Skin-to-Skin Contact and Parental Stress among Parents with Preterm Infant during NICU Admission: A Review
Keywords:
NICU, neurodevelopmental care, parental distress, premature infant, skin-to-skin contact
Abstract
Background: Psychological distress of parents with preterm infant also could be treated appropriately by enhancing parent’s involvement in infant care, including skin-to-skin contact. A few of studies related to skin-to-skin contact have revealed can benefit from infant and parental outcomes. The previous review only explored the distress among parents with healthy infant. The effect skin-to-skin contact among parents with preterm infant is necessary to be investigated. Objective: This article provided a review related to effect of skin-to-skin contact toward parent stress during preterm infant’s hospitalization in NICU. Methods.A literature review was performed by searching of trials using PubMed, Cochrane Library, MEDLINE, and CINAHL and published in English from 2012 to 2022, English-published, full text availability related to skin-to-skin contact, or Kangaroo Mother Care, preterm infants and parental distress (mother and/or father) in NICU. Result: This study involved six trials and 489 parents with preterm infant. Fours studies explored maternal stress and the others assessed parental stress during NICU admission. Five trials reported parental stress deflation after skin-to-skin contact with their infants, otherwise one trial revealed that skin-to-skin contact escalated parental stress due to a more facilitated infant progression. Conclusion: Skin-to-skin contact benefits parents with preterm infants by decreasing the psychological distress during NICU admission.
References
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Cho, E.S., Kim, S.J., Kwon, M.S., Cho, H., Kim, E.H., Jun, E.M. and Lee, S., 2016. The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of pediatric nursing, 31(4), pp.430-438. doi:10.1016/j.pedn.2016.02.007
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Kommers, D.R., Joshi, R., van Pul, C., Atallah, L., Feijs, L., Oei, G., Oetomo, S.B. and Andriessen, P., 2017. Features of heart rate variability capture regulatory changes during kangaroo care in preterm infants. The journal of pediatrics, 182, pp.92-98. doi: 10.1016/j.jpeds.2016.11.059
Korja, R., Savonlahti, E., Ahlqvist‐Björkroth, S., Stolt, S., Haataja, L., Lapinleimu, H., Piha, J., Lehtonen, L. and PIPARI Study Group, 2008. Maternal depression is associated with mother–infant interaction in preterm infants. Acta Paediatrica, 97(6), pp.724-730. doi:10.1111/j.1651-2227.2008.00733.x
Kuo, S.F., Chen, I.H., Chen, S.R., Chen, K.H., Fernandez, R.S., Dowling, D., Schierholz, E. and Parker, L., 2022. The Effect of Paternal Skin-to-Skin Care: A Systematic Review and Meta-analysis of Randomized Control Trials. Advances in Neonatal Care, 22(1), pp.E22-E32. doi:10.1097/ANC.0000000000000890
Lai, H.L., Chen, C.J., Peng, T.C., Chang, F.M., Hsieh, M.L., Huang, H.Y. and Chang, S.C., 2006. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants’ responses. International journal of nursing studies, 43(2), pp.139-146. doi:10.1016/j.ijnurstu.2005.04.008
Ludington-Hoe, S.M., Morgan, K. and Abouelfettoh, A., 2008. A clinical guideline for implementation of kangaroo care with premature infants of 30 or more weeks' postmenstrual age. Advances in Neonatal Care, 8(3), pp.S3-S23. doi: 10.1097/01.ANC.0000324330.25734.b6
McGrath, J.M., Records, K. and Rice, M., 2008. Maternal depression and infant temperament characteristics. Infant behavior and development, 31(1), pp.71-80. doi:10.1016/j.infbeh.2007.07.001
Miles, R., Cowan, F., Glover, V., Stevenson, J. and Modi, N., 2006. A controlled trial of skin-to-skin contact in extremely preterm infants. Early human development, 82(7), pp.447-455. doi:10.1016/j.earlhumdev.2005.11.008
Mirnia, K., Bostanabad, M.A., Asadollahi, M. and Razzaghi, M.H., 2017. Paternal skin-to-skin care and its effect on cortisol levels of the infants. Iranian Journal of Pediatrics, 27(1). doi:10.5812/ijp.8151
Moore, E.R., Bergman, N., Anderson, G.C. and Medley, N., 2016. Early skin‐to‐skin contact for mothers and their healthy newborn infants. Cochrane database of systematic Reviews, (11). doi:10.1002/14651858.CD003519.pub4
Mörelius, E., Örtenstrand, A., Theodorsson, E. and Frostell, A., 2015. A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding. Early human development, 91(1), pp.63-70. doi:10.1016/j.earlhumdev.2014.12.005
Ramachandran, S. and Dutta, S., 2013. Early developmental care interventions of preterm very low birth weight infants. Indian pediatrics, 50, pp.765-770. Doi: 10.1007/s13312-013-0221-y
Samra, H.A., Dutcher, J., McGrath, J.M., Foster, M., Klein, L., Djira, G., Hansen, J., Wallenburg, D. and Dowling, D., 2015. Effect of skin-to-skin holding on stress in mothers of late-preterm infants. Advances in neonatal care, 15(5), pp.354-364. doi:10.1097/ANC.0000000000000223
Scatliffe, N., Casavant, S., Vittner, D. and Cong, X., 2019. Oxytocin and early parent-infant interactions: A systematic review. International journal of nursing sciences, 6(4), pp.445-453. doi:10.1016/j.ijnss.2019.09.009
Tallandini, M.A. and Scalembra, C., 2006. Kangaroo mother care and mother‐premature infant dyadic interaction. Infant mental health journal, 27(3), pp.251-275. doi:10.1002/imhj.20091
Vanderbilt, D., Wang, C.J. and Parker, S., 2007. The do's in preemie neurodevelopment. Contemporary Pediatrics, 24(9), pp.84-93.
Verbiest, S., Bonzon, E. and Handler, A., 2016. Postpartum health and wellness: A call for quality woman-centered care. Maternal and child health journal, 20, pp.1-7. doi:10.1007/s10995-016-2188-5
Vittner, D., McGrath, J., Robinson, J., Lawhon, G., Cusson, R., Eisenfeld, L., Walsh, S., Young, E. and Cong, X., 2018. Increase in oxytocin from skin-to-skin contact enhances development of parent–infant relationship. Biological research for nursing, 20(1), pp.54-62. doi:10.1177/1099800417735633
Wang, F., Li, Y., Li, S., Liu, Y., Sun, C. and Hu, Y., 2020. Effects of kangaroo mother care on anxiety and parenting stress in premature mothers. Chinese Journal of Behavioral Medicine and Brain Science, pp.74-78.
Akl, E.A., Briel, M., You, J.J., Sun, X., Johnston, B.C., Busse, J.W., Mulla, S., Lamontagne, F., Bassler, D., Vera, C. and Alshurafa, M., 2012. Potential impact on estimated treatment effects of information lost to follow-up in randomised controlled trials (LOST-IT): systematic review. Bmj, 344. doi:10.1136/bmj.e2809
Athanasopoulou, E. and Fox, J.R., 2014. Effects of kangaroo mother care on maternal mood and interaction patterns between parents and their preterm, low birth weight infants: a systematic review. Infant mental health journal, 35(3), pp.245-262. doi:10.1002/imhj.21444
Boundy, E.O., Dastjerdi, R., Spiegelman, D., Fawzi, W.W., Missmer, S.A., Lieberman, E., Kajeepeta, S., Wall, S. and Chan, G.J., 2016. Kangaroo mother care and neonatal outcomes: a meta-analysis. Pediatrics, 137(1). doi:10.1542/peds.2015-2238
Bry, A. and Wigert, H., 2019. Psychosocial support for parents of extremely preterm infants in neonatal intensive care: a qualitative interview study. BMC psychology, 7, pp.1-12. doi: 10.1186/s40359-019-0354-4
Butruille, L., Blouin, A., De Jonckheere, J., Mur, S., Margez, T., Rakza, T. and Storme, L., 2017. Impact of skin-to-skin contact on the autonomic nervous system in the preterm infant and his mother. Infant Behavior and Development, 49, pp.83-86. doi:10.1016/j.infbeh.2017.07.003
Cho, E.S., Kim, S.J., Kwon, M.S., Cho, H., Kim, E.H., Jun, E.M. and Lee, S., 2016. The effects of kangaroo care in the neonatal intensive care unit on the physiological functions of preterm infants, maternal–infant attachment, and maternal stress. Journal of pediatric nursing, 31(4), pp.430-438. doi:10.1016/j.pedn.2016.02.007
Craig, J.W., Glick, C., Phillips, R., Hall, S.L., Smith, J. and Browne, J., 2015. Recommendations for involving the family in developmental care of the NICU baby. Journal of Perinatology, 35(1), pp.S5-S8. doi:10.1038/jp.2015.142
Disher, T., Benoit, B., Johnston, C. and Campbell‐Yeo, M., 2017. Skin‐to‐skin contact for procedural pain in neonates: Acceptability of novel systematic review synthesis methods and GRADEing of the evidence. Journal of Advanced Nursing, 73(2), pp.504-519. doi:10.1111/jan.13182
Elverson, C.A., Wilson, M.E., Hertzog, M.A. and French, J.A., 2012. Social regulation of the stress response in the transitional newborn: A pilot study. Journal of Pediatric Nursing, 27(3), pp.214-224. doi: 10.1016/j.pedn.2011.01.029
Evereklian, M. and Posmontier, B., 2017. The impact of kangaroo care on premature infant weight gain. Journal of pediatric nursing, 34, pp.e10-e16. doi: 0.1016/j.pedn.2017.02.006
Feldman, R., Eidelman, A.I., Sirota, L. and Weller, A., 2002. Comparison of skin-to-skin (kangaroo) and traditional care: parenting outcomes and preterm infant development. Pediatrics, 110(1), pp.16-26. doi:10.1542/peds.110.1.16
Gao, H., Xu, G., Gao, H., Dong, R., Fu, H., Wang, D., Zhang, H. and Zhang, H., 2015. Effect of repeated Kangaroo Mother Care on repeated procedural pain in preterm infants: A randomized controlled trial. International journal of nursing studies, 52(7), pp.1157-1165. doi:10.1016/j.ijnurstu.2015.04.006
Gupta, N., Deierl, A., Hills, E. and Banerjee, J., 2021. Systematic review confirmed the benefits of early skin‐to‐skin contact but highlighted lack of studies on very and extremely preterm infants. Acta paediatrica, 110(8), pp.2310-2315. doi:10.1111/apa.15913
Ionio, C., Ciuffo, G. and Landoni, M., 2021. Parent–infant skin-to-skin contact and stress regulation: A systematic review of the literature. International journal of environmental research and public health, 18(9), p.4695. doi:10.3390/ijerph18094695
Ionio, C., Colombo, C., Brazzoduro, V., Mascheroni, E., Confalonieri, E., Castoldi, F. and Lista, G., 2016. Mothers and fathers in NICU: the impact of preterm birth on parental distress. Europe's journal of psychology, 12(4), p.604. doi:10.5964/ejop.v12i4.1093
Kommers, D.R., Joshi, R., van Pul, C., Atallah, L., Feijs, L., Oei, G., Oetomo, S.B. and Andriessen, P., 2017. Features of heart rate variability capture regulatory changes during kangaroo care in preterm infants. The journal of pediatrics, 182, pp.92-98. doi: 10.1016/j.jpeds.2016.11.059
Korja, R., Savonlahti, E., Ahlqvist‐Björkroth, S., Stolt, S., Haataja, L., Lapinleimu, H., Piha, J., Lehtonen, L. and PIPARI Study Group, 2008. Maternal depression is associated with mother–infant interaction in preterm infants. Acta Paediatrica, 97(6), pp.724-730. doi:10.1111/j.1651-2227.2008.00733.x
Kuo, S.F., Chen, I.H., Chen, S.R., Chen, K.H., Fernandez, R.S., Dowling, D., Schierholz, E. and Parker, L., 2022. The Effect of Paternal Skin-to-Skin Care: A Systematic Review and Meta-analysis of Randomized Control Trials. Advances in Neonatal Care, 22(1), pp.E22-E32. doi:10.1097/ANC.0000000000000890
Lai, H.L., Chen, C.J., Peng, T.C., Chang, F.M., Hsieh, M.L., Huang, H.Y. and Chang, S.C., 2006. Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants’ responses. International journal of nursing studies, 43(2), pp.139-146. doi:10.1016/j.ijnurstu.2005.04.008
Ludington-Hoe, S.M., Morgan, K. and Abouelfettoh, A., 2008. A clinical guideline for implementation of kangaroo care with premature infants of 30 or more weeks' postmenstrual age. Advances in Neonatal Care, 8(3), pp.S3-S23. doi: 10.1097/01.ANC.0000324330.25734.b6
McGrath, J.M., Records, K. and Rice, M., 2008. Maternal depression and infant temperament characteristics. Infant behavior and development, 31(1), pp.71-80. doi:10.1016/j.infbeh.2007.07.001
Miles, R., Cowan, F., Glover, V., Stevenson, J. and Modi, N., 2006. A controlled trial of skin-to-skin contact in extremely preterm infants. Early human development, 82(7), pp.447-455. doi:10.1016/j.earlhumdev.2005.11.008
Mirnia, K., Bostanabad, M.A., Asadollahi, M. and Razzaghi, M.H., 2017. Paternal skin-to-skin care and its effect on cortisol levels of the infants. Iranian Journal of Pediatrics, 27(1). doi:10.5812/ijp.8151
Moore, E.R., Bergman, N., Anderson, G.C. and Medley, N., 2016. Early skin‐to‐skin contact for mothers and their healthy newborn infants. Cochrane database of systematic Reviews, (11). doi:10.1002/14651858.CD003519.pub4
Mörelius, E., Örtenstrand, A., Theodorsson, E. and Frostell, A., 2015. A randomised trial of continuous skin-to-skin contact after preterm birth and the effects on salivary cortisol, parental stress, depression, and breastfeeding. Early human development, 91(1), pp.63-70. doi:10.1016/j.earlhumdev.2014.12.005
Ramachandran, S. and Dutta, S., 2013. Early developmental care interventions of preterm very low birth weight infants. Indian pediatrics, 50, pp.765-770. Doi: 10.1007/s13312-013-0221-y
Samra, H.A., Dutcher, J., McGrath, J.M., Foster, M., Klein, L., Djira, G., Hansen, J., Wallenburg, D. and Dowling, D., 2015. Effect of skin-to-skin holding on stress in mothers of late-preterm infants. Advances in neonatal care, 15(5), pp.354-364. doi:10.1097/ANC.0000000000000223
Scatliffe, N., Casavant, S., Vittner, D. and Cong, X., 2019. Oxytocin and early parent-infant interactions: A systematic review. International journal of nursing sciences, 6(4), pp.445-453. doi:10.1016/j.ijnss.2019.09.009
Tallandini, M.A. and Scalembra, C., 2006. Kangaroo mother care and mother‐premature infant dyadic interaction. Infant mental health journal, 27(3), pp.251-275. doi:10.1002/imhj.20091
Vanderbilt, D., Wang, C.J. and Parker, S., 2007. The do's in preemie neurodevelopment. Contemporary Pediatrics, 24(9), pp.84-93.
Verbiest, S., Bonzon, E. and Handler, A., 2016. Postpartum health and wellness: A call for quality woman-centered care. Maternal and child health journal, 20, pp.1-7. doi:10.1007/s10995-016-2188-5
Vittner, D., McGrath, J., Robinson, J., Lawhon, G., Cusson, R., Eisenfeld, L., Walsh, S., Young, E. and Cong, X., 2018. Increase in oxytocin from skin-to-skin contact enhances development of parent–infant relationship. Biological research for nursing, 20(1), pp.54-62. doi:10.1177/1099800417735633
Wang, F., Li, Y., Li, S., Liu, Y., Sun, C. and Hu, Y., 2020. Effects of kangaroo mother care on anxiety and parenting stress in premature mothers. Chinese Journal of Behavioral Medicine and Brain Science, pp.74-78.
Published
2023-01-31
How to Cite
Pratiwi, H. M., & Nani, D. (2023). Skin-to-Skin Contact and Parental Stress among Parents with Preterm Infant during NICU Admission: A Review. Journal of Bionursing, 5(1), 42-52. https://doi.org/10.20884/1.bion.2023.5.1.169
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Articles
Copyright (c) 2023 Hikmi Muharromah Pratiwi, Desiyani Nani
This work is licensed under a Creative Commons Attribution 4.0 International License.
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