Milette AA, Richter LL, Bourque, CJ, Janvier A, Pierce R, Church PT, Synnes A, Janvier A. (2023), Parental perspectives of outcomes following very preterm birth: Seeing the good, not just the bad. Acta Paediatrica, 112(3):398-408
Abstract
Aim: To describe parental perspective on health and developmental outcomes of their preterm child in relation to level of neurodevelopmental impairment (NDI).
Methods: A parental survey about their children aged 15-36 months corrected age born ˂29 weeks’ gestation investigated parental concerns and positive attributes. Parental responses in relation to their child’s level of NDI were examined using Kruskal-Wallis and chi-square for trend tests.
Results: One hundred ninety-nine parental responses were obtained for 163 children, including 44% with NDI. Vast majority of parents reported their children were developing well with good physical health. All parents, irrespective of NDI, reported their children were happy and had a positive personality. Appreciation of social interactions was higher for parents of children without versus with NDI (96% vs. 87%, p = 0.039). Parents of children with NDI were more likely to express concerns than those without NDI. Overall, development was the most common area of concern (45%), followed by the child’s future (40%) and physical health (35%).
Conclusion: Parents of preterm children report many positive points and concerns, some of which are not examined in neonatal follow-up data. These parental perspectives could be used to inform parents of preterm infants, both antenatally and in the neonatal unit.
Keywords: Neonatal follow-up; Neonatal outcome; Neurodevelopment; Parental perspective; Preterm birth.
Ce contenu a été mis à jour le 4 octobre 2023 à 14h34.
