Parental experiences during the first period at the neonatal unit after two developmental care interventions

S M van der Pal1, C M Maguire, S le Cessie

  • 1Department of Pediatrics, Leiden University Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands.

Insights

Developmental care, including NIDCAP, showed little effect on parental stress and confidence in preterm infants. Fathers" and mothers" stress levels became more similar with NIDCAP, possibly due to increased father involvement.

Area of Science:

  • Neonatal care
  • Developmental psychology
  • Parental well-being

Background:

  • Developmental care is increasingly recognized for preterm infant individualized care.
  • NIDCAP (Newborn Individualized Developmental Care and Assessment Program) is an extended form of developmental care.

Purpose of the Study:

  • To investigate the impact of basic developmental care and NIDCAP on parental stress, confidence, and perceived nursing support.
  • To compare standard care with basic developmental care and NIDCAP.

Main Methods:

  • Two randomized controlled trials were conducted.
  • Trial 1: Standard care vs. basic developmental care (n=133).
  • Trial 2: Basic developmental care vs. NIDCAP (n=150).
  • Parents of infants born <32 weeks gestational age completed questionnaires.

Main Results:

  • No significant differences were observed in parental confidence, perceived nursing support, or overall parental stress.
  • The NIDCAP intervention group showed a trend towards a smaller difference in stress levels between mothers and fathers (p = .03).

Conclusions:

  • Basic developmental care and NIDCAP had minimal impact on parental experiences in the early neonatal period.
  • NIDCAP may help reduce disparities in parental stress between mothers and fathers, potentially by enhancing paternal involvement.
Abstract

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