Parenting after preterm birth: link between infant medical risk and premature parenthood. A pilot study.

BACKGROUND

The aim of the present study was to examine the relationship between parental emotion regulation, infant medical risks and representation of child's behavior at 3 months corrected age.

METHODS

The sample includes 28 couples (parents) and 32 preterm infants (4 set of twins) (AG average: 29 weeks), low birth weight (average weight: 1180.62 g), hospitalized for about two months. At the 3rd month of corrected age of the child all couples were interviewed using the "Clinical Interview for Parents of High Risk Infants" (CLIP), which explores the emotional aspects associated with preterm birth. The interviews were recorded, transcribed and analysed using ATLAS.TI. After the interview, only 14 mothers and 14 fathers completed the Behavior Rating Scale (SVC-80; Laicardi, 1998), which explores the observational-representative styles of each parent with respect to the child's behavior in the context of everyday life. We identified three Couples Groups indicating qualitative differences in the emotional functioning of the subjects mainly in the temporal dimension: 1) 12 "future-oriented"; 2) 12 "suspended in the present"; 3) 4 "oriented to the past".

RESULTS

The results show that the infant's medical status has a impact on ability of parents to process the experience of preterm birth: increasing the infant's medical risks increases the difficulty of parents ability to process the experience.

CONCLUSIONS

The CLIP can be a useful screening tool to identify difficulties of parents, to structure interventions focused on the elaboration of the traumatic experience of birth and on improving the quality of parent-infant relationship.