47 research outputs found
Kangaroo care procedure as a primary environment for preterm infants and their caregivers
Background: A preterm birth, usually accompanied by the need for neonatal intensive care (NICU) and
subsequent parents-infant separation, can disrupt infantsâ early development, parental
psychological well-being and parent-infant bonding. Recent research indicates that the early
environment and experiences play a critical role in infant development and parenting
processes. Kangaroo Care (KC) procedure has been introduced in high technology settings to
supplement incubator care and to reduce the initial parents-infant separation through skin-toskin
contact. Research has demonstrated its medical benefits but only partially documented
its psychological effects on infantsâ long-term development and parenting outcomes, and
controversial data has emerged in the UK.
Aim: The aim is to evaluate the psychological and behavioural impact of KC in high technology
NICU during the first year of life. The domains investigated are: 1) parental psychological
stress; 2) parents-preterm infant relationships; 3) mother-infant dyadic interaction; 4)
proximal environment and 5) preterm infants cognitive, motor, socio-emotional and
behavioural development.
Method: 56 mother-preterm infant dyads in KC were compared to a control group of 34 in traditional
care. Within this sample, a study was conducted with 28 fathers whose partner experienced
KC contact with their infant and 16 fathers who were part of the Control group. Data was collected at 6 stages: before the initiation of KC procedure, after discharge from hospital, and
at 3, 6, 9 and 12 months.
Results: KC mothers have less parental stress, better attachment and interaction with their preterm
infant across the research times and they provide a better home environment at 3 months than
the Control group. Moreover, KC infants are more responsive during interaction, present
better development in terms of motor and adaptive behaviors skills at 6 months, and better
communication skills at 12 months than the TC group. Conversely, KC does not directly
influence fathersâ psychological stress and the formation of father-infant relationships.
Conclusions: The KC procedure promotes maternal psychological well-being and mother-infant dyadic
relationships with a consequent positive influence on mother-child attachment and infant
development
Prenatal hormones in firstâtime expectant parents: Longitudinal changes and withinâcouple correlations
Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/111071/1/ajhb22670.pd
The transition to parenthood following a history of childhood maltreatment: a review of the literature on prospective and new parents' experiences
Background: Becoming a parent is viewed as one of the most important transitions in oneâs life. However, a history of childhood maltreatment may affect the adjustment to parenthood. Objective: The objective of this review was to synthesize the current evidence base to further our understanding of prospective and new parentsâ experiences in the transition to parenthood (pregnancy to 2Â years post-birth), in the context of having a childhood maltreatment history. Method: A scoping review of the literature was conducted using the following online databases: PubMed, PsycINFO, PsycNET, and Published International Literature of Traumatic Stress. Results: The findings were synthesized into a four-component theoretical framework, which included mental health of the parent, physical changes, parental view of the child, and view of the self as a parent. A total of 69 papers, including 181,537 participants (of whom 30,482 mothers and 235 fathers had maltreatment histories), investigated the transition to parenthood. The majority of the studies showed that parents with a maltreatment history may suffer from a range of mental health problems during the transition to parenthood, experience more negative physical changes, and have more negative views of their child (or children). However, they reported both positive and negative experiences regarding their identity as a parent. Conclusions: The findings suggest that maltreatment is a risk factor for a more challenging transition to parenthood. Experiences of fathers with maltreatment histories merit more attention, as do those of parents in low- and middle-income countries. Future directions should include predictors of positive experiences and the development of early interventions to improve outcomes for this population
Men's Psychological Transition to Fatherhood: An Analysis of the Literature, 1989\u20132008
Background: The most recent review on men's transition to fatherhood was published in 1986. The present paper reports on how the literature has portrayed fatherhood over the past 20 years. The aim was to investigate men's psychological transition to fatherhood from pregnancy of the partner through the infant's first year of life. Methods: The PsycINFO, PubMed, MEDLINE, Ingenta, Ovid, EMBASE, and WoS databases were accessed to conduct a literature search on the topic. The concepts of self-image transformation, triadic relationship development, and social environment influence were used to examine the complexity of the fatherhood transition process. Specific focus was placed on men's intrapsychic relational and social dimensions. Results: Our analysis of the yielded results revealed three specific fatherhood stages: prenatal, labor and birth, and postnatal periods. Partner pregnancy was found to be the most demanding period in terms of psychological reorganization of the self. Labor and birth were the most intensely emotional moments, and the postnatal period was most influenced by environmental factors. The latter was also experienced as being the most interpersonally and intrapersonally challenging in terms of coping with the new reality of being a father. Conclusions: Men's transition to fatherhood is guided by the social context in which they live and work and by personal characteristics in interplay with the quality of the partner relationship. Men struggle to reconcile their personal and work-related needs with those of their new families
Depression and anxiety in expectant and new fathers: longitudinal findings in Australian men
Experiences of fathering a baby admitted to neonatal intensive care: A critical gender analysis
AbstractMore fathers than ever before attend at the birth of their child and, internationally, there is a palpable pressure on maternity and neonatal services to include and engage with fathers. It is, thus, more important than ever to understand how fathers experience reproductive and neonatal health services and to understand how fathers can be successfully accommodated in these environments alongside their partners. In this paper we advance a theoretical framework for re-thinking fatherhood and health services approaches to fatherhood based on Critical Studies on Men (CSM). We illustrate the importance of this feminist informed theoretical approach to understanding the gendered experiences of fathers in a Neonatal Intensive Care Unit (NICU) setting in Northern Ireland. Using a longitudinal follow-up research design, with two data collection points, a total of 39 in-depth semi-structured interviews was conducted with 21 fathers of infants admitted to the NICU between August 2008 and December 2009. The findings demonstrate: (i) how men are forging new gendered identities around the birth of their baby but, over time, acknowledge women as the primary caregivers; (ii) how social class is a key determinant of menâs ability to enact hegemonic forms of âinvolved fatherhoodâ in the NICU, and; (iii) how men also encounter resistance from their partners and health professionals in challenging a gender order which associates women with the competent care of infants. An understanding of these gendered experiences operating at both individual and structural levels is critical to leading change for the inclusion of fathers as equal parents in healthcare settings