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.
Abstract

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