Parents' Experiences of the First Year at Home with an Infant Born Extremely Preterm with and without Post-Discharge

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.

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