Very preterm birth: maternal experiences of the neonatal intensive care environment
Objective: Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT). Study Design: Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers c...
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| Veröffentlicht in: | Journal of perinatology 2014-07, Vol.34 (7), p.555-561 |
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| container_issue | 7 |
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| container_title | Journal of perinatology |
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| creator | Woodward, L J Bora, S Clark, C A C Montgomery-Hönger, A Pritchard, V E Spencer, C Austin, N C |
| description | Objective:
Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT).
Study Design:
Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development.
Result:
Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent–staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development.
Conclusion:
Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes. |
| doi_str_mv | 10.1038/jp.2014.43 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4154363</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A376391537</galeid><sourcerecordid>A376391537</sourcerecordid><originalsourceid>FETCH-LOGICAL-c671t-915826ec99922317e7f170480940e618e00c3607da520ced936e880da8f8ebf73</originalsourceid><addsrcrecordid>eNqFkl2L1DAUhoso7uzqjT9ACoIsSseTJk1aL4Rl8QsWvPDjNmTS05kMbdJN0sH996bMus6oKLkIyXnOe3LenCx7QmBJgNavtuOyBMKWjN7LFoQJXlQVo_ezBQhGi5oyfpKdhrAFmIPiYXZSMl4RQWGRff6G_iYfPUb0Q74yPm5e54NKJ6v6HL-P6A1ajSF3XR43mFt0VsUUMzaiDWaHuVYec7Q7450d0MZH2YNO9QEf3-5n2dd3b79cfiiuPr3_eHlxVWguSCwaUtUlR900TVlSIlB0RACroWGAnNQIoCkH0aqqBI1tQznWNbSq7mpcdYKeZW_2uuO0GrDVqbRXvRy9GZS_kU4ZeRyxZiPXbicZSf5wmgTObwW8u54wRDmYoLHvVepyCpLwsgQOnIn_oxUjtC5FRRL67Dd066bZziBLzoDzipLqX1TSAkGbCppf1Fr1KI3tXGpEz6XlBRWcJg_p_LjlX6i0WhyMdhY7k-6PEp4fJGxQ9XETXD9F42w4Bl_sQe1dCB67O3cJyHn45HaU8_BJNtv59PA_7tCf05aAl3sgpJBdoz_o-U-5HynC3zY</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1540739509</pqid></control><display><type>article</type><title>Very preterm birth: maternal experiences of the neonatal intensive care environment</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Woodward, L J ; Bora, S ; Clark, C A C ; Montgomery-Hönger, A ; Pritchard, V E ; Spencer, C ; Austin, N C</creator><creatorcontrib>Woodward, L J ; Bora, S ; Clark, C A C ; Montgomery-Hönger, A ; Pritchard, V E ; Spencer, C ; Austin, N C</creatorcontrib><description>Objective:
Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT).
Study Design:
Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development.
Result:
Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent–staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development.
Conclusion:
Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/jp.2014.43</identifier><identifier>PMID: 24651730</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>631/477 ; 692/700/1720/3185 ; 692/700/1720/3186 ; Adult ; Babies ; Child Development ; Child, Preschool ; Children ; Cognition ; Families & family life ; Female ; Health aspects ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight ; Infants ; Infants (Premature) ; Intensive care ; Intensive Care Units, Neonatal ; Intensive Care, Neonatal - psychology ; Language ; Male ; Medicine ; Medicine & Public Health ; Mental health ; Mothers ; Mothers - psychology ; Neonatal care ; Neonatal intensive care ; Neonates ; New Zealand ; Newborn babies ; original-article ; Parents & parenting ; Pediatric Surgery ; Pediatrics ; Postpartum depression ; Premature birth ; Psychological aspects ; Psychological factors ; Psychology ; Stress ; Stress (Psychology) ; Stress, Psychological ; Well being</subject><ispartof>Journal of perinatology, 2014-07, Vol.34 (7), p.555-561</ispartof><rights>Nature America, Inc. 2014</rights><rights>COPYRIGHT 2014 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jul 2014</rights><rights>Nature America, Inc. 2014.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c671t-915826ec99922317e7f170480940e618e00c3607da520ced936e880da8f8ebf73</citedby><cites>FETCH-LOGICAL-c671t-915826ec99922317e7f170480940e618e00c3607da520ced936e880da8f8ebf73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/jp.2014.43$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/jp.2014.43$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24651730$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Woodward, L J</creatorcontrib><creatorcontrib>Bora, S</creatorcontrib><creatorcontrib>Clark, C A C</creatorcontrib><creatorcontrib>Montgomery-Hönger, A</creatorcontrib><creatorcontrib>Pritchard, V E</creatorcontrib><creatorcontrib>Spencer, C</creatorcontrib><creatorcontrib>Austin, N C</creatorcontrib><title>Very preterm birth: maternal experiences of the neonatal intensive care environment</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Objective:
Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT).
Study Design:
Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development.
Result:
Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent–staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development.
Conclusion:
Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes.</description><subject>631/477</subject><subject>692/700/1720/3185</subject><subject>692/700/1720/3186</subject><subject>Adult</subject><subject>Babies</subject><subject>Child Development</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cognition</subject><subject>Families & family life</subject><subject>Female</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Very Low Birth Weight</subject><subject>Infants</subject><subject>Infants (Premature)</subject><subject>Intensive care</subject><subject>Intensive Care Units, Neonatal</subject><subject>Intensive Care, Neonatal - psychology</subject><subject>Language</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Mothers</subject><subject>Mothers - psychology</subject><subject>Neonatal care</subject><subject>Neonatal intensive care</subject><subject>Neonates</subject><subject>New Zealand</subject><subject>Newborn babies</subject><subject>original-article</subject><subject>Parents & parenting</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Postpartum depression</subject><subject>Premature birth</subject><subject>Psychological aspects</subject><subject>Psychological factors</subject><subject>Psychology</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Stress, Psychological</subject><subject>Well being</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkl2L1DAUhoso7uzqjT9ACoIsSseTJk1aL4Rl8QsWvPDjNmTS05kMbdJN0sH996bMus6oKLkIyXnOe3LenCx7QmBJgNavtuOyBMKWjN7LFoQJXlQVo_ezBQhGi5oyfpKdhrAFmIPiYXZSMl4RQWGRff6G_iYfPUb0Q74yPm5e54NKJ6v6HL-P6A1ajSF3XR43mFt0VsUUMzaiDWaHuVYec7Q7450d0MZH2YNO9QEf3-5n2dd3b79cfiiuPr3_eHlxVWguSCwaUtUlR900TVlSIlB0RACroWGAnNQIoCkH0aqqBI1tQznWNbSq7mpcdYKeZW_2uuO0GrDVqbRXvRy9GZS_kU4ZeRyxZiPXbicZSf5wmgTObwW8u54wRDmYoLHvVepyCpLwsgQOnIn_oxUjtC5FRRL67Dd066bZziBLzoDzipLqX1TSAkGbCppf1Fr1KI3tXGpEz6XlBRWcJg_p_LjlX6i0WhyMdhY7k-6PEp4fJGxQ9XETXD9F42w4Bl_sQe1dCB67O3cJyHn45HaU8_BJNtv59PA_7tCf05aAl3sgpJBdoz_o-U-5HynC3zY</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Woodward, L J</creator><creator>Bora, S</creator><creator>Clark, C A C</creator><creator>Montgomery-Hönger, A</creator><creator>Pritchard, V E</creator><creator>Spencer, C</creator><creator>Austin, N C</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>5PM</scope></search><sort><creationdate>20140701</creationdate><title>Very preterm birth: maternal experiences of the neonatal intensive care environment</title><author>Woodward, L J ; Bora, S ; Clark, C A C ; Montgomery-Hönger, A ; Pritchard, V E ; Spencer, C ; Austin, N C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c671t-915826ec99922317e7f170480940e618e00c3607da520ced936e880da8f8ebf73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>631/477</topic><topic>692/700/1720/3185</topic><topic>692/700/1720/3186</topic><topic>Adult</topic><topic>Babies</topic><topic>Child Development</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Cognition</topic><topic>Families & family life</topic><topic>Female</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infant, Very Low Birth Weight</topic><topic>Infants</topic><topic>Infants (Premature)</topic><topic>Intensive care</topic><topic>Intensive Care Units, Neonatal</topic><topic>Intensive Care, Neonatal - psychology</topic><topic>Language</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Mothers</topic><topic>Mothers - psychology</topic><topic>Neonatal care</topic><topic>Neonatal intensive care</topic><topic>Neonates</topic><topic>New Zealand</topic><topic>Newborn babies</topic><topic>original-article</topic><topic>Parents & parenting</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Postpartum depression</topic><topic>Premature birth</topic><topic>Psychological aspects</topic><topic>Psychological factors</topic><topic>Psychology</topic><topic>Stress</topic><topic>Stress (Psychology)</topic><topic>Stress, Psychological</topic><topic>Well being</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Woodward, L J</creatorcontrib><creatorcontrib>Bora, S</creatorcontrib><creatorcontrib>Clark, C A C</creatorcontrib><creatorcontrib>Montgomery-Hönger, A</creatorcontrib><creatorcontrib>Pritchard, V E</creatorcontrib><creatorcontrib>Spencer, C</creatorcontrib><creatorcontrib>Austin, N C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Woodward, L J</au><au>Bora, S</au><au>Clark, C A C</au><au>Montgomery-Hönger, A</au><au>Pritchard, V E</au><au>Spencer, C</au><au>Austin, N C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Very preterm birth: maternal experiences of the neonatal intensive care environment</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>34</volume><issue>7</issue><spage>555</spage><epage>561</epage><pages>555-561</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Objective:
Examine sources, predictors and child outcomes associated with neonatal intensive care unit (NICU)-related stress for mothers of infants born very preterm (VPT).
Study Design:
Participants were 133 mothers of VPT infants admitted to a regional level-III NICU. At term equivalent, mothers completed the Parental Stressor Scale: NICU and were interviewed about their psychological well-being and family circumstances. Infant clinical data were also collected. At corrected age 4 years, 49 children were assessed for cognition, language and socio-emotional development.
Result:
Mothers reported moderate to low stress, with parental role alteration considered most stressful and parent–staff communications least stressful. Predictors of overall stress included maternal educational underachievement, stressful life events, postnatal depression and infant unsettled-irregular behavior. NICU-related stress was associated with child anxiety and poorer language development.
Conclusion:
Parental well-being is an important focus of care in the neonatal setting. Strategies are needed to optimize early engagement and reduce stress levels to assist improved child outcomes.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>24651730</pmid><doi>10.1038/jp.2014.43</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2014-07, Vol.34 (7), p.555-561 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4154363 |
| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | 631/477 692/700/1720/3185 692/700/1720/3186 Adult Babies Child Development Child, Preschool Children Cognition Families & family life Female Health aspects Hospitals Humans Infant Infant, Newborn Infant, Premature Infant, Very Low Birth Weight Infants Infants (Premature) Intensive care Intensive Care Units, Neonatal Intensive Care, Neonatal - psychology Language Male Medicine Medicine & Public Health Mental health Mothers Mothers - psychology Neonatal care Neonatal intensive care Neonates New Zealand Newborn babies original-article Parents & parenting Pediatric Surgery Pediatrics Postpartum depression Premature birth Psychological aspects Psychological factors Psychology Stress Stress (Psychology) Stress, Psychological Well being |
| title | Very preterm birth: maternal experiences of the neonatal intensive care environment |
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