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Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth.
Adv Neonatal Care. 2020 Aug; 20(4):301-313.AN

Abstract

BACKGROUND

Parenting stress after preterm birth (PTB) has negative long-term effects on parenting. Research about parental experiences after PTB and on parenting stress in early childhood has focused on mothers.

PURPOSE

To compare parenting stress between mothers and fathers 2 to 3 years after PTB and full-term birth (FTB) and to explore their memories about their stress experience, especially after PTB.

METHODS

Fifty-four mothers and fathers in Switzerland whose children were PTB and 65 parents of FTB completed the Parenting Stress Index 2 to 3 years after birth. We compared scores between PTB and FTB and between mothers and fathers. A random subset of parents took part in semistructured interviews that began with photo-elicitation. We analyzed the data thematically. We cross-validated and corroborated qualitative and quantitative findings about parenting stress 2 to 3 years after birth.

RESULTS

Preterm birth is stressful for parents who cannot take a child's health for granted, but stress experiences after FTB and PTB equalize within 2 to 3 years. Mothers were the primary caregivers and suffered more stress than fathers. For parents with PTB, positive communications from healthcare workers strengthened parental coping in neonatal intensive care unit and after discharge, but parents perceived discharges as early and inconsistent.

IMPLICATIONS FOR PRACTICE AND RESEARCH

Interventions and new models of care improving communication with healthcare professionals, involving parents in infant care as early as possible, increasing staff support to help parents cope better, and optimizing the management of discharge need to be implemented into practice. Their impact on parenting stress on the long term needs to be investigated.

Authors+Show Affiliations

Applied Research and Development Midwifery, Department of Health Professions, University of Applied Sciences, Bern, Switzerland (Ms Schuetz Haemmerli and Dr Cignacco); Department of Public Health, Institute of Nursing Science, University of Basel, Basel, Switzerland (Ms Schuetz Haemmerli and Dr Cignacco); University Children's Hospital, Inselspital, Bern, Switzerland (Ms Schuetz Haemmerli); Department of Psychology, The University of Warwick, Coventry, England (Dr Lemola); Department of Psychology, University of Basel, Basel, Switzerland (Dr Lemola); Professor Emerita, School of Nursing, Duke University, Durham, North Carolina (Dr Holditch-Davis).No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

32108660

Citation

Schuetz Haemmerli, Natascha, et al. "Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth." Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, vol. 20, no. 4, 2020, pp. 301-313.
Schuetz Haemmerli N, Lemola S, Holditch-Davis D, et al. Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth. Adv Neonatal Care. 2020;20(4):301-313.
Schuetz Haemmerli, N., Lemola, S., Holditch-Davis, D., & Cignacco, E. (2020). Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth. Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses, 20(4), 301-313. https://doi.org/10.1097/ANC.0000000000000714
Schuetz Haemmerli N, et al. Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth. Adv Neonatal Care. 2020;20(4):301-313. PubMed PMID: 32108660.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparative Evaluation of Parental Stress Experiences Up to 2 to 3 Years After Preterm and Term Birth. AU - Schuetz Haemmerli,Natascha, AU - Lemola,Sakari, AU - Holditch-Davis,Diane, AU - Cignacco,Eva, PY - 2020/2/29/pubmed PY - 2021/6/17/medline PY - 2020/2/29/entrez SP - 301 EP - 313 JF - Advances in neonatal care : official journal of the National Association of Neonatal Nurses JO - Adv Neonatal Care VL - 20 IS - 4 N2 - BACKGROUND: Parenting stress after preterm birth (PTB) has negative long-term effects on parenting. Research about parental experiences after PTB and on parenting stress in early childhood has focused on mothers. PURPOSE: To compare parenting stress between mothers and fathers 2 to 3 years after PTB and full-term birth (FTB) and to explore their memories about their stress experience, especially after PTB. METHODS: Fifty-four mothers and fathers in Switzerland whose children were PTB and 65 parents of FTB completed the Parenting Stress Index 2 to 3 years after birth. We compared scores between PTB and FTB and between mothers and fathers. A random subset of parents took part in semistructured interviews that began with photo-elicitation. We analyzed the data thematically. We cross-validated and corroborated qualitative and quantitative findings about parenting stress 2 to 3 years after birth. RESULTS: Preterm birth is stressful for parents who cannot take a child's health for granted, but stress experiences after FTB and PTB equalize within 2 to 3 years. Mothers were the primary caregivers and suffered more stress than fathers. For parents with PTB, positive communications from healthcare workers strengthened parental coping in neonatal intensive care unit and after discharge, but parents perceived discharges as early and inconsistent. IMPLICATIONS FOR PRACTICE AND RESEARCH: Interventions and new models of care improving communication with healthcare professionals, involving parents in infant care as early as possible, increasing staff support to help parents cope better, and optimizing the management of discharge need to be implemented into practice. Their impact on parenting stress on the long term needs to be investigated. SN - 1536-0911 UR - https://www.unboundmedicine.com/medline/citation/32108660/Comparative_Evaluation_of_Parental_Stress_Experiences_Up_to_2_to_3_Years_After_Preterm_and_Term_Birth_ L2 - https://doi.org/10.1097/ANC.0000000000000714 DB - PRIME DP - Unbound Medicine ER -