Stress perception and its determinants among parents of NICU-admitted neonates: a tertiary care study
DOI:
https://doi.org/10.18203/2349-3291.ijcp20261539Keywords:
Family-centered care, Gender differences, Neonatal intensive care, NICU, Parental stress, PSS:NICUAbstract
Background: Admission of a newborn to the Neonatal Intensive Care Unit (NICU) is frequently associated with significant psychological stress among parents due to uncertainty regarding prognosis, complex medical interventions, and disruption of expected parental roles. Assessing parental stress and identifying influencing factors are essential for strengthening family-centered neonatal care.
Methods: A single-center, hospital-based cross-sectional study was conducted among 60 parents (60 couples) of neonates admitted to the NICU of LNMC & JK Hospital, Bhopal. Parents of neonates admitted for ≥24 hours were enrolled using consecutive convenience sampling. Sociodemographic and neonatal clinical details were recorded using a semi-structured proforma. Parental stress was assessed using the validated Parental Stressor Scale: NICU (PSS:NICU). Data were analyzed using R statistical software. Descriptive statistics, paired and independent t-tests, and Pearson’s correlation were applied. A p-value <0.05 was considered statistically significant.
Results: Mothers reported significantly higher stress scores than fathers in sight and sound (63.11±12.23 vs 56.85±13.33), infant appearance (79.83±6.84 vs 72.53±6.19), and parental role alteration (87.48±5.22 vs 77.90±5.39) domains (p<0.001). Staff-related stress was comparable (p=0.653). Parental role alteration was the highest stress domain overall. A significant negative correlation was observed between parental age and stress (fathers r=-0.441; mothers r=-0.351; p<0.001). Birth weight and NICU stay duration were not significantly associated with stress levels.
Conclusions: Parental stress in the NICU is significant and predominantly affects mothers. Early identification of vulnerable parents and implementation of structured counseling and family-centered interventions are essential to enhance coping and improve neonatal care outcomes.
References
Siva N, Phagdol T, Nayak BS, Mathias EG, Lewis LES, Velayudhan B, et al. Stress and stressors experienced by the parents of high-risk neonates admitted in neonatal intensive care unit: Systematic review and meta-analysis evidence from India. Stress Health. 2024;40(2):e3301.
Joshi A, Agarwal B, Saini V, Javvaji CK. Assessment of stress and anxiety in parents of neonates admitted in a tertiary care neonatal intensive care unit (NICU). Cureus. 2024;16(8):e66100.
Sisodia P, Khan H, Shukla NK, Rathoria R, Rathoria E, Bansal U, et al. Estimation of stress amongst the parents of neonates admitted to neonatal intensive care unit. Adv Hum Biol. 2023;13(2):205-10.
Basamma, Patil BM, Meenakshi N, Rudrakshi Itagi. Assessment of level and source of stress in mothers of newborns admitted to neonatal intensive care unit in tertiary care hospital. Int J Contemp Pediatr. 2024;11(12):1725-32.
Jha P, Tripathi S, Kar SK. Parental stress, psychological well-being and sleep quality of mothers of neonates hospitalized in the Neonatal Intensive Care Unit of a tertiary care hospital in North India: a cross-sectional study. Clin Epidemiol Glob Health. 2025;35:102139.
Ganguly R, Patnaik L, Sahoo J, Pattanaik S, Sahu T. Assessment of stress among parents of neonates admitted in the neonatal intensive care unit of a tertiary care hospital in Eastern India. J Educ Health Promot. 2020;9:288.
Parida SP, Krishnamurthy S, Karumathil S, Deepashree S, Rao S. Demographic profile, etiology, and perinatal outcome associated with preterm birth in a tertiary hospital of Eastern India: a retrospective study. Cureus. 2022;14(6):e26008.
Mukhtar F, Iqbal J, Aslam Z, Ayaz M, Sathian B, Albarqouni H, et al. Prevalence of parental stress among neonates' mothers admitted in neonatal intensive care unit (NICU) of tertiary care hospital: a cross-sectional study. J Popul Ther Clin Pharmacol. 2024;31(2):27-34.
Hendy A, El-Sayed S, Bakry S, Mohammed SM, Mohamed H, Abdelkawy A, et al. The stress levels of premature infants' parents and related factors in NICU. SAGE Open Nurs. 2024;10:1-10.
Das U, Rout NR. Impact of normal vs. caesarean deliveries on child nutritional status and mortality in India: insights from NFHS-5 data. BMC Pediatr. 2024;24:781.
Pal N, Agrawal A, Shrivastava J. Stress levels in mothers of admitted newborns in NICU and effect of counseling. Indian J Pediatr. 2024;91(1):17-22.
Singh A, Upadhyay AK, Kumar K, Rai A. Gender variations in neonatal and early infant mortality in India and Pakistan: a secondary analysis from the Global Network Maternal Newborn Health Registry. Reprod Health. 2020;17(1):178.
Kumar C, Singh PK, Rai RK. An exploratory spatial analysis of low birth weight and its determinants in India. Clin Epidemiol Glob Health. 2020;8(3):702-11.
Caporali C, Pisoni C, Gasparini L, Ballante E, Zecca M, Orcesi S, et al. A global perspective on parental stress in the neonatal intensive care unit: a meta-analytic study. J Perinatol. 2020;40(12):1739-52.
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