Relationship between Maternal Stress and Neurobehavioral Indicators of Preterm Infants in the Neonatal Intensive Care Unit.

Autor: Ramos BA; Department of Health Sciences, Federal University of Goiás (UFG), Goiania 74605-050, Brazil., Formiga CKMR; Department of Physical Therapy, State University of Goiás (UEG), Goiania 74075-110, Brazil.; Cibelle Kayenne Martins Roberto Formiga, Universidade Estadual de Goiás, Unidade ESEFFEGO, Avenida Oeste, Setor Aeroporto, Goiania 74075-110, Brazil., Oliveira NRG; Department of Science Applied to Health Products, State University of Goiás (UEG), Goiania 74075-110, Brazil., Marçal PGE; Department of Studies and Research, Federal University of Goiás (UFG), Goiania 74605-050, Brazil., Ferreira RG; Department of Gynecology, Federal University of Goiás (UFG), Goiania 74605-050, Brazil., Saidah TK; Department of Gynecology, Federal University of Goiás (UFG), Goiania 74605-050, Brazil., Amaral WND; Department of Gynecology, Federal University of Goiás (UFG), Goiania 74605-050, Brazil.
Jazyk: angličtina
Zdroj: Children (Basel, Switzerland) [Children (Basel)] 2024 Jul 24; Vol. 11 (8). Date of Electronic Publication: 2024 Jul 24.
DOI: 10.3390/children11080889
Abstrakt: Background: Preterm birth and prolonged neonatal hospitalization are potential sources of stress for mothers of preterm and low birth weight infants.
Aim: To evaluate maternal stress and its association with neurobehavioral indicators of preterm infants during hospitalization in the neonatal intensive care unit.
Methods: A cross-sectional study was conducted in a neonatal intensive care unit of a hospital in Goiânia, Brazil. The study included preterm and low birth weight infants of both genders and their mothers. The Parental Stressor Scale: Neonatal Intensive Care Unit and the Neurobehavioral Assessment of the Preterm Infant were respectively applied to mothers and infants in the neonatal intensive care unit.
Results: The study involved 165 premature infants and their mothers. The mean age of the mothers was 26.3 years and most had a high school education level (57.6%). Mothers perceived the experience of having an infant in the neonatal intensive care unit as moderately stressful (2.96 ± 0.81). The parental role alteration (4.11 ± 1.03) and sights and sounds (2.15 ± 0.90) subscales exhibited the highest and lowest stress levels, respectively. Significant correlations (rho < -0.3; p < 0.05) were found between maternal stress and neurobehavioral indicators of infants. In the multivariate analysis, low leg tone was a predictor of higher maternal stress. Low tone and limited arm movement were predictors of higher maternal stress in the maternal role item.
Conclusions: The experience of having a preterm infant hospitalized was considered moderately stressful for mothers. Maternal stress levels were significantly correlated with low scores on neonatal neurobehavioral indicators.
Databáze: MEDLINE