007), and in the babies weight gain per day during the intervention period (p = .036). Positive trends were found regarding the babies' length of hospitalization and rehospitalization rate. Both parents improved their scores with the MIBS, but this was not statistically significant. The qualitative analysis showed that MT was important for parental wellbeing, for bonding and for fostering the development of the neonates. Interacting musically with their babies helped parents to experience feelings of connectedness and to distract themselves from their difficulties and from the noisy hospital environment.

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“…The appearance of preterm babies is perceived as less physically attractive than the features of full-terms: they are immature and show less infantile facial features (Goldberg & DiVitto, 2002; Hildebrandt & Fitzgerald, 1979; Hoffenkamp et al, 2012). …”

Section: Introductionmentioning

confidence: 99%

Mothers and fathers in NICU: The impact of preterm birth on parental distress

et al. 2016

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Preterm birth is a stressful event for families. In particular, the unexpectedly early delivery may cause negative feelings in mothers and fathers. The aim of this study was to examine the relationship between preterm birth, parental stress and negative feelings, and the environmental setting of NICU. 21 mothers (age = 36.00 ± 6.85) and 19 fathers (age = 34.92 ± 4.58) of preterm infants (GA = 30.96 ± 2.97) and 20 mothers (age = 40.08 ± 4.76) and 20 fathers (age = 40.32 ± 6.77) of full-term infants (GA = 39.19 ± 1.42) were involved. All parents filled out the Parental Stressor Scale: Neonatal Intensive Care Unit, the Impact of Event Scale Revised, Profile of Mood States, the Multidimensional Scale of Perceived Social Support and the Post-Partum Bonding Questionnaire. Our data showed differences in emotional reactions between preterm and full-term parents. Results also revealed significant differences between mothers and fathers’ responses to preterm birth in terms of stress, negative feelings, and perceptions of social support. A correlation between negative conditions at birth (e.g., birth weight and Neonatal Intensive Care Unit stay) and higher scores in some scales of Impact of Event Scale Revised, Profile of Mood States and Post-Partum Bonding Questionnaire were found. Neonatal Intensive Care Unit may be a stressful place both for mothers and fathers. It might be useful to plan, as soon as possible, interventions to help parents through the experience of the premature birth of their child and to begin an immediately adaptive mode of care.

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The Impact of Premature Childbirth on Parental Bonding

Cited by 54 publications

References 48 publications

Pictorial representation of attachment: measuring the parent-fetus relationship in expectant mothers and fathers

Pictorial representation of attachment: measuring the parent-fetus relationship in expectant mothers and fathers

Family-centred music therapy with preterm infants and their parents in the Neonatal Intensive Care Unit (NICU) in Colombia – A mixed-methods study

Mothers and fathers in NICU: The impact of preterm birth on parental distress

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