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Updated: Jul 16, 2025

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Parental representations after preterm birth: a narrative review.

Emeline Hamon1,2, Béatrice Bourdin1,2, Barbara Le Driant1,2

  • 1Centre de Recherche en Psychologie: Cognition, Psychisme et Organisations (UR 7273), Université de Picardie Jules Verne, Amiens, France.

Frontiers in Psychology
|September 21, 2023
PubMed
Summary

Parental representations (PR) are key environmental factors influencing preterm infant development, not birth status alone. Understanding PR quality and parental mental elaboration supports socio-emotional growth in vulnerable preterm infants.

Keywords:
attachmentearly interactionsparental mentalizationparental reflective functioningparental representationspreterm birth

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Area of Science:

  • Developmental Psychology
  • Neonatal Care
  • Maternal Mental Health

Background:

  • Preterm birth affects millions globally, posing risks for atypical development and parental stress.
  • While preterm birth doesn't systematically cause insecure attachment, environmental factors are crucial.
  • Parental representations (PR) are increasingly recognized as significant in preterm infant development.

Purpose of the Study:

  • To review current findings on parental representations (PR), especially maternal PR, in the context of preterm birth.
  • To explore the association between PR quality and dyadic interaction patterns in preterm infants.
  • To highlight the importance of parental mental elaboration and contextual factors for socio-emotional development.

Main Methods:

  • A narrative literature review was conducted.
  • Focused on research concerning parental representations (PR) in preterm birth contexts.
  • Examined studies on dyadic interactions and socio-emotional development.

Main Results:

  • PR quality is linked to specific dyadic interaction patterns, indicating vulnerability factors.
  • Parental mental elaboration mechanisms and contextual moderators are vital for supporting preterm infants.
  • No systematic link found between preterm birth and insecure attachment, emphasizing environmental roles.

Conclusions:

  • Investigating PR in preterm birth presents challenges but is crucial for understanding development.
  • A developmental, non-deterministic perspective is needed for future research on PR.
  • Family-centered care and public policy supporting the "First 1,000 days" are essential for preterm infants.