Vol 13: Unexpected: an interpretive description of parental traumas associated with preterm birth.Report as inadecuate



 Vol 13: Unexpected: an interpretive description of parental traumas associated with preterm birth.


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This article is from BMC Pregnancy and Childbirth, volume 13.AbstractBackground: Preterm birth PTB places a considerable emotional, psychological, and financial burden on parents, families, health care resources, and society as a whole. Efforts to estimate these costs have typically considered the direct medical costs of the initial hospital and outpatient follow-up care but have not considered non-financial costs associated with PTB such as adverse psychosocial and emotional effects, family disruption, strain on relationships, alterations in self-esteem, and deterioration in physical and mental health. The aim of this inquiry is to understand parents’ experience of PTB to inform the design of subsequent studies of the direct and indirect cost of PTB. The study highlights the traumatic nature of having a child born preterm and discusses implications for clinical care and further research. Method: Through interviews and focus groups, this interpretive descriptive study explored parents’ experiences of PTB. The interviews were audiotaped, transcribed, and analyzed for themes. Analysis was ongoing throughout the study and in subsequent interviews, parents were asked to reflect and elaborate on the emerging themes as they were identified. Results: PTB is a traumatic event that shattered parents’ taken-for-granted expectations of parenthood. For parents in our study, the trauma they experienced was not related to infant characteristics e.g., gestational age, birth weight, Apgar scores, or length of stay in the NICU, but rather to prolonged uncertainty, lack of agency, disruptions in meaning systems, and alterations in parental role expectations. Our findings help to explain why things like breast feeding, kangaroo care, and family centered practices are so meaningful to parents in the NICU. As well as helping to reconstruct their role as parents, these activities afford parents a sense of agency, thereby moderating their own helplessness. Conclusion: These findings underscore the traumatic nature and resultant psychological distress related to PTB. Obstetrical and neonatal healthcare providers need to be educated about the symptoms of Acute Stress Disorder ASD and Posttraumatic Stress Disorder PTSD to better understand and support parents’ efforts to adapt and to make appropriate referrals if problems develop. Longitudinal economic studies must consider the psychosocial implications of PTB to in order to determine the total related costs.



Author: Lasiuk, Gerri C; Comeau, Thea; Newburn-Cook, Christine

Source: https://archive.org/







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