Abstract
Objectives
The sparse literature on the effect of a preterm delivery on parents’ quality of life (QoL) yields inconsistent results, restricting their analysis to mothers. The present study aimed to assess the effect of a very preterm delivery on parents’ gender-specific perception of QoL, 4 to 6 months after birth.
Methods
A total of 117 parents of very preterm infants hospitalized at birth in a level III Neonatal Intensive Care Unit, and 214 parents of never hospitalized full-term infants born in a public maternity, both located in the North of Portugal, participated in the study, 4 to 6 months after delivery (November 2013–June 2015). The Portuguese version of the World Health Organization Quality of Life – BREF Inventory was applied and scores were transformed to reflect a 0 to 100 scale.
Results
The mean [standard deviation (SD)] of overall QoL ranged between 72.1 (13.3) among mothers of full-term infants and 74.6 (12.5) among mothers of very preterm infants. The perception of QoL was not significantly different among parents of very preterm and full-term infants, according to gender. The highest scores were observed in the psychological and physical dimensions, for both mothers and fathers.
Conclusions for Practice
The lack of differences on the perception of QoL among mothers and fathers of very preterm and full-term infants, highlights the need to deeply understand and explore the influence of accommodation mechanisms, the extended family/community and health policies on parental QoL trajectories.
Significance
What is Already Known on this Subject? The effect of a preterm delivery on parents’ QoL yields inconsistent results, mainly due to a considerable heterogeneity regarding the operationalization of QoL, the use of different units of analysis, and different periods of data collection. Also, most studies restrict their analysis to mothers, with few attempts to assess parents’s QoL during mother’s return-to-work period.
What this Study adds? Parents who experience increased family burden and distress after a very preterm delivery do not perceived their QoL 4–6 months after delivery differently than parents of full-term infants.
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Data Availability
Data will be available upon request.
Code Availability
Not applicable.
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Acknowledgements
We thank all participants and health professionals for their collaboration in the study. We would like to thank Raquel Magano for her collaboration on data collection of the full-term cohort, 4–6 months after delivery.
Funding
This study was funded by FEDER through the Operational Programme Competitiveness and Internationalization and national funding from the Foundation for Science and Technology – FCT (Portuguese Ministry of Science, Technology and Higher Education), under the project “Parenting roles and knowledge in neonatal intensive care units” (FCOMP-01-0124-FEDER-019902), and the Unidade de Investigacão em Epidemiologia – Instituto de Saúde de Pública da Universidade do Porto (EPIUnit) (POCI-01-045-FEDER-016867; Ref. FCT UID/DTP/04750/2019); the Postdoc Grant SFRH/BPD/103562/2014 (Elisabete Alves), the PhD grant PD/BD/105830/2014 (Mariana Amorim), co-funded by the FCT and the ‘Programa Operacional Capital Humano’ (POCH/FSE) and the FCT Investigator contract IF/01674/2015 (Susana Silva).
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All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by EA, MA, CN and SS. The first draft of the manuscript was written by EA and all authors commented on precious versions of the manuscript. All authors read and approved the final manuscript.
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The study was approved by the National Data Protection Commission and the Ethics Committees of all hospitals where the study was performed.
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Alves, E., Amorim, M., Nogueira, C. et al. Quality of Life of Mothers and Fathers 4 to 6 Months After Birth: The Effect of a Very Preterm Delivery. Matern Child Health J 27, 1719–1725 (2023). https://doi.org/10.1007/s10995-023-03739-9
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DOI: https://doi.org/10.1007/s10995-023-03739-9