Related Experiment Video
Updated: Sep 1, 2025

A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
Factors affecting stress levels in parents of surgical neonates: A prospective observational study
Nitin James Peters1, Karanbir Kaur2, Shivani Dogra1
1Department of Pediatric Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India, 160012.
Insights
Parents of newborns undergoing surgery experience significant stress, particularly related to their child's appearance and behavior, and altered parental roles. Targeted counseling is crucial for addressing these parental stress factors.
Area of Science:
- Neonatal surgery
- Pediatric critical care
- Parental mental health
Background:
- Limited research exists on parental stress in newborns undergoing surgery.
- Healthcare systems face challenges including overcrowding and socioeconomic factors impacting care.
- Congenital malformations in neonates present unique challenges for parents.
Purpose of the Study:
- To investigate factors contributing to stress in parents of neonates with congenital malformations.
- To quantify parental stress levels using a validated questionnaire.
Main Methods:
- Prospective cohort study in a neonatal surgical intensive care unit.
- 100 parents of surgical neonates were assessed.
- The Perceived Stress Scale: Neonatal Intensive Care Unit (PSS: NICU) was used for interviews conducted 3-5 days post-surgery.
Main Results:
- Fathers constituted 59% of respondents; most parents were aged 24-35.
- Highest stress domains were alteration in parental role and infant appearance/behavior.
- Maternal stress scores were significantly higher across all domains.
- Abdominal wall defects were associated with the highest overall stress scores.
Conclusions:
- Parents of neonates undergoing surgery experience substantial stress.
- Interventions should focus on counseling tailored to specific stressors.
- Addressing parental stress is vital for improving outcomes in neonatal surgical care.
Background:
There is a paucity of research focusing on the stress levels in parents of newborns undergoing surgery. Resource challenged systems have to deal with overcrowding, a shortage of workforce along with demographic and socioeconomic issues like delayed presentations and out of pocket expenses. The primary objective of this study was to understand the factors associated with stress in the parents of these congenitally malformed neonates.
Methodology:
This was a prospective cohort study, which was conducted in a neonatal surgical ICU of a tertiary care teaching hospital. Factors affecting stress levels in parents of surgical neonates were studied in 100 participants. A multi-dimensional questionnaire - The PSS: NICU score was utilized in the study. The parents were interviewed on Day 3-5 after surgery.
Result:
59% of the respondents were fathers. The majority of the parents were in the age bracket of 24 to 35 years. The mean scores for the subscales sights and sounds, looks and behavior and alteration in the parental role were 3.24±0.8, 3.52±0.63, 3.55±0.8 and 2.8 ± 0.9 respectively. The highest level of stress was found in the domains of alteration of parental role and infant appearance and behavior. Comparisons showed significantly higher maternal scores in all the domains. Overall stress scores were highest for abdominal wall defects.
Conclusion:
Parents of neonates undergoing surgery suffer from significant stress levels and appropriate counseling targeted towards specific stressors is required to allay this important parental issue.
More Related Videos
06:39Using a Murine Model of Psychosocial Stress in Pregnancy as a Translationally Relevant Paradigm for Psychiatric Disorders in Mothers and Infants
Published on: June 13, 2021
09:49Assessment of Perigenital Sensitivity and Prostatic Mast Cell Activation in a Mouse Model of Neonatal Maternal Separation
Published on: August 13, 2015
Related Concept Videos
Factors Affecting Body Temperature
Factors may include:
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Introduction to Stress and Lifestyle
Psychological Responses to Stress
Aneurysm IV: Nursing Management
Kidney Transplant III: Nursing Management