Quality of life among parents of preterm infants: a scoping review
- 412 Downloads
To synthesize the body of knowledge on the factors influencing the QoL of mothers and fathers of preterm infants.
A scoping review was performed. Publications indexed in PubMed®, Web of Science™, CINAHL® and PsycINFO® were searched, targeting studies presenting original empirical data that examined parental perception on QoL after a preterm delivery. Eligibility and data extraction were conducted by two independent researchers. The main quantitative findings were synthesized and qualitative data were explored by content analysis.
The studies, 11 quantitative and 1 mixed methods, were derived mainly from the USA (n = 6). Heterogeneity across the studies was observed regarding the operationalization of QoL and the use of units of analysis (mothers, parents, families and caregivers). In a context where 40 out of 45 covariates were analysed by only one or two studies, results suggested that parental QoL after a preterm delivery is influenced by factors related with mother’s characteristics, family issues and health care environment rather than infants’ variables. Factors regarding fathers’ characteristics and structural levels were not addressed.
Standardizing the operationalization of the QoL when analysing mothers and fathers of preterm infants calls for a structured questionnaire adapted to their specific needs. Further research should include both mothers and fathers, invest in mixed methods approaches and be performed in different countries and settings for allowing integration and comparison of findings.
KeywordsQuality of life Premature birth Parents Family-integrated care Scoping review
This work was supported by FEDER funding from the Operational Programme Factors of Competitiveness—COMPETE and by 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; Ref. FCT PTDC/CS-ECS/120750/2010) and the Unidade de Investigação em Epidemiologia—Instituto de Saúde Pública da Universidade do Porto (EPIUnit) (POCI-01-0145-FEDER-006862; Ref. UID/DTP/04750/2013); the grants PD/BD/105830/2014 (to MA), SFRH/BPD/103562/2014 (to EA), co-funded by the FCT and the POPH/FSE Program and the FCT Investigator contract IF/01674/2015 (to SS).
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
- 1.World Health Organization. (2012). Born too soon: the global action report on preterm birth. Geneva: WHO Press.Google Scholar
- 2.Wang, H., Bhutta, Z. A., Coates, M. M., Coggeshall, M., Dandona, L., Diallo, K., Franca, E. B., Fraser, M., Fullman, N., Gething, P. W., et al. (2016). Global, regional, national, and selected subnational levels of stillbirths, neonatal, infant, and under-5 mortality, 1980–2015: A systematic analysis for the Global Burden of Disease Study 2015. The Lancet, 388(10053), 1725–1774.CrossRefGoogle Scholar
- 3.Blencowe, H., Cousens, S., Oestergaard, M. Z., Chou, D., Moller, A. B., Narwal, R., Adler, A., Garcia, V., Rohde, C., Say, S., L., & Lawn, J. E. (2012). National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. The Lancet, 379(9832), 2162–2172.CrossRefGoogle Scholar
- 6.Zeitlin, J., Manktelow, B. N., Piedvache, A., Cuttini, M., Boyle, E., van Heijst, A., Gadzinowski, J., Van Reempts, P., Huusom, L., Weber, T., Schmidt, S., Barros, H., Dillalo, D., Toome, L., Norman, M., Blondel, B., Bonet, M., Draper, E. S., & Maier, R. F. (2016). Use of evidence based practices to improve survival without severe morbidity for very preterm infants: results from the EPICE population based cohort. BMJ, 354, i2976.CrossRefPubMedPubMedCentralGoogle Scholar
- 7.EPICE. (2017). Effective perinatal intensive care in Europe: Translating knowledge into evidence-based practice. Retrieved December 11, 2017 from http://www.epiceproject.eu/en/.html.
- 10.Alves, E., Amorim, M., Fraga, S., Barros, H., & Silva, S. (2014). Parenting roles and knowledge in neonatal intensive care units: Protocol of a mixed methods study. British Medical Journal Open, 4(7), e005941.Google Scholar
- 24.Stemler, S. (2001). An overview of content analysis. Practical Assessment, Research and Evaluation, 7(17), 137–146.Google Scholar
- 26.Sharma, M., & Sohi, I. (2007). Quality of life of mothers of preterm and term babies. Journal of Neonatology, 21(4), 281–284.Google Scholar
- 28.Mautner, E., Greimel, E., Trutnovsky, G., Daghofer, F., Egger, J. W., & Lang, U. (2009). Quality of life outcomes in pregnancy and postpartum complicated by hypertensive disorders, gestational diabetes, and preterm birth. Journal of Psychosomatic Obstetrics and Gynecology, 30(4), 231–237.CrossRefPubMedGoogle Scholar
- 35.Moura, M. R., Araujo, C. G., Prado, M. M., Paro, H. B., Pinto, R. M., Abdallah, V. O., Mendonca, T. M., & Silva, C. H. (2017). Factors associated with the quality of life of mothers of preterm infants with very low birth weight: A 3-year follow-up study. Quality of Life Research, 26(5), 1349–1360.CrossRefPubMedGoogle Scholar
- 40.Bidzan, M., & Bieleninik, L. (2013). Conditions of the quality of life and life satisfaction of mothers of preterm babies in Poland. Journal of Socialomics, 2(2), e117.Google Scholar
- 41.Guillamon, N., Nieto, R., Pousada, M., Redolar, D., Munoz, E., Hernandez, E., Boixados, M., & Gomez-Zuniga, B. (2013). Quality of life and mental health among parents of children with cerebral palsy: The influence of self-efficacy and coping strategies. Journal of Clinical Nursing, 22(11–12), 1579–1590.CrossRefPubMedGoogle Scholar
- 42.Phillips, C., Velji, Z., Hanly, C., & Metcalfe, A. (2017). Risk of recurrent spontaneous preterm birth: A systematic review and meta-analysis. British Medical Journal Open, 7(6), e015402.Google Scholar
- 45.Alves, E., Amorim, M., Baía, I., & Silva, S. (2017). Parents’ perspectives on the hospitalization of preterm infants in Neonatal Intensive Care Units: A literature review. In E. Sanders (Ed.), Neonatal intensive care: Issues, insights and studies (pp. 37–97). New York: Nova Biomedical.Google Scholar
- 47.Lakshmanan, A., Agni, M., Lieu, T., Fleegler, E., Kipke, M., Friedlich, P. S., McCormick, M. C., & Belfort, M. B. (2017). The impact of preterm birth < 37 weeks on parents and families: A cross-sectional study in the 2 years after discharge from the neonatal intensive care unit. Health and Quality of Life Outcomes, 15(1), 38.CrossRefPubMedPubMedCentralGoogle Scholar
- 55.Creswell, J. W. (2015). A concise introduction to mixed methods research. Thousand Oaks: Sage Publications, Inc.Google Scholar