Mothering an Extremely Low Birth-Weight Infant

Schenk, Laura K.; Kelley, Jane H.

doi:10.1097/anc.0b013e3181d28330

Cited by 35 publications

(56 citation statements)

References 16 publications

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“…3,5,28,34 Simply stated, parents find it difficult to carry out parenting activities in the critical care setting. The occurrence of anxiety, depression, fatigue, and sleep disturbance among parents of NICU infants, demonstrated in prior studies, 1,6–11 was also revealed in the PROMIS measures used in the current study.…”

Section: Discussionmentioning

confidence: 99%

Parents’ Responses to Stress in the Neonatal Intensive Care Unit

Busse

Stromgren

Thorngate

et al. 2013

Critical Care Nurse

197

157

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Background Parents’ stress resulting from hospitalization of their infant in the neonatal intensive care unit (NICU) produces emotional and behavioral responses. The National Institutes of Health–sponsored Patient Reported Outcomes Measurement Information System (PROMIS) offers a valid and efficient means of assessing parents’ responses. Objective To examine the relationship of stress to anxiety, depression, fatigue, and sleep disruption among parents of infants hospitalized in the NICU. Methods Thirty parents completed the Parental Stressor Scale (PSS:NICU) containing subscales for NICU Sights and Sounds, Infant Behavior and Appearance, and Parental Role Alteration, and the PROMIS anxiety, depression, fatigue, and sleep disturbance short-form instruments. Results PSS total score was significantly correlated with anxiety (r = 0.61), depression (r = 0.36), and sleep disturbance (r = 0.60). Scores for NICU Sights and Sounds were not significantly correlated with parents’ outcomes; however, scores for Alteration in Parenting Role were correlated with all 4 outcomes, and scores for Infant Appearance were correlated with all except fatigue. Conclusion Stress experienced by parents of NICU infants is associated with a concerning constellation of physical and emotional outcomes comprising anxiety, depression, fatigue, and sleep disruption.

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Section: Discussionmentioning

confidence: 99%

Parents’ Responses to Stress in the Neonatal Intensive Care Unit

Busse

Stromgren

Thorngate

et al. 2013

Critical Care Nurse

197

157

View full text Add to dashboard Cite

show abstract

“…The fifth commonality between this study and the findings of Refs. [9,13,16,22] was parents' need for social support, both from their spiritual and biological families as well as from the NICU staff.…”

Section: Discussionmentioning

confidence: 99%

“…As one mother reflecting on the first-time, holding experience described, "I couldn't touch or hold him then. But the next day when we moved over here, they said, yah you can touch him, rub his hand and all that … But that was a wonderful feeling to hold him" ( [22]; p. 90). A second mother stated, "I have been here for her to give her closeness and contact, to make a bond with her.…”

Section: Novicementioning

confidence: 97%

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Parenting the NICU infant: A meta-ethnographic synthesis

Vazquez

Cong

2014

International Journal of Nursing Sciences

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Neonatal intensive care unit Infant Parent Parenting Meta-synthesis a b s t r a c t Parenting the infant in the neonatal intensive care unit (NICU) comes with a multitude of unique challenges, and NICU parents are often unprepared and ill equipped for the challenges. Moreover, a gap in the literature still exists concerning a full understanding of the breadth of the process parents of NICU infants undergo from the time of admission todischarge. This study utilized Noblit and Hare's meta-ethnography synthesis method for literature extraction and data analysis to illuminate the NICU parenting process by metaphorically comparing the process to Patricia Benner's novice to expert theory. Fourteen studies including 12 published qualitative research articles and 2 dissertations from the nursing discipline were included in the analysis. Findings illuminated the process of becoming a NICU parent more fully and revealed the most salient and effective facilitators of the process from being a novice and advanced beginner to becoming a competent, proficient, even expert NICU parent. In addition, this paper discusses four influencing factors in a NICU parent's progression: contact with and proximity to their infant, relationship with the nurse, having information, and social support. Nurses must engage with NICU parents in such a way as to maximize the likelihood that these parents will reach at minimum the proficient and at maximum the expert parenting stage by discharge.

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“…There are many sources of stress for mothers in the NICU, including worries about the health of the neonate, exhaustion, and competing obligations at home. 18 Women who give birth prematurely are at higher risk for postpartum depression when compared to women who give birth at term gestation. In a systematic review 19 of 26 studies, which included 2392 mothers of preterm neonates, rates of postpartum depression in the immediate postpartum period were as high as 40%.…”

Section: Impact Of Prematurity On Maternal Mental Healthmentioning

confidence: 99%

Expanded Care for Women and Families after Preterm Birth

Kantrowitz‐Gordon¹

2013

J Midwife Womens Health

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Prematurity is a complication of pregnancy for 1 in 8 families in the United States. The focus of care after preterm birth shifts to the fragile newborn, while the needs of the woman and her family may be overlooked. There are many challenges for parents, including impaired parent-newborn attachment, difficulties with breastfeeding, postpartum mental health, and family disruption. Premature birth may even risk the developing relationship between parents and their child. Comprehensive care is recommended for parents who have experienced a preterm birth, including support of effective lactation, promotion of skin-to-skin care, reflection on the birth experience, support and evaluation of postpartum mental health, and provision of family-centered care. Preconception care after preterm birth needs to include guidance about the recurrence risk for preterm birth as well as recommendations for risk reduction.

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Mothering an Extremely Low Birth-Weight Infant

Cited by 35 publications

References 16 publications

Parents’ Responses to Stress in the Neonatal Intensive Care Unit

Parents’ Responses to Stress in the Neonatal Intensive Care Unit

Parenting the NICU infant: A meta-ethnographic synthesis

Expanded Care for Women and Families after Preterm Birth

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