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Journal of Nurse Midwifery and Maternal Health

Volume  10, Issue 2, May - Aug 2024, Pages 43-57
 

Original Article

Separated from their Little Bundle of Joy: Are Mothers and Fathers Equally Affected

Naseema Shafqat1, Naresh Kumar Yadav2, Mamta Verma3, Mahendra Kumar Jain4

1 Assistant Professor, Department of   Obstetrical and Gynecological Nursing, 2Nursing Officer,  All India Institute of Medical Sciences, New Delhi 110029,  3Associate Professor, Department of Pediatric Nursing, 4Professor and HOD, Department of Neonatology, All India
Institute of Medical Sciences, Bhopal 462020, Madhya Pradesh,  India.
 

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DOI: http://dx.doi.org/10.21088/jnmmh.2454.7506.10224.1

Abstract

Objectives: The birth of a baby brings joy and the need for new family roles. However, few    babies typically fail in their graceful perinatal transition requiring separation from parents in NICU   leading to stressful situations. This study aimed to identify, correlate, and compare the stress levels  and coping strategies of mothers and fathers with neonates in the NICU.  Methods: A descriptive cross-sectional survey was conducted among 80 parents of NICUadmitted neonates, using purposive sampling. Data were collected through self-structured rating   scales. Statistical analysis was performed using Spearman’s Rank Correlation Coefficients, MannWhitney U-test, and Chi-square test, with normality established by the Shapiro-Wilk test.   Results: The findings revealed that the majority of mothers (45.0%) and fathers (47.5%)  were aged 26-30 years. Most mothers (72.5%) and fathers (65.0%) experienced moderate stress. A significant number of mothers (67.5%) and fathers (52.5%) used partially adaptive coping
strategies. Both mothers and fathers exhibited high stress and coping strategies in the emotional  domain. The Spearman’s correlation coefficient was r= -0.33 for mothers and r= -0.47 for fathers,  indicating a moderate negative correlation between stress levels and coping strategies. No   significant difference was found in stress levels between mothers and fathers (Z=-.516, P=0.606),
but a significant difference was noted in their coping strategies (Z=-2.348, P=0.019). Significant  associations were found between stress, coping strategies, and socio-demographic variables such   as mode of delivery (χ²=7.73, P=0.02), fathers’ employment status (χ²=15.3, P=0.01), neonates’  medical diagnosis (χ²=13.4, P=0.03), and length of stay in the NICU (χ²=11.3, P=0.02).  Conclusion: While no significant gender difference was found in stress levels, fathers showed   better coping strategies. Since stress is negatively correlated with coping, it suggests that healthcare  professionals’ support can reduce parental stress and improve coping.
 


Keywords : Stress; Psychological; Adaptation; Psychological; Parents; Intensive Care Units; Neonatal; Infant; Newborn; Parental Stressors.
Corresponding Author : Naseema Shafqat,