Stress in fathers of surgical neonatal intensive care unit babies

Rachel A Joseph1, Amy B Mackley, Colleen G Davis

  • 1Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE 19803, USA. rjoseph@nemours.org

Insights

Fathers of infants in surgical neonatal intensive care units (NICUs) experience significant stress, particularly related to changes in their parental role and their infant's appearance. Understanding these stressors is crucial for providing better support.

Area of Science:

  • Neonatal care
  • Pediatric surgery
  • Psychology
  • Parental well-being

Background:

  • Infants admitted to a surgical neonatal intensive care unit (NICU) often present unique challenges for families.
  • Paternal stress during infant hospitalization is a critical but often understudied aspect of neonatal care.
  • Understanding the specific stressors fathers face can inform targeted support interventions.

Purpose of the Study:

  • To identify and quantify the specific components of perceived stress experienced by fathers of infants in a surgical NICU.
  • To assess the impact of infant hospitalization on paternal psychological well-being within a specialized care setting.

Main Methods:

  • Utilized the Parent Stressor Scale: Infant Hospitalization (PSS:IH) questionnaire.
  • Assessed perceived stress levels in a cohort of 22 fathers with infants in a surgical NICU.
  • Analyzed stress scores across different domains of the PSS:IH.

Main Results:

  • Fathers reported the highest levels of stress in the 'Parental Role Alteration' and 'Infant Appearance and Behavior' domains.
  • The 'Sights and Sounds' domain of the NICU environment was not significantly associated with self-reported paternal stress.
  • The study confirmed elevated perceived stress among fathers of infants in surgical NICU settings.

Conclusions:

  • Fathers of infants in surgical NICUs experience substantial psychological distress, particularly concerning their changing roles and infant's condition.
  • Findings highlight the need for increased attention and tailored support for fathers in the NICU environment.
  • Interventions should consider addressing parental role adjustments and concerns about infant appearance and behavior.

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