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Cited by 54Infant Development and Preterm CareMaternal Mental Health During Pregnancy and PostpartumFamily and Disability Support Research

Neurodevelopmental, Mental Health, and Parenting Issues in Preterm Infants

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Shaw, Richard J., Givrad, Soudabeh, Poe, Celeste, Loi, Elizabeth C., Hoge, Margaret K., Scala, Melissa·2023·Children
DOI 10.3390/children10091565PMC PMC10528009
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Abstract

The World Health Organization in its recommendations for the care of preterm infants has drawn attention to the need to address issues related to family involvement and support, including education, counseling, discharge preparation, and peer support. A failure to address these issues may translate into poor outcomes that extend across the lifespan. In this paper, we review the often far-reaching impact of preterm birth on the health and wellbeing of the parents and highlight the ways in which psychological stress may have a negative long-term impact on the parent-child interaction, attachment, and the styles of parenting. This paper addresses the following topics: (1) neurodevelopmental outcomes in preterm infants, including cognitive, sensory, and motor difficulties, (2) long-term mental health issues in premature infants that include elevated rates of anxiety and depressive disorders, autism, and somatization, which may affect social relationships and quality of life, (3) adverse mental health outcomes for parents that include elevated rates of depression, anxiety, and symptoms of post-traumatic stress, as well as increased rates of substance abuse, and relationship strain, (4) negative impacts on the parent-infant relationship, potentially mediated by maternal sensitivity, parent child-interactions, and attachment, and (5) impact on the parenting behaviors, including patterns of overprotective parenting, and development of Vulnerable Child Syndrome. Greater awareness of these issues has led to the development of programs in neonatal mental health and developmental care with some data suggesting benefits in terms of shorter lengths of stay and decreased health care costs.

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Cited by

Sorted by citations

Authors
Shaw, R. J., Givrad, S., Poe, C., Loi, E. C., Hoge, M. K., & Scala, M.
Affiliations
  • Stanford Medicine (US)
  • Weill Cornell Medicine (US)
  • The University of Texas Southwestern Medical Center (US)
Corresponding author
Shaw, Richard J.
ORCID
Venue
Children
Publisher
MDPI AG
Published
2023-09-18
Volume
10
Issue
9
Pages
1565
ISSN
2227-9067 (ISSN-L)
DOI
10.3390/children10091565
PMC
PMC10528009
OpenAlex
W4386835483
Cited by
54
References
15
Citations by year
2026: 21 · 2025: 24 · 2024: 9
FWCI
19.89
Type
journal article
Language
en
Open access
Licence
Locations
  • Children (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
Keywords
preterm infants, preterm birth, neurodevelopmental outcomes, parental mental health, parental behavior, parent-infant attachment, maternal sensitivity, parent-child interaction, post-traumatic stress, autism spectrum disorder, anxiety and depression, somatization, parental overprotection, developmental care, family support

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