Parenting and Prematurity: Understanding Parent Experience and Preferences for Support

Infants born very preterm are at risk of developmental and behavioural problems and their parents are at risk of psychological distress and compromised parenting. This study has two key aims: (1) to identify, from the parents’ own perspective, the unique aspects of parenting an infant born very preterm and (2) to assess parent preferences for support including opinions of a new, tailored parenting intervention, Prem Baby Positive Parenting Program (Triple P). A qualitative approach was taken with focus groups of 18 parents of infants born preterm and a thematic analysis conducted. Parents identified several unique aspects of parenting an infant born preterm including: difficulty coping with the stress of hospitalisation; institutionalisation to the hospital environment; a lack of preparation for the transition to parenthood; grief; isolation; getting into “bad parenting habits” of overnurturance and a lack of certainty about developmental expectations. Parents preferred parenting support that is tailored to parents of infants born preterm, has flexible delivery, enhances coping skills and the spousal relationship and is sensitive to the emotional context of parenting an infant born preterm. Understanding the experiences and the preferences of parents of infants born preterm is an important step in tailoring parenting interventions to fit their needs.     

Marriage guidance counselling in general practice in London

People with marital difficulties are more likely to contact their GP for help than any other social service. In recent years, a number of attachments of marriage guidance counsellors to general practice have been set up to encourage doctors to refer patients directly. This paper describes the results of a postal survey of general practitioners and counsellors in attachments in the area covered by the London Marriage Guidance Council. While the results were very positive, with few disadvantages mentioned, it must be remembered that the majority of GPs involved were a highly self-selected and atypical group, usually with a special interest in psychotherapy.     

The Boa constrictor or the hat: a dilemma for child therapists

The child therapist must satisfy two prerequisites for successful treatment. These conditions are: 1) a positive alliance with the parents; 2) an understanding of the child's world. At times, the demands imposed on the therapist via these conditions conflict. Empathy, for either child or parent, may become blocked. This paper will explore the vicissitudes of conflicting identifications within the child therapist. Possible resolution of this conflict via simultaneous empathy will be discussed.     

Predictors of Maternal Bonding and Responsiveness for Mothers of Very Preterm Infants

Journal of Clinical Psychology in Medical Settings - Identify predictors of maternal bonding and responsiveness for mothers of very preterm infants (<?32 weeks gestational age) at 6...     

Are parenting interventions effective in improving the relationship between mothers and their preterm infants?

Aim

To systematically review the efficacy of parenting interventions in improving the quality of the relationship between mothers and preterm infants.

Method

Randomized or quasi-randomized controlled trials (RCT) of parenting interventions for mothers of preterm infants where mother–infant relationship quality outcomes were reported. Databases searched: The Cochrane Library, PubMed, CINAHL, PsycINFO and Web of Science.

Results

Seventeen studies met the inclusion criteria, 14 with strong methodological quality. Eight parenting interventions were found to improve the quality of the mother–preterm infant relationship.

Conclusions

Heterogeneity of the interventions calls for an integrated new parenting program focusing on cue-based, responsive care from the mother to her preterm infant to improve the quality of the relationship for these mother–preterm infant dyads.