Sleep and its relationship to health in parents of preterm infants: a scoping review

Marthinsen, Gunhild Nordbø; Helseth, Sølvi; Fegran, Liv

doi:10.1186/s12887-018-1320-7

Cited by 21 publications

(16 citation statements)

References 67 publications

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“…This requires adjustments and changes in the roles of the medical teams and improvement of staff-parent interactions (Provenzi & Santoro, 2015;Sisson et al, 2015), despite the challenge to accept parents as equal members of the team and as respected experts and constant factors in their newborns' lives (Butt et al, 2013). Marthinsen et al (2018) identified sleep deprivation among parents of premature infants and its relationship to negative health outcomes for parents. They reported sleep deprivation due to stress and extra alert behavior of parents toward their newborns after discharge.…”

Section: Discussionmentioning

confidence: 99%

Parents’ Experiences With a Model of Integrated Maternity and Neonatal Care Designed to Empower Parents

Stelwagen¹,

Kempen²,

Westmaas³

et al. 2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective: To explore the experiences of parents with an integrated maternity and neonatal ward designed to empower parents by providing family-integrated care (FICare) to mother-newborn couplets in single-family rooms. Design: A qualitative analysis with a contextual constructivist approach. Setting: An integrated maternity and neonatal level 2 ward designed to empower parents in a teaching hospital in Amsterdam, the Netherlands. Maternity and neonatal care, up to and including highly complex care, is provided to mother-newborn couplets in single-family rooms according to the principles of FICare. Participants: Twenty-seven mothers and nine fathers of newborns who were hospitalized for at least 7 days. Methods: We held four focus group discussions and eight semistructured interviews 1 to 3 months after discharge of the newborn to explore which experiences (mechanisms) facilitated or impeded aspects of parent empowerment (outcomes) under which specific conditions of the integrated infrastructure (contexts). We used the realist evaluation model to analyze the data. Results: Our analysis revealed five themes of parent empowerment (outcomes): Feeling Respected, Gaining Self-Management Tools, Insights Into the Newborn's Condition, Perceived Control, and Self-Efficacy. For each theme, participants reported facilitating and impeding experiences (mechanisms) that were initiated and influenced by the combination of single-family rooms, couplet care, rooming-in, and FICare (contexts). Unrestricted physical proximity to their newborns, 24 hours per day, in a safe private environment offered parents intensive learning experiences through active participation in care. It helped them to achieve independent parenthood at the time of discharge, but it also generated challenges such as power conflicts with the staff; prioritizing care for themselves, siblings, or the newborn; feelings of isolation; and lack of sleep. Conclusion: Providing FICare to mother-newborn couplets in single-family rooms offers parents an intensive learning context for independent parenthood at the time of discharge. Health care professionals should be aware of the challenges and facilitators experienced by parents in the context of close physical proximity to their newborns 24 hours per day in single-family rooms. This awareness will allow them to better support parents in their empowerment process toward independent parenthood at the time of discharge.

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Section: Discussionmentioning

confidence: 99%

Parents’ Experiences With a Model of Integrated Maternity and Neonatal Care Designed to Empower Parents

Stelwagen¹,

Kempen²,

Westmaas³

et al. 2021

Journal of Obstetric, Gynecologic & Neonatal Nursing

View full text Add to dashboard Cite

show abstract

“…Mothers with an infant in the NICU report sleep disturbances such as night waking even though they slept at home, not in hospital [16]. A systematic review revealed that parents of preterm infants obtain less than the recommended hours of sleep both during the hospitalization and following discharge [17].…”

Section: Introductionmentioning

confidence: 99%

A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design

et al. 2020

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Background: The well-being of mothers of infants requiring Neonatal Intensive Care Unit (NICU) hospitalization may be affected by the architectural design of the unit. A few recent studies suggest there may be some drawbacks of single-family rooms (SFRs) for infants and their mothers, such as isolation of mothers and reduced exposure to auditory stimulation for infants. Purpose: To compare NICU-stress, symptoms of depression, perceptions of nurse-parent support and family-centered care, sleep disturbances, breastfeeding self-efficacy and readiness for discharge in mothers of infants cared for in an open ward (OW) to those cared for in a unit that includes both pods and SFRs. Methods: A pre-post quasi-experimental study was conducted in a Canadian level 3 unit before and after transitioning to a new unit of 6-bed pods and SFRs. OW data were collected in 2014 and pod/SFR data 1 year after the transition in 2017 to 2018. Mothers of infants hospitalized for at least 2 weeks completed questionnaires about stress, depressive symptoms, support, family-centered care, and sleep disturbances. In the week prior to discharge, they responded to breastfeeding self-efficacy and readiness for discharge questionnaires. They described their presence in the NICU at enrollment and again prior to discharge. Results: Pod/SFR mothers reported significantly less NICU-stress compared to OW mothers. OW mothers had greater sights and sounds stress and felt more restricted in their parental role. Pod/SFR mothers reported greater respect from staff. Controlling for maternal education, pod/SFR mothers perceived their infant's readiness for discharge to be greater than OW mothers. There were no significant differences between groups in depressive symptoms, nurseparent support, sleep disturbances, and breastfeeding self-efficacy. At enrollment and again in the weeks preceding discharge, pod/SFR mothers were present significantly more hours per week than OW mothers, controlling for maternal education. Conclusions: Further study of small pods is indicated as these units may be less stressful for parents, and enhance family-centered care, as well as maternal presence, compared to OWs.

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“…Stress is the most consistent factor associated with poor sleep after a preterm birth [ 11 , 19 ]. Stress adversely affects sleep and has therefore been associated with increased fatigue, anxiety, depression, and reduced HRQoL [ 10 , 12 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

“…Neither of these studies included associations between sleep and psychosocial health–related variables or presented data collected over longer periods to assess possible long-term differences between the two groups. To the best of our knowledge, no study has explored sleep and its associations with health and HRQoL over time in this vulnerable parent population [ 19 , 20 ].…”

Section: Introductionmentioning

confidence: 99%

Sleep patterns and psychosocial health of parents of preterm and full-born infants: a prospective, comparative, longitudinal feasibility study

Marthinsen

Helseth

Småstuen

et al. 2022

BMC Pregnancy Childbirth

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Background The early birth and hospitalization of a preterm infant in neonatal intensive care unit can produce several emotional and behavioural responses including sleep problems for parents. Few studies have explored sleep and its associations with health and HRQoL over time in this vulnerable parent population. This purpose of this study was to evaluate the feasibility of a prospective, comparative, longitudinal study of the sleep patterns and psychosocial health of preterm and full-born infants’ parents during the first postpartum year. Methods A prospective, comparative, longitudinal feasibility study was conducted. Parents of preterm infants were compared to parents of full-born infants to identify if there were differences in outcomes between the groups. The parents were instructed to wear actigraphs and complete sleep diaries for two consecutive weeks, and responded to a digital questionnaire covering stress, insomnia, fatigue, depression, social support, self-efficacy, and health-related quality of life. Survey data were collected at infant ages of 2, 6, and 12 months, actigraphy and sleep diary data were collected at infant age of 2 months only. Descriptive analysis was used to describe recruitment and attrition rates. Differences between completers and dropouts were analysed with a chi-square test (categorical data) and Mann–Whitney–Wilcoxon test for two independent samples (continuous variables). Results Between June 2019 and March 2020, 25 parents of a preterm infant and 78 parents of a full-born infant were recruited from four neonatal intensive care units and two maternity wards, respectively, in four Norwegian hospitals. Feasibility was predefined as recruiting ≥ 75 parents each of preterm and full-born infants. The target for the full-born group was reached. However, the preterm group recruitment was challenging. Actigraphs, sleep diaries, and questionnaires were evaluated as feasible for use in a future study. Attrition rates were high in both groups at 6 and 12 months. No parent-related characteristics were associated with participation at 6 months. At 12 months, dropouts had a statistically significantly lower age in the full-born group (both parents) and higher age and body mass index in the preterm group (fathers). Conclusions A longitudinal study is feasible; however, procedural changes, including using active methods and contacting participants, are necessary to increase the recruitment of preterm infants’ parents.

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Sleep and its relationship to health in parents of preterm infants: a scoping review

Cited by 21 publications

References 67 publications

Parents’ Experiences With a Model of Integrated Maternity and Neonatal Care Designed to Empower Parents

Parents’ Experiences With a Model of Integrated Maternity and Neonatal Care Designed to Empower Parents

A comparative study of mothers of infants hospitalized in an open ward neonatal intensive care unit and a combined pod and single-family room design

Sleep patterns and psychosocial health of parents of preterm and full-born infants: a prospective, comparative, longitudinal feasibility study

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