EC Paediatrics

The hospitalization of newborns in neonatal intensive care units (NICUs) presents a significant stressor for families, often leading to elevated levels of anxiety and depression among parents. This study, conducted at neonatal intensive care unit in Mohammed VI University Hospital in Marrakech, Morocco aimed to deepen the understanding of parental stress associated with NICU hospitalization and its impact on mental health.

Forty parents (24 mothers, 16 fathers) of newborns initially admitted to intensive care and subsequently transferred to stable recovery were included. Data were collected through structured questionnaires assessing demographic information, parental stress factors, aggravating factors and mental health indicators. Our results indicated that fear of newborn death and neurological sequelae were predominant stress factors for most of parents, with 95% and 80% prevalence, followed by the fear to contract nosocomial infection for 55% of parents and the fear of oxygen dependence for 25% of parents, we noticed that length of stay did not had a significant impact on parental stress, respectively. The transfer to the stable side was perceived as a relief by most parents, although some expressed concerns about returning to intensive care or bringing their baby home. Financial problems and external comments were identified as aggravating factors contributing to parental stress. Physical symptoms reported by parents included fatigue, headaches, dizziness, abdominal pain, and changes in appetite. Anxiety, sleep disorders, irritability, feelings of guilt, and concentration problems were also prevalent, impacting social functioning and overall well-being. The discussion of the findings underscored the various challenges encountered by parents in NICU settings, including restricted access to the informations, a sense of powerlessness in managing their child's care, and emotional upheaval. Consistent with earlier studies, the fear of infant mortality emerged prominently as a primary source of stress, further emphasizing the necessity for personalized support interventions. The study concludes by emphasizing the importance of comprehensive support for parents in NICU settings, including informational, emotional, and practical assistance. Future research should focus on designing effective stress-reduction interventions tailored to the unique needs of parents in NICU environments, aiming to alleviate their psychological burden and promote well-being during this challenging period.

 Keywords: Parents; Stress; Neonatal Intensive Care Unit; Newborn

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