Am J Perinatol 2009; 26(2): 159-164
DOI: 10.1055/s-0028-1095186
© Thieme Medical Publishers

Does Individual Room Implemented Family-Centered Care Contribute to Mother–Infant Interaction in Preterm Deliveries Necessitating Neonatal Intensive Care Unit Hospitalization?

Omer Erdeve1 , Saadet Arsan1 , F. Emre Canpolat2 , Ilgi Ozturk Ertem3 , Belma Saygili Karagol1 , Begum Atasay1 , Murat Yurdakok2 , Gulsevin Tekinalp2 , Tomris Turmen1
  • 1Division of Neonatology, Department of Pediatrics, Ankara University, School of Medicine, Ankara, Turkey
  • 2Division of Neonatology, Department of Pediatrics, Hacettepe University, School of Medicine, Ankara, Turkey
  • 3Division of Developmental Pediatrics, Department of Pediatrics, Ankara University, School of Medicine, Ankara, Turkey
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Publikationsverlauf

Publikationsdatum:
19. November 2008 (online)

ABSTRACT

The aim of the study was to investigate the effect of individual room care in the neonatal intensive care unit (NICU) on the factors that influence mother–preterm infant interaction. Mothers in group I had hospitalization with their preterm infants in an individual room in the NICU. Mothers in group II were not hospitalized but had opportunity to visit their babies and spend time with them whenever they wanted. On the postdischarge third month, mothers were assessed for parental stress, postpartum depression, and perception of vulnerability. Although the mean depression, stress, and vulnerability scores were higher in group II, there was no significant difference between the groups (p > 0.05). Postpartum depression rate was more than double in group II, but this difference was not statistically significant (p = 0.06). Individual room care in the NICU cannot prevent maternal stress, postpartum depression, and perception of vulnerability related to having a high-risk preterm infant by itself alone.

REFERENCES

  • 1 Johnson B H, Abraham M R, Parrish R N. Designing the neonatal intensive care unit for optimal family involvement.  Clin Perinatol. 2004;  31 353-382
  • 2 Griffin T. Family-centered care in the NICU.  J Perinat Neonatal Nurs. 2006;  20 98-102
  • 3 White R D. Individual rooms in the NICU—an evolving concept.  J Perinatol. 2003;  23 S22-S24
  • 4 Padden T, Glenn S. Maternal experiences of preterm birth and neonatal intensive care.  J Reprod Infant Psychol. 1997;  15 121-139
  • 5 Redshaw M E, Harris A. Maternal perceptions of neonatal care.  Acta Paediatr. 1995;  84 593-598
  • 6 Thun-Hohenstein L, Wienerroither C, Schreuer M, Seim G, Wienerroither H. Antenatal mental representations about the child and mother–infant interaction at three months post partum.  Eur Child Adolesc Psychiatry. 2008;  17 9-19
  • 7 Nichols K, Gergely G, Fonagy P. Experimental protocols for investigating relationships among mother-infant interaction, affect regulation, physiological marks of stress responsiveness, and attachment.  Bull Menninger Clin. 2001;  65 371-379
  • 8 Kersting A, Dorsch M, Wesselmann U et al.. Maternal posttraumatic stress response after birth of a very low-birth-weight infant.  J Psychosom Res. 2004;  57 473-476
  • 9 International Neonatal Network . The CRIB (Clinical Risk Index for Babies) score: a tool for assessing initial neonatal risk and comparing performance of neonatal intensive care units.  Lancet. 1993;  342 193-198
  • 10 Gray J E, Richardson D K, McCormick M C, Workman-Daniels K, Goldmann D A. Neonatal therapeutic intervention scoring system: a therapy-based severity-of-illness index.  Pediatrics. 1992;  90 561-567
  • 11 Abidin R R. Parenting Stress Index-Short Form: Test Manual. Charlottesville, VA; Pediatric Psychology Press 1990
  • 12 Teti D M, Hess C R, O'Connell M. Parental perceptions of infant vulnerability in a preterm sample: prediction from maternal adaptation to parenthood during the neonatal period.  J Dev Behav Pediatr. 2005;  26 283-292
  • 13 Cox J L, Holden J M, Sagovsky R. Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale.  Br J Psychiatry. 1987;  150 782-786
  • 14 Aydin N, Inandi T, Yigit A, Sahin Hodoglugil N N. Validation of the Turkish version of the Edinburgh Postnatal Depression Scale among women within their first postpartum year.  Soc Psychiatry Psychiatr Epidemiol. 2004;  39 483-486
  • 15 Forsyth B W, Horwitz S M, Leventhal J M, Burger J, Leaf P J. The Child Vulnerability Scale. An instrument to measure parental perceptions of child vulnerability.  J Pediatr Psychol. 1996;  21 89-101
  • 16 Browne J V, Talmi A. Family based intervention to enhance infant-parent relationships in the neonatal intensive care unit.  J Pediatr Psychol. 2005;  30 667-677
  • 17 Harrison H. The principles of family-centered neonatal care.  Pediatrics. 1993;  92 643-650
  • 18 Moore K A, Coker K, DuBuisson A B, Sweet B, Edwards W H. Implementing potentially better practices for improving family-centered care in neonatal intensive care units: successes and challenges.  Pediatrics. 2003;  111 e450-e460
  • 19 Perrin E C, West P A, Culley B S. Is my child normal yet? Correlates of vulnerability.  Pediatrics. 1989;  83 355-363
  • 20 Carter J D, Mulder R T, Bartram A F, Darlow B A. Infants in a neonatal intensive care unit: parental response.  Arch Dis Child Fetal Neonatal Ed. 2005;  90 F109-F133
  • 21 Fowlie P W, McHaffie H. Supporting parents in the neonatal unit.  BMJ. 2004;  329 1336-1338
  • 22 Shaw R J, Deblois T, Ikuta L, Ginzburg K, Fleisher B, Koopman C. Acute stress disorder among parents of infants in the neonatal intensive care nursery.  Psychosomatics. 2006;  47 206-212
  • 23 Singer L T, Salvator A, Guo S, Collin M, Lilien L, Baley J. Maternal psychological distress and parenting stress after the birth of a very low-birth-weight infant.  JAMA. 1999;  281 799-805
  • 24 Spear M L, Leef K, Epps S, Locke R. Family reactions during infants' hospitalization in the neonatal intensive care unit.  Am J Perinatol. 2002;  19 205-213
  • 25 Beck C T. Recognising and screening for postpartum depression in mothers of NICU infants.  Adv Neonatal Care. 2003;  3 37-46
  • 26 Tommiska V, Östberg M, Fellman V. Parental stress in families of 2 year old extremely low birthweight infants.  Arch Dis Child Fetal Neonatal Ed. 2002;  86 F161-F164

Omer ErdeveM.D. 

10 Cadde Agacseven Sokak, 3/18

Cayyolu 06830 Ankara/Turkey

eMail: omererdeve@yahoo.com

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