Parental stress and toddler behaviour at age 18 months after pre-term birth

Karin Jackson1, Britt-Marie Ternestedt, Anders Magnuson

  • 1Department of Health Science, Orebro University, Orebro, Sweden. karin.jackson@hi.oru.se

Insights

Parental stress and child behavior assessments were similar between mothers and fathers at 18 months post-preterm birth. Parents of very preterm infants reported higher stress and perceived behavioral differences in their children.

Area of Science:

  • Developmental Psychology
  • Neonatal Care
  • Parenting Studies

Background:

  • Preterm birth presents unique challenges for infant development and parental well-being.
  • Understanding parental perceptions of stress and child behavior is crucial for early intervention.
  • The impact of prematurity, gestational age, and multiple births on parent-child dynamics requires further investigation.

Purpose of the Study:

  • To assess parental stress and child behavior at 18 months post-preterm birth.
  • To explore correlations between parental assessments, neonatal morbidity, gestational age, and multiple births.
  • To compare perceptions between mothers and fathers of preterm infants.

Main Methods:

  • A cohort of 21 mothers and 19 fathers of preterm infants participated.
  • Participants completed the Swedish Parenthood Stress Questionnaire (SPSQ) and the Toddler Behaviour Questionnaire (TBQ).
  • Data analysis explored relationships between parental stress, child behavior, and birth characteristics.

Main Results:

  • Mothers reported slightly higher parental stress than fathers.
  • Parents of infants born between 25-30 weeks gestational age and those with twins/triplets reported increased stress, though not statistically significant.
  • Parents of infants born between 25-30 weeks gestational age rated their children's intensity/activity significantly higher (p = 0.002); significant correlation found between parental stress and child behavior regularity (p = 0.016).

Conclusions:

  • Mothers' and fathers' assessments of their stress and children's behavior were largely consistent.
  • Parents of very preterm infants experienced greater stress and perceived some social behavior delays in their children, potentially linked to lower gestational age.
  • Findings highlight the need for targeted support for parents of very preterm infants.
Abstract

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