Parents' Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge Intervention: Ambivalence, Loneliness, and Relationship Impact
Erika Baraldi1, Mara Westling Allodi1, Ann-Charlotte Smedler2
1Department of Special Education, Stockholm University, 106 91 Stockholm, Sweden.
Insights
Parents of extremely preterm (EPT) infants face significant challenges during the first year home, experiencing ongoing child-related worries and personal emotional distress. Early intervention may offer a sense of security and support.
Area of Science:
- Neonatal care
- Parental mental health
- Child development
Background:
- Increasing survival rates of extremely preterm (EPT) infants necessitate understanding post-discharge family experiences.
- Previous quantitative studies indicate elevated parental depression, PTSD, and anxiety.
- Qualitative exploration is needed to understand the lived experiences of parents with EPT infants.
Purpose of the Study:
- To qualitatively explore the experiences of parents with EPT infants during their first year at home in Sweden.
- To identify key concerns and challenges faced by these families.
- To compare experiences between an early intervention group and a treatment-as-usual group.
Main Methods:
- Semi-structured interviews were conducted with 17 parents of 14 EPT infants.
- Participants included parents from an early intervention group (8) and a treatment-as-usual group (9).
- Thematic analysis was used to identify key themes in parental experiences.
Main Results:
- Three primary themes emerged: child-related concerns, parental emotional state, and altered family dynamics.
- Parents consistently reported prolonged worries about their child's well-being.
- Parents in the early intervention group noted benefits such as increased security and knowledgeable support.
Conclusions:
- The first year at home for parents of EPT infants is characterized by persistent parental worries and concerns about their own emotional state.
- Parental experiences are influenced by child-related factors, their own inner state, and family dynamics.
- Early intervention may provide crucial support and enhance parental feelings of security.
Abstract:
With increasing survival rates of children born extremely preterm (EPT), before gestational week 28, the post-discharge life of these families has gained significant research interest. Quantitative studies of parental experiences post-discharge have previously reported elevated levels depressive symptoms, posttraumatic stress-disorder and anxiety among the parents. The current investigation aims to qualitatively explore the situation for parents of children born EPT in Sweden during the first year at home. Semi-structured interviews were performed with 17 parents of 14 children born EPT; eight parents were from an early intervention group and nine parents from a group that received treatment as usual, with extended follow-up procedures. Three main themes were identified using a thematic analytic approach: child-related concerns, the inner state of the parent, and changed family dynamics. Parents in the intervention group also expressed themes related to the intervention, as a sense of security and knowledgeable interventionists. The results are discussed in relation to different concepts of health, parent-child interaction and attachment, and models of the recovery processes. In conclusion, parents describe the first year at home as a time of prolonged parental worries for the child as well as concerns regarding the parent's own emotional state.
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